Empowering lives, Building resilience (2012)

Empowering lives, building resilience

Dr. Christoph HamelmannRegional Practice Leader HIV, Health and Development

UNDP Europe and Central Asia

Annual Business and Technical Conference of the WHO European Healthy Cities Network and Network of European

National Healthy Cities NetworksSt. Petersburg, 14-16 June 2012

Development Stories from Europe and Central Asia

Overview

• Case Reports

• Environment and Health: Glocalization of Action

• Reflections on Building Resilience

• Resilience as Component of Sustainable Development

• Link with WHO Health 2020 and Rio+20

Bulgaria: Job Opportunities through Business Support

Carpet factory HEMUS became leading employer in village Kostandovo, over 80 women engaged

• Economy collapsing and in transition

• high unemployment, rural areas fall behind

• lack of self-confidence in entrepreneurship in rural areas

What the Challenge was

• Business centre: support to open business in depressed rural areas

• Loan guarantees and quality certificates

Innovation / Pilot

Average Unemployment %

Small villagesMixed areasCountryUrban areas

Bulgaria: Job Opportunities through Business Support

• Owned up by Ministry of Labourand Social Policy

• Branding: Job Opportunities through Business Support ‘JOBS’

• 42 business centres

• 37,700 new jobs in rural areas

• 60,900 people trained with new business and vocational skills

Transformation & Scale Up

Georgia: Justice for All

Head of legal aid services at legal consultation with displaced people

• Country in transition, poverty• Conflict and post-conflict

situation, past civil unrests• Break-away regions• Weak legal system, many

unresolved legal issues

What the Challenge was

• As part of judicial reform and the 2007 Law on Legal AID

• First Legal AID Service office for the poor, displaced, ethnic minorities, from remote areas

Innovation / Pilot

• Leadership by Ministry of Corrections and Legal Assistance

• Rapid scale-up supported by UNDP through training of lawyers, ‘knowing your rights’ campaigns and service marketing

• 11 Legal AID service offices and 3 consultation centres

• Over 12,000 legal consultations in 2010

Transformation & Scale Up

Georgia: Justice for All

Legal aid service to ethnic minority groups – ethnic Greek woman in Georgia

Kyrgyzstan: Reducing harm from HIV

A health worker in Osh doing HIV testing

• People infected by HIV increasing• Country at the crossroads of drug

trafficking through Central Asia• Discrimination, marginalization

and criminalization of populations most at risk

What the Challenge was

• Needle and syringe exchange• Methadone substitution

treatment (2002, first in CIS)• Landmark court case on

protection rights for PLHIV through legal aid clinic

Innovation / Pilot

• Owned up by Ministry of Health with multi-sectoral government approach

• CSOs: ‘Nothing about us without us’

• National HIV Strategy and National AIDS Law

• National scale-up of harm-reduction services for IDUs

• National scale up of comprehensive HIV/AIDS services

Transformation & Scale Up

Kyrgyzstan: Reducing harm from HIV

National HIV Programme 2006-2010

conforms with international standards and focuses on populations at higher risk

Albania: Mine-Free to Development

• Landmines from Kosovo conflict

• Area in which people lived mainly from subsistence farming

• Abandonment of fields and infrastructure

What the Challenge was

• Survey, mark, clear mines• Mine risk education• Victim assistance (1/3 of

victims were children)• Whole community

engagement

Innovation / Pilot

• Early scale-up to all districts,39 villages, 25,000 inhabitants

• Clearing completed by 2005

• Mine action committees become community development committees

• Priority development plans implemented through 185 community organizations

• Government investments for infrastructure and matching funds for community contributions

Transformation & Scale Up

Mine risk education taught children how to stay safe

Albania: Mine-Free to Development

A house in Osijek demonstrates the benefits of passive solar heating

Croatia: Energy Charta for Public Sector Buildings

• Wasteful energy use, energy intensity 12 % over EU average

• High carbon emission intensity• High energy bill for public sector

buildings

What the Challenge was

• Pilot in Sisak, population 50,000• 24 demonstration buildings• Over 2 years, energy

consumption down 13%, savings $ 440,000, carbon emissions down by 780 tons

Innovation / Pilot

Croatia: Energy Charta for Public Sector Buildings

• 127 mayors, all 20 county prefects and 15 ministries signed Energy Charta

• Marketing campaign with ‘Gaspar Energetic’, information and solar education centres

• Croatian Energy Law, Strategy and Action Plan

• Energy audit infrastructure and web-based EMIS

• Trainings and job creation

• 52% coverage of public sector buildings, most in health sector

Transformation & Scale Up

• Health sector accounts for 7.5 % of GDP in ECIS region

• Technology intensive with significant consumption of resources, associated with environmental pollution and degradation

• Accounts for an estimated 4.2 % of greenhouse gases (GHG) in the ECIS region

• Up to 25 % of these GHG can be reduced within short-term, more through long-term measures

• Reductions have also direct positive impact on life-years saved

Example: Greenhouse gases

Ministerial European Environment and Health Task Force Meeting, Bled/Slovenia 2011

Environmental Impact of Health Sector

Report Regional Preparatory Meeting

Public procurement47. Sustainable public procurement was supported as a first critical step to further the green economy at the national as well as the sub-national level. Concrete progress was proposed in the form of sustainable public procurement targets that could be met by an increasing number of countries over the years.

Economic Commission for Europe

UK NHS Sustainable Development Unit, collaboration with UNDP and WHO

Carbon Foot Printing &

Marginal Abatement Costs in the Health Sector

Building Resilience:Key Lessons Learnt

• It seems to need a trigger, often serious problem, crisis

• Hardest hit are the poor and disadvantaged populations

• Strong individual and community participation important

• Multi-sectoral responses with particular focus on the poor and disadvantaged populations

• Trouble shooting and preparedness for trouble shooting is not enough

• Resilience is not endless and not a vehicle to justify dismantling of social protection under austerity policies

Building Resilience:Key Lessons Learnt

• Multi-level responses reflect glocalization of networks and increase impact in time, scale and scope

• Strongest resilience when empowerment of people, communities and institutions results in breaking vicious cycle of trouble shooting and maintaining outdated systems, values and practices causing even more of it

• Commitment to multi-generational responsibility

• Transformational resilience as component of sustainable development

Base Development Model

Economic growth

Environmental protection

Social justice

Dynamic Model – non-sustainable

Dynamic Model - sustainable

Blue Path

Links with WHO Europe Health 2020

• Values: universality and equity, sustainability, rights-based and participatory approach, anti-discrimination, transparency and accountability

• Strategies: Universal access to health services including emergency services; socio-economic and environmental determinants of health; Health in All Policies; whole government approach

Glocalization in Action: WHO & UNDP

Wednesday, 20 June 2012

Local action and partnerships for more resilient people and communities

Panelists to include:

Mr. Christian Bach, Minister for Development Cooperation of Denmark; Dr. Margaret Chan, Director

General of the World Health Organization (WHO); Ms. Helen Clark, United Nations Development

Programme (UNDP)

Glocalization in Action: WHO & UNDP

Wednesday, 20 June 2012

Greening the health sector

Wednesday, 20 June 2012

Health and sustainable development –reinforcing the links

Panelists to include:

Dr. Margaret Chan, Director General of the World Health Organization (WHO)

Empowering Lives, Building Resilience

Development Stories from Europe and Central Asia

[email protected]

For further information:

Acknowledgment to allwho participated in the projects and to those who compiled the brochure