2020护理报告2---ICN

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Agenda Item 9: Accelerating the elimination of cervical cancer as a globalpublic health problem
Documents: EB146/9

As requested by the 144th EB indecision EB144 (2), the DG developed,in consultation with Member Statesand other relevant stakeholders, a draftglobal strategy to accelerate cervicalcancer elimination, with clear goals andtargets for the period 2020-2030. The EBconsidered the draft strategy in EB146/9and provided further guidance.• To achieve elimination this century, ’90-70-90’ targets need to be met by 2030:90% of girls fully vaccinated with a humanpapillomavirus vaccine by 15 years ofage; 70% of women screened using ahigh-performance test by 35 and 45 yearsof age; and 90% of women identified withcervical diseases are treated.• The document proposes three pillars ofstrategic actions to accelerate elimination,including intensive vaccination againsthuman papillomavirus, screening for andtreatment of pre-cancerous lesions, andmanagement of invasive cervical cancerin combination. The draft strategy isbased on a public health approach thatfocuses on health promotion, primaryand secondary prevention throughvaccination, screening for and treatmentof pre-cancerous lesions, and prolonginglife through timely management of earlycancer. The report also mentions theimportance of data collection acrossthe three pillars to track progress madetowards meeting the targets.Documents: EB146/9• The report also emphasizes themultisectoral partnerships at the global,regional and national levels. Partnershipsneed to extend beyond the healthsector to encompass non-traditionalsectors. The draft strategy allows forregional adaptation. Each region willbe able to tailor the strategy to suit itsimplementation framework in regard todiffering incidences, co-morbidities andmortality rates.• Member States supported the strategyand stated it will have a direct impacton SDG targets. Some Member Statesexpressed the key challenges of nationalimplementation, such as the prices of thevaccine, the lack of skilled personnel andinvestment in rapid diagnostic kits. Theresolution was adopted.

Agenda Item 10: Ending tuberculosis
Documents: EB146/10 and EB146/11

Pursuant to resolutions WHA67.1and WHA71.3, the DG submitted tworeports on tuberculosis. The first report(EB146/10) indicated the progress inimplementation of the End TB Strategyand towards its target for 2030 and 2035.The report highlighted the need for urgentacceleration of the response, includingincreased political commitment. Thesecond report (EB146/11) summarized acomprehensive draft global strategy ontuberculosis research and innovation.• The WHO Secretariat has beenimplementing this agenda in relation to thefour principles (Government stewardshipand accountability, with monitoring andevaluation; Strong coalition with civilsociety organisations and communitiesrotection and promotion of humanrights, ethics and equity; and Adaptionof the strategy and targets at countrylevel, with global collaboration); threepillars (Integrated patient-centred careand prevention; Bold policies andsystems; and Intensified research andinnovation); and ten components. Theagenda has some positive signs suchas improved medicines and diagnostics,including medicines for drug resistant TB,however, the strategy is not on track toend the tuberculosis epidemic by 2030and investments are insufficient for fullacceleration.Documents: EB146/10 and EB146/11• The draft Global Strategy for TuberculosisResearch and Innovation acknowledgesthe existing limitations in research anddevelopment capacity and performanceand their significance in the continuingTB epidemic. The strategy has fourmain objectives: Create an enablingenvironment for high-quality tuberculosisresearch and innovation; Increasefinancial investments in tuberculosisresearch and innovation; Promote andimprove approaches to data sharing; andPromote equitable access to the benefitsof research and innovation.• Many Member States stated TB remainsa public health challenge in countries,especially in treatment resistance. Moretechnical support and assistance forresearch and development to end TBwas requested from Member States. TheWHO Secretariat shared the concernof failing to end TB by 2030 and urgedMember States to fill financial gaps. TheEB noted the report with no objections.The draft resolution was adopted

Agenda item 17: Decade of Healthy Ageing

Documents: EB146/23 Development of a proposal for a Decade of Healthy Ageing 2020-2030
Regarding resolution WHA 69.3 (2016),in which the Global Strategy and ActionPlan on Ageing and Health was adopted,a proposal for a Decade of Healthy Ageing2020-2030 has been prepared with inputsfrom organisations in the United Nationssystem, international organisations andnon-State actors. A revised draft wasprepared by the WHO Secretariat basedon the feedback received through allchannels. The refined proposal extendsthe action plan to 2030 with strengthenedmultisectoral action and multi-stakeholderengagement. The collaboration focuseson four action areas that are intended toimprove the lives of older people, theirfamilies and their communities: Changinghow we think, feel and act towards ageand ageing; Developing communitiesin ways that foster the abilities of olderpeople; Delivering person centeredintegrated care and primary healthservices responsive to older people; andProviding older people who need it withaccess to long-term care.Documents: EB146/23 Development of a proposal for a Decade of Healthy Ageing 2020-2030• Member States welcomed WHO’s effortand support to focus on age-friendlyenvironments. It was also mentionedthat healthy ageing is a multidimensionalissue and requires cooperation beyondthe health care sector.• ICN strongly supports the need for aparadigm shift around how we feel, thinkand act towards ageing and believesimproving lives of older people should beseen as a key tool for health promotion,disease prevention and the overallholistic care of individual. Read the fullICN statement here.

Agenda item 18: Maternal, infant and young child nutrition
Documents: EB146/24
In response to the resolution WHA65.6(2012), the report submitted by the DGdescribes the progress made in carryingout the comprehensive implementationplan on maternal, infant and young childnutrition, and with respect to the fiveactions adopted in the plan. The report alsoupdates on the related Global NutritionMonitoring Framework as requested bydecision WHA68(14) (2015) and providesinformation on national measures togive effect to the International Code ofMarketing of Breastmilk Substitutes.• The report states that out of six globaltargets (stunting, anaemia, low birth weight,overweight, exclusive breastfeeding andwasting), only slow progress has beenmade in reducing stunning and low birthweight and increasing breastfeeding.Wasting and anaemia are still largelyunaddressed, and overweight hascontinued to increase. Further efforts areneeded to scale up response actions.• The report highlights five action plans.1. Create a supportive environment forthe implementation of comprehensivefood and nutrition policies. 2. Include allrequired effective health interventionswith an impact on nutrition in nationalnutrition plans. 3. Stimulate developmentpolicies and programmes outside thehealth sector that recognise and includenutrition. 4. Provide sufficient human andfinancial resources for the implementationof nutrition interventions. 5. Monitor andevaluate the implementation of policiesand programmes.Documents: EB146/24• The progress update for the InternationalCode of Marketing of BreastmilkSubstitutes points out the widespreaduse of digital marketing strategies for thepromotion of breastmilk substitutes isa cause of growing concern. WHO hasdeveloped a methodology for identifyingcommercial baby foods available in retailsettings and collecting data on theirnutritional content and various aspects oftheir packaging.• Some Member States showed concernabout the slow progress to improvenutrition and a lag in achieving the goalsof SDG. Member States also suggestedto improve engagement between WHOand Member States for achieving thenutrition targets and requested for morecoordination mechanism within differentorganisations, such as WHO.

Agenda item 20: Data and innovation: draft global strategy on digital health
Documents: EB146/26

• In response to resolution WHA71.7 (2018)on digital health, the DG developeda Global Strategy on Digital Health toidentify priority areas, in consultationwith Member States and with inputsfrom stakeholders. The purpose of thisstrategy is to advance and apply digitaltechnologies towards the vision of healthfor all. The draft global strategy sets outa vision, mission, strategic objectives anda framework for action to advance digitaltechnologies for health, both nationallyand globally.• The draft strategy identifies four guidingprinciples and four strategic objectivesromote global collaboration and advancethe transfer of knowledge on digital health;Advance the implementation of nationaldigital health strategies; Strengthengovernance of digital health at global andnational levels; and Advocate for peoplecentred health systems that are enabledby digital health. A range of policy optionsand actions are proposed under each ofthe objectives. Indicators and measuresare proposed to be identified and agreedupon by Member States as a basis formonitoring and evaluating progress in theadoption of this agenda item.Documents: EB146/26• In general, Member States aligned withthe report and agreed WHO has a rolein development of norms, standards,guidance tools and advocate for the useof digital health. They agreed the use ofdigital technology can help achieve UHC.Some Member States also stated theimportance of health data management,the respect to the right to privacy anddigital inequality.• The report was adopted with no objection.The 73rd WHA will adopt the draft decisionto endorse the Global Strategy on DigitalHealth and the DG will report back to theWHA on progress in the implementationof the strategy in 2023

Agenda item 22.1: WHO reform
Documents: EB146/31Written statements: guidelines for Member States/ EB146/32 Governance/ EB146/33 Involvementof non-State actors in WHO’s governing bodies

As agreed by the Executive Board atits 145th session, the WHO Secretariatorganised a web consultation with nonState actors (NSAs) to seek their viewson their involvement in WHO governancein order to elaborate proposals for thegoverning bodies on that involvement.The deliberations on WHO’s reforms haveshown that the involvement NSAs in thegovernance of WHO can be improved onlywith a package of measures and combinedwith an overall strengthening of WHO’sengagement with non-State actors in linewith the 13th General Programme of Workand in accordance with the Frameworkof Engagement with Non-State Actors(FENSA). Improving the engagement ofnon-State actors in WHO’s governanceshould respect the following objectives:Respect the intergovernmental natureof WHO; Become more meaningful;Increase the efficiency and effectivenessof interactions; Respect the diversity ofnon-State actors.• In the proposal, firstly, there would bean informal meeting between MemberStates and NSAs in official relations withthe WHO before each WHA session.Secondly, an opportunity would be givento NSAs to make five joint statements earlyin the debate and, once the NSAs agreedto make joint statements, they cannotmake oral individual statements. Thirdly,the number of individual statements anNSA can make in one session of the EBand WHA is limited to three. Lastly, thenumber of delegations of NSAs in officialrelations would be limited to a maximumof 25 delegates.Documents: EB146/31Written statements: guidelines for Member States/ EB146/32 Governance/ EB146/33 Involvementof non-State actors in WHO’s governing bodies• Member States stated NSA engagementshould be consistent and enhanced.Some showed reservations regardingthe proposal, including concern on therestriction of the number of delegates andthe oral statements. Secretariat requestedto submit full proposals for more concreteimplementation in EB148h in 2021.• ICN disagrees with the proposal to restrictNSA delegation size. Voices of nursingshould be heard at the centre of WHOdecision-making rather than silencingthem. Full ICN statement is here.• World Health Professionals Alliance(WHPA) Joint statement.