Building resilient systems for health

26 Oct - 10 Nov 2015
Go back to HIV, Health and Development Strategy of the United Nations Development Programme (2016-2021)

Many countries are not equipped to deal with crisis and conflict situations. Such events have the potential to reverse years of development gains, decimate systems for health and diminish national capacity. Helping countries to both prevent and mitigate the risks of crises and conflict is essential to the work of UNDP. For health, this includes addressing the development impact of health crises, building and maintaining the capacity of vulnerable countries, as well as leveraging the available capacity of government and civil society to effectively deliver health services.

The role of social protection in addressing poverty and promoting inclusive economic growth is being recognized. It has the potential to play a key role in reducing an individual’s chance of becoming infected with HIV, improving treatment outcomes and reducing the damaging effect of HIV on people, households and communities. UNDP supports HIV-sensitive social protection.

To help ensure the sustainability of national funding for HIV, UNDP and other partners have recommended a combination of financing approaches, such as increased domestic funding, improvements in programming efficiency and reallocation of resources to high impact and rights based interventions. This may include the integration of HIV and other services, broader health systems strengthening, strengthened governance, civil society engagement and synergies with other development objectives.

Related resources:

Strategy Note on building resilient and sustainable systems for health

Global Fund

 

Proposed guiding questions:

  • What contributions can UNDP make to supporting efforts to build resilient and risk-informed systems for health?

  • What contributions can UNDP make to development challenges at the nexus of gender, health and environment?

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Comments (16)

Maisoon Abuabdalla Elbukhari Ibrahim • Global Fund Project Manager at UNDP

“In the health sector corruption is a matter of life and death”. The corruption could be manifested as: embezzlement of donor or public funds provided for facilities repair; demanding payments where services should be free; manipulating procurement and supply chain management; and service providers in rural areas not receiving their donor funded entitlements from central governments.World Bank surveys show that in some countries, up to 80 per cent of non-salary health funds never reach local facilities. In some countries where UNDP is serving as an interim PR, corruption in the health sector had detrimental effect on economies and on the quality, equity and effectiveness of health care services.One of the contributions that UNDP can make as part of the UNDP Global Anti-Corruption Initiative  in countries in which we are serving as a PR is  supporting those countries to adapt and implement tools to map corruption risks and strategies to address those challenge e.g. Transparency in Health Programs, supporting health sector financial performance monitoring and Budget Transparency.

David Kieghe • from United Kingdom

Hi Maisoon, I cannot agree with you any less. I think that corruption in the management of the entire value-chain of health programming interventions limits performance. I think that systemic corruption though is the most important threat to domestic policy and execution, sustaining the vicious cycle of poverty & widenig inequality, ilitracy & ignorance and disease. It is by some distance, frontline cause of subnational and national fragilities. UNDP must show leadership by example and think and act diplomatically and yet politically in the manner of advocacy against corruption in all its forms. That is how to protect the poor and vulnerable to give them back their future to contribute towards a better world.  

Dr. Alex Parisky • Instructional Designer at University of Hawaii at Windward

Great point David Kieghe....  Over the last ten years I had been involved in a couple humanitarian efforts related to natural catastrophe and Iʻve been shocked at some of the corruption Iʻve encountered at the local level... We had emergency supplies (2 pallets of bottled water) that got confiscated by a local mayor for him and all his relatives....   Have worked with medical teams who have had their medical supplies confiscated by town leaders and then sold back...    These parasites that prey on our fellow humans when they are most vulnerable need to be addressed..Alex Parisky

David Owolabi • Programme Associate at UNDP

In terms of HIV and Human rights programme on removing legal barriers to access to services for key populations, I believe UNDP can make a big contribution by supporting the development of indicators through a kind of operations research for monitoring of human rights programmes funded by the Global Fund which is an evolving area of work. This will ensure effective monitoring and evaluation of such programmes for better outcomes and impact in the medium to the long term.With respect to the next of gender, health and environment, UNDP should draw and leverage appropriate synergies, linkages and complementarities between existing interventions for example on sustainable financing; initiatives on integration of gender, HIV and health into environmental impact assessments and broader health initiatives such as the Non Communicable Disease (NCDs) and Tobacco and alcohol control. For example, strengthening partnerships with the extractive industries under the EIA work can be a two pronged strategy for upscaling sustainable financing as well as for promotion of broader health outcomes. Similarly, supporting countries to develop tax measures in tobacco control policies help to generate resources as well as make the product a bit out of reach for the youths who are mostly the targets of the industry, thus assisting to achieve a better health outcome.

Baly Ouattara (not verified)

Here there are a lot of issue that can be taken into account. It is more easier to create a better condition for livelihood which enable all mankind to live in good shape.Here it will be necessary to define all the public goods like water, air, energy, and all forms of biodiversity. For that It will be relevant to define and defend new right for all. That is the first condition to have resilient people which can face all type of disease. That attitude assume that our society invest more to warn because when the disease is in environment our in bodies it is really too late and the impact of treatment is unpredictable. So the most important component of health care financement should be design to keep people far away from all risk of contracting disease. If we do that we will save a lot time of work, a lot of investment (equipment and building).

Saripalli Suryanarayana • from India

Water,sanitation and all issues associated are key to human development.Climate agriculture and gender equality and rights are part of development.But countries political and social system is based on education.The level of inequality among communities is as much as in gender.Finance mechanism can be achieved with private participation.PPP mode in education,and exposure of international trade for agricultural produce enhances initially the county finances.The minerals of Africa and other countries have become a source for energy for India,Chaina etc.A progressive tax structure will make the country beneficial. to the nations that own the mineral richness.Creating a system of e-commerce for products[storage and distribution]will attract more business houses.Some manufacturers are awating for development of proper policy mechanism for investing or stock piling their produce for sale in the region.With that we can have generic medicines available for all the needy so that their use based on necessity improves and cost will reduce substantially.Many medical equipments and testing laboratory facilities can be set up either by trust or by PPP by the NGOs working world wide.This helps them only set a lab,and hand over the maintenance to local people,who will be funded by another NGO,or by their government.Many governments have plenty of used vehicles,which they can augment and supply freely to the needy areas.Similarly the Governments can help build the hospitals or primary health centers in many countries,which can be looked after by local society.

Salma Zaki Nashef • Assistant Professor at The Private University for Medical Sciences from Jordan

In spite of the fact that I am an Educational specialist, I'll give my opinion about the contributions that UNDP can make to support efforts & build resilient and risk-informed systems for health which is the 1st guiding question. At the time of crisis, there is an increase in : -Smuggling of drugs & use of it, which affect health at a wide range. - Smuggling of weapons through borders which increase the percentage of crimes that may affect health. So UNDP can play a great role in the following: 1. Preventing smuggling of drugs 2. preventing the danger of increasing number of weapons.  3. Reduce Epidemics 4. Increase the number of NGO's that have an  impact upon analysing refugee's data, monitoring it & apply solutions forit like providing medicine , food & shelter. 5. More funds are needed for the hosting countries for facilitating remedies. 6. Road working & improvement, Friendly environment tents, Suitable Infrastructure, Building or increase schools, Building or increse the number of hospitals, Increase the number of trained teachers , Increase the number of nurses & doctors are all ways that UNDP can help in providing it for a sustainable systems for health.Education may help in increasing awareness about diseases, it's causes, syptoms & the way they avoid it & the treatment among refugees & the hosting community.

David Kieghe • from United Kingdom

Building resilient and risk-informed systems for health and development mean reducing socioeconomic vulnerabilities. The poor especially in low and medium income countries are most vulnerable and are in large numbers. They represent missed opportunities and are the weakest links that define our strengths and weaknesses in ways that prevent countries from approaching development frontiers. So the narrative must be even more explicit and compelling to politicians and decision makers – health, economy and development linkages and dividends to inform national aspirations.I think that we have continued to programme on very weak fundamentals in many developing countries in the hope that over time these fundamentals would strengthen. However, development returns on investments remain very low with significance on HIV, TB, Malaria and other public health concerns. I think that we need to start investing differently. Health care should drive local economies in rural and urban communities to address sustainability issues to do with equity, inclusivity and ownership. Community systems strengthening beyond health to improvements in local governance domains should be a key consideration going forward. I think that this would over time result in socioeconomic stability and enable communicaties to build capacity for resilence and acquire capability to respond to emergencies from diseases and natural disasters. I think that a bottom-up approach to development is the way forward to mainstream the bottom billion. This is what we ought to measure development programming performance against.  So, we have to find a way to share development intelligence from local data with communities and empower them to play active roles in the determining, planning and execution of development activities. It is also important to integrate the various activities of development partners into a coherent mix that is guided by informed national and local level medium term plans, integrated policies and execution. UNDP should stay engaged with developing countries on their social strategies and economic policies - two drivers of development actions.Big questions would be: how do we incentivise and strengthen small area/local administration to provide basic but essential services (health, education, rural self-built/community housing improvements, water supply, sanitation, etc) and keep up to date quality administrative data for analysis and intelligence to feedback development policies and actions? How UNDP and other partners can identify and strengthen some strategic countries with potential (location, population, some local expertise, etc) for regional ‘first responder’ roles in disease, natural disaster or other emergencies?   

Salma Zaki Nashef • Assistant Professor at The Private University for Medical Sciences from Jordan

Hi David,Your article is valuable with good clarification & ideas.I'll start from the last paragraph & say that for the question of "how do we incentivise and strengthen small area/local administration to provide basic but essential services and keep up to date quality administrative data for analysis and intelligence to feedback development policies and actions? " a collaborative effort between private sector & the Government is needed plus the leaders or administrative of the local area must be of good quality persons with high standards of responsibility & honesty in order to ensure high standards of performance which results  in  preventing any type of corruption & to verify the targeted objectives.

Ninoslav Mladenovic • HIV AIDS Officer at UNDP

The following input is related to Priority 3.1: Implementation support and capacity development for large-scale health programmes… To help ensure the sustainability of national funding for HIV, UNDP could make the following contributions:

  • Coordinate with governments to set and meet domestic and international minimum funding levels.
  • Support countries to use full extent of TRIPS flexibilities and domestic patent law to address IP barriers and the cost of medication (including 2nd and 3rd line therapies).
  • Help country-level civil society organizations to know how to engage governments to  argue for strong HIV programs, such as how to make a really strong investment case that money should go to HIV – and that governments cannot reduce their commitments when they are able to access global funding.
  • Support transition from GF funding to state funding, with aim to insure support of both ARV and services by domestic support and funding.
  • Provide technical support in improving competency of Global Fund CCMs, particularly as it relates to human rights and key populations, HIV/TB integration, emergency and humanitarian situations for sub-populations within the countries.
  • Provide special technical support for creating mechanisms for maintaining domestic financing to support services (state social order) in order to avoid interruption of service delivery previously supported by international organizations.
  • Provide technical assistance in the preparation of regulatory and legislative documents, ARVs procurement in order to avoid a large increase in prices, stock out in the provision due to the transition to state financing in region and countries, signing trade agreements etc.

Moreover, in its role as an interim Principal Recipient of funding from the Global Fund, UNDP should continue investing in community leadership, including:

  • Make effort to double CS funding.
  • Ensure sustainable and adequate core funding for leadership by PLHIV and key affected population networks: the urgency, commitment, and knowledge among these groups are game changers.
  • Dedicate funds to programmes that originate from - and are implemented by - local civil society organizations.
  • Support development of clear M&E and accountability metrics relative to enabling community environments.
  • Support creation of feedback mechanisms for local communities to communicate concerns and issues to regional and global offices.
  • Support to sustain youth movements through mentoring and capacity-building activities.
  • Make effort to preserve, cultivate, and sustain peer to peer services, networks, and support systems.
  • Develop capacities of CS to participate in the monitoring and government accountability towards support for CS. 

    

Duchess Issy Cutter

Drug distribution. HIV drugs are meant to be freely available to test effectiveness in different countries. Data is low due to selling of drugs on the black market at high prices, this makes it difficult to obtain blood samples of denser infected population.  How far are we are effective prevention and management?

Carlos CORTES FALLA • Programme Specialist at UNDP

The construction of resilient health systems remains a challenge for development experts; different definitions have been circulating on the need for building resilient, well prepared health systems to face crisis, like the recent (still on-going) Ebola epidemic. It is ´a la mode´to talk about resiliency; this process of building ´resiliency´, however, is atrciky one and  can be either a long process of using lessons learnt for its construction, or can become just another futile exercise for using the new ´brand´concept of health resiliency. The resilience of a health system can be defined as the capacity of health personnel, institutions and populations to prepare for and effectively respond to a crisis, while keeping essential services available to the entire population. However, this resilient system needs certain pre-requisites to guarantee sustainability. Kruk et al. (2014) identify these pre-requisites as (i) recognizing the global nature of severe health crises and having a clear view of the role of various actors at each health care level; (ii) implementing international health regulations (IHRs) which establish, inter alia, the need for countries to ensure essential health services and formulate response strategy (additionally, the national legislation should clarify the roles and responsibilities of various public and private actors); and (iii) highlighting the need to have health personnel in a position to collaborate in times of crisis. This involves effective training of human capital, including substantial reserves, before a crisis breaks out.Likewise, a system based on the lessons learned from previous crises can be put in place again, when conditions so require. Health systems are resilient only if they manage to protect human lives and deliver successful results for all over crises and in the post-crisis period. The Rockefeller Foundation (2014) has called this result dividend of resilience, that is, the dual guarantee that the system works well in normal times as well as in times of crises.The response of the governments and the international community to a health crisis such as the one caused by the Ebola Virus often focuses on reducing viral transmission and mitigating the impact of the emergency. It is important to remember that this is not enough. In the African context, where malaria exhibits high incidence rates, the individuals with febrile periods need to be studied to rule out Ebola, and those without the virus should be kept under control to be given not only a diagnosis but also an appropriate treatment. This continuum of services at a time of crisis can only be achieved by a comprehensive, resilient health system. This means that, even in the most seriously affected areas (such as the borders of Forested Guinea), pregnant women needed to have essential ante-natal care, safe delivery, and postnatal care, not only for them but also for their newborns.A breakdown in the continuum of services forced people to seek care for other non-Ebola-related diseases in areas that had not yet been affected by the epidemic. This means that a resilient health system should maintain essential activities in unaffected regions, while emergency services in affected areas are reinforced. If the system comprehensiveness is not preserved, the mortality rate resulting from causes other than the crisis will grow during and after the crisis.This is a crucial debate for the forthcoming years; new epidemics will arise and we will constantly face different catastrophic events, especially related with climate change, affecting the most vulnerable people.

Ndengeye Blaise KARIBUSHI • Project Manager at UNDP

Dear Hakan,The following comments on the draft strategy note are a contribution from the following staff from the GF-PMU/Zambia on the whole document: Japhet Taratibu, Chali Selisho, Paul Chitengi and Blaise Karibushi.COMMENTS ON THE DRAFT STRATEGY NOTE: HIV, HEALTH AND DEVELOPMENT 2016-2021 General comments 

  1. The comments provided here address largely how the draft strategy note responds to “what, how and why” UNDP will strategically position herself to the HIV, health and development work within the context of the 2030 Agenda for Sustainable Development for the period 2016-2021.
  2. We note that this document was well drafted and comprehensively addresses social, economic and cultural factors of HIV and health, responsible for health inequalities. The strategic shifts recommended in this note are fully aligned to those in UNDP’s Strategic Plan for 2014-2017, the 2030 Agenda for Sustainable Development and other key strategic documents mentioned in the note.
  3. While this Strategic Note is intended to provide guidelines on priority areas of UNDP policy and programme support, it is important to consider the varied social, economic and cultural, and legal  contexts within which the COs and indeed the Regional Bureaus are operating. Clearly, the COs are at different levels not only in standard country classifications, but also these differences are notable  in UNDP’s engagements with Governments, non-government and civil society in HIV, health and development work.This document should highlight these facts and guide the COs, among other things, issues of prioritization, depending on any proxy classifications available. Promoting effective and inclusive governance (also relevant for Key Partnerships in HIV and Health) 
  4. The Strategic note does not put forth specific strategies to engage the national HIV and Health sector coordination bodies, including Ministries of Health, National AIDS Councils. It is also important to highlight UNDP’s intended engagements with the parliaments, Ministry of Justice, Ministry of Home Affairs(Police), Ministry of Finance and the umbrella organizations coordinating civil societies and private sector.
  5. As the situation stands, most countries operate under old/outdated National Policies and National Strategic Plan for Health and HIV/AIDS.To include as part of policy and programme support, the following:
  • UNDP to support countries revise the National Policies and National Strategic Plan for HIV and Health, and seize the opportunity to provide policy and strategic advice to mainstream and integrate new strategic shifts, indicators and targets outlined in the SDGs.
  • In line with the revised National Policies and National Strategic Plan for Health and HIV/AIDS , UNDP to provide technical support to help countries focus their national responses based on the true drivers of the epidemics - specific to geographical  estimates of disease burden.
  1. In countries where UNDP is acting as transitional PR of the Global Fund grants, the COs should leverage expertize of PMUs staff to support UNDP Health and HIV units at HQ, Regional Bureaus and COs to influence policies, strategic shifts, pushing mainstreaming agenda and allocation of resources where they are most needed. Clearly, UNDP is considered as an important actor in HIV and health in countries where it manages GF grants.
  2. Evidently, in some countries exclusion and discrimination of key population presents barriers to accessing HIV and other health services. In line with UNDP’s guiding principle of evidence-based policy, programming and action, and given the resistances likely to happen in countries that criminalize  men who have sex with men, sex workers, people who inject drugs and transgender people and their partners;  UNDP’s strategic entry point would be to  leverage  partnership with National AIDS Commission and civil society organizations to mobilize resources and conduct investigative operational  studies to establish the true state of discrimination, criminalization and human rights abuses subjected to key populations.  The findings from these investigative surveys  would not only attract the attention of respective countries, but would also provide the basis to repealing the punitive laws and reinforcing increased access to service through participation by key populations in policy development, health governance and programming.   Strengthening governance to address NCDs and tobacco control
  3. The Strategic note should be specific and clearly stipulate “how” UNDP will support country level efforts to address NCDs and tobacco control.
  4. In additional to policy and programme support outlined in page 15, it is recommended that UNDP COs work with WHO to help countries have NCDs specific national policies and strategic plans. The development of NCD investment cases, as recommended in the Strategy note, cannot happen when the country has not elaborated a costed strategic plan.
  5. On addressing Tobacco control, one of the programme support area would be UNDP COs to work with responsible Ministries to develop capacities of local government/authorities and councils to reinforce tobacco control in public places, and conduct mass awareness campaigns and advocacy on the dangers of smoking. Sustainable financing for HIV and health (also applicable to building resilient and sustainable systems for health To include as part of policy and programme support, the following:UNDP support to countries to strengthen national systems for governance, accountability and donor coordination. UNDP will document evidence from  best practices countries that  achieved health related MDGs, including decentralisation and greater government accountability, gender equality and women empowerment, GBV victims support one stop centres, domestic health care financing/medical insurance schemes/cost sharing, and implementation of a Family Policy, with greater emphasis on Adolescent and Children’s rights
  6. In helping countries address sustainable financing and building resilient and sustainable systems for health, UNDP could  do the mapping of countries based on standard “Country classification systems” and,  drawing  upon experiences from best performing countries, provide  advise to countries based on the specifics of each country.Performance monitoring and accountabilityTo include as part of policy and programme support, the following:
  7. UNDP will work with UNFPA to provide technical support aimed at improving governance and human resources capacities of the National Statistics offices, and help mobilize resources so they are able to conduct specific national population-based surveys and studies to regularly inform status of health and HIV/AIDS outcomes, changes and impacts. Findings from these studies will bridge the data/information gap usually experienced when UNDP is preparing national reports including ROAR and Human Development Report.
  8. UNDP at COs will work with UNFPA to advocate for provision of National Statistics bureau full professional autonomy in order to address challenges ranging from leadership and good governance, timely decisions, independence of data, innovation and technology and staff competences. Some countries have issued semi-autonomous to their respective statistics agencies and some still report to the government.

UNDP COs will help countries domesticate SDGs. UNDP will outline key lessons learnt from MDG implementation that could help shape countries’ perspective on SDG implementation, including promotion of national ownership and political will, innovative policies and programmes, Global Partnerships and Financing and Sustained advocacy and monitoring of the MDGs

Brice Millogo • Conseiller VIH at UNDP
    • La résilience, compte tenu de son caractère transversal est un moyen efficace de lutte contre le VIH. Dans ce cadre, une approche holistique est privilégiée, se focalisant sur les besoins des personnes infectées et affectées et les différentes opportunités, afin d’augmenter les impacts positifs au niveau local, national ou même régional. Il faut tout d’abord renforcer les capacités des communautés cibles au concept de la résilience en tenant en compte que le fait d’être malade suite à une infection au VIH est un aléa à la suite duquel les PVVIH doivent pouvoir bénéficier de programme de relèvement durable et résilient. La résilience accompagne et tous les programmes et stratégies d’adaptation  à travers les formations, la conduite des activités génératrices de revenus, les activités socio culturelles et l’accès aux services sociaux de base.
    • Envisager la lutte contre le VIH sous l’angle de la résilience permettrait aux organisations multi-mandatées, d’améliorer la qualité de l’aide et de mobiliser des ressources financières. Il faudra à travers le concept de la résilience,  développer des nouveaux outils et des cadres permettant le renforcement de l’activisme communautaire et l’estime de soi tout en réduisant la stigmatisation et l’abandon.
    • Les communautés vulnérables affectées par le VIH pourraient très vite s’adapter à ce changement, la réponse humanitaire apportée serait elle aussi une priorité, car les populations vivant avec le VIH  ont plus que jamais besoin d’un soutien urgent pour se relever. A défaut de pouvoir bien appliquer le concept de la résilience, la maladie et  la pauvreté à long terme augmenteraient  la vulnérabilité des populations face aux autres catastrophes naturelles. 
    • Développement de stratégies de soutien aux socioéconomiques aux ménages affectées en vue de permettre de retrouver leurs capacités d’insertion  dans la société. Cela suppose de développer des partenariats avec les programmes nationaux de micro finances et également des institutions  ayant une expertise dans l’accompagnement de groupes particulièrement vulnérables dans la conduite de leurs activités       
    • Le PNUD en collaboration avec les pays peut aider à faire l’évaluation nationale des dispositifs sanitaires de réponse aux situations de crise en vue de sa conformité avec les standards minima internationaux en la matière. Cela contribuerait à renforcer la prise en compte des questions relatives au VIH et à la santé de manière générale dans la gestion des dispositifs de réponse aux urgences humanitaires. Accompagner les pays à la vulgarisation/dissémination de ces standards minima dans les populations, notamment les plus vulnérables ;
    • Appuyer et faciliter la mise en place ou le renforcement de systèmes communautaires d’adoption de comportement et de réponse appropriés aux crises (il peut s’agir de consolider là où cela existe ou de mettre en place des systèmes de partenariat et d’éducation par les pairs à l’image du  modèle « Badiénou gokh[1] » dans le secteur de la santé communautaire au Sénégal).

    [1] Les Badienou gokh (tantes, marraines, grand-mères au figuré) sont des figures traditionnelles fournissant des activités de promotion de la santé dans leurs communautés

    Rodrigo Schoeller de Moraes

    Esteemed colleaguesI believe that the three topics proposed on the Discussions (26 Oct – 10 Nov 2015) are entwined. They interconnect with themselves specially regarding the necessity/feeling of belonging (1 topic); to the cooperation networks implementation methods (2 topic); to proportional impacts on the three dimensions of sustainability (economic, social, environmental) (3 topic).This is due to the need for a multidisciplinary and intersectorial approach so as to obtain integral healthcare and proposals effectiveness regarding HIV.Furthermore, it seems indispensable to foster planning and management actions (on behalf of those who act and/or intervene on the covered systems), to practice the proposals, adapting them to local reality.Regarding UNDP, we believe that the program may promote this convergence, notably with the Sustainable Development Goals (SDGs) and HABITAT III directives in sight.I emphasize that development (within any scope, e.g. Goal 3: Healthcare), so as to generate effectiveness, sustainability and peace (internal and external) must qualify as Harmonic Sustainable Development (HSD).In this context, we submit the same suggestion for the three proposed topics at Discussions (26 Oct – 10 Nov).These suggestions are aligned with the document: Systemic Planning and Management Action SDG and Habitat III 09-11-15 (attached and in http://pgsistemicos.blogspot.com.br/2015/09/apresentacao-criterios-e-ma… - English version below - Please use the Slide Show mode for PowerPoint slides) and with our manifestations on other discussion environment, as follow: Participation in the Urban Dialogues of Habitat III (https://www.habitat3.org/the-new-urban-agenda/summaries): Esteemed Colleagues: In the Urban Dialogues we realize that there is a convergence with regard to WHAT TO DO.We believe it is very important to establish HOW TO DO. In other words, how to implement in practice the proposed.To this aim, the methodology/action of Systemic Planning and Management (SPM) was created. We believe that it can contribute in some way.As mentioned in the previous manifestation, this method allows, from the focus priority chosen and emphasizing the family context, vision, and resource integration, multidisciplinary and cross-disciplinary (and between institutions). Focus priority can be established, for example, in the Sustainable Development Goals (SDGs), in the thematic topics for the New Urban Agenda (social cohesion and equity, urban frameworks, spatial development, urban economy and urban ecology and environment), and, more specifically, in a flooding, in the construction of a hydroelectric plant, in the health of vulnerable populations, (indigenous population, homeless people, people affected by ecological catastrophes), in the improvement in the quality of life of the population of certain slum and etc. Thus, one can establish what to do, and who, where and when / why and how to map and integrate all these components. Therefore, it is important to be perceived a common mission, to be implemented with the assistance of the physiological, psychological (safety, belonging and self-esteem) and self-fulfillment, generating commensurate impacts on the three pillars of sustainability (economic, social - health, education, citizenship and security - and the environment) and through cooperation networks. Thus, public effects are produced by adding value to sustainable activities.        This common mission, envisioned as public purpose, requires and favours the formation of cooperation networks for systemic action, allowing the integration of the three sectors (public, private and civil society) and the whole community. This context favors democracy, participatory and representative, providing Harmonic and Sustainable Development (HDS), the consciousness of unity and survival of all living beings.Increasingly, it requires the cooperation of every part. However, sometimes, when making planning and management of public policy, some people forget the importance of integration, too, with the Justice System. In case of ineffectiveness of public policy (often due to a linear actuation - not realizing the interconnections), the Justice System undoubtedly will intervene, directly affecting the course of development that we want (something that can be evidenced by example, the "judicialization of health"). So the System of Justice should participate in the cooperation network.The Systemic Planning and Management action has achieved many positive results. Therefore, we are building, with the National Confederation of Municipalities, the document: Systemic Planning and Management action focusing on Sustainable Development Goals (SDGs) and HABITAT III. HOW implement the SDGs in the local community and in the context of the HABITAT III. Moreover, Starting on September 30, 2015, we will be promoting the implementation of the action of Systemic Planning and Management (SPM) in all municipalities of Brazil, with the National Confederation of Municipalities.We believe that this document (Systemic Planning and Management action focusing on Sustainable Development Goals and HABITAT III) can contribute to implementation of SDGs and for the preparation of New Urban agenda. The document will be available at the following address: pgsistemicos.blogspot.com.br and rodrigoschoeller.blogspot.com.br, in early September (including an English version). OBSERVATION: Currently the name of this document is: Presentation Criteria and Convergence Matrix for the Systemic Planning and Management Action (SPM) focusing on the Sustainable Development Goals (SDGs) and Habitat III: HOW TO cooperate on implementing and adapting  the SDGs and Habitat III directives to local reality. (updated version on 11-09-15) (versions in Portuguese and English available at: http://pgsistemicos.blogspot.com.br/2015/09/apresentacao-criterios-e-ma…  and attached).        Further information can be obtained in the following materials - at the same address and: 1- What development do we want? - (an English version can be found on the link)quedesenvolvimentoqueremos.webnode.com/news/que-desenvolvimento-queremos-/2- Lecture Values, Systemic Planning, and Management and Public Ministry (English version) http://rodrigoschoeller.blogspot.com.br/2010/10/pgs-lecture-values-syst…      +3 - La Gestion and PGS (Spanish version) http://rodrigoschoeller.blogspot.com.br/2010/10/pgs-la-gestion-e-pgs_26… +4- Primer Systemic Planning and Management Action focusing on Health, 2015 version (in Portuguese). Further information (including guidelines for implementation) are on the Primer for PGS Action focusing on health: http://pgsistemicos.blogspot.com.br/2015/08/acao-de-planejamento-e-de-g… I hope that the documents, which are public domain, can contribute in some way. Rodrigo Schoeller de Moraes,Public Prosecutor,Manager Strategic Projects of the Public Prosecutors Office/Public Ministry.  E-mail: rsmoraes@mprs.mp.br     and rsmoraes@mp.rs.gov.brwww.rodrigoschoeller.blogspot.com.br Phones:                         + 55 51 9628-4254                      + 55 51 3295-1050     

    Fathin Faridah • from Indonesia

    Dear AllHaving reviewed the Draft Strategy Note: Action Area 3, is certainly very necessary to support in a wider scale. Southeast Asia, particularly Indonesia, the need for strong cooperation between UNDP and related sectors in terms of allocation of funds for HIV treatment and health. Thus, there is an element of "empowerment".In addition, the protection program held through universal health coverage, and maximize the treatment of patients with HIV-related services and other health problems.Working closely with other sectors for the protection of the environment and climate change, including implementing strict sanctions for the destruction of the environment, for example, the burning of thousands of forest land in Indonesia that occurred some time ago, the impact is felt up to several regions in ASEAN.