Live discussions on Universal Health Coverage at WHA
Table of Contents
- And I work for the World Health Organization were coming to you live...
- Who back I don't know one fine you're not I won over by a memory not much me I...
- Talked about a whole host of issues including the need for strengthening...
- That your generation is not leaving it up to us clearly we are not doing very...
- Dr. moiety speak to us about dr.
- Their budget declaration the commitment that heads of state made some years ago...
00:06
and I work for the World Health
Organization were coming to you live
from Geneva Switzerland the 72nd World
Health Assembly opened yesterday
delegates from 194 countries came in and
were all present at the opening
policymakers health ministers public
health experts and global media you're
watching some shots from the opening
ceremony and the speeches at the opening
ceremony focused on universal health
00:38
coverage so on today's show we'll also
focus on universal health coverage the
idea that everyone everywhere should
have access to quality affordable health
coverage without going into financial
ruin or suffering financial hardship
now whao has set itself an ambitious
target of benefiting an additional 1
billion people with universal health
coverage by 2023 and of course we cannot
do that without our partnerships and our
01:12
partners so we have an impressive
impressive lineup for our partners today
here on our show and we want you to be
involved so ask us your questions if you
put your questions on our timeline for
our experts we get you the answers on
today's show we have dr. Seth Berkley
chief executive officer of Gavi the
vaccine Alliance welcome dr. Buerkle
we'll also have dr. Lola dari president
of Ches ran a civil society organization
Miss Natasha Mwanza from Zambia he youth
01:44
health advocate dr. Marsha D so more
atwa chose regional director from the
Africa region so don't forget to send us
your questions I want to start today's
show with an excerpt dr. Buckley from
yesterday's openings
and on this I want to play you an
excerpt of dr. Ted Rose's speech the
world has made great progress toward the
silver cell health coverage the
Declaration of Astana endorsed by all
02:16
194 member states last year was a vital
affirmation that there will be no UHC
without primary health care primary
health care is where the button for
human health is won or lost primary
health care is at the heart of
immunization agenda 2030 our new
strategic initiative which we're
designing with you to maximize the power
02:46
of vaccines because we cannot achieve
health for all without vaccines for all
just last month we celebrated a historic
milestone in the fight against one of
the world's ancient diseases with the
launch of the world's first malaria
vaccine in Malawi and Ghana which is
being rolled out based on
recommendations from WH a strategic
advisory group of experts on
03:17
immunization last year WH er responded
to 481 emergencies and potential
emergencies in 141 countries Ebola does
not take sides it's the enemy of
everybody but we're not just fighting a
virus
we are fighting insecurity
we are fighting violence we're fighting
misinformation
we're fighting mistrust and we're
03:50
fighting the politicization of an
outbreak talking about universal health
coverage in his opening speech
you just heard him say that there can be
no universal health coverage without
access to universal universal access to
vaccines so I want to talk about some of
the very important moments this year
about vaccines but let me get your
reactions to that first doctor said well
first of all thank you for having me and
04:21
second of course he's absolutely right
vaccines are the most cost effective
health intervention for every dollar
invested you get a return of around $18
unless you take into account the effects
of full health a life lived and then
it's 1 to 44 dollars so if you want to
be able to afford universal health
coverage you need to have prevention you
need to have vaccines fully rolled out
we want to talk more about that we're
already getting some questions from our
audiences for you but first I want to
04:52
talk about this a very important moment
the launch of the very first malaria
vaccine in Malawi and a week later in
Ghana this year and this pilot program
which aims to reach 360,000 children
every year is also expected to be
launched soon in Kenya now malaria kills
one child in every two minutes we are
seeing some shots from the malaria from
the Malawi launch of the vaccine and
most of these shots and most of these
05:23
deaths have happened in Africa and this
vaccine the RTSs vaccine has been 30
years in the making and has been shown
to reduce the number of times a child
gets sick with malaria including
life-threatening severe malaria so
before we talk about that let's take a
look at little or Dena's story lore Dena
is one of the first babies who was
vaccinated in Ghana
[Music]
05:59
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they act upon him said number 20 honest
answer yes you animal sounds right
you mean that means millimetric etosha
science is Aditya not meniscal macabre
vision a meeting Konami local hospital
and she is our kron4news iike me didi me
Johnny now say Iassogna mayabazar now
06:36
Miasha Ocalan madrina who said Oh Pina
approaching mr. Massad from pneumonia
asthma a semi beside me hmm koala have
multiplied me now chimera anima wanna
own words
[Music]
yummy day am any justice I may pick red
fairy so I am eager to say my impending
farm when your ground with the by bomb
who back and see me pass all mover one
07:13
who back I don't know one fine you're
not I won over by a memory not much me I
am in mana my bonus yeah mom I do
[Music]
that was the story of little Lord inna
one of the first children vaccinated in
this pilot program which was the
financing for which was organized
through the collaboration with Gavi the
vaccine Alliance the Global Fund to
fight AIDS tuberculosis and malaria and
unit 8 w-h-o coordinated this pilot
07:48
program and provided in-kind
contributions with our partners like
path and GSK so doctor says tell us how
do you what was that moment like we know
a lot of people were very emotional to
see the first child vaccinated in this
trial against malaria well first of all
malaria is a terrible problem and we
need due tools because of drug
resistance insecticide resistance so how
do we bring new tools forward this
08:17
vaccine has a long time in the making as
you already said but this is not a
rollout of the vaccine this vaccine has
gone through rigorous testing it went
through a phase three efficacy trial and
received a positive review from the EMA
of the European Union the challenge is
that this vaccine requires four doses
and three of them are outside of the
normal intervals for vaccines so this is
a trial to ask the question can we
implement this vaccine will we get the
08:49
highest coverage we need to be able to
do that will it be accepted by parents
and in the in the the the modeling for
the trial suggested that for every child
that was every 200 children that are
vaccinated you would save one life we
want to see in a real-life situation if
that's really how good it really is
thank you for that clarification very
important than yet it was of course a
very big moment for researchers for
public health experts and our partners
all of us all of the organizations that
09:20
worked so hard for this moment I want to
take some audience questions directly
Vignesh thira wants to know how do you
think health for all will be
accomplished when most parts of the
world are in severe economic
agrarian prices so I think the most
important thing as we think about trying
to bring universality to health is
something we call progressive
universalism so and that what that means
is you start off providing the
interventions that can make the most
09:51
difference that of the greatest effects
that are most cost effective and as you
have more financial resources than you
add on to that and what's really
important about health is it's not an
expenditure it's an investment because
when you make communities healthy when
they can kids can learn go to school
become productive members of society
then that builds the economy up and
therefore every country needs to be
investing in the health of their
populations your Gavi the vaccine
10:22
Alliance has actually been investing in
primarily in strengthening primary
health care talk to us about that
approach please so vaccines are the most
distributed of all of the universal
health coverage tracer interventions for
the SDGs right now about 85 percent of
kids are vaccinated if you take the
first dose of DP t3 it's 91 percent so
it's widely distributed of course that
means that 15 percent or nine depending
on which number you use don't have
10:53
access and in some countries it's much
larger so what we try to do is invest on
bringing this fundamental and most
cost-effective intervention to those
communities because vaccines don't
deliver themselves if you do that you
bring a health worker you bring a supply
chain you bring a data system you bring
a cold chain and that is the building
block for primary health care and
ultimately what we want is every
community in the world to have access to
primary health care so doctor Berkeley
11:23
I'm seeing a lot of questions on is
health for all achievable people want to
know is this is this a realistic goal
well what's important to understand is
that out of the 200 essential health
interventions 90% of them can be
delivered through the primary healthcare
system so that's why progressive
universalism is such an important idea
because you can
work with a country given their
resources and obviously some of those
Reese's can be supplemented by external
11:54
resources but to put in place the basic
systems to improve the health and then
as more money is available you add on to
that and add to the complexity to build
a completely strong public health system
dr. Buckley talked to us about
innovation and universal health coverage
and especially vaccines so one of the
challenges in reaching these unreached
is more and more they're in urban slums
they're people who have been affected by
climate change they're in refugees and
so if we do the same things we used to
12:26
do we won't get the results we need so
we need to innovate and in doing
innovation we're working with the
private sector to bring new innovation
so for example one of the things we've
worked with recently is using drones to
deliver vaccines as well as to bring
safe blood and this is a really exciting
intervention because in Rwanda for
example the entire country is served now
by drone which means 20 minutes you can
get blood so if a woman comes in
hemorrhaging you can have the blood that
is right for her on-site and if she
12:57
needs more you can bring more which has
brought wastage to zero so these types
of technologies using digital
technologies new ways of learning can
really make a difference to bring health
care to the population we're seeing some
shots of drones delivering vaccines in
Rwanda
and drones have been used to deliver
also essential medicines to populations
who are harder to reach what's exciting
about this now is at Ghana has taken the
13:36
lesson from Rwanda and is now rolling
out across a much larger country to
2,000 health centres 24 hour a day and
it's not for routine deliveries but this
means any time there's a stock out or a
problem you need an essential drug it
can be delivered there so we're gonna
see how it begins to work at much larger
scale dr. Buckley we know you have a
very packed schedule so we really thank
you for taking the time to join us today
thank you for having me thank you very
much you just heard doctor says Berkeley
14:06
talked about a whole host of issues
including the need for strengthening
primary health care so primary health
care being that set of values principles
and approaches aimed at improving
people's health you know it's also an
approach that recognizes that many of
the causes of ill health lie beyond the
health sector and therefore we have to
take it a whole of society approach and
not the narrow medical model to unpack
14:37
this a little more we spoke earlier to
dr. Lola dar a president of Chester at a
civil society organization now dr. Daria
and her team work to improve health
access to women children and communities
in Africa let's take a listen dr. Doris
speak to us about the role that primary
health care would play in providing
health for all and primary health care
is fundamental since Al Motta
primary health care has been presented
and implemented by almost every African
15:08
country as the foundation of national
health systems building so it's a very
timely to try it's very timely for us to
transition or to integrate UNC and from
real care and connect the dots right and
when we do connect the dots what will
change in people's experience how will
people experience healthcare differently
when primary health care successfully
transitions to universal healthcare
right okay I like the use of the words
successfully transitioned because at the
15:39
moment they're not experiencing the
success they're experiencing fragmented
services and so you would have some some
people have TB services because the
Global Fund is active there but they
don't have malaria services or they
don't have national care services and so
at the moment what they experience is a
very fragmented kind of service our
vision our hope is that when we
effectively integrate into UNC every
facility the primary level will be able
16:09
to offer a great package of essential
health services this essential health
services should be country determined
and country old and it should respond to
the priority bodies at country level we
also need to communicate we'll be
communicating appropriate utilization
what you don't expect a primary care
level in a health center should not be
that and so we expect immunization
should be a primary care level and surge
surgical placement happening at
16:43
specially scalable doctor dari for
primary health care to play such a
central role in delivering health for
all we have to empower our health
workers speak to us about the challenges
that they're facing on the ground and
when we work with the global health
water layers a couple of years ago and
we did as a health worker motivation
survey it was a learning curve for us as
advocates that the greatest motivation
is not your salary the greatest
motivation is finding something to work
17:14
with going through a facility and
finding a bang bang the nurses won't say
backpack if they don't have bedpans
how do they work if they don't have
syringes they don't have girls they
don't have water they don't have power
and 62 percent of the workforce were
frustrated by the lack of things to work
with even when they know what to do I
think that's the biggest constraint they
have the biggest constraint they have is
not having drugs and supplies and not
being able to do what they know how to
do to save lives
dr. Daria the World Health Assembly WH
17:45
and partners and
States will be discussing some of these
ground realities how do you see
decisions made at the World Health
Assembly here this week impacting the
beneficiaries on the ground and the
people that you serve I'm going to
address myself this time to our African
policymakers it's very important to be
part of the global community but they
should not forget to always bring their
own reality and arel perspective to
infom important debates such as tutelage
18:16
of debates financing of healthcare is an
important thing we need to ensure that
domestic resources inflate to find
ourselves here we would expect them to
come back from that debate recognizing
that our health systems are varied
finance like economic capacities are
varied and we need to develop homegrown
financing processes the debates we have
another double level should not only be
the global talking to us or also the
global listening to us
dr. dari thank you very much for joining
18:47
us thank you very much for having me
okay so you just heard dr. Lola
da-rae talk about her expectations from
the World Health Assembly speaking of
which
speaking of expectations we have a youth
health advocate Natasha ions are welcome
here Natasha was here at the World
Health Assembly is opening ceremony and
spoke to all the delegates and talked to
us about her expectations as a young
person so Natasha your you just turned
18 did you yes I guess did okay you're
19:19
already a very accomplished young lady
or the first you're a first year mass
communication student at the Zambia
University at the Zambia University and
a jamia is the University I studied in I
did my mass communications before you
were born probably a youth
representative for the United Nations
Population Fund in Zambia you're already
very very passionate
advocate so tell us what are your
19:50
expectations from the World Health
Assembly some of my expectations from
the assembly are honest the first thing
to see the young people's health is
prioritize in every possible way
I love that people have been making
pledges towards health and what they'll
be doing when they go back to their
countries and I think it's very
important and vital that we hear what
they are actually going to do for us the
young people in back home in their
country so it's very important that one
we stand out they do mention what they
promised and pledged to do in that we
increase their promises like things like
budgetary allocations for instances they
20:22
are talking about all these policy
formulations they're talking about this
and that so all that has to go towards
young people's health and then secondly
I'm expecting the gender gap to reduce
because women in leadership women in
video shape when it comes to health is
not something that we hear of a lot and
I think that has to be dealt with
because we find that most of the people
who are ignorant to who are health
illiterate are women and women are the
ones who actually have more power to
ensure that he literacy goes worldwide
and that people actually health in
communities so I do believe that female
empowerment has to be emphasized and we
20:53
have to see that more women in
leadership when it comes to health is
going to be achieved and then secondly
thirdly rather I want to see us to have
an integrated system I want them to
realize that it's not just about the
health sector alone it's about everyone
playing their role so I want that to
come to a conclusive remark and say look
what is everyone going to do to ensure
that we achieve universal health
coverage because we can't leave this
alone to policymakers we can't leave
this alone to politicians it's every
individual out there so those are some
of the key things that I'd really love
to get out of this assembly I'm glad
21:25
that your generation is not leaving it
up to us clearly we are not doing very
well in delivering on many fronts like
climate change tell me when you have
conversations with your peers do you
find that they are as motivated to be
involved or do you well what are those
conversations like for 17 18 year olds
well the thing is it really does depend
on the situation and the place why
into them phone for instance where I
work I work in different facilities and
21:56
I work with young people generally and
at first of course we interact with them
because they don't know how important it
is there you won't expect them to be as
passionate as I am or any other person
whose health literate but then they more
they get this information the more they
realize that wait it's not a privilege
it's actually your right to deserve this
this is owed to you they actually have
to demand for it and so the more they
get to realize that the more enlightened
they are the more information they're
able to gain from us as we educate them
and all that the more we share the more
it becomes a safe space the more they
22:28
take it more seriously and so right now
for I've been doing this for three years
now and in the first year was you know
so laid down everyone was reluctant but
then right now they even hold us
ourselves accountable so it does really
depend if the person is informed about
such situations and they realize how
vital it is they do take it passionately
but then if they are not informed or
it's just one of those the government
would take care of it then they won't be
as passionate so I really do think the
missing link is just health literacy the
more people know the more they realize
how important it is the more they
22:59
realize that it is right and it is owed
to them the more the demand and the more
engaged and active they will be and will
participate in ensuring that we achieve
universal health coverage so it's really
just depends on how much they know so
Natasha I want to talk to you about how
your peers the youth of today see the
work that our organizations are doing
I'm going to ask our cameramen to pan to
the values Charter behind us this is the
w-h-o values Charter which talks about
23:28
our values do you find that young people
today that this resonates with the young
people and their expectations I'll read
the values for you we are we are trusted
to serve public health at all times as
professionals we are committed to
excellence in health where persons of
integrity people working in the Blewett
show this these are our values
collaborating but we're collaborative
currently colleagues and partners and
we are people who care about people so
24:01
all our actions are focused on that
do you see your these values do you
think these are values that speak to the
expectations of young people well I I do
love the last one about people caring
about other people or rather the motives
organization caring because we live in a
world where young people will not be
motivated to do much if they don't feel
love for if they don't feel cared for
and that's why we've got a lot of issues
where there's anxiety going a lot of
mental health a lot of this and that and
it's all deteriorating because one thing
that people just want to know is that
24:31
someone out there is that to take care
of them and so I do think one when they
are cared for it is something that there
is an it and it is an expectation on its
own because we need to be taken care of
that's how health works and I love the
point on integrity because integrity is
when you do the right thing because it
is the right thing to do and we know
that one of the reasons why universal
health coverage hasn't been achieved yet
is things like corruption things like
political you know rivalry all those
issues that are going around it because
of one simple thing going on because one
person just decided not to have
25:02
integrity so I think those are very
important and yes trusted to serve a
public health it is very important
because young people are part of the
public and so if we trust them to be
able to serve us the way they ought to
be serving us then of course it is
something that they should do and
professional I think it's very important
that they do stick to being professional
one of the main issues that come out
with young people is I can't really go
to a health facility because the nurses
who treat me like they are my mom and so
it becomes a stigma issue and they are
not treated with respect as human beings
25:32
but instead they looked at as people who
shouldn't be doing certain things and
that's wrong so I do believe that that
has to be put into practice and
collaboration is very important because
we cannot do anything alone we won't be
able to achieve anything of meaning
alone so collaboration is very important
so I do think these key values are very
important in the do resonate with why
young people deserve and expect great
well stay with us we want to talk a
little more about universal health
coverage now delivering
26:03
universal health coverage and health for
all in low resource settings has its own
challenges gets more difficult in
emergencies but actually delivering
health care where where there's violence
and and our health workers and health
facilities become targets of violence is
even more difficult WH o sadly lost an
epidemiologist our colleague dr. Richard
Valerie Mizzou Cokie bong was killed in
26:33
an attack on Boonton bo University
Hospital dr. Richard was deployed to
respond to the Ebola outbreak in
Democratic Republic of Congo he's one of
many WH o staffs killed over the years
in fact he's one of the many health
workers experts vaccinators hospital
hospital staff who have lost their lives
in the line of duty
dr. Richards family is here and were
honored and we paid a tribute to our
colleague at the opening of the World
Health Assembly let's take a look at
27:05
this short video put together by his
colleagues grantee Asik ot sate upon
more information moral intellectual de
toda la mora combi Pascal elite on Trent
affair Suki replacer disponible pool a
sort play Asuka hey Suki on of a
replacement
it was compassionate towards others and
was an intercultural player
we shall will be sorry missed here at
27:35
the WH o you will remain for us on an
example a hello and a life for future
generations
goodbye my brother rest in peace
[Music]
that was our colleague dr. Richard I
have here with me dr. Machida somos atw
chose Regional Director for the African
region
28:20
dr. moiety speak to us about dr. Richard
and what losing a health worker a
dedicated epidemiologist
whao colleague what does it do to our
response when our health facilities and
health workers and experts her attacked
yes thank you I'd like to talk about
Richard in two senses one as this
tremendous skilled big-hearted public
health experts who gave his life which
28:54
is a tragedy not only for us in whu-oh
but for his family and his country and
particularly for this response
Richard was coordinating some team in
boot tempo and taking a lot of
responsibility for coordinating the work
that they were doing going into the
community surveillance etc losing him
and I think the brutal way in which he
gave his life the impact on the team on
his colleagues first of all they were
heartbroken they were discouraged they
29:26
were frightened they had to stop working
we in our duty of care had to ask them
to stop working I think for the response
more broadly it increases the risk for
the local community considerably because
it meant that we couldn't go and
follow-up contacts we couldn't start
vaccination in time for people who had
been contacts not to be to be protected
not to be in fact that we could not do
the work of initiating treatment the
work of ensuring that families who had
29:58
well deceased managed the burial safely
and I believe that it breaks the trust
between the response and the community
so it was a very negative event had a
very negative
on our response it teaches us though
that we must find other ways to
establish the trust with these
communities to understand what it is
that they are objecting to to adjust
which is what we are doing our response
30:30
I just like to make a quick reference
because I did have the occasion with the
director-general to attend which has
burial in Cameroon and there I found
somebody who was at the center of his
family not only his family his church he
was religious his community were able to
see how all sorts of people appreciated
and loved him his family his mother said
he was the father of all sorts of
children who were not his biological
children in the family his nieces gave
testament of his loving nature his
31:02
friends his school friends of all
socioeconomic status there was somebody
who clearly had not progressed in school
to the extent of which I spoke to him so
warmly today so he was a tremendous
rounded person that we've lost indeed it
was a very emotional moment for all of
us here in w-h-o we and speaking of
trust and maintaining communities of the
communities trust that is actually built
31:33
during peacetime during routine work and
your team on the ground works with our
partners with governments to to
establish and to strengthen to
strengthen those health systems so let's
speak to us a little more about our work
in strengthening health systems so that
when there is value no emergencies and
these situations we already have
resilient systems yes it's absolutely
vital and we've learnt a lot over the
years we learnt a huge amount from the
32:05
Ebola outbreak in West Africa about
these to the links the inextricable link
between a resilient well-functioning
health system and the capacity to reduce
and manage outbreaks and public health
emergencies for example the work that we
are doing every day in countries as
w-h-o spans from the central level
helping ministers and their teams to
develop national health policies that
are based on our evidence strategies of
32:36
how to implement this coordinate and
manage the partners so that we have a
coherent contribution of international
support to what these countries are
doing right down to the district level
where we play an important role as
whu-oh in ensuring that districts are
functioning we provide training for
districts managers in a number of
countries we help the companies to
establish a team around the district
health leader a multidisciplinary team
of nurses and other people and most
importantly increasingly in our quest to
33:07
help countries achieve universal health
coverage and improves primary care we
are working very much on what's
happening at the most peripheral of
health facilities that interface between
the health system the health care
workers and the community because we've
learned that surveillance for example
relies on rumors in the community of
what is being seen of an unusual pattern
so it's from people themselves and
making sure that people have that
interface that contacts with the nurses
33:37
in most of our countries frankly the
people who are present at that level
especially in rural areas and nurses
that they are able to consult them that
they're able to tell them that something
abnormal is happening or that they are
able to trust enough to go into the
whole facility so that the nurses
observe a different pattern of illness
from what is usual so our work spans
that whole range and it is very
important that that level be functional
because that's the base if you like of a
resilient health system getting a lot of
34:09
reactions on our facebook timeline I'm
going to read a few comments and ask you
to respond and react to them Vikram
Pandit says health budgets should be
increased
all countries HK da says political will
and stable governments make a lot of
difference in health planning and
budgetary allocations and Hemet gary
says Mombasa and Kisumu is a malaria
zone how will and who how will we
34:43
support helping malaria vacations well
that's a little bit of a different tone
to that question over there so I'll let
you react to some of these questions
about the need for increased budget and
political will yes about indeed there's
no doubt that if I take the example of
African countries we have seen an
increase in health domestic investment
but it's simply not sufficient so I
won't even talk about the 15 percent of
35:14
their budget declaration the commitment
that heads of state made some years ago
but the per capita investment in in most
African countries is not sufficient to
deliver a basic package of health
services and we are working with
ministers of health to advocate and and
parliamentarians increasingly to
advocate for increased domestic spending
but just to emphasize it's not just
enough to increase the spending we need
to invest smartly we need to invest
appropriately so that we spend our money
where we'll get the most return in terms
35:46
of improved health and well-being for
the populations and I do believe if we
follow the principles of universal
health coverage
we'll get huge returns for that
investment so the question about
consistency if you like of changes of
governments not meaning radical changes
of policy which might derail directions
in which governments were going to
invest in health indeed perhaps we need
to accept it is the reality that when
one political party leaves they may
36:17
change the direction that the country is
going in altogether I have a lot of
faith in the consistency of those who
stay in the system even if the political
leadership changes so the leadership on
that on the technical side and most
importantly the
population the people stay the same the
people's aspirations to have access to
health care stay the same so what needs
to be consistent is allowing them a
place at the table whoever may be in
government it's important for the
population to be able to demonstrate if
36:49
you like to express their need their
demand their requirement for consistency
in the way that the government works
with them in order to continue to
improve investment delivery results to
improve people's health has a question
for you as well definitely do I think
for me the major question that's been
ringing out of my mind is we've got all
these solutions and sometimes we do hear
them and very picture and we know what
to do and of course the emphasis is
important but then I just want to know
37:20
is there that one thing that I'm missing
out on all those key things that were
overlooking that could actually help us
achieve universal health coverage
especially amongst young people so the
question simply is what are the key
things that maybe are being underlooked
and not talked about as much or not
acted on that are key to actually
achieving universal health coverage if
we take them up okay I think about not
that I'd like to share with you just
picking up on something you said in your
statement that do you know I used to
work for UNICEF in Zambia and I used to
37:52
supervise a colleague who started
Adolescent Health Services in some of
the clinics in Lusaka so and when you
said we don't need our lessened health
corners that very much resonated and I
guess we've learnt a lot since that time
that was a couple of decades ago I think
one of the elements that gets overlooked
or perhaps that is not supported
sufficiently is the agency of people
themselves and the engagement of people
and the real impactful involvement of
38:23
people with a space to not only
contribute to dialogue and discussions
but to have their voice listened to to
have an impact on what happens and a
good example of when a community is
engaged empowered influential is what we
saw with the HIV response and the HIV
community so what will be very
I think would be this to evolve so that
young people have a similar voice they
are able to be at a table and what did
it take now that I'm recommending this
for action but these are some examples
38:55
of what happened there was a time when
certain leaders who were thought to be
most influential in influencing
investment in hiv/aids couldn't get up
and speak at a conference without a
group called act up jumping up and down
showing posters saying you are not doing
what you're talking about we hold you
accountable in order for us to permit
you to speak at this conference we need
to be convinced that you go away and do
what you talked about so I think that
that pressure that interface between
39:27
young people and decision-makers needs
to be facilitated so that it has an
impact and it's our collective
responsibility I recognize very much
that it's part of our responsibility in
whu-oh we've established an adolescent
flagship program which is in its
formative stages looking at the range of
health problems that young people face
and the opportunity that young people
with their creativity energy if I look
at you and I see you talking I see all
the possibilities for young people to
not only to influence their health today
39:59
but to lay the basis for good health and
well-being into the future if we can
interact with young people in the
language you understand with the message
as messengers that you trust for us to
lay the basis for example for healthy
lifestyles to reduce the huge burden the
evolving epidemic of non-communicable
diseases today the sexual and
reproductive health problem so I do
think echoing what you said what other
young people have said to me as I go
around that it's not just for a young
person to come to a conference we need
40:29
to find space for you to be at the table
when decisions were made in a whi office
in a UNICEF office when ideas are being
hashed out so that what you think gets
carried not only by your own voice but
others who might have more influence but
that you have the opportunity to make
your ideas known to them I think that's
one of the things that we could really
work on well I think you just answered
one of the questions on our timeline
Vignesh thiru his question was youth
health is a major component and the term
41:00
in determining a country's productivity
but these plans and targets which are
are still a you know it's still a
dreamed and how can we tackle it so you
just answer that question I think with
the involvement of youth we want to
thank all of you viewers we have quite a
list here people are tuning in from
India Australia the United Kingdom us
Argentina Philippines Thailand Pakistan
Somalia Dona Canada Jordan Honduras
41:33
Mozambique's the Solomon Island it's a
long list I'm going to keep reading so
that we can get a give you a shout out
we have people tuned in from Libya
Mexico Cameroon Zambia Burkina Faso
Italy Australia the Philippines North
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42:04
Greece Iraq Japan and Kenya so that's
quite amazing yes that's quite a reach
well done to you thank you very much
from our experts keep watching us on all
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Assembly it's goodbye from from us for
now until next time then bye-bye