Introduction to Regional Director's annual report

1
Dr Ahmed Al Mandhari
WHO Regional Director for the Eastern Mediterranean
Agenda item 2(a)

Challenges of service delivery during pandemic
Health workforce
gaps
Lack of
resilience
Lack of
supplies,
medicines Limited
capacity of
health systems
Lack of access
to health care
facilities Lack of
financial
resources
15

16
• 4.7% drop in
GDP
• 13% drop in
fragile
countries

Linking PHC, UHC and the
SDGs
17

19
Strategic priorities
PROMOTING
HEALTHIER
POPULATIONS
1 BILLION
more people
enjoying better
health and
well-being
Ensuring healthy lives and promoting
well-being for all at all ages by:
ACHIEVING
UNIVERSAL
HEALTH
COVERAGE
1 BILLION
more people
benefiting from
universal health
coverage
ADDRESSING
HEALTH
EMERGENCIES
1 BILLION
more people
protected
from health
emergencies

20
1 billion more
people better
protected from
health emergencies
1 billion more
people enjoying
better health and
well being
1 billion more
people benefiting
from universal
health coverage
Expanding universal health coverage

Online training on PHC
practice in the context of
COVID-19
29
in partnership
with:

30
Tarassud Plus
can track the
movement
and spread of
COVID-19

36
“There is no
universal health
coverage without a
strong health
workforce,
particularly nurses
and midwives” HRH PRINCESS MUNA AL-HUSSEIN
Princess of Jordan

50% of countries in the Region fall below
the SDG target for doctors, nurses and
midwives
37

The world needs
9 million more
nurses and
midwives to
achieve UHC by
2030
38

41
14 countries
maintained
90%
immunizatio
n coverage
in 2019

Impact of the pandemic on immunization
42
Average DTP3 and measles-containing vaccine monthly coverage (%) in high priority
countries
January February March April May June
Immunizationcoverage(%)
40
50
60
70
80
90

Volunteers deliver medicines to the elderly and patients
with chronic diseases

10 vaccines in Phase 3 trials, and 32 more
vaccines in other phases of clinical
studies
51

What COVAX offers
• Doses for at least 20% of
countries' populations
• Diverse and actively managed
portfolio of vaccines
• Vaccines delivered as soon as
they are available
• End the acute phase of the
pandemic
• Rebuild economies 52

55
1 billion more
people benefiting
from universal
health coverage
1 billion more
people enjoying
better health and
well being
1 billion more
people better
protected from
health emergencies

Dubai hub: a game changer
61
 14 000m2 temperature-
controlled space
 Rapid response and large
volumes
 324 shipments of essential
medicines delivered to 108
countries
 Strategic forecasting to
enhance preparedness
 Supply chain dashboard

Status of national action plans
for health security
67
0
5
10
15
20
Developed Endorsed (MoH) Endorsed
(Multisectoral)
Financed
(Partillay)
Financed (Fully) Implementation
(MoH activities)
Implementation
(All sectors)
Number of Countries

Joint external evaluation scores
on a scale of 5
68
0 1 2 3 4 5
Healthcare associated infection…
Case management procedures
Point of care and laboratory based…
Laboratory Quality System
Indicator and event based surveillance…
Electronic real-time reporting system
System for efficient reporting to WHO
Human resources to implement IHR
Workforce strategy
Laboratory
Workforce
Reporting to
WHO
Surveillance
Infection
Control

JEE scores on a scale of 5
69
0 1 2 3 4 5
National Public Health Emergency…
Priority public health risks and resources are…
Capacity to Activate Emergency Operations
Emergency Operations Center Operating…
Emergency Operations Program
Risk Communication Systems
Internal and Partner Communication and…
Public Communication
Communication engagement with affected…
Dynamic listening and rumour management
Routine capacities are established at PoE
Effective public health response at Points of…
Points of Entry
Risk
Communication
Response
Preparedness

73
WHO's
African
Region
declared
polio-free
on 25
August
2020

Sixth meeting of Islamic Advisory Group on
Polio Eradication, September 2019
77

Risk status for polio
outbreaks in countries of the
Region
78

80
1 billion more
people better
protected from
health emergencies
1 billion more
people benefiting
from universal
health coverage
1 billion more
people enjoying
better health
and well being
Promoting healthier populations

We need to step up efforts to reach
SDG targets
81
2017
2019
2019
0
20
40
60
80
100
120
140
160
180
Maternal mortality ratio Under-5 mortality rate Neonatal mortality rate
Eastern Mediterranean
Region
2030 global target

82
“An effective
response to COVID
demands a whole-of-
government, whole-
of-society approach
and the active
engagement of
communities.”

84
Health has long been viewed as superordinate
goal for all sides of a conflict.
Health care workers are in a good position to
mediate and facilitate dialogue more effectively
than politically driven actors.
Adopting peace-building
strategies is imperative.

87
Lockdowns
have reduced
levels of
nitrogen dioxide
globally

Regional Commission on Social
Determinants of Health
94

96
Making
transformative
changes in
WHO

WHO Transformation: status of
areas of work, October 2020
Regional Vision
Strategy 2019-2023
Progress report 2019
Regional Vision
Oversight Committee
WHO Values
Charter
embedded in
internal platforms,
staff health and
well-being pulse
surveys
New Department
of
Communication,
Resource
Mobilization and
Partnerships
Ongoing review of
technical and
business functions
18/18 country
functional reviews
and three
Regional Office
divisional reviews
conducted
New ways of
working during
COVID-19
35 partners under
IMST for COVID-19
response
Regional Health
Forum for SDG 3+
Global Action Plan
Issue-based
coalitions with
United Nations
agencies

Framework for action to improve national institutional
capacity for the use of evidence in health policy-
making in the Region 20202024
98

Country functional reviews
Country
presence
Commitment to
Member States to
target support
based on country
context and needs
and on WHO’s
comparative
advantages and
resources
Global health leader
WHO’s global normative
and technical work
Regional back up
and support

Programme Budget 2020-2021
10
0

Programme budget 2022‒2023: revised
approach due to COVID-19
10
1
• Country re-prioritization for
GPW13 outcomes is
ongoing
• Country consultations will
start soon, and continue
until the Executive Board in
January 2021
• Request to extend GPW13
until 2025

WHO infodemic management
framework
10
4
“We’re not just
fighting an
epidemic;
we’re fighting
an infodemic.”
WHO’s Director-General Dr
Tedros

10
5
Our official
Facebook
page has
received over
1.2 billion hits
in the past
seven months

Global Action Plan for Healthy
Lives and Well-being for All
11
3
Supporting
countries to
accelerate
progress
towards the
health-related
SDGs.

First Regional Health Forum,
March 2020
11
4

Introduction to Regional Director's annual report

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