From the Millennium Development Goals to sustainable development goals in the post-2015 development...

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From the Millennium Development Goals to the sustainable

development goals in the post-2015 development agenda

Agenda item 3(b)62nd Session of the Regional Committee for the Eastern

MediterraneanKuwait, 58 October 2015

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 2

Outline • MDGs: where are we now?• What are the sustainable development

goals?• Way forward

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 3

MDGs 20002015Goal 1: Eradicate extreme hunger and poverty

Goal 2: Achieve universal primary education

Goal 3: Promote gender equality and empower women

Goal 4: Reduce child mortality

Goal 5: Improve maternal health

Goal 6: Combat HIV/AIDS, malaria and other diseases

Goal 7: Ensure environmental sustainability

Goal 8: Develop a global partnership for development

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 4

MDGs: where are we now?

48% 50%

67%75%

0%

10%

20%

30%

40%

50%

60%

70%

80%

MDG 4:Child mortality

MDG 5:Maternal health

Regional decrease Target

Under-five mortality19902015

Maternal mortality19902013

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 5

Eligible people receiving antiretroviral therapy

2006

5209

2014

37 6982 000 000

1 000 000

0100000020000003000000

2000 2013

Malaria cases

136

121

110

120

130

140

1990 2013

Tuberculosis incidence(per 100 000 population)

MDGs: where are we now?

MDGs: strengths and gaps

• Measurable and time-bound goals and targets

• Helped to:

• achieve health results • promote global awareness • gain political accountability • improve metrics • encourage community

participation

• UN-led process• Exclusion of health priorities such

as noncommunicable diseases, mental health, and violence and injuries

• Equity, human rights and social determinants of health were not well articulated or monitored

• No implementation framework• Implemented vertically with no

linkage with other MDGs• Late accountability

Gaps Strengths

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From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 7

Sustainable development goals • In September 2015, the UN General Assembly adopted a new

development agenda for the period 20162030 that includes a set of sustainable development goals (SDGs)

• There are 17 SDGs with 169 associated targets that are supported by three pillars of sustainability:

1. Economic development

2. Environmental protection

3. Social equity

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 8

Sustainable development goals • End poverty in all its forms everywhere Goal 1

• End hunger, achieve food security and improved nutrition and promote sustainable agriculture Goal 2

• Ensure healthy lives and promote well-being for all at all ages Goal 3

• Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all Goal 4

• Achieve gender equality and empower all women and girls Goal 5

• Ensure availability and sustainable management of water and sanitation for all Goal 6

• Ensure access to affordable, reliable, sustainable and modern energy for all Goal 7

• Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all Goal 8

• Build resilient infrastructure, promote inclusive and sustainable industrialization and foster innovation Goal 9

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 9

Sustainable development goals• Reduce inequality within and among countries Goal 10

• Make cities and human settlements inclusive, safe, resilient and sustainable Goal 11

• Ensure sustainable consumption and production patterns Goal 12

• Take urgent action to combat climate change and its impactsGoal 13

• Conserve and sustainably use the oceans, seas and marine resources for sustainable development Goal 14

• Protect, restore and promote sustainable use of terrestrial ecosystems, sustainably manage forests, combat desertification, and halt and reverse land degradation and halt biodiversity loss

Goal 15

• Promote peaceful and inclusive societies for sustainable development, provide access to justice for all and build effective, accountable and inclusive institutions at all levels

Goal 16

• Strengthen the means of implementation and revitalize the global partnership for sustainable development Goal 17

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• By 2030, reduce the global maternal mortality ratio to less than 70 per 100 000 live births

• By 2030, end preventable deaths of newborns and children under 5 years of age

• By 2030, end the epidemic of AIDS, tuberculosis, malaria, neglected tropical diseases and combat hepatitis, waterborne diseases and other communicable diseases

Unfinished business of the MDGs

• By 2030, reduce by one third premature mortality from noncommunicable disease through prevention and treatment and promote mental health and well-being

• Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

• By 2020, halve the number of global deaths and injuries from road traffic accidents

NCDs and injuries

Targets of the health goalEnsure healthy lives and promote well-being for all at all ages

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Targets of the health goal

• By 2030, ensure universal access to sexual and reproductive health care services

• Achieve universal health coverage, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

• By 2030, substantially reduce the number of deaths and illness from hazardous chemical and air water soil pollution and contamination

Cross-cutting and

systems focused

• Focus on high burden countries, building on the regional initiative “Saving the lives of mothers and children”, and on countries in emergency

• Developing strategic plans for reproductive, maternal, neonatal and child health for all countries with an equity lens

Reproductive,

maternal, neonatal

and child health

• Increasing treatment coverage of HIV/AIDS, tuberculosis and malaria

• Developing regional action plans for HIV, malaria and tuberculosis

Communicable

diseases

• Implementing the regional framework on noncommunicable diseases

• Implementing the regional framework on mental health• Scaling up cost effective interventions to address road

traffic injuries

Noncommunicabl

e diseases and

injuries

Way forward: regional priorities

From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 12

• Implementing the regional framework for action on advancing universal health coverage (population coverage, financial protection and service coverage)

• Ensuring access to quality essential health services and to safe, effective, quality and affordable essential medicines and vaccines

Universal health coverage

• Adoption of a collaborative multi-agency approach to reduce deaths and illness from all hazardous chemicals and air, water and soil pollution and contamination

Environmental health

Way forward: regional priorities

Strengthen health information systems and civil registration :Availability of quality, timely, accessible and reliable disaggregated data

Emergencies

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From the Millennium Development Goals to the sustainable development goals in the post-2015 development agenda 14

Way forward• Strong political commitment

• Adequate financing mechanisms

• Multisectoral approach with engagement of all governmental sectors at the highest level

• Inclusive platform and partnership with key stakeholders including civil societies

• Use of new health technologies

• Accountability and close monitoring, using the global and regional targets and indicators that are harmonized with the SDG indicators

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