Summit of the Future risks missing an opportunity to push for a healthier digital future

In September, the UN is bringing world leaders together for the Summit of the Future, a high-level event to improve international cooperation, accelerate the Sustainable Development Goals and build a better future for the next generations.

Zero drafts of three outcome documents have been circulated in recent months: a Pact for the Future, Declaration on Future Generations and Global Digital Compact. Each draft has been informed by months of consultations and written inputs from stakeholders.

The DTH-Lab welcomes much of the content in these draft documents. They indicate a strong global commitment to harness the potential of digital transformations to accelerate the SDGs. Equity, solidarity, human rights, gender equality, trust and inclusion are frequently reinforced and form the foundation for all statements and proposed actions. There is also a welcome focus on involving young people in co-creating better futures for people and the planet. All of these elements resonate closely with the report of the Lancet and Financial Times Commission on Governing health futures 2030. 

However, there are some critical things missing from the zero drafts. The relationship between digital transformations and health has so far been overlooked. Approaches to digital transformation that fail to adequately consider health and well-being can contribute to increased health inequities, expose people to a range of harms and undermine human rights.

Furthermore, health has barely received mention in the lead up to the Summit. This is despite the COVID-19 pandemic highlighting the weaknesses of current health systems, recognition that the world is off-track to meet the health-related SDGs, and recent commitments to redouble efforts towards universal health coverage

We urge member states to clearly demonstrate that health and well-being are key components of equitable and sustainable futures and commit to actions that ensure that digital transformations contribute to, and do not undermine, healthy futures for all. 

Here is a brief analysis of the current documents and some of our main recommendations for strengthening the final outcome documents.

  • The introduction (chapeau) acknowledges that technologies can both cause adverse impacts as well as have the potential to deliver a better future if they are properly managed. It recognizes that multilateral systems must be able to adapt to future technological changes and that governance reform and greater international cooperation are essential to this. Health is only referenced once in relation to disease; three references to well-being may also implicitly denote health.

     

  • In the section on Sustainable development and financing for development, health only features in relation to a commitment to follow up on high-level meetings on pandemic prevention, preparedness and response; universal health coverage; and tuberculosis.

     

  • The accelerating pace of technological change is strongly highlighted as an issue for International peace and security, but not for health and well-being.

     

  • The section on Science, technology and innovation and digital cooperation focuses heavily on the potential benefits of digital technologies. No concern is raised about their risks or potential harms, including for health and well-being or for different population groups such as children and youth. Concern is raised about the existing disparities between countries in terms of their ability to generate innovation but less about the multiple forms of inequities arising from divides in digital access, literacy and skills. One exception is a commitment to close gender-related digital divides.

     

  • This section includes the only link between digital transformations and health: a support for calls to share technologies and skills to solve the basic health issues of water, sanitation and food security.

     

  • The section on youth and future generations acknowledges that young people’s well-being is closely intertwined with their right to health. Young people are rightly acknowledged as critical agents of change who need to be meaningfully included in decision-making. Digital barriers are noted as a potential challenge for young people’s participation but the section makes no reference to the digital determinants of health – the wide range of benefits and risks of digital transformations for young people’s health, well-being and rights.
 

OUR RECOMMENDATION:

  • We urge member states to prioritise achieving better health and well-being for all in the Pact for the Futures, as a human right and essential for realising better futures. The Pact should also reinforce the need to address risks and inequities associated with digital transformations, particularly for young people and future generations.
  • The only reference to (human) health is in the final of ten commitments within the declaration to “Guarantee the rights of future generations to the highest standard of health, through universal healthcare, to ensure healthy lives and promote well-being for all throughout the life course.” No links are made between digital transformations and human or planetary health.

  • Risks associated with new and emerging technologies are acknowledged as well as the need for more effective and equitable digital governance.

     

  • The need for intergenerational dialogue and the inclusion of young people in decision-making is recognized. No recommendation is made about how young people can support the implementation of the Global Digital Compact, for example.

     

OUR RECOMMENDATION:

  • We urge member states to reflect the significant impacts of digital transformations for young people’s health and well-being, both now and in the future, in the declaration.
  • In partnership with the Digital Health and Rights Project (DHRP), the DTH-Lab issued a joint response to the zero draft of the Global Digital Compact.

     

  • A major concern is that there is no explicit mention of health in the draft even though health is a sector that is significantly impacted by, and will continue to be transformed, by digital technologies and AI. Moreover, digital transformations are now widely recognised as determinants of health due to their profound direct and indirect impacts on all aspects of health and well-being.

     

  • The draft compact does include references to protecting human rights in the digital age and recommendations to strengthen multi-stakeholderism and participation of civil society and communities.

     

  • Under Objective 1. Closing the digital divides and accelerating progress across the Sustainable Development Goals we call for the commitment to connect all schools to the internet to be extended to all health facilities as well.

     

  • Within Objective 3. Fostering an inclusive, open, safe and secure digital space the impacts of digital transformations for health should be acknowledged.

     

  • We propose that a solidarity-based approach to data governance (data solidarity) be explicitly supported in Objective 4. Advancing equitable international data governance and that health data is recognized as requiring dedicated governance instruments due to its sensitive and personal nature.

     

  • We strongly recommend that diverse youth be meaningfully involved in the Follow up and review of the compact.

     

OUR RECOMMENDATION:

  • We urge member states to recognise and commit actions to address the digital transformations as determinants of health and include references to health, as a human right and sector that is significantly impacted by digital technologies, within the compact. We also urge member states to support data solidarity to maximise the public value and health benefits of data.
Aferdita Bytyqi is the Executive Director of the DTH-Lab ensuring the success of overall project goals and strategic objectives of the DTH-Lab both internally and with key external stakeholders within the global health ecosystem.

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Aferdita Bytyqi

Executive Director, DTH-Lab

Aferdita Bytyqi is the Executive Director of the DTH-Lab ensuring the success of overall project goals and strategic objectives of the DTH-Lab both internally and with key external stakeholders within the global health ecosystem. With a career spanning over 25 years, she brings a wealth of progressive programmatic experience in spearheading international research, development, and regeneration initiatives on behalf of multilateral and bilateral agencies, as well as private donors. Her previous professional contributions include ICS Integrare, MBM, FAO, WHO and the Senior Coordinator of the Lancet and Financial Times Commission. Aferdita has a Dipl. Ing in Architecture and an M.Sc. in Urban Design in Development from UCL.