UHC2030 Online Survey (deadline: 10 March 2019)

Purpose of this survey:
UHC2030 has been asked to support the preparatory process for the UN HLM, particularly regarding “sharing evidence and good practices, challenges and lessons learned”. Based on the experience with recent high-level events, UHC2030, as a multi-stakeholder platform in UHC, is expected to co-convene the multi-stakeholder hearing of UN HLM with the President of the General Assembly.   This will take place before the formal inter-governmental negotiations of the political declaration.

UHC2030 is developing a consolidated set of Asks to feed in to the political declaration and related advocacy materials. This is your chance to comment on early draft and help us to develop our Asks further, to influence the multi-stakeholder hearing, inter-governmental negotiations and interventions during UN HLM.

For the purposes of this consultation we define an “Ask” very broadly, to include both specific commitments and more general policy statements and principles to be reflected in the HLM outcome documents.

Points of consultation and selection criteria:
Before taking this online survey, please read the following background information (www.uhc2030.org/un-hlm-2019/contribute-to-un-hlm-preparation/). The expected time to complete the survey is approximately 20 minutes.  You will be asked to: 1) comment on the draft UHC2030 Asks, 2) propose additional UHC issues or initiatives not currently reflected in Asks, 3) propose additional ‘stretch’ asks. 

In your responses, please keep in mind the following criteria.  These were chosen, based on experience from previous UN HLMs, so that Asks promoted at the multi-stakeholder hearing have greatest chance of influencing the UN HLM outcomes.
1. Highest Political Agenda: Does it need the ‘Head of States’ level political endorsement and member states consensus building through the UN negotiation process?
2. Initiative Exists: Has the ask been supported by a track record of existing or emerging efforts (e.g. led by UHC2030 Signatories or Related Initiatives, or in other political/economic forums)? Think of it as a political translation of the existing global initiative or strategy.
3. Reference Exists: Are there agreed targets or text that have been through the UNGA member states consensus process? Adoption or improvement of existing approaches/language (previously supported in  UN declarations or resolutions) is most likely to be acceptable in the UN HLM negotiations.

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* 1. Please provide your contact information to follow up your contribution.

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* 3. Political Momentum: Uniting firmly behind our commitment to universal health coverage, starting with greater investment and action.
In your view, and with reference to the selection criteria above, how important is each of these draft elements of “Asks” to include in the political declaration?

  Redline: Essential Desirable: Important Low Priority: Less Important Discard: Not Important Abstain: Not Applicable
We must achieve UHC to promote physical and mental health and well-being, and to extend life expectancy for all. [ref: A/RES/70/1 para 26]
Unite the international community and global health partners, as well as regional and national stakeholders, to support Member States in carrying out their primary responsibilities to accelerate the transition towards UHC. [ref: A/RES/72/139, OP8]

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* 4. Leave No One Behind: Reaching every person and community with comprehensive, quality health services and people-centered care, putting the poorest and most marginalized first.  
In your view, and with reference to the selection criteria above, how important is each of these draft elements of “Asks” to include in the political declaration?

  Redline: Essential Desirable: Important Low Priority: Less Important Discard: Not Important Abstain: Not Applicable
Achieve UHC based on a resilient and responsive health system that provides comprehensive primary health care, with extensive geographical coverage, including in remote and rural areas, and with a special emphasis on access to populations most in need. [ref: A/RES/67/81 para 9]
Incorporate the health needs of vulnerable populations in fragile settings in national and local health care policies and plans, by strengthening capacities for service provision, facilitating affordable and non-discriminatory access, reducing communication barriers, and training health-care providers on culturally sensitive service delivery. [ref: A/ RES/73/12 para 72 AND A/CONF.231/3para 31]

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* 5. Sustainable Financing & Health Investment Harmonization: Mobilizing and using resources equitably and efficiently—including by aligning funds across diverse issue areas—to ensure everyone can get the health care they need without fear of financial hardship. 
In your view, and with reference to the selection criteria above, how important is each of these draft elements of “Asks” to include in the political declaration?

  Redline: Essential Desirable: Important Low Priority: Less Important Discard: Not Important Abstain: Not Applicable
Commit to set nationally appropriate spending targets for quality investments in health, consistent with national sustainable development strategies, while improving the use of pooled funds more efficiently. [ref: A/RES/69/313 para 12]
Optimise country investments by the development of country investment cases using standardised methodologies, and shift emphasis the highly cost-effective frontline health systems, building on existing services. [ref: SDG3 Global Action Plan p17 AND p21]
Encourage a better alignment between GHIs, and encourage them to improve their contribution to strengthening health systems.
[ref: A/RES/69/313 AAAA para 77]
Enhance international coordination and enabling environments at all levels to strengthen national health systems and achieve UHC, building on the Statement on sustainability and transition from external funding (i.e. develop policies on transition from external funds in the context of UHC; direct efforts towards sustaining or increasing effective coverage of quality priority interventions.).
[ref: A/RES/69/313 AAAA para 77]
Encourage consideration of how existing international financing mechanisms might be replicated to address broader development needs. [ref. A/RES/69/313 para 69]

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* 6. Monitoring & Accountability: Improving monitoring and feedback mechanisms to hold leaders accountable to promises of Health For All and progress toward stronger, more equitable health systems for UHC.  
In your view, and with reference to the selection criteria above, how important is each of these draft elements of “Asks” to include in the political declaration?

  Redline: Essential Desirable: Important Low Priority: Less Important Discard: Not Important Abstain: Not Applicable
Commit to produce data for SDG 3.8.1 and 3.8.2 indicators and ensure access to and freedom of use of data for accountability purposes.[ref: A/RES/72/139 para 21]
Commit to contributing to HLPF voluntary national review (VNR) and thematic review processes with multi-stakeholder involvements in the preparation for and closer alignment with domestic health sector review processes. [ref: A/RES/66/288 para 85 AND A/RES/67/81 para 13]

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* 7. Foster Multi-Stakeholder Actions: Ensuring that all people, regardless of race, gender, age, citizenship or ability, are represented in the movement for UHC.  
In your view, and with reference to the selection criteria above, how important is each of these draft elements of “Asks” to include in the political declaration?

  Redline: Essential Desirable: Important Low Priority: Less Important Discard: Not Important Abstain: Not Applicable
Encourage all member states to endorse the UHC2030 Global Compact towards progress towards UHC and take forward its principles and joint vision on healthy systems for universal health coverage.[ref: A/RES/72/139 para 21]
Welcome a stronger focus on UHC by the SDG3 Global Action Plan for better cross-agency collaboration.
[ref: SDG3 Global Action Plan]
Strengthen multi-stakeholder dialogue with civil society, academia, private sector to maximize their efforts in implementing health goals. Also, promote and strengthen dialogue with other stakeholders to maximize engagement in and contribution to the implementation of health goals and targets through an intersectoral and multi-stakeholder approach, while at the same time safeguarding public health interests through the promotion of policy coherence. [ref: A/RES/72/139 para 21]
Strengthen collaboration between humanitarian and development actors for joint analysis, implementation of an essential package of health services, and monitoring, with more flexible funding modalities to facilitate long-term outcomes. [ref: A/RES/73/12 para 23 AND A/CONF.231/3 para 18 AND A/RES/71/353 para 35]

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* 8. Are there other existing UHC initiatives, or issues acknowledged in previous declarations, that you feel should be recognised in the political declaration?

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* 9. Please upload a reference document to describe your initiative.

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* 10. Are there other ‘stretch’ asks that you feel UHC2030 should consider promoting (e.g. asks that go beyond the selection criteria set out above and/or may be challenging to secure inclusion of in the political declaration)?

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* 11. Please upload a reference document to support your ask.

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* 12. Any other general suggestions to UN HLM on UHC in 2019 or comments to UHC2030's multi-stakeholder efforts to UN HLM?

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