Discussion Points

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Selected Discussion Points

1. Future of G8 and global health as a key agenda in 2009
Positioning of the G8 vis-a-vis G20 and G14 closely scrutinized. G20 engaged in economic and fiscal debates, while G8 faces credibility issue as MDG commitments not delivered.
Economic slowdown will constrain spending for global issues, and thus improvement of spending efficiency a critical issue. Need to focus on key metrics such as infant mortality and maternal survival rates.
Infectious diseases still a shared risk that needs global response.
2. Sharing experience from the Japanese G8 process for global health
Multi-stakeholder engagement was critical to raise awareness and enhance political engagement.
Linkage to past G8 (e.g., in Global Fund), values espoused (e.g., human security), Japanese technologies (e.g., malaria bed nets), and desire for international leadership played important roles in addressing global health.
Davos presentation by the Prime Minister a milestone for agenda setting.
3. Global health agenda for 2009
Success stories exist and need to be shared to combat aid fatigue ? e.g., Egypt.
Coordination across donor countries and integration by country possible with the will of G8 donors.
Rising health care cost could be the world’s biggest economic challenge, a shared risk which needs to be addressed.
4. Italian leadership in global health and role of stakeholders
Health as a fundamental individual right and interest of the community, and commitment to National Health Systems key Italian legacy.
Maternal health provides potential for broad public support in Italy.
Strength in promoting new financial mechanisms such as Advance Market Commitment and International Financing Facility for Immunization.
Need to ensure continuity (e.g., health system strengthening) and adherence to past commitments. These should be the focus, as opposed to adding initiatives in time of limited resources.