Japan’s Challenge
on SDGs and Global health
Human Security approach
Keizo Takemi
Chairman, Special Mission Committee onGlobal Health Strategy, LDP
Member, House of Councillors, Japan1

Role of Japan to facilitate Global Health
Host the 42nd G7 summit in 2016
Policy Consistency of Japanese cabinet
1. Obuchi Cabinet (1998-2000)• 1998: Prime Minister Obuchi declares human security a core principle
for Japan’s foreign policy framework at the first “Intellectual Dialogue on
Building Asia’s Tomorrow” in response to the Asian financial crisis.
2. Mori Cabinet (2000-2001)• 2000: Prime Minister Yoshiro Mori announces the establishment of aninternational commission on human security (later named theCommission on Human Security or CHS) at the UN Millennium Summit.
3. Fukuda Cabinet (2007-2008)• 2008: Prime Minister Yasuo Fukuda added the strengthening healthsystem as one of the agendas for the summit at the Toyako G8 summit.
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Human Security
Growing interdependency among nations has
challenged the traditional notion of “security”
 Need a new notion of security that supplements
traditional security—securing not only nationalboundaries but also security of individuals andcommunities beyond borders

Definition of human security by Commission on HS
 Focus on three universal freedoms: freedom fromwant, freedom from fear and freedom to live in dignity
 Target people and define the community as the unit ofpolicy making
 To protect “the vital core of all human lives in waysthat enhance human freedoms and fulfillment”
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Human Security and Health
Health is the vital core of human
lives and offers a concrete field fordeveloping strategies for humansecurity

4How to promote human security?
Dual strategy
Empowerment
 enable people to develop the capacity to cope withor prevent difficult conditions

Protection
 set up by states, international agencies, NGOs, andthe private sector to shield people from critical andpervasive threats and enable people to protect
themselves

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AGENDA SETTING FOR
ISE-SHIMA G7 SUMMIT

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Basic Design for Peace and Health(Global Cooperation) September 11, 2015
1.
2.

3.

4.

Basic Design for Peace and Health was approved by the Headquarters for
Healthcare Policy on 11th of September 2015.
Basic Design for Peace and Health was developed as a guideline for Global
Health policy under the Development Cooperation Charter. The drafting
was carried out through an extensive consultation period amongst foreignand domestic health experts.
Basic Design recognizes human security as the fundamental principle. The
policy’s objectives are to build a society which is resilient to external factors
such as public health emergencies and disasters, to establish a seamless
utilization of essential health and medical services throughout life thusachieving Universal Health Coverage, and the effective appropriation ofJapanese health workers, expertise, drugs, medical devices, medical
technologies, and medical services.
Japan will continue to maintain its contributions to global health inaccordance with the Basic Design for Peace and Health.

(Source: Ministry of Foreign Affairs of Japan Website)
http://www.mofa.go.jp/ic/ghp/page22e_000761.html

7Japan's Role as the host of G7 summit

The Lancet
Japan’s Prime Minister Shinzo Abe on“Japan’s vision for a peaceful and healthier world”
Volume 386, pages 2367-2369,
December 12, 20158

Universal Health Coverage in the New Development Era:
Toward Building Resilient and Sustainable Health Systems
Tokyo | December 16, 2015

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The characteristics of the SDGS
related to Health(Source: UNDP Website)

SDGs’ goal setting for healthfrom narrow to broader sense• “Ensure healthy lives and promote wellbeing for all at all ages”• From Live Longer to Live Better• From Life Expectancy to Health life
expectancy
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Strengthening health system• The difference between the MDGs
and the SDGs is that the Resilient
health system approach added to theDisease specific approach (Vertical) .

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Goal3. Ensure healthy lives and promote
well-being for all at all ages
3.8 Achieve universal health coverage, including financial risk
protection, access to quality essential health-care services
and access to safe, effective, quality and affordable essential
medicines and vaccines for all
3.C Substantially increase health financing and the recruitment,
development, training and retention of the health workforce
in developing countries, especially in least developed
countries and small island developing states.
3.D Strengthen the capacity of all countries, in particulardeveloping countries, for early warning, risk reduction andmanagement of national and global health risks.
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SDGS 3-D AND EBOLA OUTBREAK

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Ebola outbreak: a game changer(Source: EPA/New York Times)
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The lessons from the Ebola crisis
1. WHO’s ‘delayed response and the need forbetter governance on global and nationallevels.
2. The necessity of resilient health system
3. The limitation of current health policy
4. The necessity of comprehensive approach oncommunity level.
5. Strengthening the consistency of global,national and community level governance.
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SDGS AND HUMAN SECURITY

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Report of the Ebola Interim Assessment Panel
A panel of independent experts to assess WHO's response in the Ebola outbreak

The Panel firmly believes that this is a defining moment not only for WHO and the global healthemergency response but also for the governance of the entire global health system. The challenges raisedin this report are critical to the delivery of the proposed Sustainable Development Goals, especially Goal
3: Ensure healthy lives and promote well-being for all ages.

The Panel recognizes that it has made recommendations to many different actors and that theserecommendations are interdependent in their implementation. Significant political commitment at bothglobal and national levels is needed to take them forward.
(Source: WHO Website)
http://www.who.int/csr/disease/ebola/panel-to-assess-response/en/18WHO Secretariat response to the Reportof the Ebola Interim Assessment Panel
WHO continues to place a sharp focus on building resilient
subnational systems, with active community participation. Thesesystems not only provide safe, integrated, people-centered andquality health services to meet the predictable health needs ofpopulations, but also mitigate the impact of disease outbreaks andemergencies with health consequences.
(Source: WHO Website)
http://www.who.int/csr/resources/publications/ebola/who-response-to-ebola-report.pdf

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