<span class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>><br>crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p style="MARGIN-LEFT: 0.5in"><span><b><font face="Arial" color="maroon" size="3"><span lang="EN" style="FONT-SIZE: 12pt; COLOR: maroon">Health is Global: a UK Government strategy</span></font></b></span></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Times New Roman" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">UK</span></font></b><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> Department of Health September 30, 2008</span></font></b></p>

<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></b></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Available online at: <a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_088702" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_088702</span></font></a> </span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">"….Safeguarding good health is not simply the province of individual countries. A globalised, interdependent world, characterised by the increasing movement of individuals and populations – and where disease recognises no borders – means that health has become a global issue.<br>
Our responsibility is to harness the opportunities of globalisation to improve the health of people across the world, and in particular people in the UK.</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> A healthy population is fundamental to prosperity, security and stability – a cornerstone of economic growth and social development. In contrast, poor health does more than damage the economic and political viability of any one country – it is a threat to the economic and political interests of all countries. Improving global health is vital if we are to achieve the Government's domestic and international objectives. The health targets of the MDGs are among those least likely to be met and this demands a coherent strategy and decisive action.</span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Global health is determined by factors which themselves often show scant respect for national boundaries – such as international trade, climate change, pollution, conflict, environmental degradation and poverty. </span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The UK Government cannot achieve the ambition set out in this strategy alone. Because so many sectors affect health, and so many countries and agencies are involved in healthcare, improving health around the world requires co-operative actions and solutions. This means creative, joined-up partnership both between UK government departments, and between the UK Government and a host of other partners, ranging from the EU and the UN to non-governmental organisations (NGOs), foundations, academia and business. Such a co-operative vision demands a strategy for improving global health and, while the strategy we outline is for the next five years, its vision covers a 10- to 15-year period. The strategy sets out the breadth of global health issues and our plan for tackling them…"</span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">There are ten principles that underpin Health is Global</span></font></b></p>

<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">They are that we will:</span></font></b></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>1.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">set out to do no harm and, as far as feasible, evaluate the impact of our domestic and foreign policies on global health to ensure that our intention is fulfilled;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>2.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">base our global health policies and practice on sound evidence, especially public health evidence, and work with others to develop evidence where it does not exist;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>3.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">use health as an agent for good in foreign policy, recognising that improving the health of the world's population can make a strong contribution towards promoting a low-carbon, high-growth global economy;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>4.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">promote outcomes on global health that support the achievement of the MDGs and the MDG Call for Action;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>5.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">promote health equity within and between countries through our foreign and domestic policies;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>6.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">ensure that the effects of foreign and domestic policies on global health are much more explicit and that we are transparent about where the objectives of different policies may conflict;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>7.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">work for strong and effective leadership on global health through strengthened and reformed international institutions; </span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>8.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">learn from other countries' policies and experience in order to improve the health and well-being of the UK population and the way we deliver healthcare;</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>9.<font face="Times New Roman" size="1"><span>       </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">protect the health of the UK proactively, by tackling health challenges that begin outside our borders; and</span></font></p>

<p style="MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><span>10.<font face="Times New Roman" size="1"><span>   </span></font></span></span></font><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">work in partnership with other governments, multilateral agencies, civil society and business in pursuit of our objectives</span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Contents </span></font></b></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Foreword by the Prime Minister </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Summary </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Why the UK needs a strategy to address global health </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Health is Global: The strategy </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Ten principles </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Five areas for action </span></font></p>
<p style="MARGIN-LEFT: 1in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">1. Better global health security </span></font></p>
<p style="MARGIN-LEFT: 1in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">2. Stronger, fairer and safer systems to deliver health </span></font></p>
<p style="MARGIN-LEFT: 1in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">3. More effective international health organisations </span></font></p>
<p style="MARGIN-LEFT: 1in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">4. Stronger, freer and fairer trade for better health </span></font></p>
<p style="MARGIN-LEFT: 1in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">5. Strengthening the wa y we develop and use evidence to improve policy and practice </span></font></p>

<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Working with others </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Resources </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Implementation and monitoring progress </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">References</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/?IdcService=GET_FILE&dID=173755&Rendition=Web" target="_blank"><font color="navy"><span style="COLOR: navy">Download summary (PDF, 42K)</span></font></a> </span></font></p>

<p style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/?IdcService=GET_FILE&dID=173693&Rendition=Web" target="_blank"><font color="navy"><span style="COLOR: navy">Download annexes (PDF, 1724K)</span></font></a> </span></font></p>

<p style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in"><font face="Symbol" size="2"><span lang="EN" style="FONT-SIZE: 10pt; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span>         </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a onclick="return top.js.OpenExtLink(window,event,this)" href="http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/?IdcService=GET_FILE&dID=173756&Rendition=Web" target="_blank"><font color="navy"><span style="COLOR: navy">Download impact assessments (PDF, 741K)</span></font></a></span></font><span lang="EN"> </span></p>

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