Role of United Nations

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Role of United Nations Organizations in
Health Development
Beirut June 2002
2
United Nations System

• Consists of programmes, funds, and specialized
• agencies
• Bodies linked to the United Nations through
• special agreements
• ? Report to the Economic and Social Council
• and/or the General Assembly
• ? Each has its own budgets and governing bodies
• ? Each sets its own standards and guidelines
  and
• ? Each provides technical assistance and other
• forms of practical help in virtually health
  related
• sector

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The United Nations System Principal Organs of the
United Nations
International Court of Justice
Security Council
Economic Social Council
General Assembly
Secretariat
Trusteeship Council

• Main other sessional
• Committee
• Standing committees
• adhoc bodies
• Other subsidiary organs
• related bodies

OSG OIOS OLA DPA DDA DPKO OCHA DESA DPI DM UNESCOO
RD UNOG UNOV UNON
WFP ITC/UNCTAD/GATT
ILO FAO UNESCO WHO

• Functional commissions
• Regional commissions
• ECA
• ECE
• ECLAC
• ESCAP
• ESCWA
• Sessional and Standing
• Committees
• Expert, Ad hoc and
• related bodies

IMF ICAO UPU ITU WMO IMO WIPO IFAD UNIDO
GATT
UNRWA
Intl Criminal Tribunal for Rwanda
IAEA
INSTRAW ODCP UNCHS UNCTAD UNDCP UNDP UNEP U
NFPA UNHCR UNICEF UNIFEM UNCRI UNOPS
Intl Tribunal for Former Yugoslavia

• Military staff
• Committee
• Standing
• Committees
• adhoc bodies

World Bank Group IBRD IDA IFC MIGA

• UN Programmes and organs
• Specialized agencies
• Other commissions, committees

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United Nations Support in Health Development

• ? Health sector reform
• ? Policy formulation and strategy development
• ? Community based programmes in primary health
• care
• ? Data collection and analysis
• Capacity building
• Quality Assurance
• ? Support to infrastructure and provision of
• equipment/supplies for improved quality of
  care
• ? Research and studies
• ? Emergency assistance

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United Nations Support in Health Development
UNICEF UN Programme ? Established by General
Assembly in 1946 ? Started its activities in
Lebanon in 1948 ? UN organization exclusively
dedicated to children ? Works for child
protection, survival and development within
the framework of the Convention on the Rights of
the Child ? Supports low cost community
based programmes in PHC, nutrition, basic
education, water and environmental
sanitation, end gender and development ?
Advocates observance of human rights for all boys
girls
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United Nations Support in Health Development

• WHO Specialized Agency
• ? Established by General Assembly in 1948
• ? Started its activities in Lebanon in 1949
• ? Its objective is the attainment by all of
  peoples of the
• highest possible level of health
• Acts as the directing and coordinating authority
  in
• International Health
• Tasks are eradication of diseases, improving
  aspects in
• environmental health, establishment of intl
  norms and
• standards of biological vaccines and
  pharmaceutical
• products, provision of health support in
  emergencies
• ? Promotes and conducts research
• ? Adoption of global strategy of Health for All
  through PHC

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United Nations Support in Health Development

• UNFPA UN Programme
• ? Established by General Assembly in 1969
• ? Started its activities in Lebanon in 1973
• ? Largest multilateral source of population
  assistance to
• developing countries
• One of UNFPAs 3 core areas post ICPD Cairo,
  1994 is to
• improve quality Reproductive Health to men
  and women
• About 63 of UNFPA assistance is used for RH
• UNFPA supports quality of care, capacity
  building, data
• collection and research, provision of wide
  choice of
• contraceptives, awareness creation and
  advocacy

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United Nations Support in Health Development

• WORLD BANK Specialized Agency
• ? Four Institutions established between 1945-1988
  
• ? Common goal to reduce poverty around the world
• by strengthening the economics of poor
  nations
• Aim is to improve peoples living standards
• by promoting economic growth and development
• WB loans support in health sector reform i.e.
  policy
• formulation including financing policies,
  physical
• rehabilitation, capacity building, etc

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United Nations Support in Health Development

• UNDP UN Programme
• Regional development initiatives
• Poverty reduction initiatives
• UNESCO Specialized Agency
• School health curricula
• Health related research
• UNIFEM UN Programme
• Linking Reproductive Health with SME for
• women

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Health Programme Development in Lebanon

• Situation analysis of health conditions
• Identification of gaps, needs and priorities
• Determining of relevant strategies and
  interventions
• in line with national plans
• Identification of implementation and execution
• arrangements (partnership)
• Identification of coordination mechanisms
• Monitoring/follow up and evaluation arrangement
• Resource Mobilization and Budgeting requirements

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United Nations Partnership in Lebanon

• United Nations organizations in Lebanon
  coordinate
• health programmes and activities in partnership
  with
• Ministry of Public Health
• Line ministries i.e. Ministry of Social Affairs,
  
• Ministry of Environment, Ministry of
  Education, etc
• ? Parliamentarian committees
• ? Public administrations i.e. CAS, CDR
• Private sector
• Non Governmental Organizations
• Academic institutions
• Research centers
• United Nations System

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Coordination Mechanisms of UN assisted Programmes
in Lebanon

• United Nations organizations in Lebanon adopt
  various
• coordination mechanisms in health related
  programmes
• and interventions
• National programmes i.e. National AIDS
  programme,
• National Reproductive Health programme,
  Regional
• Development Programme of Baalbeck/Hermel,
  etc..
• Ministerial committee i.e. Ministry of Social
  Affairs
• ? UN Resident Coordinator system joint
  activities
• ? UNAIDS Theme Group 7 UN organizations
• Execution arrangement among UN system in the
• implementation of national programmes

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Monitoring and Evaluation mechanisms of UN
assisted programmes in Lebanon

• United Nations organizations in Lebanon adopt
  various
• monitoring and evaluation mechanisms in health
• related programmes and interventions
• Common Country Assessment
• United Nations Development Assistance Framework
• ? Joint Mid Term Review
• ? Millenium Development Goals
• Annual review meetings
• Programme and thematic evaluations

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Monitoring and Evaluation mechanisms of UN
assisted programmes in Lebanon

• United Nations Development Assistance Framework
• 2001-2006
• Enhanced National Decision Making Capacity
• National Commitment to a strategic development
  vision
• Increased transparency and accountability
• Promote government effectiveness
• Access and use of gender sensitive SE data and
  information
• Rights Based Approach to Development
• Assess and monitor discrepancies between
  national laws
• and international conventions/conferences
• Clarify core content of basic human rights
  packages
• Efficiency in resource allocation
• Democratic and participatory processes al all
  stages
• Equity and equality through legislations and
  policy initiatives

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Monitoring and Evaluation mechanisms of UN
assisted programmes in Lebanon

• United Nations Development Assistance Framework
• International conventions and conferences on
  human
• rights are cornerstones for programme
  development
• Universal Declaration of Human Rights (1948)
• Intl Conference on Primary Health Care (1978)
• Convention on the Elimination of All Forms of
• Discrimination against Women (1979)
• Convention on the Rights of the Child (1989)
• World Conference on Human Rights (1993)
• International Conference on Population and
  Development
• (1994)
• Fourth World Conference on Women (1995)

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Monitoring and Evaluation mechanisms of UN
assisted programmes in Lebanon
Millenium Development Goals Goal 1 Eradicate
Extreme Poverty and Hunger Goal 2 Achieve
Universal Primary Education Goal 3 Promote
Gender Equality and Empower Women Goal 4 Reduce
Child Mortality Goal 5 Improve Maternal
Health Goal 6 Improve Reproductive Health
(proposed) Goal 7 Combat HIV/AIDS, TB and other
diseases Goal 8 Ensure environmental
sustainability Goal 9 Develop a Global
Partnership for Development
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External Assistance by type
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External Assistance by Sectoral Distribution
(1999)
Sector policy and planning, primary health
care, immunization and other diseases control
campaigns reproductive health/family planning,
hospitals and clinics
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United Nations Assistance by sectoral
distribution 1999 ( of total disbursement)
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Disbursement on health care by the United
Nations in 1999

• Support for health managerial process
• strengthen policy formulation and analysis
• devise appropriate health care financing
  policies
• develop health research strategies
• Preventive and primary health care
• integration of comprehensive and sustainable
  quality RH
• services and information into PHC
• support for universal access to PHC for
  reduction of infant
• and under5 mortality
• control of non communicable diseases
• national mechanisms for updating and
  implementing drug
• policies , registrations and distribution
  system
• Infrastructure

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Visit the website of the United Nations system
in Lebanon www.un.org.lb
THANK YOU