Agenda 2030 Graduate School blog

Lund University Agenda 2030 Graduate School is a global, cutting-edge research school and collaboration platform for issues related to societal challenges, sustainability and the 2030 Agenda. The 17 PhD students from all faculties at Lund University enrolled with the Agenda 2030 Graduate School relate their specific research topics to the Sustainable Development Goals. In this blog the PhD students of the Graduate School discuss topical research and societal issues related to the 2030 Agenda.

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The Political Declaration on Universal Health Coverage – What Does it Mean?

Flags in front of UN building. Photo.
UN photo: Eskinder Debebe

Posted on 8 November 2019 by Tanya Andersson Nystedt

The views expressed in this publication are those of the authors and do not necessarily represent those of the Agenda 2030 Graduate School or Lund University. The present document is being issued without formal editing.

On the 24-25th September 2019 the United Nations High Level Political Forum convened for the first follow-up on progress towards the Sustainable Development Goals (SDGs). It was a week during which we watched young people around the world demonstrate on climate change juxtaposed against world leaders making long meandering statements promising very little and definitely nothing approaching the systemic transformation that research indicates that delivering the 2030 Agenda would call for. It was also a week which held the UN High Level Meeting on Universal Health Coverage which went mostly unnoticed by those not already engaged with the issues of global health. Universal Health Coverage (UHC) is the idea that everyone everywhere should have access to quality affordable health care without having to suffer financial hardship in paying for it. The outcome of the High Level Meeting was the Political Declaration on Universal Health Coverage which was hailed by the UN Secretary General as the ““most comprehensive agreement ever reached on global health” and the Director General of the World Health Organisation (WHO) called it “a landmark for global health and development”. But what does this process and this outcome document in fact say about our goals and aspirations as well as how we plan to go about fulfilling them?

Where we are

If the meeting and political declaration got little attention, the UHC 2019 Monitoring Report got even less. It, like the UN Secretary General’s Progress Report on the SDGs, shows that in most areas we are off track. That progress has, at best, slowed and in many cases has plateaued, or is even reversing. More than 50% of the world’s population does not have access to essential health services and at this rate of progress more than 1/3 will remain uncovered in 2030. Some estimates put this number at 5 billion people without access to health care services in 2030 if current trends continue. There is wide-spread inequity and inequality and there are more people without financial protection than ever before, meaning that the number of people facing catastrophic health costs is on the rise.

What we needed from this High Level Meeting was a road-map of how we are going to address this reality, reverse these trends, and how we are going to achieve the goal good health and well-being for all by 2030. This is not what we got. Instead we got politics as usual. Hungary which was set to co-host the meeting jumped off when they realised that “Universal” health coverage might include health services for “illegal” migrants and refugees (“migration is not a right”). The United States advocated to remove any mention of Sexual and Reproductive Health (SRH) and Reproductive Rights entirely from the declaration conflating it with abortion services despite that abortion is not mentioned at all (“there is not right to abortion”). They were joined by 18 countries, however, thanks to the strong opposition from 58 other countries it failed and was included in the political declaration. The final result, was that the United States “distanced themselves” from the relevant section (paragraph 68). One can ask what the value of a political declaration is when the countries are not in agreement with either its principles (universality) or its content (SRH). One can also ask how excluding migrants and attacking SRHR (Sexual and Reproductive Health and Rights), which has been argued to be some of the most cost-effective interventions for improving the health and well-being, in particular of rural women in Low and Middle Income Countries, is in keeping with the ideal of leaving no one behind. Contrary to both the ideal of leaving no one behind and universality, those left behind are still being left behind.

In fact, the whole discourse of UHC has moved from one of health as a human right to a focus on service provision and then mostly on curative services with a focus on primary healthcare provision, with little mention on promotive, preventive, palliative or rehabilitative services. In fact, there is no agreement on minimum standards, instead the focus is on “nationally determined” sets of services. Countries need to take into account competing health priorities, such as provision of SRH services for rural women or non-communicable disease services required by urban middle-classes. This, in a context of decreased development assistance for health due to competition with other urgent development priorities, such as climate change. Even within this narrowed scope of what is meant by UHC, the financing the WHO calls for is insufficient to achieve it by 2030. This means that even if funding targets are met, the goal of UHC will not be.

Over the past 40 years we have moved from the aspirations of Alma Ata declaration of 1978 calling for “good health for all” by 2000, to aiming for “selective health service provision for some” by 2030, and trying to convince ourselves that this is progress.

Tanya Andersson Nystedt is a PhD candidate within the Agenda 2030 Graduate School and at the Department of Clinical Sciences at Lund University.

November 8, 2019

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Square pegs into round holes: responsibilities of economic governance institutions

Men on podium and delegates at WTO conference. Photo.
This Photo by Unknown Author is licensed under CC BY-SA (https://commons.wikimedia.org/wiki/File:Accession_of_Russia_to_the_WTO-3.jpg)

Posted on 6 November 2019 by Soo-hyun Lee

The views expressed in this publication are those of the authors and do not necessarily represent those of the Agenda 2030 Graduate School or Lund University. The present document is being issued without formal editing.

The governance and responsibilities of international economic law both originate from and are realized through institutions that fulfil numerous roles, from sources of law, auditors of policy to arbitrators of disputes. Each aspect of international economic law has representative institutions that have been attributed the responsibilities of governance through both international convention as well as in practice. In fulfilling these functions and exercising their role-responsibility, they introduce predictability and systematization. For the World Trade Organisation (WTO), Member States engaged in trade depend on the responsibility of the institution to ensure that other Member States may behave predictably in maintaining competitive markets. For the International Monetary Fund (IMF), the institution acts as a gatekeeper to development finance by evaluating the extent to which macroeconomic policy is sound.

The WTO and international tribunals such as the International Centre for the Settlement of Investment Disputes (ICSID) also execute these responsibilities through offering forums to settle disputes. The governance responsibilities discharged by these institutions are ultimately built upon the obligations of the Members to those institutions. Member States, or private entities within Member States, are obliged to follow certain guidelines that are both propagated and administered by the governance institutions of economic law. If Member States do not observe the obligations to which they’ve agreed by acceding to these governance institutions, then those institutions lose jurisdictional competence in being to fulfil their objectives.

Yet this is where the challenge arises. The purpose and objective of these governance institutions have become increasingly limited in scope and exclusive in practice. This is perhaps the most evident in settling disputes or contesting claims. The institutions of international economic law have become venues for States to justify their digression from a set of principles that do not necessarily arise from a global consensus. In other words, these institutions have been rendered their role-responsibility as being retrospective mechanisms, enforcing the obligations that Member States have committed to observing.

However, one must remember that these economic governance institutions are at the forefront of development practice. The WTO, ICSID as part of the World Bank Group and the IMF are core players in the Sustainable Development Goals. While many aspects of their operations do not share a clear connection with the 2030 Agenda, these institutions represent the main channels of finance (trade, investment and development finance) that the United Nations has been ushering Member States to embrace in order to achieve the SDGs. The position of the WTO, for instance, is that reduced barriers to trade such as government subsidies or tariffs, allow for a more efficient allocation of resources at the global level. With the lowest world price, more goods and services can flow across borders. This is meant to promote SDG 8 by making domestic producers more efficient and competitive in order to compete against that world price and SDG 10 by permitting developing economies relaxed rules under Special and Differential Treatment, permitting them to use trade distorting economic policies to improve their terms of trade.

Another example is the IMF, which dispenses development financing based on policy reform aimed at addressing macroeconomic and/or other policies in potential recipient States. The contributions of the IMF to the 2030 Agenda  are largely based on policy interventions in supporting Member States in their independent efforts to achieve the SDGs. In assessing its potential impact on a State, the IMF takes a more interconnected approach to the Agenda, a careful investigation of its benchmarking and financing requirements would be necessary to a more comprehensive evaluation of its SDG impact since many of the IMF’s objective revolves around neoliberal convergence.

Economic data certainly supports these claims but fails to reveal potential consequences of nurturing global trade or embracing a liberal, privatized and formal economy. One may look to China as it attempted to meet the accession conditions that the WTO placed on new Member States. The country decentralized large swathes of its economy but was permitted Special and Differential Treatment in order to build up its industries so that they may compete in rather than by engulfed by global trade competition. Unfortunately, this led to the central government losing its political grip on industry, now controlled by provincial governments, in attempting to enforce environmental standards and embrace sustainable means of production and consumption. This has given rise to some of the most environmentally damaging industries known in modern history.

This demonstrates the challenge that the SDGs may not always share immediately clear complementarities with one another. The institutions of economic governance may provide clear contributions to reducing net poverty, but a critical reflection on how they may simultaneously impact the other SDGs is a difficult yet necessary exercise. Principles such as common and differentiated responsibilities when applied in isolation can result in consequences that may very well offset their intended benefits, as one can see with Special and Differential Treatment of the WTO. As such, international economic law and economic governance institutions must find ways to both broaden and deepen their relevance to the SDGs, otherwise face continued criticism, abrogation and extinction in a world that changes much faster than they do.


The views expressed in this publication are those of the author’s and do not necessarily reflect the views of any institution. 

November 6, 2019

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The UN’s agenda for Financial Development

 

Posted on 4 November 2019 by Juan Ocampo

The views expressed in this publication are those of the authors and do not necessarily represent those of the Agenda 2030 Graduate School or Lund University. The present document is being issued without formal editing.

Financial inclusion and the SDGs

Embedded in the 2030 Agenda Sustainable Development Goals we can find Financial Inclusion. By signing the 2030 Agenda resolution, nations aim to build strong foundations for inclusive and sustainable economic growth. To achieve these goals, policies aiming to increase productive capacities, productive employment, resilient infrastructure, and financial inclusion are promoted. It is not a surprise then that, during the 2019 United Nations High-Level Political Forum (read more), the event “Financial Inclusion for Development: Building on 10 Years of Progress” was held.

But before we enter into the details of the event, it is worth asking what definition of financial inclusion is reproduced in these “diplomatic spaces”. By reading the UN Resolution 70/1 Transforming our world: the 2030 Agenda for sustainable development, it is clear that the economic growth discourse has been established as the ruling paradigm for the SDGs. I believe we should be critical about what “growth” implies for sustainability, however the green growth/degrowth debate requires a more detailed analysis that I will address in a later post. The World Bank has defined financial inclusion as “individuals and businesses having access to useful and affordable financial products and services that meet their needs – transactions, payments, savings, credit, and insurance – delivered in a responsible and sustainable way”. And who better than the United Nations Secretary-General Special Advocate for Inclusive Finance for Development (UNSGSA) to stress how: “financial inclusion is within 7 SDGs and we are under 8 global targets”. So yes, I will say that financial inclusion has relevance in the development agenda.

The world’s? financial inclusion agenda – Money is Power

Amongst the attendants at this event, we could find President of the World Bank, Melinda Gates, and PayPal’s CEO, amongst other important actors of the financial development discussion. I recommend you to watch the whole event here, however, the main takeaways I would like to highlight are: (i) Public, Private, and NGO actors need to trust each other to solve the troubles of financial inclusion; (ii) Artificial Intelligence, Blockchain, and Digital Money are key technologies for financial inclusion; (iii) Financial literacy of women would be the focus of the World Bank policy development; and (iv) one of the main focuses of financial inclusion from the SDG perspective is gathering better data to make decisions regarding private investment and policy . The discussions held in the forum were expected considering the technological trends in today’s economies. There is one last thing I do want to highlight from Melinda Gates speech: “Money is power. If we want to empower people, we have to ensure that they have means for saving”. This was one of the few references to money in a Financial Inclusion event, but a very strong one I must admit.

Reflecting on the event, key questions emerge for further discussion:

-Which inclusive economic (de)growth the paradigm should we advocate for?

-If Money is the way to empower the commons, why are financial services “delivered” by banks and not self-managed by the communities?

– Assuming technologies such as Blockchain and Digital Money are the present and future of financial inclusion, then the question is who should govern these infrastructures and under which parameters? 

Through the analysis of this event I have mentioned the agenda for the financial inclusion of the developing world. However, growth paradigms and governance structures are important themes that were left without an appropriate discussion and that are worth following up on. And I will!

This blog post is based on a presentation made for a seminar hosted by Lund University’s Agenda 2030 Graduate School.

Juan Ocampo is a PhD candidate within the Agenda 2030 Graduate School at LUSEM – Lund University

October 23, 2019

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Progress and gaps in pursuit of the SDGs

View of conference room full of people in front of screen. Photo.
The 2019 High-level Political Forum on Sustainable Development at United Nations Headquarters in New York (Photo: UN Photo/Ariana Lindquist)

Posted on 23 October 2019 by Christie Nicoson

The views expressed in this publication are those of the authors and do not necessarily represent those of the Agenda 2030 Graduate School or Lund University. The present document is being issued without formal editing.

In the last few weeks, news headlines and the world’s attention has been attuned to climate marches and speeches. This climate movement was part of a larger discussion about sustainability – a review of  the 2030 Agenda on Sustainable Development, encompassing a global effort to address economic, social, and environmental challenges.

A progress update for sustainability

The events centred around the United Nations High Level Political Forum (HLPF), which took place on September 24-25th at UN Headquarters in New York. Government, civil society, business, international organisation, and youth leaders assembled to review progress of the 2030 Agenda and the 17 Sustainable Development Goals (SDGs).

Leading up to the HLPF, an independent report commissioned by UN member states painted a drastic picture. The report finds that not only is the current development model unsustainable, but that we are in danger of reversing two decades of progress. Increasing inequalities, climate change, biodiversity loss, and increasing waste from human activities point to “dramatic changes… in ways that are irreversible on time scales meaningful for society.” In no uncertain terms, the report states that we are moving in the wrong direction.

Against the backdrop of this report, the HLPF unfolded with two days of Leaders Dialogues around what was framed as a “decade of action” needed to achieve the SDGs. However, rather than presenting targeted and action-oriented remarks, world leaders made largely generalised and sometimes “meandering” statements. At the opening session, states adopted a political declaration, “Gearing up for a decade of action and delivery for sustainable development”. The declaration affirms priorities already existing in the 2030 Agenda, stopping short of bold or novel commitments that might spur such action or delivery. In parallel to the Forum, a rich array of events highlighted a wide diversity of topics related to the 17 SDGs, including the Global Week to Act. In the days since the Forum, states and other stakeholders have continued to pledge voluntary acceleration actions. Although as individual components, these events and incoming commitments may help deliver on development promises, taken together some challenges remain. In some cases, these efforts do little to move development beyond business as usual. They also make visible the greater need to move beyond siloed or individual actions, towards concerted systemic change.

A need for systemic change

Of the many discussions held at the Forum and the expected outcomes, perhaps one of the greatest take-aways is that of persistent gaps – a gap between progress made and that which is needed to achieve the goals, a gap between what urgency of scientific consensus and insufficient statements and commitments made by world leaders – and an echoed call for transformative system changes.

In a recent commentary, a group of scientists urged for achievement of our global sustainability mission through global transformations that reach across sectors and engage governments, economy and finance, individual and collective action, and technology and science. This kind of systemic change may seem daunting. But alongside making grand critique and calls to action, scientists in the 2030 report and elsewhere have outlined how these changes might be realised. Not least of these is the need for an expansion of sustainability science: cross-disciplinary research that highlights how systems interact. One example is Lund University’s Agenda 2030 Graduate School. The School funds doctoral students across university-wide faculties – medicine, law, social science, humanities and theology, science, engineering, fine and performing arts, and economics and management. These students work on projects connected to the Goals and, rather than focusing on individual Goals, they aim to adopt the Agenda’s holistic approach and take steps toward realising the potential of multidisciplinary research.

The strong interest in the climate movement in recent media cycles is extremely important, as the time to act is now. To be sure, each of the 17 Goals and the indicators they encompass are critical in and of themselves. However, in order to achieve development that is truly sustainable economically, socially, and environmentally, we need to look beyond any one issue. We need to approach the Sustainable Development Goals as a whole and create systemic change by moving meaningfully toward multidisciplinary research, policy, and action.

This blog post is based on discussions from a seminar hosted by Lund University’s Agenda 2030 Graduate School.

Christie Nicoson is a PhD candidate within the Agenda 2030 Graduate School and in the Department of Political Science at Lund University.

October 14, 2019

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United Nations High-Level Political Forum at the UN – Institutions, call for action and reflecting on the SDGs

The views expressed in this publication are those of the authors and do not necessarily represent those of the Agenda 2030 Graduate School or Lund University. The present document is being issued without formal editing.

This blog series of the Agenda 2030 Graduate School is motivated by last month’s United Nations High-Level Political Forum at the UN Headquarters in New York. Through policy making, regulation and/or promotion Institutions play a fundamental role in the SDG achievement and thus we will discuss the achieved progress of the Agenda and calls for change through a more systemic approach, explain the role of economic institutions and their responsibility in the development agenda, and reflect on what Universal Health Coverage means and the paradigms of the UN´s Financial Inclusion agenda.

October 10, 2019

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