Intersectoral action, health and social equity: contextualizing agendas – SDH, HiAP y SDGs

International Seminar on Social Determinants of Health, Inter-sectoriality and Social Equity in Latin America

Luiz AC Galvão, MD, MSc, DScSpecial Program on Sustainable Development and Health Equity

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From Millennium Development Goals (MDGs)to Sustainable Development Goals (SDGs)

To 1 more comprehensive Goal out of other 17 SDGs Goals Goal 3: “Ensure healthy lives and promote well-being for all at all ages”(with 9 Targets and 4 Means of Implementation)

Goal 4: Reduce Child Mortality

Goal 5: Improve Maternal Health

Goal 6: Combat HIV/AIDS, Malaria And Other Diseases

Goal 7: Ensure Environmental Sustainability

Target 3.2 By 2030, end preventable deaths of newborns and children under 5 years of age

Target 3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

Target 3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

Target 3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

Title of the Presentation3

From 4 Goals out of 8 MDGs

Source: MMEIG estimates, 2014.Caribbean incl. CUB, DOR and HAI Latin America incl. BLZ, GUY and SUR

Regional progress

27.5

75.0

32.5

190.0

68.0

77.0

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150

200

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1990 1995 2000 2005 2010 2013

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Maternal Mortality Ratio Trend 1990-2013 and Projected 2015MDG: Reduce by three thirds by 2015

Sources: Institute for Health Metrics and Evaluation (IHME -2013), Maternal Mortality Estimation Inter-Agency Group (MMEIG -2013), PAHO. Health Situation in the Americas: Basic Indicators 2014

Note: ANT, DOM, BLZ reported 0 data in 2013.

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Maternal Mortality Ratio estimates vs PAHO data

IHME - ESTIMATED WHO - ESTIMATED PAHO - REPORTED

The hidden truth when analyzing aggregated Infant Mortality Rates

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3consistency

timeliness

interpretabilityaccuracy

coverage

Antigua y Barbuda

Source: CHA/HA Analysis. Data: PAHO Basic Indicators 2014

Preliminary Conclusions

• Although countries may not achieve the target, progress has been made on infant and maternal mortality,

• The different sources of information are not consistent and in some instances are contradictory challenging a more robust analysis,

• There is an urgent need to strengthen the national capacity to produce better health data and information, and the post 2015 could be a good opportunity to improve national and PAHO information systems.

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An integrated framework for realizing the “future we want for all” in the post-2015 UN development agenda

Title of the Presentation9

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The road to dignity by 2030: ending poverty, transforming all lives and protecting the planetSynthesis report of the Secretary-General on the post-2015 sustainable development agenda

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The road to dignity by 2030: ending poverty, transforming all lives and protecting the planetSynthesis report of the Secretary-General on the post-2015 sustainable development agenda

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PAHO’s Directing Council roundtable session conclusions

• SDGs is important to the Region of the Americas,

• Goal 3 is also related to other SDGs (social and environmental determinants of health)

• National consultation should be carried out in each country and sub-regional integration forums

• Delegates requested PASB to assist them in the consultation process in each country, and sub-regional integration mechanisms.

• Countries should demonstrate political commitment allocating appropriate budget

• Ask the PASB to partner with ECLAC to lead the preparation of a regional set of health-related indicators on social inclusion for the SDGs

• Ask to prepare a document comparing the SDGs with the Strategic Plan 2014-2019:“Championing Health: Sustainable Development and Equity”

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PASB response to PAHO’s Directing Council roundtable

The Secretariat prepared:

• A document on alignment of the political, technical and planning documents of PAHO with the “Sustainable Development Goal 3: Ensure healthy lives and promote well-being for all at all ages”

• proposal to prepare a set of indicators to monitor progress of implementation of the SDG3 in the region, particularly measuring the contribution of health to social inclusion (in consultation with ECLAC, UNDP-LAC)

• Proposal to include the collaborating centers into the process, including a research and development agenda to support the implementation of the SDG3

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thanks

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