2017 Program Book

Forum information

Date

Day 1 October 22, 2017 8:00 - 17:00

Day 2 October 23, 2017 8:00 - 17:00

Physical Venue

CHANG YUNG-FA FOUNDATION

International Convention Center, Taipei City

Organizer

Ministry of Health and Welfare, R.O.C. (Taiwan)

Ministry of Foreign Affairs, R.O.C. (Taiwan)

Health Promotion Administration, Ministry of Health and Welfare, R.O.C. (Taiwan)

Agenda

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Opening plenary

Dr. Chien-Jen Chen

Vice President of Taiwan

Dr. Shih-Chung Chen

Minister of Health and Walfare

The opening remarks was given by the Vice President of Taiwan, Prof. Chien-Jen Chen, followed by an opening plenary moderated by the minister of Health and Welfare, Dr. Shih-Chung Chen.

Vice President Chen welcomed the health ministers and distinguished guests who travelled away from all over the world to Taiwan. He is grateful to see so many health ministers who attend this forum and thank them for their significant contribution. Taiwan has tried hard to promote optimal solutions to achieve the Sustainable Development Goals (SDGs). Taiwan has a good track of effective health care, Vice President Chen remarked. He took the universal health coverage as an example. Since 1995, Taiwan initiated the National Health Insurance (NHI), and the coverage rate raised from 59% to 99%, accounting for 1% of the administrative expense costs and over 80% of public satisfaction.

Dr. Shih-Chung Chen, Minister of Health and Welfare, Followed the Vice President’s talk by remarking on the promotion of SDGs in Taiwan through the integrated healthcare system. Taiwan has integrated innovative technology through the NHI card, which has multiple functions: identity, medical visit record, health records, organ donation consent and palliative care consent. The majority of pharmacies, medical clinics and hospitals in Taiwan are contracted with the NHI. The “My Health Bank” app is introduced so citizens can easily check their health and medical records. Taiwan also made an effort to respond in the global health working hard in international collaboration and exchange. Since 2015, Taiwan has collaborated with the US for the personnel training for the prevention and protection from infectious disease, such as Ebola. One of the goals of the SDGs focuses on maternal and child health. The Taiwanese government promotes and encourages breast feeding, and now the adopted rate reached 45%.

Minister Chen expressed that the elderly population will eventually create a super-aged society. The current 10-year Long-Term Care Plan 2.0 aims to create a human-centered health care system, from disease prevention to hospice services. Taiwan is planning to work together with Southeastern and Northeastern Asian nations, Especially building up industrial link with Southeastern Asia counties to provide affordable medication. Many challenges lie ahead, but Taiwan is ready work together to achieve healthier population.

Ministerial Round Table

Ministerial Round Table

Panelists:

  1. Hon.Satini Tulaga Mauella, Minister of Health, Tuvalu

  2. Hon. Violeta Menjivar, Minister of Health, El Salvador

  3. Hon. Luke Browne, Minister of Health, Saint Vincent and the Grenadines

  4. Hon. Emais Roberts, Minister of Health, Palau

  5. Hon. Sibongile Ndlela-Simelane, Minister of Health, Swaziland

  6. Hon. Tauanei Marea, Minster of Health and Medical Services, Kiribati

  7. Hon. Tautai Agikimua Kaitu’s, Minister of Health, Solomon Islands

Ministerial Round Table on sharing experience in achieving the SDG


The ministerial roundtable sessions was moderated by Prof. Martin Mckee. The session focused on how small countries learn from each other in order to achieve the Sustainable Development Goals (SDGs). Ministers of health from the countries Tuvalu, El Salvador, Saint Vincent and the Grenadines. Palau, Swaziland, Kiribati and the Solomon Islands reflected on the question “If the SDGs form achieveable pbjectivez, are opportunities for action or are challenges That are too far-fetched?” For the implementation of health policies, it is important to reflect and learn from each other, but sometimes it is not easy to set a clear benchmark framework. During the session it was pointed out that some small countries have an advantage as they have too small markets for the big tobacco and food industries. Moreover, the SDGs mat serve as a tool in order to hold other larger countries to account, which are responsible for pollution and climate change. Currently, small countries, especially island nations, are suffering particularly from climate change due to the increased intensity and frequency of hurricanes. However, small countries often do not hold powerful position to enforce the big countries to act. Nonetheless, all member countries have an equal vote in World Health Assembly. There is already a commitment in place and, hence, the SDGs are a gift to the health community. However, only when we take advantages of them, they become real opportunities to the small states;expecially for receiving support from other countries in order to achieve the SDGs.

Plenary 1

Prof. Michael Moore

President, Wrold Federation of Public Health Associations

Are the SDGs really delivering better health outcomes?


Prof. Michael Moore examines the aims of the SDGs, looking at specific achievements, challenges and failures and wrestle with the goals and barriers to achieving “better health for all”. He critically investigates the implementation the SDGs. Address that the WFPHA Global Charters has to be read in conjunction to the SDGs, and examines the SDGs one by one to compare the goals and current situations. The poverty situation is getting worse and multinationals are fueling the inequality crisis. In addition, the food crisis has biggest impact on Africa and women, which showed in inequalities. The climate action is threatened when Donald Trump withdrew from Paris Agreement, however but state governors and mayors still work on it in alliance. Responsible consumption and production is urgent and international treaties and influential. He addresses the importance of good government stewardship that government should restrict advertisement and consumption of tobacco, junk food and alcohol.


Prof. Moore concluded that the SDGs has clear set of goals of 2030. Many actions are dedicated to these goals. He highlighted that health is political. A growing understanding that public health is political will lead to actions that help to achieve the goals.

Prof. Albrecht Jahn

Leader of the Research Group on Global Health Policies and Systems, University of Heidelberg, Germany

Health in all policies


Prof. Albrecht Jahn starts his talk with the evolution of health in all policies (HiAP) in history. The term is new but the concept has a long history. In 1848, Rudolf Virchow said that “Medicine is a social science, and politics nothing but medicine at a larger scale”. Now the HiAP is taken as part of European treaty, and a concept in the WHO. SDGs contain not only the goals, but also the strategies and implementation. He highlights that in case of competing interests with other ministries and business, health ministry is usually not the strongest one. In addition, environment with a focus on climate change is on top of the recent agenda. Health and environment in most cases synergistic, and faced the similar challenge of requiring long-term intervention. Still, we have to acknowledge that there are areas, where health and environmental policies many conflict.

The SDGs provide a powerful platform to promote HiAP and we should make best use of it. Health has lost some exclusivity with respect of being the ultimate policy objective, as climate change and environmental degradation are by many perceived as the biggest threats to humanity. We should closely monitor the inter-relationship between health and environment.

Prof. Jürgen M. Pelikan

Director, WHO-CC Health Promotion in Hospitals and Health Care, Austrain Public Health Institute, Austria

How can health literacy be used to support reaching the SDGs?


Health literary (HL) is not only for good patients but also good for citizens, so that we have to focus on information and communication with people in different settings. Prof. Pelikan presents the results of comprehensive HL levels for countries in Europe and Asia, with Taiwan performing the best in Asia. Many social determinants including age social status and education were evaluated. Age plays the most influential determinant for self-assessed health; low HL resulted in negative impact on the outcomes and uses in healthcare. For example, more hospital and ER admission are needed when people have little understanding of HL. Health literacy can be offered by school education, the media and health education for patients; Education is intended to decrease the gap between the patients and care providers. Language difficulties might be the reason of insufficient HL in patients. Related stakeholders are patients, health staff and community for the improvement of HL. Prof. Pelikan presented different levels of HL implementation examples: the U.S. includes HL in the national level of policy, while Austria works on improving organizational HL. Both governmental policy and society efforts are important to create better HL environment.

Prof. Robert Smith

Vice President, Cancer Screening American Cancer Society, U.S.A.

Organized Community-Based Primary Care-A Key Strategy to Achieve the SDGs


Dr. Robert Smith points out that primary care are not mentioned at all when SDGs are supposed to achieve broad goals in healthcare. Primary care is the first level and gatekeeper in healthcare. The social and political goals of Alma Ata were difficult to fulfill in capitalist countries; Alma Ata provides a horizontal coverage in healthcare while some developing countries focus more on vertical programs. Vertical programs tend to be more single-minded for patients' treatments and overlook the broader health issues patients need. Using the USA healthcare as an example, Dr. Smith points out that specialists are dominated in the market, which increases health spending; cost is inversely related to the quality. The potential solutions to improve primary care are to increase the pay, promote primary care in medical school and unleash nurses and physician assistants to deliver care. Data showed that primary care does not have enough time for prevention in their busy working days. The model of patient centered medical home is suggested to be the solution of prevention. Brazil has also implemented a community-based primary care and in the program interdisciplinary staff works together to support family health. Early screening and health consultation provided in the community resulted in reduced mortality of cancers in Keelung of Taiwan, which is a good example for how primary care can change the game.

2017 Photos

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