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[2015年后联合国发展议程中的健康]

[Health in the post-2015 United Nations Development Agenda].

作者信息

Buss Paulo Marchiori, Magalhães Danielly de Paiva, Setti Andréia Faraoni Freitas, Gallo Edmundo, Franco Netto Francisco de Abreu, Machado Jorge Mesquita Huet, Buss Daniel Forsin

机构信息

Centro de Relações Internacionais em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

出版信息

Cad Saude Publica. 2014 Dec;30(12):2555-70. doi: 10.1590/0102-311XAT011214.

Abstract

This paper evaluates health as a Sustainable Development Goal (SDG) in the context of the Post-2015 Development Agenda, between 2012 and 2014. Health was part of the debate since the Millennium Summit and the MDGs (2000), and it also appears in the documents discussing the Post-2015 Agenda, from the Rio+20 to the Open Working Group (OWG), whose report was submitted to the General Assembly of the United Nations (UNGA) 2014-2015, and in the Global Consultation on Health and the High-Level Panel of Eminent Persons reports. The Authors concluded that the treatment of health in all these documents is uniform. They point out that the scope of the health-related SDG is very comprehensive, but its targets are conceptually fragmented and reduced. They advocate their change as to include not only the idea of social determinants of health, but also targets in the field of public health, which were not included in the proposal of the OWG. They also warn that the global and national governance systems need to be reformed and advocate more participation of the civil society, which can influence diplomacy, which, in turn, will be responsible for the agreement signed at the UNGA in 2015.

摘要

本文在2015年后发展议程的背景下,对2012年至2014年期间作为可持续发展目标(SDG)之一的健康进行了评估。自千年首脑会议和千年发展目标(2000年)以来,健康一直是讨论的一部分,并且在从里约+20会议到开放工作组(OWG)等讨论2015年后议程的文件中也有体现,OWG的报告于2014 - 2015年提交给了联合国大会(UNGA),此外在全球健康协商以及知名人士高级别小组的报告中也有提及。作者们得出结论,所有这些文件中对健康的论述是一致的。他们指出,与健康相关的可持续发展目标范围非常全面,但其目标在概念上是分散且有所缩减的。他们主张进行变革,不仅要纳入健康的社会决定因素这一理念,还要纳入公共卫生领域目标,而这些目标并未包含在开放工作组的提议中。他们还警告说,全球和国家治理体系需要改革,并倡导民间社会更多地参与,民间社会能够影响外交活动,而外交活动反过来将对2015年联合国大会签署的协议负责。

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