“HEALTH IN ALL POLICIES” STRATEGY

IN BURUNDI

QUEBEC, October 2019

By Dr MISAGO Léonidas

Ministry of Health BURUNDI

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Acting together for the health of all !

HEALTH

BURUNDI

PRESENTATION PLAN

1. PRESENTATION OF THE COUNTRY

2. CONTEXT AND JUSTIFICATION

3. ACHIEVEMENTS

4. OBJECTIVES OF THE STRATEGY

5. IMPLEMENTATION

6. PERSPECTIVES

7. CONCLUSION 2

1. PRESENTATION OF THE COUNTRY • Burundi is a country between East Africa and Central

Africa

• It shares a border to the north with Rwanda, to the South and the East with Tanzania and in the West with the Democratic Republic of Congo (DRC)

• It’s area is 27,834 km2

• The population is estimated at 11 495 438 inhabitants in 2017

• Developing country

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1. CONTEXT AND JUSTIFICATION IN BURUNDI International context

- Alma-Ata Declaration on Primary Health Care

- May 2014 World Health Assembly Resolution on Health in All Policies

- Sustainable Development Goals (SDGs)

- Statement of ASTANA 2018

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The occasion to develop an unique expertise in the AFRO area

In line with the Burundi Subscriptions to International Declarations and Acts:

1. CONTEXT and JUSTIFICATION in BURUNDI National context

In phase with:

- National Development Plan

advocates the improvement of the

legal framework for the health of the

population and the implementation of

health interventions

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- National Plan for Sanitary Development 2019-2023

- General Objective 3: "Strengthen intersectoral collaboration

for better health"

An elaboration process participative and multisectorial April 2018 : Establishment of the technical committee

June - November 2018 :

Document review Table of indicators related to the determinants of health Multi-sector workshops and working group meetings e Steering Committee Meetings

November 2018-February 2019 : Drafting the strategy Mau 2019 :

Validation workshop in Gitega Integration session of the recommendations of the

workshop July 2019 : Presentation of the strategy to the CPSD and start of implementation September 2019 : Conférence Nationale de santé

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2. Achievements

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Participative Inclusive Scientific and innovative

The approach

The documentary review: intersectoral bodies exist….

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• National platform for the fight against emergencies and

disasters • Policy, strategy and structure of care for victims of

gender-based violence • National Council of Social Protection under the

leadership of the President of the Republic • Social Protection Support Fund • National AIDS Council • Framework for Consultation of Partners for Health and

Development (CPSD)

but not yet a global vision

Simplified framework for Health in all Policies in Burundi

Framework of Burundi Strategy

Coordinate Information, Education and Communication in an integrated and coherent way to promote the approach of Health Promotion in all policies and its advocacy, from the highest level to the community level, to all cast Policymakers are well informed about the health, equity and

long-term consequences of different policy options The population is informed and adopts a healthy behavior

3. Objectives of the Strategy:

Strategic axes selected

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It's about strengthening the existing

Information Education Communication

Intégrées : Renforcement de toutes les stratégies

Coordination, Harmonisation, Cohérence

Jeunesse Plan stratégique

SRMNIA

Maladies transmissibles Plans Directeurs Nationaux

Maladies Non Transmissibles

Plan multisectoriel stratégique

Nutrition Plan stratégique

multisectoriel Scaling Up Nutrition(SUN)

Environnement Plan National Santé

Environnement Politique Nationale d’Assainissement

Plan stratégique ATPC

Education Stratégie nationale de promotion de la santé intégrée en

milieu scolaire

SANTE

Dans toutes les politiques

BURUNDI

Acting together for the health of all !

Key elements

• Promote a multi-sectoral approach of the entire

Government and all Burundian society;

• Promote health, equity and sustainability so that health policy in all policies is routinely integrated into related sectors;

• Coordinate and support intersectoral collaboration;

• Focus on multi-sectoral commitments and win-win partnerships;

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4. IMPLEMENTATION

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Pilotage: Comité multi-sectoriel

● Membres du MSLPS ● Ministères connexes ● Agences des Nations-Unies ● ONG

Groupes de travail

Nutrition Environnement,

développement humain

SRMNIA Maladies

Transmissibles MNT

HiAP

Coordination

Instances inter-sectorielles

Points focaux des stratégies

multisectorielles

Partenaires Techniques et

Financiers

Producteurs de données et

de recherche en Santé

IEC

Intégrées Comités provinciaux

Communication des

Nations Unies

SANTE BURUNDI

S B

S B

S B

S B

S B

Governance

A repeated message and a quality label for Burundians

Action 1 : Creation et integration of the label “Santé Burundi”

Acting together for the health of all !

SANTE

BURUNDI

SANTE

BURUNDI

SANTE

BURUNDI

SANTE

BURUNDI

SANTE

BURUNDI

Action 2 : Capacity building

Niveau Communautaire agents de santé communautaire, population, ménages, mamans

lumière etc.

Districts sanitaires centre de santé, hopitaux de disctrict, et autres secteurs

connexes : écoles, société civile, ONG, secteur privé

Coordination au niveau provincial

Niveau national Gouvernement, PTF, ONG, Nations-Unies, Société civile, Secteur

privé...

Skills…. … for a new code

of conduct

=> All decisions take into account improving the health of

Burundians!

Health information shared by all actors

Example of possible implementation : School

Training adapted to each age

SANTE

BURUNDI

Health training every year for all school

children

A generation with health skills

Ambassadors in the community

Mom, put the mosquito net for the baby!!

5. PERSPECTIVES

Establishment of multisectoral steering committees for the strategy

at all levels (National, Provincial and Communa);

Establishment of multisectoral technical committees for the

implementation of the strategy at all levels (National, Provincial and

Communal);

Burundi's participation in the International Health Network in all

policies

Organization of a national strategy launch conference coupled with

a Resource Mobilization Round Table for the implementation of the

strategy.

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6. CONCLUSION

⮚To improve the health of the people of Burundi, the entire Government

and its Development Partners are called to engage in an innovative

strategy based on the social determinants of health to ensure access to

health services in Burundi. population and the reduction of inequalities

because health is everyone's business;

⮚The entire Burundian population in general and all the leaders of the

different sectors of the national life in particular are called to appropriate

this strategy which gives them the means to assure a greater control on

their own health, and to improve them because health is a resource of

everyday life, and to work in synergy to achieve better health and

economic and social well-being.

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Thank you for your attention

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