Accelerators

Accelerator discussion frames have been developed to present the central role of accelerators in driving progress towards the health-related SDGs, opportunities and bottlenecks to closer coordination, roles of and implications for relevant organizations and initial frameworks for joint action. The accelerators are moving into the stage of multi-stakeholder engagement toward identifying collectively-shaped, country-relevant, concrete actions at global, regional and country level. Information on any external consultations the accelerators host and the reports from previous consultations will be made available on this page.

Disclaimer: The accelerator discussion frames are preliminary documents and have been prepared to stimulate multi-stakeholder engagement and discussion toward identifying collectively-shaped, country-relevant, concrete actions at global, regional and country level. They are unedited, unofficial documents and should not be interpreted as final. The publication does not constitute official endorsement by the agencies signatory to the Global Action Plan for Healthy Lives and Well-being for All. 

• Accelerator 1. Sustainable financing
  • Problem/Opportunity Statement: One of the most effective ways to reach the SDG3 targets is to rapidly improve the generation, allocation, and use of funds for health. Business as usual will not achieve universal health coverage (UHC) or the broader set of SDG3 targets. The global health agencies will work together to assist countries in building their capacity to raise adequate and sustainable revenue through pro-poor and pro-health fiscal policies, give more priority to health, improve the efficiency and equity of health spending, and ensure that critical public goods such as epidemic and pandemic preparedness are adequately funded.Read the document: Accelerator 1. Sustainable Financing
• Accelerator 2. Frontline health systems/Primary health care
  • Problem/Opportunity Statement: Reaching Sustainable Development Goal (SDG) 3 will require health services to be accessible, used, affordable and of sufficient quality. Moreover, other sectors than health need to be engaged and citizens and communities empowered to both produce health at home and demand good services. However, the present situation is characterized by inequities between and within countries on all these accounts; this will preclude reaching aggregate SDG3 targets. Including, and starting from, marginalized communities such as rural remote, urban poor, migrants and displaced, and minority populations, the Primary Health Care (PHC) accelerator will assist governments to identify bottlenecks and strengthen rate-limiting systems “levers”, to build and expand service delivery models that include the most vulnerable groups.Read the document: Accelerator 2. Frontline health systems/Primary health care
• Accelerator 3. Community and civil society engagement
  • Problem/Opportunity Statement: Civil society organizations and communities have historically fulfilled unique roles in improving health equity yet often face a range of barriers that limit their effectiveness and impact, which include a lack of resources, capacity and support, and challenging legal, social, and policy environments. In addition, the lack of mechanisms/platforms/opportunities to convene civil society and community organizations working on different aspects of health at global and country levels supports continued siloed working and restricts efforts to catalyse synergies and to fulfil their potential. A more harmonized approach across Global Health Organizations (GHOs) could better leverage the unique role of communities and CSOs, from policy formulation to service delivery and accountability, to attain SDG3+.
    Read the document: Accelerator 3. Community and civil society engagement
    Meeting report – Non-state actor consultation on the Global Action Plan
    Programme for participants
    Presentation: GAP consultation 30 April 2019
    Presentation: UNICEF PHC 30 April 2019
• Accelerator 4. Determinants of health
  • Problem/Opportunity Statement: The right to health and the responsibility for advancing people's wellbeing extends far beyond the health sector and requires multi-stakeholder, multi-sectoral responses that are grounded in human rights and gender equality. Yet the present governance, financing, and architecture of the global health approach is not fully suited for adequately addressing the social, political, commercial and environmental determinants of health, jeopardizing progress on Sustainable Development Goal (SDG) 3, related SDGs and the pledge to leave no one behind. The SDG 3 Action Plan offers a unique opportunity to advance a new paradigm that explicitly addresses determinants of health that receive inadequate attention, and through collective-action and policy coherence, result in better health outcomes for all.Read the document: Accelerator 4. Determinants of health
• Accelerator 5. R&D, innovation and access

• Accelerator 6. Data and digital health
  • Problem/Opportunity Statement: The systematic sharing and use of information will drive global progress towards and ultimately achieve Sustainable Development Goal 3 and high-quality Universal Health Coverage. Sharing and using information improves health system performance by giving health professionals and communities the evidence they need to make healthy and health-enabling choices. Many efforts are underway to put information in the hands of people who need it, but we will struggle to achieve SDG3 targets globally without sufficient alignment and coordination at sub-national and national levels. Technological innovation can be applied to mitigate chronic problems in collecting, storing, processing, analysing, and using data at all levels of the health system. Digital technologies and improved data capacity provide promising avenues for acceleration and innovation in service of achieving and monitoring the 2030 SDG3 targets, while building more resilient systems.Read the document: Accelerator 6. Data and digital health
• Accelerator 7. Innovative programming in fragile and vulnerable states and for disease outbreak response
  • Problem/Opportunity Statement: More than 50% of unmet SDG needs for key target areas as maternal and child mortality occur in 30 countries that have fragile settings. In fragile settings, health systems are disrupted and access to essential health services is undermined. According to the 2018 Global Report on Food Crises, for instance, 60% of the people affected by food crises were living in countries affected by war, violence and hostilities. More than 80% of the epidemics occur in such settings. Many agencies have now acknowledged communities living in or affected by these settings as priority. This accelerator will consider more coherent actions between development and humanitarian partners, for innovative programming adapted to each specific context based on predictable processes while committing to humanitarian principles, to better prioritise interventions to reach those furthest behind and reduce their risks and vulnerabilities and build resilience to shocks.Read the document: Accelerator 7. Innovative programming in fragile and vulnerable states and for disease outbreak response