21–23 June 2016 Manila, Philippines
Meeting Report
Regional Consultation on Achieving the Sustainable Development Goals
in the Western Pacific
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WPR/DHS/HII/ESD(01)/2016 English Only Report Series Number: RS/2016/GE/22(PHL)
MEETING REPORT
REGIONAL CONSULTATION ON ACHIEVING
THE SUSTAINABLE DEVELOPMENT GOALS IN THE WESTERN PACIFIC
Convened by:
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC
Manila, Philippines 21–23 June 2016
Not for sale Printed and distributed by:
World Health Organization Regional Office for the Western Pacific
Manila, Philippines September 2016
2 NOTE
The views expressed in this report are those of the participants of the Regional Consultation on Achieving the Sustainable Development Goals in the Western Pacific and do not necessarily reflect the policies of the conveners.
This report has been prepared by the World Health Organization Regional Office for the Western Pacific for Member States in the Region and for those who participated in the Regional
Consultation on Achieving the Sustainable Development Goals in the Western Pacific in Manila, Philippines from 21 to 23 June 2016.
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CONTENTS
SUMMARY ... 4
1. INTRODUCTION ... 5
1.1 BACKGROUND ... 5
1.2OBJECTIVES ... 5
1.3PARTICIPANTS ... 6
1.4MEETING VENUE AND ORGANIZATION ... 6
2. PROCEEDINGS ... 6
2.1OPENING SESSION ... 6
2.2PLENARY 1:INTRODUCTION TO THE DRAFT REGIONAL ACTION AGENDA ON ACHIEVING THE SDGS ... 6
2.3GROUP WORK 1:DRAFT REGIONAL ACTION AGENDA ... 7
2.4PLENARY 3:EXPERT PANEL DEBATE ... 8
2.5PLENARY 4 AND GROUP WORK 2:INDICATORS TO MONITOR THE SDGS ... 9
2.6PLENARY 6: EXPERT PANEL DEBATE ... 9
2.7COUNTRY POSTERS ... 10
2.8GROUP WORK 3:CONCLUSIONS AND WAY FORWARD FOR MEMBER STATES AND WHO ... 10
2.9PLENARY 7:REPORTING BACK ... 11
3. CONCLUSIONS AND RECOMMENDATIONS ... 11
3.1CONCLUSIONS ... 11
3.2RECOMMENDATIONS ... 12
ANNEXES ANNEX 1 – LIST OF PARTICIPANTS..………13
ANNEX 2 – TIMETABLE………..……….21
ANNEX 3 – PRESENTATIONS ……….22
ANNEX 4 – COUNTRY POSTERS ………..………… …………44
Keywords: Regional health planning/ Sustainable development/ Conservation of natural resources
4 SUMMARY
The Sustainable Development Goals (SDGs), agreed by Member States at the United Nations Sustainable Development Summit in September 2015, provide an opportunity to reaffirm commitment and catalyse action for health and development by 2030. Remarkable progress was made by Member States towards achieving the Millennium Development Goals (MDGs), but the gains did not equally benefit all members of society. As such, the SDGs were formulated in recognition of the integrated nature of health and cultural, economic, political and social development.
The SDGs see health as ensuring healthy lives and promoting well-being for all at all ages (SDG3).
Health and its determinants are also seen to influence, and be influenced by, other goals and targets as an integral part of sustainable development. Health systems are central to the SDGs, with universal health coverage as the key health target that underpins all others.
Given their comprehensive and interlinked nature, the SDGs also imply a new role for the health sector in championing whole-of-government and whole-of-society approaches to “leave no one behind”. A mindset change is needed to move from a narrow focus on specific diseases to collaborative action.
A Regional Consultation on Achieving the Sustainable Development Goals in the Western Pacific was held in Manila, Philippines from 21 to 23 June 2016 as a forum to discuss the draft Regional action agenda: achieving the SDGs in the Western Pacific, developed to support Member States in prioritization and implementation. This consultation brought together Member States and experts from across the Region to further refine and strengthen the draft document prior to its presentation at the next session of the Regional Committee.
The objectives of the consultation were:
1) to exchange ideas, plans and approaches to accelerate and monitor action on the SDGs with a focus on health;
2) to reach a common understanding of health in the SDGs, including regional priorities and ways of working, including across sectors and across stakeholders; and
3) to review a draft action agenda on achieving the SDGs in the Western Pacific, including next steps for countries and areas for collaboration with WHO.
At the consultation, participants affirmed the utility of the action agenda in guiding prioritization and implementation of actions to achieve health-related SDGs. They provided valuable perspectives on the applicability, relevance and appropriateness of suggested actions. With further amendments based on feedback during this consultation, and as part of an ongoing process of stakeholder consultations, the draft action agenda will be revised for presentation at the sixty- seventh session of the Regional Committee for the Western Pacific in October 2016.
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1. INTRODUCTION 1.1 Background
The Sustainable Development Goals (SDGs), agreed by Member States at the United Nations Sustainable Development Summit in September 2015, provide an opportunity to reaffirm commitment and catalyse action for health and development by 2030. The SDGs build on the Millennium Development Goals (MDGs), which helped to guide development efforts from 2000 to 2015. While remarkable progress was made during that time, the gains did not equitably benefit all groups in society, with many programmes neglecting to recognize and build on the connections between the goals. The SDGs were formulated with the recognition that health is influenced by the broader cultural, economic, political and social environment and in turn influences security and economic, political and social development.
For individuals, and for the population as a whole, good health underpins productivity, sustainability and the economy. The indivisible and interconnected SDGs see health as ensuring healthy lives and promoting well-being for all at all ages. Health and its determinants are also seen to influence, and be influenced by, other goals and targets as an integral part of sustainable development. Achieving the SDGs so that no one is left behind, a central tenet of the SDGs, requires whole-of-government and whole-of-society approaches, bringing together different government sectors, civil society, academia, development partners, communities and disadvantaged groups in society. Health systems are central, with universal health coverage as the key health target that underpins all others. Given their comprehensive and interlinked nature, the SDGs also imply a new role for the health sector in agenda setting for intersectoral governance for health. The SDGs place great emphasis on country and regional monitoring and evaluation, as the basis for accountability and remedial actions. Applicable to all countries in the Region, the SDGs will guide global, regional and national efforts until 2030, including WHO's collaboration with Member States.
Building on these mandates and the vision embedded in the SDGs, the draft Regional action agenda: achieving the SDGs in the Western Pacific was developed to guide Member States in giving effect to the principle of leaving no one behind. Twelve action domains cover suggested actions in four sections on achieving health in the SDGs. The draft action agenda provides guidance for countries to tailor the prioritization of goals and to identify opportunities for action in order to address the health-related SDGs and the economic, environmental and social factors that underpin good health or, conversely, perpetuate illness and suffering.
The Regional Consultation on Achieving the Sustainable Development Goals in the Western Pacific was held in Manila, Philippines from 21 to 23 June 2016 to review and discuss the draft action agenda. The consultation brought together Member State representatives and experts from across the Region to further refine and strengthen the draft action framework prior to its presentation at the sixty-seventh session of the Regional Committee for the Western Pacific.
1.2 Objectives
The objectives of the consultation were:
1) to exchange ideas, plans and approaches to accelerate and monitor action on the SDGs with a focus on health;
2) to reach a common understanding of health in the SDGs, including regional priorities and ways of working, including across sectors and across stakeholders; and
3) to review a draft action agenda on achieving the SDGs in the Western Pacific, including next steps for countries and areas for collaboration with WHO.
6 1.3 Participants
The consultation was attended by high-level policy-makers responsible for furthering the SDG agenda in 20 WHO Member States, namely Australia, Cambodia, China, Cook Islands, the Federated States of Micronesia, Fiji, Kiribati, the Lao People’s Democratic Republic, Malaysia, Mongolia, New Zealand, Papua New Guinea, the Philippines, the Republic of Korea, Samoa, Singapore, Solomon Islands, Tonga, Vanuatu and Viet Nam. Participants included senior officials from the ministry of health responsible for implementation and monitoring of health in the SDGs, intersectoral collaboration, universal health coverage and/or health policy and planning, as well as representatives from other sectors related to health in the SDGs. In addition, 16 observers representing partner organizations and 10 temporary advisers attended the consultation. A detailed list of participants, temporary advisers, observers and WHO Secretariat members is provided in Annex 1.
1.4 Meeting venue and organization
The consultation was held from 21 to 23 June 2016 at the WHO Regional Office for the Western Pacific in Manila, Philippines. The consultation comprised seven plenary sessions, including two expert panel debates, and three group work sessions, in addition to the opening and closing sessions. An agenda and provisional timetable can be found in Annex 2.
2. PROCEEDINGS 2.1 Opening session
Dr Shin Young-soo, WHO Regional Director for the Western Pacific, opened the consultation by welcoming participants to Manila. The Regional Director spoke of the progress made by Member States in achieving the MDGs in the Western Pacific and highlighted the lessons learnt.
Emphasizing the integrated nature of the SDGs, he reiterated that SDG3 exclusively addresses health, but health in the SDGs goes beyond SDG3, with core health issues woven into other goals.
All the SDGs influence – and are influenced by – health. The SDGs stress that development should leave no one behind, including all people in all countries, not only developing countries.
Coordination and implementation of the SDGs call for new roles for the health sector and new ways of working for WHO. For this reason, the WHO Regional Office for the Western Pacific has developed a draft Regional action agenda: achieving the SDGs in the Western Pacific. Dr Shin urged participants to provide constructive feedback to enhance the regional action agenda.
Following participant introductions, the officers of the meeting were nominated as follows:
Dr Tenneth Dalipanda (Solomon Islands) as chairperson,
Dr Lo Veasnakiry (Cambodia) as vice-chairperson, and
Dr Natasha Murray (New Zealand) as rapporteur.
The opening session concluded with a group photo.
2.2 Plenary 1: Introduction to the draft regional action agenda on achieving the SDGs
The first plenary session aimed to introduce the draft regional action agenda to participants of the consultation. Dr Vivian Lin, Director, Division of Health Systems, WHO Regional Office for the Western Pacific, presented an overview of the draft action agenda, organized around the following four sections:
(1) What are countries aiming to achieve and how will they know?
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(2) What are the policy and programme priorities for leaving no one behind?
(3) How will countries put their priorities into effect?
(4) How can the health sector drive the agenda?
Dr Lin explained that the draft action agenda aims to build on and align with existing global and regional strategies, World Health Assembly and Regional Committee resolutions as well as broader United Nations mandates and guidance. The draft action agenda suggests options for Member States to consider in making the transition from the MDGs to the SDGs based on their own local contexts, resources and entry points. It urges broader thinking about the complex matrix of factors that shape health in different environments and suggests ways of identifying and responding to the most pressing needs of communities in order to ensure no one is left behind. The framework, Universal Health Coverage: Moving Towards Better Health, endorsed by Member States in the Western Pacific Region in October 2015, provides a broad foundation for action. Dr Lin acknowledged the achievements of countries in the Region, differences in health systems and country contexts and opportunities to learn from each other. Dr Lin concluded by inviting suggestions from participants on the way forward.
Dr Lisa Bersales (temporary adviser) and Ms Wu Yanwei (China) provided comments on the presentation. Dr Bersales, one of the co-chairs of the Inter-Agency and Expert Group on SDG Indicators (IAEG-SDGs), provided an update on United Nations negotiations aimed at reaching an agreement on a global list of indicators for monitoring the SDGs. She reminded participants of the guiding principles of the SDGs, including leaving no one behind, country-led prioritization of actions, a multi-stakeholder approach, and monitoring at different levels (global, regional and national). The second commentator, Ms Wu Yanwei, then spoke about the current situation in China, including key challenges in transitioning to the SDGs, such as the unfinished MDG agenda, emerging challenges such as noncommunicable diseases in the context of population ageing, and health financing challenges. She also highlighted linkages between health and other SDGs, for example poverty and hunger/malnutrition, and spoke about related opportunities for working across sectors in China.
In the discussions that followed, many participants provided brief snapshots of national progress and plans for implementing the SDG agenda and examples illustrating their experiences working across sectors. Some key concerns identified include:
applicability of the SDGs across diverse country contexts;
integration of SDGs within existing systems, plans and structures;
financing and prioritization with limited resources;
engagement across sectors and stakeholders;
capacity for analysis of a broad range and vast number of indicators (small island states); and
disaggregation and equity analysis.
The subsequent sessions provided additional opportunities to discuss these and other issues.
2.3 Group work 1: Draft regional action agenda
The first group work session focused on the four core sections of the draft action agenda.
Participants were assigned to small working groups to review and comment directly on the action domains and suggested actions. Participants were also encouraged to share experiences and contribute country examples of related actions.
Overall, feedback on the draft action agenda was positive. The document was seen as useful for guiding action on achieving the health-related SDGs. Suggestions were made to clarify the text, strengthen language consistency through the use of a glossary, and amend specific sections of text and points of emphasis. The working groups underlined that the framing should not be linear.
Rather, the action agenda should provide a menu of options for countries starting at different places. It needs a balance between being prescriptive and providing sufficient information and practical ways forward.
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Discussions of Section 1 focussed on commonalities and differences between SDG and MDG reporting. Groups highlighted concerns regarding reporting burden and capacity, particularly health information systems and data analysis capacity and the need for WHO support in those areas. The need to balance selectivity, flexibility and adaptability to country priorities and contexts with comparability across countries was repeatedly raised. Groups also acknowledged the stronger emphasis of SDGs on equity-focused monitoring as well as the importance of appropriate research to inform action.
Discussions of Section 2 showed support for applying a stronger equity focus in health while tackling the social determinants of health through collaboration with other sectors. Identifying win- win scenarios with other sectors was seen as a critical challenge. Participants suggested possible examples in areas of social, urban and environmental development and identified key points of emphasis and clarification.
Through discussions on Section 3, participants recognized that delivering on health in the SDGs, without leaving anyone behind, would require the engagement of multiple stakeholders and sectors. The ‘how-to’ was seen as essential – including mechanisms, tools, and processes for working across sectors in and outside of government. Participants agreed that whole-of- government and whole-of-society approaches were unfamiliar for many – and underlined the importance of leadership and the sharing of implementation experiences.
Groups reviewed Section 4 and welcomed its focus on health sector capability, in particular to address equity and social determinants, collaborate with other sectors and stakeholders and engage communities. Developing a public health workforce with appropriate skills and knowledge was noted as a key issue. Discussions also drew attention to parliamentarians, mayors and community and faith-based organizations as key stakeholders for collaboration in the context of the SDGs.
A summary of the working group discussions was presented by the Rapporteur in Plenary 7, and will form the basis for revisions to the draft action agenda.
2.4 Plenary 3: Expert panel debate
The first of two interactive expert panel debates was moderated by Professor Soonman Kwon, Asian Development Bank, on the theme: "From MDGs to SDGs: Business as usual or new ways of working?" Panellists included Professor Pascale Allotey, Monash University, Malaysia (temporary adviser); Dr Tenneth Dalipanda, Permanent Secretary, Ministry of Health and Medical Services, Solomon Islands; Dr Sally Fawkes, La Trobe University, Australia (temporary adviser); Dr Gong Sen, Development Research Centre of the State Council, China (temporary adviser); Prof Kim Chang-yup, Seoul National University, Republic of Korea (temporary adviser); and Dr Lo Veasnakiry, Director, Department of Planning and Health Information, Ministry of Health, Cambodia.
Panellists debated what the world had learnt from the MDGs, framing them as concerted efforts towards specific issues (including health), supported by a common vision and the harmonization of actors and resources. A thorough analysis of lessons learnt would be essential in moving forward.
Panellists questioned whether the MDGs "started off measuring what we valued, but ended up valuing what we measured". In some ways, the SDGs represent “business as usual” in terms of the unfinished MDG agenda, donor behaviour and competing goals. However, the SDGs are also different, in that they include high-income countries and a wider range of players across table.
Panellists advocated viewing the SDGs as an opportunity to focus on equity and social determinants of health. They stressed the need for strong political commitment, and its translation into actual policies, programmes and actions on the ground. Panellists spoke of the need to find win-win opportunities and synergies between social and economic policy. Health should not be farmed as a separate policy area, but a shared vision across government. Finally, attention was drawn to three critical factors for SDG implementation – communication, leadership and strategy.
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2.5 Plenary 4 and Group work 2: Indicators to monitor the SDGs
Dr Gao Jun, Coordinator, Health Information and Intelligence, WHO Regional Office for the Western Pacific, introduced the regional monitoring framework and indicators for SDGs and universal health coverage (UHC). He explained that countries are expected to select country- specific goals, targets and indicators guided by their national health policies, priorities, strategies and capacity for implementing their national monitoring framework. The purpose of a regional monitoring framework and common indicators is to facilitate monitoring of progress against health and health-related targets in the Region, while providing an opportunity to compare trends, successes, challenges and opportunities within and across countries. A set of indicators were carefully identified from the SDG indicators, existing global collections for health indicators, and other indicators collected by different programmes. There would be no additional data calls from WHO in the Western Pacific Region. Rather, WHO would support countries in validating, analysing and publishing data on globally agreed indicators to facilitate cross-country comparability and disseminate data though its information platform (HIIP).
Comments were provided by Professor John Glover (temporary adviser) and Dr Muniamma Gounder (Fiji). Professor Glover spoke about the importance of monitoring progress and addressing equity challenges that had not been appropriately captured in the MDGs. He highlighted three principles for institutionalizing indicators to measure country-specific priorities, namely: indicators must be theoretically sound, commonly understood and technically accurate. Dr Gounder commented on developments in Fiji, including efforts to align the national development plan for the period 2016–2020 with the SDGs. The national development plan provides the basis for multisectoral collaboration in Fiji. All sectors, including health, are required to align their plans with the overarching national development plan and thus the SDGs.
Following the plenary, participants continued to discuss SDG monitoring in small groups.
Participants discussed the relevance of SDG indicators to countries and difficulties in collection and identification of data on some indicators. They underlined the need to build on existing systems, emphasizing inclusion of indicators on social determinants of health, and to develop a mechanism for data sharing arrangements across sectors. Building capacity for equity-focussed monitoring and analysis was highlighted as a particular area where technical support was needed.
Participants also requested WHO support on technical specifications, indicator harmonization, policy advocacy, and regional reporting. Participants welcomed the idea of a regional country-led peer learning mechanism for sharing of experiences and lessons learnt in the implementation of the SDGs. Such a mechanism should be able to capture the diversity of the Region by linking to other regional groupings and subregional initiatives where appropriate.
2.6 Plenary 6: Expert panel debate
The second expert panel debate was moderated by Dr Poonam Dhavan, International Organization for Migration, and focused on the theme: "Working in partnership: opportunity or obstacle?"
Panellists included Professor Kim Yong-Ik, co-chair of the Korean Parliamentary Forum for Global Health, former professor of Seoul National University, Republic of Korea (temporary adviser); Ms Mahani Ahmad Hamidy, Senior Principal Assistant Director, Planning Division, Ministry of Health, Malaysia; Ms Roslyn Morauta, chair of the Papua New Guinea Country Coordinating Mechanism (CCM) for the Global Fund (temporary adviser); Dr Natasha Murray, Manager Global Health, Ministry of Health, New Zealand; Professor Kenji Shibuya, University of Tokyo, Japan (temporary adviser); and Ms Carmel Williams, Department of Health and Ageing, South Australia (temporary adviser).
The SDGs were likened to 17 ships sailing together while skilfully navigating huge policy challenges. The hope is that the SDGs will change people’s lives, rather than function as a bureaucratic exercise. Realizing this aim will require social and political mobilization. Panellists discussed key ingredients for intersectoral partnerships – including marketing based on internal
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reflection and preparedness, understanding policy drivers, goals, culture, language of other sectors;
identifying common entry points and committed champions; and developing issue-based partnerships. Disasters/emergencies, political crises and high-visibility international events, such as sporting events, could be triggers for bringing sectors together. While the health sector would not always be able to take on the leadership role, it could be a facilitator and broker of partnerships. Panellists underlined the importance of reorienting the health sector and equipping it with appropriate capacity to act as a policy champion or entrepreneur. Panellists shared experiences of partnership from the Region and highlighted some tips for successful collaboration.
Panellists acknowledged that establishing trust between partners was critical but that building trust would take time. Building on and expanding existing partnerships could be a potential way forward. A key question was how to know when multisectoral action is needed or not and being able to act as a strong advocate and regulator when needed. Panellists underlined the importance of fostering active participation of groups left behind by understanding their needs, restructuring services to meet those needs and creating appropriate demand among all people, including disadvantaged groups. Lastly, discussions also highlighted the need for a differentiated approach for the private sector, carefully managing the risks of conflict of interest.
2.7 Country posters
Fifteen Member States (Australia, Cambodia, China, Cook Islands, Fiji, Kiribati, the Lao People’s Democratic Republic, Malaysia, New Zealand, Papua New Guinea, the Philippines Samoa, Solomon Islands, Vanuatu, and Viet Nam) exhibited posters showcasing how the SDGs fit within their national socioeconomic development plans and the ongoing country-level actions for SDG implementation and monitoring and evaluation. Posters identified challenges and lessons learnt, and many success stories where shared, including reaching and meeting the needs of disadvantaged groups. Participants had an opportunity to view these posters and an overview was presented in Plenary 7. Copies of posters are provided in Annex 3.
2.8 Group work 3: Conclusions and way forward for Member States and WHO
The third and final group work session focused on the concluding chapter of the draft regional action agenda and the ways forward for Member States and WHO. In small groups, participants discussed the next steps for Member States, including prioritization of actions based on country- specific contexts, and identification of areas for potential support from WHO and areas for regional collaboration where countries could learn from each other. The discussions were compiled and presented in Plenary 7.
In terms of a way forward for Member States, participants underlined the importance of recognizing existing plans and progress already made. Member States can rely on information systems, reporting and coordination arrangements, and policy and programmes that are already in place. A lot can be learnt from the MDGs. However, achieving the SDGs will also involve significantly new ways of working that go beyond business as usual – and newer roles and capabilities for the health sector in working across government and stakeholders. A key starting point is to identify and understand existing gaps in data, equity, services and capacity and clarify roles and responsibilities across sectors and at all levels. Participants also agreed that communication and awareness need to be raised at all levels to get political buy-in and underlined the importance of community understanding, empowerment and participation. Lastly, participants stressed a role for Member States in encouraging WHO, donors and other external partners to consider pooling resources and aligning programme efforts for greater efficiency in implementing the SDGs.
In terms of a way forward for WHO, participants recognized that the SDGs presented an ambitious agenda. Key areas that need support include capacity-building in monitoring and evaluation, health information systems, and data analysis (particularly equity analysis). Participants encouraged WHO to consider developing a core set of indicators, which could be the basis for regional review
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and learning. They stressed building on existing ‘review’ mechanisms and streamlining data collection requests and assistance to reduce the burden on countries. Participants also encouraged the development of appropriate platforms for peer learning. Support for communication, advocacy and social mobilization was repeatedly stressed, as was political mobilization including providing a regional platform for parliamentarians. Lastly, WHO was encouraged to act as a champion of the cross-sectoral nature of the SDGs within the United Nations family; to promote more efficient, evidence-based use of programme funds; and to encourage donors to do the same.
2.9 Plenary 7: Reporting back
Dr Natasha Murray, Rapporteur, presented a summary of the working group discussions. Overall, participants welcomed the draft action framework, Regional action agenda: achieving the SDGs in the Western Pacific, which can serve as a starting point for prioritization of goals and actions to achieve the SDGs. Specific revisions to the document, which were suggested in group work and plenary discussions, will be the basis for revisions prior to its presentation at the sixty-seventh session of the WHO Regional Committee for the Western Pacific in October 2016.
2.10 Closing session
Dr Vivian Lin closed the consultation by thanking all participants for their insights, engagement and reflections throughout the intensive consultation. She acknowledged the large number of country examples and experiences and invited participants to share them with WHO for inclusion in the draft action agenda. She also acknowledged the challenges that were raised throughout the consultation, including gaps in capacity and needed changes to mindsets. Discussion also highlighted commonalities across the Region, providing a solid base for moving forward and the value in sharing experiences and learning. While the SDGs might represent a new way of working, the principles come from visions that have been around since Alma Ata. The SDGs are a continuation of a journey to health for all, leaving no one behind. Dr Lin concluded the consultation by reaffirming WHO's commitment to support all Member States in implementing the SDGs.
3. CONCLUSIONS AND RECOMMENDATIONS 3.1 Conclusions
Participants agreed that the SDGs provide a new vision for comprehensive development (economic, social, human, political and environmental). While they are built on the progress, failures and learnings of the MDGs, they are notable for their focus on reducing inequities. As such, they have implications – overall, for governments and the health sector. They challenge us to tackle broader, interconnected and more complex development challenges than the MDGs and to take a systems perspective in understanding problems and developing solutions. They call for whole-of-systems, whole-of-government and whole-of society approaches and entail a new mindset, new role, new capabilities and new partners for the health sector. This necessitates a move away from programme silos to shared action on the underlying determinants of health so that no one is left behind. UHC provides a platform for action on health in the SDGs (SDG3 and health-related goals).
Participants acknowledged that significant policy, information and capacity gaps exist in many Member States. Capacity-building is needed to advance policies and actions on health and health equity. The health sector needs the capabilities to drive the SDG agenda, including a public health workforce with appropriate technical skills as well as an understanding of politics and society.
Political and social mobilization is essential to facilitate ownership and cooperation, and innovative financing models are needed to facilitate stronger collaboration and alignment, including pooled funding. Participants agreed that alignment of development partners with national
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strategic frameworks and plans is critical. WHO will also need to adapt its way of working across programmes and with partners to reflect the cross-sectoral nature of the SDGs.
With regards to the regional action agenda, participants found that it contained useful guidance on prioritization and implementation of actions to achieve health in the SDGs. With further amendments based on feedback during this consultation, participants agreed that the action agenda will be ready for submission to the Regional Committee for consideration of endorsement.
3.2 Recommendations
Regional action agenda: achieving the SDGs in the Western Pacific is a comprehensive yet flexible framework for guiding countries in achieving the SDGs. The following recommendations were noted:
Health in the SDGs:
1. Member states are encouraged to use the draft regional action agenda in implementing policies and actions to achieve health in the SDGs, leaving no one behind, through whole- of-systems, whole-of-government and whole-of-society approaches.
2. WHO is requested to support actions to achieve health in the SDGs, including strengthening accountability and sharing learning across and within countries.
Regional action agenda:
1. WHO is requested to revise the draft regional action agenda and share it with participants by 8 July.
2. Member States are encouraged to review the monitoring framework with relevant national counterparts and return it with comments by 22 July.
3. Participants are encouraged to advocate the draft regional action agenda with ministers and other relevant parties.
4. Member States are encouraged to review and return the draft action agenda with any further comments and suggested amendments by 22 July.
5. Following final revisions, WHO is requested to share the regional action agenda with Regional Committee meeting delegations.
13 Annex 1. List of Participants
1. PARTICIPANTS
AUSTRALIA Ms Kathryn ELLIOT, Director, Health Programme and Performance (HPR) Section, HWB / DPD, Department of Foreign Affairs and Trade, R.G. Casey Building,
John Mc Ewen Crescent, Barton Act 0221,
Tel.: +61 2 6178 5363, [email protected]
CAMBODIA Dr LO Veasnakiry, Director of Department of Planning and Health Information, Ministry of Health, 80 Samdech Penn Nouth (289) Sangkat Booungkak, Tuol Kork District, Phnom Penh, Tel.: +855 23 885 970, [email protected] Dr YORK Dararith, Vice Chief of HIS Bureau/Department of Planning and Health Information, Ministry of Health, 80 Samdech Penn Nouth (289) Sangkat Booungkak, Tuol Kork District, Phnom Penh, Tel.: +855 1220 6011, [email protected]
Mr POCH Sovanndy, Deputy Director General of Planning, Ministry of Planning, #386 Preah Monivong Blvd., Khan Chamkamon, Phnom Penh, Tel.: +855 23 216 394, +855 85 328438, [email protected]
CHINA Mr LIU Rui, Senior Staff, National Health and Family Planning Commission, ZhiChun Road 14 HaiDian District, Beijing, Tel.: +86 10 62030892, [email protected]
Mr WANG Weifu, Principal Staff Member, National Health and Family Planning Commission, Xizhimenwai South Road, Beijing, Tel.: +86 10 6879 2164, [email protected] Ms WU Yanwei, Programme Officer, Department of International Cooperation, National Health and Family Planning Commission, No. 1 Xizhimen Outer South Road, Xicheng District, Beijing, Tel.: + 86 10 68792414,
Ms CAO Gui, Research Assistant, Division of Global Health, China National Health and Development Research Center, No. 38 Xueyuan Road, Haidian District, Beijing,
Tel.: +86 18 51095 7416, [email protected]
COOK ISLANDS Ms Roana MATAITINI, Director of Funding and Planning, Ministry of Health, Tupapa Main Road, Avarua, Rarotonga, Tel.: +682 29664, [email protected]
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FIJI Ms Muniamma GOUNDER, Acting Director Planning and Policy Development, Ministry of Health and Medical Services, Dinem House, 88 Amy Street, Suva, Tel.: +679 330 6177,
Ms Geetashni Devi CHAND, Senior Economic Planning Officer, Level 8, Ro Lalabalavu House, Victoria Parade, Suva,
Tel.: +679 331 3411, [email protected] KIRIBATI Ms Sonia Monica SCHUTZ, Deputy Secretary, Ministry of
Health and Medical Services, P.O. 268 Bikenibeu, Tarawa, Tel.: +686 28100, [email protected]
Ms Raatu ARETAAKE, Senior Sector Economist – HRD and Health National Economic Planning Office, Ministry of Finance and Economic Development, P.O. Box 67, Bairiki, Tarawa, Tel.: +686 21806, [email protected]
LAO PEOPLE'S Dr Founkham RATTANAVONG, Deputy Director General, DEMOCRATIC Department of Planning and International Cooperation, Ministry of REPUBLIC Health, Vientiane, Tel.: +856 21 252 753, [email protected]
Dr Bounserth KEOPRASITH, Deputy Chief of Planning and Investment Division, Department of Planning and
International Cooperation, Ministry of Health, Simeung Road, Vientiane, Tel.: +856 20 2321 6888, [email protected] Mr Santi SONGNAVONG, Deputy Chief of UN Division, Department of International Cooperation, Ministry of Planning and Investment, Souphanouvong Road, Vientiane,
Tel.: +856 020 596 6926, [email protected] MALAYSIA Ms Mahani AHMAD HAMIDY, Senior Principal Assistant
Director, Planning Division, Ministry of Health Malaysia, Level 6, Block E6, Complex E, Federal Government
Administrative Centre, 62590 Putrajaya, Tel.: +603 8883 2124, +017 6800171, Fax: +603 8883 2070, [email protected] Dr Nik Jasmin Binti Nik MAHIR, Head of Global Health Unit, Office of the Deputy Director General of Health (Public Health), Ministry of Health Malaysia, Level 6, Block E10, Presinct 1, 62590 Putrajaya, Tel.: +603 8883 4110, Fax: +603 8883 4030, Mobile: +601 9220 0664, [email protected]
Ms Adena AHMAD, Deputy Director (Health), Social Services Section, Economic Planning Unit, Level 3, Block B6, Complex B, 62550 Putrajaya, Tel.: +603 8872 3360,
Fax: +603 8888 3689, Mobile: +6019338 8367, [email protected]
MICRONESIA, Ms Eleanor Setik SOS, Chief of Public Health, Chuuk State FED. STATES OF Health Service, P.O. Box 400, Weno Chuuk 96942,
Tel.: +610 330 4777, [email protected]
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Ms Norleen OLIVER, National Gender Development Officer, Department of Health and Social Affairs,
P.O. Box 856 Kolonia, Pohnpei 96941, Tel.: +691 320 2619, [email protected]
MONGOLIA Dr TSESED Banzragch, Senior Officer of Department of Forest Policy and Coordination and National Focal Point for UNCCD, Ministry of Environment, Green Development and Tourism, 15160 Government Building II, United National Street 5/2, Ulaanbaatar, Tel.: +976 911 5345;
+976 31 1280, [email protected]
Dr DANGAA Baigalmaa, Senior Officer for Public Health and Sport Policy and Planning of Strategic Policy and Planning Department, Ministry of Health and Sport, Government Building-8, Olympic Street-2 , Sukhbaatar District, Ulaanbaatar, Tel.: +976 9 9153 9626,
Dr SURENJAV Enkhjin, Officer, Department of Monitoring, Evaluation and Internal Auditing, Ministry of Health and Sports, Government Building-8, Olympic Street-2, Sukhbaatar District, Ulaanbaatar, Tel.: +976 9908 0473, [email protected]
NEW ZEALAND Dr Natasha MURRAY, Manager Global Health, Public Health Protection Regulation & Assurance, Ministry of Health, #1 The Terrace, Wellington, Tel.: +64 21 503 497, [email protected]
PAPUA NEW Mr Ken WAI, Executive Manager, Strategic Policy Division, GUINEA National Department of Health, P.O. Box 807, Waigani NCD,
Port Moresby, Tel.: +675 301 3693, Fax: +675 323 9670, [email protected]; [email protected]
Mr Joshua HIMINA, Assistant Secretary-Social, Department of National Planning and Monitoring, Level 3 Vulupindi Haus, P,O, Box 631, Waigini NCD, Port Moresby, Tel.: +675 328 8202, [email protected] PHILIPPINES Dr Maria Socorro SANTOS, Medical Officer IV, Health
Policy Development and Planning Bureau, 2nd Floor Building 3, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Manila, Tel.: 63 2 651 7800 loc 1331 Mr Raymond Jay MAZO, Nurse IV/National Program Manager, Gender/Gender-based Violence, Family Health Office, Disease Prevention and Control Bureau, 2nd Floor Building 14, Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, Manila, Tel.: +63 2 732 2493, [email protected]
16
REPUBLIC OF Mr PARK Youngsik, Director General, International Cooperation KOREA Bureau, Ministry of Health and Welfare, 5th, 13, Doum 4-ro,
Sejong-si, Tel.: +82 44 202 2356, Fax: +82 44 202 3920, [email protected]
Ms JUNG Suah, Assistant Director, Division of International Cooperation, Ministry of Health and Welfare, 5th, 13, Doum 4-ro, Sejong-si, Tel.: +82 44 202 2356, Fax: +82 44 202 3920,
Ms LEE Seulbee, Editor, Division of International Cooperation, Ministry of Health and Welfare, 5th, 13, Doum 4-ro, Sejong-si, Tel.: +82 44 202 2361, Fax: +82 44 202 3920,
SAMOA Ms Gaualofa MATALAVEA SAAGA, Assistant CEO, Health Sector Coordination, Resourcing & Monitoring,
Ministry of Health, Private Mail Bag, Apia, Tel.: +685 68100, [email protected]
Mr Iosua VAIALIA, Principal Community Development Services Officer, Ministry of Women Community and Social Development, Tooa Salamasina Building, Sogi- Beach Road, Apia,
Tel.: +685 27752, [email protected]
SINGAPORE Ms YEO Wen Qing, Deputy Director, International
Cooperation, 16 College Road, College of Medicine Building, Singapore, Tel.: +63 25 9088, [email protected] SOLOMON Dr Tenneth DALIPANDA, Permanent Secretary, Ministry of ISLANDS Health and Medical Services, P.O. Box 349, Chinatown,
Honiara, Tel.: +677 20831, [email protected] TONGA Mr Sione Vaioleti HUFANGA, Principal Health Planning
Officer, Ministry of Health, P.O. Box 59, Nuku'Alofa, Tel.: +676 28233, [email protected]
Mr Viliami FIFITA, Assistant Government Statistician, Statistics Department, Ministry of Health, P.O. Box 49, Nuku'Alofa, Tel.: +676 23300, [email protected]
VANUATU Ms Meriam Ben, Health Planning Officer, Ministry of Health, PMB 9042 Port Vila, Tel.: +678 22512 / 5409969,
Mr Viran TOVU Health Sector Analyst, Ministry of Prime Minister, PMB 9053, Port Vila, Vanuatu, Tel.: +678 23150, +678 7745120, Fax: +678 27451, [email protected] VIET NAM Dr NGUYEN Manh Cuong, Deputy Director General,
International Cooperation Department, Ministry of Health, 138A Giang Vo Street, Ba Dinh District, Hanoi,
Tel.: +84 4 6273 2218, [email protected];
17
Mr VU Thuong, Senior Official, Ministry of Planning and Investment, 6b Hoang Dieu, Hanoi, Tel.: +849 86112746, [email protected]
Ms PHAN Thanh Thuy, Expert, Department of Planning and Finance, Ministry of Health, 138A Giang Vo Street, Ba Dinh District, Hanoi, Tel.: +84 913 313 497, [email protected]
2. TEMPORARY ADVISERS
Professor Pascale ALLOTEY, Jeffrey Cheach School of Medicine and Health Sciences, Monash University, Malaysia, Bandar Sunway, Malaysia, Tel.: +603 5514 4959,
Dr Lisa Grace BERSALES, National Statistician and Civil Registrar General,
Philippine Statistics Authority, and Co-chair, UN Inter-agency and Expert Group on the SDG Indicators, 17th Floor CyberPod Centris Eton Three, EDSA, Quezon City, Philippines, Tel.: +632 375 1604, [email protected]
Dr Sally FAWKES, Dean and Professor, Department of Public Health,
La Trobe University, Melbourne, Australia, Tel.: +61 3 9479 1135, [email protected] Professor John GLOVER, Director, Public Health Information, Development Unit, Torrens University Australia, Adelaide, Australia, Tel.: +61 8 8113 7870, [email protected] Dr GONG Sen, Director-General for Institute of Public Administration and Human Resources, Development Research Centre of the State Council, 225 Chaoyangmen Nei Dajie, Dongcheng District, Beijing 100010, People's Republic of China, Tel.: +86 10 6523 6662,
Professor KIM Chang-yup, School of Public Health, Seoul National University, Seoul, Republic of Korea, Tel.: +82 2 880 2722, [email protected]
Professor KIM Yong-Ik, Former Member of the National Assembly of the Republic of Korea, (New Politics Alliance for Democracy, Proportional Representation) and Member, Health &
Welfare Committee, National Assembly, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Republic of Korea, Tel.: +82 2 762 5275, [email protected]
Ms Roslyn MORAUTA, Chairperson, Papua New Guinea Country, Coordinating Mechanism (CCM) for the Global Fund, PNG Alliance of Civil Society Organizations against HIV/AIDS, P.O. Box 1267 Port Moresby, Papua New Guinea,
Tel.: +675 7210 0528, [email protected]
Professor Kenji SHIBUYA, Professor and Chair, Department of Global Health Policy, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, Tel.: + 813 5841 3686, [email protected]
Ms Carmel WILLIAMS, Manager, Strategic Partnerships, Department Health and Ageing, P.O. Box 6, Rundle Mall SA 5000, Adelaide, Australia, Tel.: +61 417 855270, [email protected]
18 3. CONSULTANT
Professor Janice REID, Emeritus Vice-Chancellor and President, University of Western Sydney, P.O. Box 290 Rozelle, New South Wales, Australia, Tel.: +61 0 41499 5715, [email protected]
4. OBSERVERS/REPRESENTATIVES OF AGENCIES
ASIAN Dr Soonman KWON, Technical Advisor for Health, Sustainable DEVELOPMENT Development, and Climate Change Department, Asian Development BANK Bank, 6 ADB Avenue, Mandaluyong City 1550, Philippines,
Tel.: +632 632 6404, [email protected]
ASIAN Dr Alvin B. MARCELO, Executive Director, 9/F CEO Tower, eHEALTH 77 Wing Hong Street, Cheung Sha Wan, Kowloon, Hong Kong, INFORMATION Tel.: +63 917 802 0779, [email protected]
NETWORK
ASIA PACIFIC Ms Dyan Aimee RODRIGUEZ, Advocacy and Good Governance TB CAUCUS Referent, ACF International Philippines Mission, Action Against
Hunger/ACF Spain, 4th Floor, Eurovilla 4 Building, 853 A. Arnaiz Avenue, Legaspi Village, Makati City, Philippines,
Tel.: +63 917 326 0319, [email protected] AUSTRALIAN Dr Fadwa AL-YAMAN, Head, Indigenous and Children’s INSTITUTE Group, Australian Institute for Health and Welfare, 1 Thynne FOR HEALTH Street Bruce, Canberra ACT 2601, Australia, Tel.: 612 6244 1146 AND WELFARE [email protected]
DEPARTMENT Dr Maria Irma ASUNCION, Director IV, Epidemiology Bureau, OF HEALTH Department of Health, San Lazaro Compound, Rizal Avenue, Sta Cruz, PHILIPPINES Manila, Philippines, Tel.: +63 2 7090955, Fax: +63 2 743 6076,
EMBASSY Dr Tomoyo SATO, Second Secretary and Health Attaché, Embassy of OF JAPAN Japan in the Philippines, 2627 Roxas Boulevard, Pasay City 1300,
Tel.: +632 5515710, Fax: +632 551 5783, [email protected] INTERNATIONAL Ms Ma. Lourdes MACAPANPAN, Programme Assistant for LABOUR Employment Policy and Job Creation, ILO Country Office for ORGANIZATION Philippines, 19th Floor, Yuchengco Tower, RCBC Plaza, 6819 Ayala
Avenue, Makati City, Philippines, Tel.: +632 580 9909,
Fax: +632 856 7597, Mobile: +63 917 518 4069, [email protected] Ms Diane Lynn RESPALL, Senior Programme Officer, ILO Country Office for Philippines, 19th Floor, Yuchengco Tower, RCBC Plaza, 6819 Ayala Avenue Makati City, Philippines, Tel.: +632 580 9900, Fax: +632 5809909, [email protected]
INTERNATIONAL Dr Poonam DHAVAN, Migration Health Programme
ORGANIZATION Coordinator, Migration Health Division, Department of Migration FOR MIGRATION Management, IOM Headquarters, Geneva, Switzerland,
Tel.: +41 22 717 9546, [email protected]
19
PACIFIC HEALTH Mr Naidu SHIVNAY, Director, Health Information Research and INFORMATION Analysis, Ministry of Health and Medical Services, Dinem House, NETWORK 88 Amy Street, Toorak, Suva, Fiji, Tel.: +679 990 6941,
[email protected], [email protected]
PEOPLE'S Dr Edelina DELA PAZ, Regional Coordinator for Southeast Asia, HEALTH Australia and the Pacific, People’s Health Movement, Office of the MOVEMENT Health Action Information Network, 26 Sampaguita Avenue,
Mapayapa Village II, Barangay Holy Spirit, Quezon City, Philippines, Tel.: +632 952 6409, [email protected]; [email protected] UNITED Mr Kazuyuki UJI, Policy Specialist, HIV, Health and Development NATIONS Team, Asia and the Pacific, United Nations Development Programme, DEVELOPMENT 12th Floor United Nations Building, Rajdamnem Nok Avenue,
PROGRAMME Bangkok 10200, Thailand, Tel.: +668 6372 4649, [email protected]
UNITED NATIONS Dr Willibald ZECK, Chief, Health and Nutrition, UNICEF CHILDREN'S FUND Philippines, 31/F Yuchengco Tower, RCBC Plaza, Ayala Avenue
corner Sen Gil Puyat Avenue, Makati City, Philippines, Tel.: +632 901 0149, [email protected]
Dr Carla OROZCO, Health Specialist, UNICEF Philippines 31/F Yuchengco Tower, RCBC Plaza, Ayala Avenue cor. Sen Gil Puyat Avenue, Makati City, Philippines, Tel.: +632 901 0151, Fax: +632 7294525, [email protected]
5. SECRETARIAT
Dr Vivian LIN, Director, Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9802, Fax: +632 521 1036, [email protected] Ms Anjana BHUSHAN, Coordinator, Equity and Social Determinants
Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9814, Fax: +632 521 1036, [email protected]
Dr GAO Jun, Coordinator, Health Information and Innovation
Division of Health Systems, WHO Regional Office for Western Pacific
UN Avenue 1000 Manila, Tel.: +632 528 9835, Fax: +632 521 1036, [email protected]
Dr XU Ke, Coordinator, Health Policy and Financing, Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9808,
Fax: +632 521 1036, [email protected]
Mr HAHM Ki-Hyun, Technical Officer (Legislation and Regulation
Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9870, Fax: +632 521 1036, [email protected]
Dr Manju RANI, Senior Technical Officer, Health Research, Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9048,
Fax: +632 521 1036, [email protected]
20
Ms Katia DE PINHO CAMPOS, Technical Officer, Health Promotion,
Division of NCD and Health through the Life-Course, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9870, Fax: +632 521 1036, [email protected] Mr Luke ELICH, Technical Officer (Governance and Legislation), Health Policy and Financing, Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9883, Fax: +632 521 1036, [email protected]
Ms Britta BAER, Technical Officer, Gender, Equity, Human Rights and Ageing, Division of Health Systems, WHO Regional Office for the Western Pacific, UN Avenue 1000 Manila, Tel.: +632 528 9084, Fax: +632 521 1036, [email protected]
Dr Kunhee PARK, Team Coordinator, Pacific Health Systems and Policy Office of the WHO Representative in the South Pacific, Level 4, Provident Plaza 1, Downtown Boulevard, 33 Ellery St., Suva, Fiji, Tel.: (679) 323 4100; or (679) 323 4133 (Direct), [email protected]
21 Annex 2. Programme of Activities
Tuesday, 21 June Wednesday, 22 June Thursday, 23 June
0830-0900 Registration Plenary 2*: Summary of Day 1 (Ms Anjana Bhushan, WHO)
Plenary 5*: Summary of Day 2 (Ms Anjana Bhushan, WHO)
0900-1030 Opening plenary*:
Welcome
Opening remarks : Dr Shin Young-Soo, WHO Regional Director
Participant introductions
Nomination of Chair, Vice Chair and Rapporteur
Objectives & agenda (Ms Anjana Bhushan, WHO)
Group photo
Plenary 3*: Expert debate "From MDGs to SDGs:
Business as usual or new ways of working?"
Moderator: Dr Soonman Kwon (ADB) Panelists:
Prof Pascale Allotey (Temporary Advisor);
Dr Tenneth Dalipanda (Solomon Islands);
Dr Sally Fawkes (Temporary Advisor);
Dr Gong Sen (Temporary Advisor);
Prof Kim Chang-yup (Temporary Advisor);
Dr Lo Veasnakiry (Cambodia)
Plenary 6*: Expert debate "Working in partnership:
opportunity or obstacle?"
Moderator: Dr Poonam Dhavan (IOM) Panelists:
Prof Kim Yong-Ik (Temporary Advisor);
Ms Mahani Ahmad Hamidy (Malaysia);
Ms Roslyn Morauta (Temporary Advisor);
Dr Natasha Murray (New Zealand);
Prof Kenji Shibuya (Temporary Advisor);
Ms Carmel Williams (Temporary Advisor) 1030-1100 Break Break: Country poster presentations (Foyer) Break: Country poster presentations (Foyer) 1100-1230 Plenary 1*: Introduction to draft regional action
agenda on achieving the SDGs
Presentation: SDG updates and the regional action agenda (Dr Vivian Lin, WHO)
Comments:
o Dr Lisa Bersales (Temporary Advisor) o Ms Wu Yanwei (China)
Discussions
Group work 1 (continued) Group work 3: Conclusions and way forward for Member States and WHO
1230-1400 Lunch [12.30-13.30 Brownbag: South East Asia Community Observatory, Room 212]
Lunch [12.30-13.30 Brownbag: Working across sectors and stakeholders in Papua New Guinea, Room 212]
Lunch [12.30-13.30 Brownbag: Experiences and tools for achieving the SDGs, Room 212]
1400-1515 Group work 1: Draft regional action agenda Plenary 4*: Regional M&E framework
Presentation: Introduction to the regional M&E framework (Dr Gao Jun, WHO)
Comments:
o Prof John Glover (Temporary Advisor) o Ms Muniamma Gounder (Fiji)
Plenary 7*: Reporting back
Working group reports
Summary of country posters (Dr Ke Xu, WHO)
1515-1545 Break Break: Country poster presentations (Foyer) Break
1545-1700 Group work 1 (continued) Group work 2: Regional M&E framework Closing plenary*:
Conclusions, recommendations and closing 1730-1900 Reception (Al fresco)
22 Annex 3. Presentations
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44 Annex 4. Country Posters
45
46
47
48
49
50
51
52
53
54
55
56
57
58
