ICN • CIE • CII 3, place Jean-Marteau, 1201 Geneva - Switzerland - Tel.: +41 22 908 01 00 Fax: +41 22 908 01 01 - e-mail: [email protected]- web: www.icn.ch NNA BRIEFINGS 138 th Session of the WHO Executive Board The 138 th Session of the WHO Executive Board (EB) took place in Geneva from 25-30 January 2016 under the Chairmanship of Malebona Precious Matsoso. The EB is comprised of representatives from 34 WHO Member States (MS) and is mandated to implement the decisions and policies of the World Health Assembly (WHA), to advise it and to facilitate its work. The EB meets twice a year. Opening remarks by the WHO Director-General In her opening address, WHO Director-General (DG), Dr Margaret Chan, acknowledged the monumental achievements made by Guinea, Liberia, and Sierra Leone in their response to the Ebola virus outbreak but warned that the outbreak is not officially over and that vigilance is still needed. The DG expressed determination in changing the way WHO responds to outbreaks and emergencies, and reaffirmed commitment to implementing a single programme for health emergency management. She noted the ongoing threats to global health including the Zika virus, MERS CoV, antimicrobial resistance, climate change and ongoing armed conflicts and protracted crises. The DG highlighted the need for universal health coverage and its underpinning of the ambitious Sustainable Development Goals agenda. The speech was concluded by highlighting the need to focus on people and their needs as the driving force in the commitment to improving health. The full speech is available at: http://apps.who.int/gb/ebwha/pdf_files/EB138/B138_2-en.pdf
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NNA BRIEFINGS - Japanese Nursing Association · Maternal, infant and young child nutrition The report describes the progress made towards the global nutrition targets but notes that
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Annexes: ICN and WHPA interventions at the 138th Session of the WHO Executive Board. ICN interventions
Annex 1: Maternal, infant and young child nutrition
Annex 2: Health in the 2030 Agenda for Sustainable Development
Annex 3: Global action plan on antimicrobial resistance
Annex 4: 2014 Ebola virus disease outbreak and issues raised: follow-up to the Special Session of the Executive Board on the Ebola Emergency (resolution EBSS3.R1) and the Sixty-eighth World Health Assembly (decision WHA68(10))
Annex 5: Health workforce and services
WHPA interventions
Annex 6: Multisectoral action for a life-course approach to healthy ageing: draft global strategy and plan of action on ageing and health Annex 7: Substandard/spurious/falsely-labelled/falsified/counterfeit medical products
Annex 8: Health workforce and services
Annex 9: Framework of engagement with non-State actors
EE/February/2016
The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the millions of nurses worldwide. Operated by nurses and leading nursing
internationally, ICN works to ensure quality nursing care for all and sound health policies globally.
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productive employment and decent work, and reducing inequality.
In addition to nurses’ essential contributions to achieving Goal 3 – Ensure healthy
lives and promote well-being for all at all ages – nurses contribute to many of the
targets under non-health SDGs including those related to nutrition, access to sexual
and reproductive health, violence, water and sanitation, disaster preparedness and
risk reduction, climate change and birth registration.
Further, ICN supports the intersectoral actions for health. Nurses are the frontline
responders to a range of health problems as a result of factors that are beyond
health sector control. Protecting the health of the population is the responsibility of
governments. Therefore we strongly support the commitments of governments to
address social and environmental determinants of health and call for use of health
indicators for non-health goals.
Thank you.
Annex 3
International Council of Nurses Intervention
EXECUTIVE BOARD
138th session
Provisional agenda item 8.5
Global action plan on antimicrobial resistance
January 2016
Thank you for the opportunity to speak on behalf of the International Council of
Nurses and the millions of nurses around the world.
ICN considers antimicrobial resistance as a serious public health threat and
appreciates WHO’s efforts to bring the issue to a high-level meeting this year. As
relevant targets are not included in the Sustainable Development Goals, it is
important to generate global momentum and commitment to ensure effective
implementation of the global action plan on antimicrobial resistance. The high-level
meeting should encourage Member States to fulfill their commitment to have in place
a national action plan by the Seventieth World Health Assembly.
As the global action plan notes, healthcare workers have a vital role in preserving the
power of antimicrobial medicines. As frontline healthcare workers, nurses play a
critical role, especially in the following four areas:
1. Rational use of antibiotics including responsible prescribing by nurses,
supporting physician prescribing, and supporting patients in treatment
adherence.
2. Monitoring treatment efficacy and early detection and reporting of
antimicrobial resistance.
3. Educating patients, families, the public and colleagues on prevention and
control of infections and on antimicrobial resistance.
4. Implementing infection control measures and supporting healthcare
colleagues to comply with the procedures.
Nurses also advocate for patients to have a sufficient stock of antimicrobial
medicines so that patients can take the correct amount for a correct duration as
prescribed.
The success of the global efforts to fight antimicrobial resistance largely depends on
the extent to which millions of nurses around the world are mobilised and diligent. In
order to optimise nurses’ contributions, ICN requests governments to ensure
appropriate workforce planning and education as an integral part of strengthening
health systems and full involvement of nurses in planning and development of
relevant policies and strategies.
Thank you.
Annex 4
International Council of Nurses Intervention
EXECUTIVE BOARD
138th session
Provisional agenda item 9.1
2014 Ebola virus disease outbreak and issues raised: follow-up to the Special Session of the Executive Board on the Ebola Emergency (resolution EBSS3.R1) and the Sixty-eighth World Health Assembly (decision WHA68(10))
January 2016
Thank you for the opportunity to speak on behalf of the International Council of
Nurses and the millions of nurses around the world.
ICN is pleased to see the substantial progress that has been made and would like to
thank WHO Member States, sister NGOs and other partners in their commitment and
solidarity in bringing the outbreak close to the end.
However, the decreased incidence of Ebola does not mean the end to our
commitment. We must work together to end the outbreak and to create a health
infrastructure ready and able to respond to future threats.
Protection of nurses and other health workers, who have put their lives at risk to care
for others, is essential. According to WHO, health workers are 21-32 times more
likely to be infected with Ebola than are adults in the general population. More than
half of health workers who were infected by Ebola were nurses. Two thirds of the
health workers who have been infected have died. There is an essential need for
significant strengthening of safety policies, and the provision of adequate protective
equipment and appropriate training.
Ebola infections among health workers have had devastating effects on health
systems, including depletion of the much needed healthcare workforce and distrust in
the health system. We urge WHO and governments to include longer-term health
workforce planning and continuing education of health professionals as a foundation
for health system recovery and resilience plans.
Finally, ICN views the Ebola crisis as a human tragedy. Those health workers
responding to the needs of the affected populations have been hit hard. Children
have been left without parents, and those who were affected by contracting the
disease have also been subject of stigma. ICN calls on WHO and Members States to
address such social consequences in the recovery process.
Thank you.
Annex 5
International Council of Nurses Intervention
EXECUTIVE BOARD
138th session
Provisional agenda item 10.1
Health workforce and services
January 2016
Thank you for the opportunity to speak on behalf of the International Council of
Nurses.
ICN appreciates the secretariat reports and welcomes the draft Global Strategy on
Human Resources for Health: Workforce 2030 and the draft framework on integrated
people-centred health services. We believe that strengthening health systems can
only be achieved through investing in nursing and midwifery as part of strengthening
human resources for health (HRH), which is a foundational strategy for the
successful achievement of the Sustainable Development Goals.
The HRH Strategy is of utmost importance to ICN and the millions of nurses
worldwide, who constitute the largest health professional group and the providers of
over 80% of healthcare services. Given this, nurses will play critical roles in the
development, provision and supervision of new initiatives.
The HRH Strategy forms the basis from which the provision of primary health care
can be successfully achieved. ICN strongly supports the strategy to reorient health
systems towards primary health care. Nurses play a critical role in health promotion
and disease prevention, which must be strengthened if we are to be truly people-
centred. The coordination role of nurses in the healthcare team and the focus of
nursing care on people-centeredness, continuity of care, and comprehensiveness
and integration of services are essential contributions of nurses to integrated people-
centred health services.
Neither SDG 3 nor the HRH Strategy objectives will be achieved without urgent and
increased investment in nursing and midwifery development. Therefore, as an
integral part of achieving the HRH Strategy objectives, we urge WHO and
governments to ensure that nurses are involved in every aspect of the policy making
agenda, and implement actions proposed in the strategic directions for nursing and
midwifery development 2016-2020. ICN affirms its commitment to continue working
with WHO and governments to strengthen health systems through HRH
strengthening capacity.
Thank you.
Annex 6
World Health Professions Alliance (WHPA) joint intervention on agenda item 7.4 on Multisectoral action for a life-course approach to healthy ageing: draft global strategy and plan of action on ageing and health
Honourable Chairperson, Distinguished Delegates,
Thank you for the opportunity to speak on behalf of the international organisations
representing the worlds physicians, nurses, pharmacists, dentists and physical
therapists which together form the World Health Professions Alliance WHPA,
representing over 26 million health professionals in 130 countries.
As healthcare professionals, we have a major role in health promotion and
prevention to support “autonomy”, “quality of life” and “health life years” in an ageing
society. Ageism can, however, be an issue in health care. Health professionals may
unconsciously rationalize their treatment strategies based on age primarily rather
than patient/client needs. We would like therefore to state a few core principles:
Healthcare settings should be accessible to elderly and therefor age-friendly;
Education on ageing issues at undergraduate level is key, with support from
age-friendly work policies;
Essentially, a physically active citizen is less costly to the state and has the
capacity to contribute economically to society and is this more likely to live the
life he/she values. Here is long standing consensus on the beneficial effects
of exercise throughout the life course, and more recently, there is evidence of
beneficial effects of moderate exercise on health in older people with co-
morbidities;
The oral health of the elderly patient is essential for their autonomy,
maintaining the ability to chew and avoid issues such as malnutrition;
Elderly patients usually have multiple medication, their responsible use
supported by interprofessional collaborative practice is a necessity for
achieving healthier life as well as substantial savings.
With current demographic trends, the need for effective primary healthcare
services and nursing home facilities will only grow and the demand for a
health workforce capable of handling other patients will increase as well.
Thank you for your attention.
Annex 7
WHPA joint intervention on agenda item 10.4 on Substandard/spurious/falsely-labelled/falsified/counterfeit medical products
Thank you for the opportunity to speak on behalf of WMA, ICN, FIP, FDI and WCPT,
which together form the World Health Professions Alliance WHPA, representing over
26 million healthcare workers in 130 countries.
We welcome the list of prioritised activities and we hope that they will be supported
by adequate funding within the programme budget for 2016-2017.
WHPA has for many years worked to support the combat against SSFFC medical
products through a series of activities aligned with the report. We therefore
encourage the WHO to also consider activities developed by civil society.
For instance, for Activity A, our alliance developed last year training materials for
health care professionals entitled “All you need to know about spurious medicines”, in
cooperation with the Indian health care professions. The guidelines covered
prevention, detection, and response to SSFFC medical products.
The detection of counterfeits is facilitated through improved vigilance, empowering
patients, increased competencies of regulators and health care professionals, and
educating the public through new technologies. Detection only leads to protection
when cases are shared. We therefore appreciate WHO efforts to share cases of
SSFFC medicines via a global database and information systems.
Concerning Activity E, “to develop effective risk communication and awareness
campaigns”, a number of national health-care-professions-led campaigns are
available on our website at: www.whpa.org/counterfeit_campaign.htm and could
inspire future activities.
Finally, we recommend that appropriate consideration is also given to situations
facilitating intrusion of SSFFC medicines in the legitimate supply chain, such as
medicines shortages (also discussed at Agenda item 10.5). Please be assured of the
continuous support of health care professionals to fight this threat to the safety and
health of patients.
Thank you.
Annex 8
WHPA joint intervention on agenda item 10.1 on Health workforce and services
Honourable Chairperson, Distinguished Delegates,
Thank you for the opportunity to speak on behalf of WMA, ICN, FIP, FDI and WCPT,
which together form the World Health Professions Alliance WHPA, representing over
26 million healthcare workers in 130 countries.
The WHPA welcomes the Draft Global Strategy on Human Resources for Health,
recognizing the crucial role of the health workforce (HW) in preparing health care
system to manage the challenges of the future and achieve the newly adopted
Sustainable Development Goals.
The actual demographic trend indicates a high demand in HW and at the same time
the existing HW gets older and retires. These changes on the supply and demand
side will aggravate the actual shortage of the HW.
Universal Health Coverage (UHC) requires a strong HW, which is educated to
address the Social Determinant of Health. UHC must be embedded in a holistic
health care system with a focus on primary health care with close links to prevention,
secondary, tertiary care and rehabilitation, as described in the WHO report 2008. The
increased incidence of cancer is a good example that different health professions
with various degrees of specialisation are needed.
WHPA echoes the statement made in the WHO strategy that investment in HRH has
a growth- inducing effect and health care itself is a strong pillar of any economy. A
strong health care system, not only delivers better health for the people, but also
offers secure jobs, helps the country to better overcome economic crises and be
prepared to respond to catastrophes.
With the trend of growing violence against the HW, WHPA highlights the importance
of the right of health care workers to safe and decent working environments, free
from discrimination, coercion and violence.
Thank you.
Annex 9
WHPA Joint Intervention on Agenda item 5.3 on Framework of engagement with non-State actors 138th WHO EXCECUTIVE BOARD Thank you for the opportunity to speak on behalf of the World Medical Association,
the International Council of Nurses, the International Pharmaceutical Federation, the
World Dental Federation and the World Confederation for Physical Therapy, which
together form the World Health Professions Alliance.
NSAs in official relations with WHO have already been invited to disclose publically
the information on their financing, membership, governance, relationship to other
industries and areas of our collaboration with the WHO. We are looking forward to
receiving a report on the outcome of this comprehensive process, to strengthen the
confidence in the value of this exercise.
We agree with the accreditation criteria 64bis A-E and G-I listed at page 21.
However, the point F stating “the Membership of an NGO should not contain
individuals associated with private sector entities or philanthropic foundations and
academic institutions not at arm’s length with private sector” is unrealistic to fulfil for
individual membership-based NGOs. It will either lead to a major workload to assess
systematically conflicts of interest for all their members, or it will force them to
proactively exclude large number (in hundreds or thousands) of members who are for
example active employees, researchers or academics with some links with private
sector. We believe that there is no value for this process, as these individual
members may not be seating at the Board of the NGOs, nor interacting with the
WHO. Instead, it would make more sense that such conflict of interests management
is done at the Board level of the NGOs and with individuals interacting with WHO.
This question deserves a proper consultation with NGOs.
Finally, we would also welcome more information on the process of evaluation of the
implementation of the Framework scheduled for 2018.