CanWaCH at UNGA: Recap and takeaways

When: September 10 – 24, 2024 (CanWaCH attended September 22 – September 26) 

Where: New York, NY

Hosted by: The United Nations

The 79th United Nations General Assembly (UNGA 79) focused on urgent global challenges with a theme emphasizing “Peace, Security, and Sustainable Development.” Key discussions centered around addressing climate change, global health, poverty alleviation and conflict resolution. Leaders and delegates spotlighted the importance of multilateral cooperation, especially in responding to crises like climate-induced disasters and global health threats. 

Health care workforce and crisis management

  • There will be an estimated gap of 10 million health care workers by 2030, with 6 million in Africa alone. This shortage is exacerbated by the mental and physical strain on current workers, leading to a care crisis.
  • Initiatives like Bill and Melinda Gates Foundation-funded projects in Nigeria emphasize optimizing, training, and accrediting health care workers. Returns on investment in health care (e.g., $1 yielding $2-$4) demonstrate the economic benefits of addressing this gap.
  • Key focus on innovative and protective measures for health care workers, including frontline responders.

Health care as an economic and strategic priority

  • Framing health care investments as a driver of economic health and security is crucial for sustainable growth.
  • Multilateral organizations need to explore innovative funding solutions and optimize current resources.
  • Private entities are urged to contribute not only through funding but also by bringing expertise, especially in logistics and supply chain management to address issues worsened by climate change and crises.

Climate change and health intersections

  • There’s a pressing need to prepare health care systems to withstand climate-related shocks as climate change accelerates existing health crises.
  • Access to clean water and sanitation is vital, especially in vulnerable regions, with direct impacts on health care delivery. There are urgent gaps, particularly in areas like Madagascar.

 Antimicrobial Resistance (AMR) and global health security

  • AMR is described as a “slow-motion pandemic” that could undermine global health security. Leaders, including Prime Minister of Barbados Mia Amor Mottley, stress the need for a high-level response.
  • Emphasis on breaking down silos to address AMR, climate change and other intersecting global issues through holistic, multi-stakeholder collaboration.
  • Emphasis on robust and timely data collection to ensure impactful coordination of efforts

Women’s empowerment and cross-cutting developmental goals

  • Investment in women’s empowerment, SRHR and education is at risk without sufficient WASH resources, as lack of clean water can negate development gains.
  • Multi-stakeholder, cross-sectoral partnerships are crucial to tackling access challenges, ensuring that resources reach those in need effectively.

CanWaCH had the privilege of co-hosting an event with MSI Reproductive Choices, SheDecides, FP2030, the Government of Canada and the Government of Nepal focused on the power of reproductive choice in a global context. Speakers included:

  • The Honourable Mélanie Joly, Minister of Foreign Affairs, Canada
  • The Honourable Madam Arzu Rana Deuba, Minister of Foreign Affairs, Nepal
  • Minister Anne Beathe Tvinnereim, Minister of International Development of Norway
  • Lotte Machon, State Secretary for Development Policy, Ministry of Foreign Affairs of Denmark
  • Lord Collins of Highbury, Parliamentary Under-Secretary of State (Africa), Foreign, Commonwealth and Development Office, United Kingdom 
  • Aparajita Ramakrishnan, Director of Family Planning, Bill and Melinda Gates Foundation
  • Miles Kemplay, Executive Director SRHR, Children’s Investment Fund Foundation
  • Dr. Hans Kluge, European Region, Regional Director, World Health Organization 
  • Dr. Samu Dube, Executive Director, FP2030
  • Simon Cooke, CEO, MSI Reproductive Choices
  • Building Health Workforce Resilience: Preparing for Tomorrow’s Climate and Health Crises. Hosted by: CARE USA, Chemonics, IntraHealth International, Johnson & Johnson, Pathfinder International, Project HOPE, Living Goods, Seed Global Health and Smile Train. 
  • Ensuring Sustainable Access to Antibiotics: From UNGA to Impact. Hosted by: AMR Action Fund, Bill & Melinda Gates Foundation, Africa CDC, IDSA, U.S. CDC, ICARS, FIND, IFPMA, Global AMR R&D Hub, and One Health Trust. 
  • From Risk to Resilience: Unlocking Climate Financing for Local Health Adaptation. Hosted by: Foreign Policy.
  • Adolescent Sexual and Reproductive Health and Rights: Advancing the Agenda for a Sustainable Future. Hosted by: FP2030, Guttmacher, JHU, PLAN, WHO, UFPA, Women Deliver, PMNCH, HRP, Government of Ireland, Government of Columbia. 
  • The Challenge of Greening the Humanitarian Response. Hosted by: Action Against Hunger. Featured a new social innovation tool: REact.  

As we have taken some time to reflect on UNGA this year, we can’t shake the feeling of unease. The Summit of the Future spoke to the deep, existential crises that we face — climate, health, inequality and beyond. And yet, the global response felt muted. Governments, member states and decision-makers seemed paralyzed at times, almost as if they were struggling to rise to the moment. It’s not that we don’t have the answers — NGOs and grassroots organizations like ours have been training our entire lives for moments like this. We’re ready. We’ve been doing the work for decades. But we need governments to trust us and each other worldwide to truly succeed. Only then can we move forward with the urgency that these crises demand.

As we walked out of the General Assembly, we had more questions than answers. From the looks of others within our sector, we got the sense they felt the same. One of the most pressing: To what degree do we have the general public on our side in this fight? There is work to do here. Are we truly engaging the global public in our pursuit of the Sustainable Development Goals (SDGs), or is the UN simply becoming a space for elite conversations that fail to resonate with the everyday citizen? It’s hard not to feel like we are in a different time — a time when the collective belief in positive change feels less palpable than in past eras of global leadership, like during Obama’s “Yes We Can” era or Trudeau’s early “Sunny Ways”. Today, uncertainty seems to dominate the public discourse.

In 2024, half the world’s population has or has had the power to vote. What does that mean for the global landscape? What will it take for people to demand the changes we so desperately need from their governments?

Yet, in the global health community, there is a distinct sense of progress. Our sector has evolved into a sophisticated machine, and this sophistication is a direct response to the mounting crises we face. It’s both remarkable and necessary — because we have the brains, the resources and the money to address these challenges. 

Take Canada’s leadership in the fight to eradicate polio as an example. It stands out as a clear testament to what can be achieved when governments, researchers and global health organizations come together. But why polio? What did this disease offer that galvanized such a unified and effective response and what aspects of this can we isolate and apply to other global health issues? 

Global solidarity is the only path forward. Health diplomacy must be at the forefront of this effort. The interconnectedness of our world is undeniable, and it is more clear than ever that the health of one is tied to the health of all.

It’s equally clear that we as a sector need to continue showing up in these spaces to ensure that these issues don’t fall off the global radar. At the same time, we need to continue educating and reminding Canadians that they have good reason to care about these issues, too. 

Canada has a real opportunity — to lead, to speak out, and to take bold action. Our voice does carry, and now is the time to use it. We must rise to this challenge and assert ourselves as leaders on the global stage, not only because it’s the right thing to do, but because the health of our world depends on it.

Published:

October 4, 2024


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