All Member States of the Western Pacific Region endorsed the Regional Framework for Reaching the Unreached in the Western Pacific Region (2022-2030) during the Seventy-third session of the Regional Committee for the Western Pacific (RCM73) held in 2022. Reaching the unreached (RTU) is a thematic priority of the For the Future: Towards the Healthiest and Safest Region vision document of the WHO Regional Office for the Western Pacific. This Framework aims to transform the delivery of essential healthcare services and the public health system to reach the most vulnerable, marginalised, and stigmatised populations. This consultancy will provide technical support in the implementation of the RTU Framework.
RTU is a global and regional health policy priority in line with health-related SDGs by 2030 and is built on the principle of universality and aims to ensure that no one is left behind. In the Western Pacific Region, RTU is one of the four thematic priorities of the Region as stated in its vision paper For the Future: Towards the Healthiest and Safest Region.
The Region has seen remarkable progress on important global and regional targets for HIV, TB, malaria, neglected tropical disease, polio, hepatitis B and measles. Maternal mortality ratios and infant mortality rates have reduced in the last decades. However, using “the last mile approach” to end and eliminate many diseases is challenging while some ‘old’ diseases are resurging. Health systems continue to miss significant numbers of people with communicable and non-communicable disease conditions in all countries – and not only in countries with weak health systems. In addition, inequalities in the social determinants of health, viz., income, education level, gender, ethnicity, and geographic location, cause inequitable access and health outcomes among different population groups across the Region. In recognising that progress has not equally benefited all population groups in the Region, countries are now striving to achieve the ambitious global universal health care (UHC) targets and complete the business of preventing and eliminating morbidity, mortality and disability caused by communicable diseases and conditions by 2030 and reduce by one-third of the premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.
Countries must adopt an integrated systems approach to reach the unreached. In addition, they need to understand and address political, social, cultural, and economic determinants of health. Such steps are essential to characterise and understand the causes and drivers of ‘being the unreached’ and design high-impact interventions to reach the unreached. Such measures would require partnerships with the community, other sectors, non-state actors and the private sector. Integrating the successful elements of disease-specific programs into existing health systems and strengthening health and community systems to reach unreached populations for various programs will be essential.
Work to be performed:
Specific terms of reference include:
1. Support coordination for the RTU regional framework
2. Facilitate the implementation of the Reaching the Unreached activities at the country level
3. Support evidence generation and lessons identified from country-level implementations
10 April to 10 September 2023
Skills / Technical skills and knowledge:
Place of assignment:
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