Regional Consultations LAC

Regional Context and Challenges of Post 2015 Process -

  • Middle Income Countries have significant inequality levels.  There are risks of social conflicts and violence.
  • Many countries have undertaken, launched studies and participatory consultation processes for the elaboration of National Development Strategies, Plans.  It is important for the Post 2015 national debate to support and complement national perspectives.
  • It has been necessary to build a participatory National Consultation Plan Post 2015 within UN Country Teams themselves, with national counterparts to define scope of consultation, strategies for participation, available resources.
  • There were initial delays due to need to build dialogue and consensus.  Now, however, dialogue and consensus begun should enable faster progress.
  • All selected countries have their National Plans approved and have begun activities online or through working groups.
  • Most activities planned from Jan-April 2013.
  • There is a focused interest on the follow issues: Inequalities (gender, ethnic minorities), conflict prevention and citizen security, youth and employment, environmental sustainability, rural development, food security and malnutrition, and maternal health.
  • Countries will mostly undertake consultations at territorial and sectoral levels.  In some cases, consultations will be decentralized at local or departmental level, while in other cases, they will take place in the Capital City or online.
  • Consultations have been planned with participation of civil society, academia, trade unions, private sector, with special focus on participation of ethnic minorities and vulnerable populations.

1.) Meeting in Antigua, Guatemala (12-14 February 2013) -

In anticipation of the Regional LAC Meeting in Bogotá, a meeting was held from 12-14 February in Antigua, Guatemala.  The purpose of the meeting was to bring key social actors including representatives of local governments, Indigenous communities, Afro communities, and civil society organizations and to hear their voices/concerns with health issues.  The results and agreements taken from the dialogue at the consultation are as follows:

1- The Millennium Development Goals must be redrawn and analyzed from the perspective of their achievements and shortcomings at the subnational level, and not only using national averages.  For this reason, a new agenda cannot be planned without giving continuity and resolution to these commitments.  It is necessary to undertake an evaluation with the participation of different actors to provide an explanation for the investments and results.

2- The guarantee of the right to health should be materialized through the creation of a unique universal public health system that has the components of equity, quality, interculturality, cultural and linguistic belonging, comprehensiveness, gratuity, opportunity, humanity and accessibility and incorporates criteria of differential focus.

The actions of the States should not be limited to the personal health services. They should also cover the focus of the social determinants of health, strengthen the actions of promotion and prevention under the concept of Primary Health Service.

In relation to the present call referred to as Universal Health Coverage and Post 2015 MDG, we consider that it should not be based on criteria of assurance because it does not guarantee equity, comprehensiveness, universality, or the respect of rights.

A special emphasis is placed on the fact that gender should be present in all components of services.

3- Social Participation: Another urgent consideration is citizen participation, of indigenous communities and Afro descendants should participate in decision-making throughout the entire health policy cycle, its participation should be binding and the governments should give it a legal framework that guarantees said participation in the perspective of creating unique public and universal health systems.

4. Financial Aspect:
The states are guarantors of the rights; therefore, they should guarantee public funding through equitable and progressive tax systems (“those that have more should pay more”) and regular payments with defined, stable, results-driven flows.

In order for all of this to be possible it is fundamental that there be a system of alliances between different levels of the State, the local space being of special relevance, social organizations, indigenous communities and communities of afro descendants.

5.  In relation to the ruling model of development that international agencies and some States sell, we propose a development model for life under the paradigm of Live Well or Good Life that is contrary to competition and advocates a decent life of complementarity and solidarity.

The attending members of the consultation recommended:

  • Democratizing the debate for a new development agenda, opening all of the spaces of analysis and possible discussions for the adoption of goals post 2015 with the main participation of villages (faces, voices, and wisdom), avoiding said process from solely representing the interests and outlooks of technical, bureaucratic, and economic groups.
  • Working with the interior of countries to influence national governments so that its communities’ and villages’ positioning and outlooks are reflected at the international level.
  • Promoting alliances with local governments, communities, indigenous communities, and civil society organizations to achieve the necessary leaderships with the goal of demanding of the central government what is necessary to ensure the right to health.
  • We are calling to the universities to redraw educational/training curricula for health workers to orient them toward the right to health, transcending the concept of health through goods and biomedicine.
  • Driving the process of administrative decentralization and the competitions to the local governments with the transfer of resources, under the responsibility and rectory of the national government through component ministries.
  • Strengthening the rectory and regulation of the State, establishing its responsibility, above all of the healthcare system, avoiding the commercialization of health and of life.

Antigua Guatemala, 13 February 2013

2.) Preparatory Meeting for the 8th Global Conference on Health Promotion 2013, Brasilia, Brazil (25-28 February 2013) -

A Preparatory Regional Meeting for the 8th Global Conference on Health Promotion will be held in Brasilia, Brazil.  The primary goal of the meeting is to establish a regional stance/positioning about the theme “Health in All Policies,” in preparation for the 8th Global Conference on Health Promotion (10-14 June 2013 in Helsinki, Finland).  Taking advantage of having delegates present, PAHO/WHO will carry out a consultation on the Post 2015 Development Agenda from the perspective of social determinants and health promotion.

For more information about the meeting and “Health in All Policies,” please visit this toolkit.

3.) Conference on Sustainable Development in Latin America and the Caribbean: follow up to the development agenda beyond 2015 and Rio+20, Bogotá, Colombia ( 5-9 March 2013) - 

At a meeting held by the Government of Colombia and the Economic Commission for Latin America and the Caribbean (ECLAC), authorities from Latin America and the Caribbean, as well as other international experts, used regional perspective to review progress toward achieving the Millennium Development Goal and the Post 2015 Development Agenda, as well as agreements adopted following the UN Conference on Sustainable Development (Rio+20) held in June 2012.