This presentation shows the work conducted as part of a project initiated by the UNDP Regional Bureau for Europe and the Commonwealth of Independent States in 2013, systematically analyzing whether, how, and in which ways UNDP’s development projects address social, economic and environmental determinants of health and health equity. The project was implemented in collaboration with the UCL Institute of Health Equity in London, UK. It outlines the study aims, context, opportunities, partnerships, methodologies used, key findings and most importantly recommendations for the future.

1. c
SEEDs of Health
and Health Equity
in the Context of
Sustainable Human
Development
Dr. Christoph Hamelmann
Regional Team Leader HIV, Health and Development
UNDP Europe and Central Asia
Team Leaders Meeting
UNDP IRC, 14 October 2014

2. Study Aims
• Analyse which social, economic and environmental
determinants (SEEDs) of health and aspects of health equity
are likely to be affected by UNDP’s development projects
and how the projects are likely to impact on health and
health equity
• To understand the potential for co-benefits for health and
development for development projects
• To prepare concepts for embedding health equity into
development projects

3. Context, Opportunities, Partnerships
• Global Commission on Social Determinants of Health
• Rio Political Declaration on Social Determinants of Health
• European Determinants of Health and Health Divide Review
• UN 2011 Declaration on Prevention and Control of NCDs
through multisectoral action; global UN IATF on NCD;
regional UN IATF on NCD and SEEDs of Health
• European Health 2020 Strategy (whole-of-government/
whole of society approach)
• Post-2015 and SDG agenda

4. Methods
• Enlisted all UNDP RBEC projects
• Selected 50 projects under defined criteria, including covering
all countries, all practices, considering project budgets
• Used all available project documents (Pro-doc/LPAC and other
project proposals; internal and external reports)
• Interviewed selected project managers
• Used standard assessment and interview tools including
standard checklists for SEEDs of health and dimensions of
health equity
• Involved internal and external expert peer review group
• Study team: Regional HHD and UCL Institute of Health Equity

5. • SEEDs of health and
dimensions of heath equity
in all projects
• Many projects address
structural determinants of
health
• All projects involve multi-sectoral
implementation
Key Findings (1)

6. Key Findings (2)
• Potential impact on health
not noted for 76% of SEEDs
of health identified
• Dimensions of health equity
monitored only 17% of all
SEEDs identified
Opportunities for more impact

7. Recommendations (1)
• Fully integrate SEEDs of H/HE
into UNDP programming in
order to maximise co-benefits
for health and development
• Develop the methodology for
screening, monitoring and
evaluation of H/HE aspects in
development projects

8. Recommendations (2)
• Work with partners to include
SEEDs of H/HE framework in
the discourse of right to
health, national development
plans, the UNDAFs and the
post-2015 / SDG agenda

9. OWG Report: Goals and Targets
GOALS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Main targets 5 5 9 7 6 6 3 10 5 7 7 8 3 7 9 10 19
Affect health 5 5 9 6 4 6 2 9 4 7 6 8 3 5 7 8 19
Enablers 2 3 4 3 3 2 2 2 3 3 3 3 2 3 3 2 0

11. Thank You!
christoph.hamelmann@undp.org
twitter: @cahamelmann
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