A/HRC/23/54 already consumed more than the world could produce in a sustainable manner, and therefore, making sustainable development a reality would require a new approach. Stephen Hale presented the nine planetary boundaries constraints framework for sustainability which was employed by Oxfam and included factors like biodiversity loss and climate change. He argued that we had to determine how we should live within these boundaries and identify the connections between social challenges and planetary boundaries. Oxfam aimed to promote inclusive and sustainable economic development, based on eleven priorities, namely food, water, income, education, resilience, voice, jobs, energy, social equity, gender equality and health within the planetary boundaries. This framework addressed the issue of coherence between sustainability and development goals and identified a policy space for the realization of sustainable, rights-based development. 56. Dashdolgor Dolgorsuren, Head of Foreign Relations of the Health Agency in Bulgan Province (Mongolia), described the traditional lifestyle of nomadic peoples in Mongolia as one of harmony between human beings, nature and livestock. However, a number of internal and external changes, most recently the transition from a centralized economy to a market economy and globalization, had both positively and negatively impacted the nomadic way of life. Mineral exploitation, for example, had led to the destruction of pastoral land and pollution that affected humans and animals alike, presenting unique public health problems. It was difficult to ensure access to health services for nomadic peoples and herders who, as part of the informal economy, were excluded from traditional health care insurance schemes. In this context, the promotion of sustainable, rights-based development required a multi-faceted approach that integrated the human rights concerns of nomadic peoples, ensured their active, free and meaningful participation in development, and fairly distributed the benefits of development. 57. During the interactive dialogue, representatives from International Movement ATD Fourth World, the Association of World Citizens and the People’s Health Movement discussed the need for active participation in development by all persons, the connection between people’s health and the environment, and the inclusion of human rights in the post2015 development agenda. The concept of sustainable livelihoods was proposed as a potential theme for the 2013 Social Forum. 58. In her concluding remarks, Angelica Navarro stated that foreign investors seeking to exploit natural resources in Bolivia had to do so in compliance with national laws and as development partners. She also called for the coherent and consistent promotion of human rights. Dashdolgor Dolgorsuren elaborated on the challenges and significance of facilitating participation by nomadic herders. Stephen Hale discussed the importance of outreach to make the voices of the poorest heard. J. Innovative approaches to development and globalization 59. Yoandra Muro Valle, Vice-Rector of the Latin American School of Medicine in Havana, described Cuba’s international development cooperation efforts in the area of health. Her presentation traced Cuba’s history of international medical cooperation from its inception to the present, describing numerous health cooperation activities, projects and achievements. For more than 50 years, the Cuban National Public Health System had provided care to people of different countries through its Health Cooperation Programmes which, in the spirit of international solidarity, sent medical professionals equipped with medicine, materials and expertise to developing countries in need. Cuba had also assisted in the training of numerous foreign medical professionals. Yoandra Muro Valle emphasized that this example of South–South cooperation based on the model of solidarity, not competition, was the type of development assistance needed today. 16