introduction of the annual report 2016 - english

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64thSession of

the Regional Committee

for the Eastern Mediterranean

Islamabad, Pakistan9–12 October 2017

Introduction of the Annual Report

Dr Mahmoud FikriWHO Regional Director for the Eastern

MediterraneanAgenda item 2

2

Framework for action on advancing universal health coverage in the Region

3

Consultative meeting on designing, financing and delivering a health services package

4

UHC Monitoring Framework

5

High Level Political Forum on the 2030 Agenda

6

Strengthening health information systems

7

Comprehensive assessments on CRVS

Maternal and child health: Building on the Dubai Declaration 2013

Launch of CARMMA in Sudan

10

H6 partnership

11

Global strategy on adolescent health

12

The Eastern Mediterranean Region10% of global road traffic deaths

13

Road safety awareness

14

World Congress on Road Safety, Tunisia, May 2017

Fourth UN Road Safety Week, Egypt, May 2017

Launch of the National road safety campaign Egypt, September 2017

Environmental health: air pollution

15

ph

oto

cre

dit

: U

N P

ho

to/B

Wo

lff

Conference of the Parties on Climate Change: COP22Marrakech, November 2016

16

Noncommunicable diseases: regional framework for action

17

NCDs: Implementation of national strategies

18

Noncommunicable diseases: nutrition guidance

19

Prevention and early detection of cancer

20

Collaboration with partners: The Lalla Salma Foundation

21

Mental health

22

World Health Day 2017“Depression: let’s talk about it”

23

Polio: number of cases due to wild virus and cVDPV in Afghanistan and Pakistan, 20142017

24

2014 2015 2016 2017*

cVDPV 0 0 0 0

WILD 28 20 13 6

0

5

10

15

20

25

30

2014 2015 2016 2017*

cVDPV 22 2 1 0

WILD 306 54 20 5

0

50

100

150

200

250

300

350

Afghanistan Pakistan

*as at 21 September

Commitment to polio eradication

25

Polio: reaching every child

26

Islamic Advisory Group

27

Polio-free Somalia

28

Measles: immunization campaigns

29

DTP3 unvaccinated 3.7

million, 20%

DTP3 vaccinated

14.7 million, 14.7, 80%

Pakistan, 46.4%

Afghanistan, 11.5%

Iraq, 10.7%

Syria, 8.2%

Yemen, 7.4%

Somalia, 7.3%

Egypt, 3.5%

Sudan, 2.8% Others, 2.1%

Immunization: 3.7 million infants did not receive DTP3 in 2016

Source: WHO-UNICEF estimates

Estimated number of people living with hepatitis C

31

0

2

4

6

8

10

12

14

16

EasternMediterranean

Region

EuropeanRegion

Western PacificRegion

African Region South-East AsiaRegion

Region of theAmericas

71 million infected globallyThe Eastern Mediterranean has the highest prevalence (2.3%) and the highest number of infected people among all regions (15 million)

Millions

Achievements in hepatitis control

32

Celebrating achievements in hepatitis treatment, Cairo, October 2016

Launch of National Hepatitis Strategic Framework (20172021), Islamabad,October 2017

Regional tuberculosis strategic plan

33

• 40% reduction in tuberculosis deaths in each country compared to 2015

• 20% reduction in incidence as compared to 2015

• 0% catastrophic cost

First WHO Global Ministerial Conference

• Ending Tuberculosis in the Sustainable Development Era: a multisectoral response

• Moscow, 1617 November 2017

34

Trachoma elimination

35

Neglected tropical diseasesWHO Global Partners’ Meeting, Geneva, April 2017

Antimicrobial resistance

37

Antimicrobial resistance: national planning

38

Emergencies and health security

39

Displaced populations

40

Emergency response: timely support

41

Iraq: Mosul operations

42

WHO emergency and outbreak funding trends2017

Fund typeFunding received

in USD

Bilateral funds 440 962 309

Contingency and solidarity funds 9 034 155

TOTAL 449 996 464

US$ 200 million (41%) funding gap for the Region in 2017

(as of 13 September)2016–2017 biennium

43

Support to countries in conflict

44

Number of influenza cases and percentage of influenza positive cases, 20112017

45

0

10

20

30

40

50

60

70

80

90

100

0

1000

2000

3000

4000

5000

6000

1 8 152229364350 5 121926334047 2 9 162330374451 6 132027344148 3 10172431384552 6 132027344148 3 1017243138

2011 2012 2013 2014 2015 2016 2017

Pe

rce

nta

ge o

f p

osi

tive

cas

es

(%)

Nu

mb

er

of

en

rolle

d c

ase

s

Epi week

Enrolled influenza cases Percentage of positive samples

Average joint external evaluation (JEE) score in 14 countries

46

83.57

82.86

80.71

69.29

67.14

67.14

66.79

66.19

65.71

61.43

61.43

60

58.86

57.86

57.14

53.57

53.33

47.14

44.29

0 10 20 30 40 50 60 70 80 90

Medical countermeasures

Linking public health and security

Immunization

Laboratory

Coordination

Response

Surveillance

Zoonoses

Reporting

Preparedness

Radiation

Food safety

Risk communications

Legislation

PoE

Chemicals

Workforce

Biosafety and biosecurity

Antimicrobial resistance

Mean score (%)

JEE

Te

ch

nic

alA

reas

Post JEE: National action planning

47

Medicine for mass gatherings

48

Roadmap 20172021

49

Development of the roadmap

Considerations

• Global, regional and national contexts

• Agenda for Sustainable Development 2030

• WHO reform

50

Four interrelated pillars

1. Public health priorities

2. Enabling factors

3. Strengthening WHO’s presence in countries

4. WHO’s working environment

51

Five priority areas of work

1. Emergencies and health security

2. Prevention and control of communicable diseases

3. Prevention and control of noncommunicablediseases

4. Maternal, neonatal, child and adolescent health

5. Health systems strengthening

52

Enabling factors

• Health in All Policies

• Public health management and leadership

• Partnerships

• Mainstreaming health in the SDGs

• Multisectoral and risk management approaches

• Resource mobilization

53

WHO’s presence in countries

• Joint planning

• Greater engagement of countries in WHO’s work

• Strengthening and expanding country offices

54

WHO’s working environment

• Professional development and capacity

• Communication, coordination and teamwork

• Internal control framework

55

Pre-WHA ministerial meeting, May 2017

56

57

58

Keep the world safe, Improve health, Serve the vulnerable

Thank you

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