Healthcare for Sustainable Society

Koç University - Kyoto University International Symposium on

“Innovative and Sustainable Development”

İstanbul, September 8, 2011

Murat Dayanıklı, MD, MPH, MBA

Healthcare for Sustainable Society

How can we define sustainable society?

able to maintain or keep going, as an action or process

balanced population growth optimum life expectancy at birth acceptable health status physical, biological and mental well-being improved quality of life continued effectiveness, efficiency and productivity all of the above

Healthcare for Sustainable Society

Exactly 11 years ago today, all 191 UN member states signed the Millenium Declaration to combat issues that risk sustainable society.

poverty hunger disease illiteracy environmental degradation discrimination against women

Healthcare for Sustainable Society

With such a declaration, the UN has established Millenium Development Goals to achieve by the year 2015.

eradicate extreme poverty and hunger achieve universal primary education promote gender equality and empower women reduce child mortality improve maternal health combat HIV/AIDS, malaria, and other diseases ensure environmental sustainability develop a global partnership for development

Healthcare for Sustainable Society

MDGs are inter-dependent; all MDGs influence health and health influences all MDGs.

better health enables children to learn and adults to earn gender equality is essential to the achievement of better health reducing poverty, hunger and environmental degradation positively influences, but

also depends on, better health

"The biggest enemy of health in the developing world is poverty."Kofi Annan

Healthcare for Sustainable Society

For today’s discussion purposes, we will primarily focus on health related MDGs (1/2).

MDG 1: HungerChildren aged <5 years underweight (%)Children aged <5 years stunted (%)

MDG 4: Child MortalityUnder-five mortality rate (probability of dying by age 5 per 1000 live births)Infant mortality rate (probability of dying between birth and age 1 per 1000 live births)Measles immunization coverage (percentage immunized among 1-year-olds)

MDG 5: Maternal HealthMaternal mortality ratio (per 100 000 live births)Births attended by skilled health personnel (%)Contraceptive prevalence rate (percentage among women aged 15-19)Adolescent fertility rate (per 1000 girls aged 15-19 years)Antenatal care coverage rate (at least one visit)Unmet need for family planning (%)

MDG 6: HIV/AIDS, Malaria and Other DiseasesHIV prevalence (percentage among adults aged 15 to 49)Condom use at last high-risk sex (percentage among adults aged 15 to 49)Population with comprehensive correct knowledge of HIV/AIDS (percentage among adults aged 15 to 24) Antiretroviral therapy coverage among people with advanced HIV (%)

Healthcare for Sustainable Society

For today’s discussion purposes, we will primarily focus on health related MDGs (2/2).

MDG 6: HIV/AIDS, Malaria and Other Diseases (cont'd)Deaths due to malaria (per 100 000 population per year)Children sleeping under insecticide-treated nets (%)Children with fever who received treatment with any antimalarial (%)Incidence of tuberculosis (per 100 000 population per year)Prevalence of tuberculosis (per 100 000 population per year)Deaths due to tuberculosis among HIV-negative people (per 100 000 population per year)TB case detection rate (%)TB treatment success rate (%)

MDG 7: Environment SustainabilityPopulation using improved drinking-water sources (%)Population using improved sanitation facilities (%)

MDG 8: Global Partnership for DevelopmentMedian availability of selected generic medicines (%)Median consumer price ratio of selected generic medicines

Maternal and reproductive health

Maternal and reproductive health

Estimated deaths due to malaria per 1000 population, 2006

Estimated mortality of TB cases (all forms, ecluding HIV) per 100 000 population, 2009

Population using improved drinking-water sources (%): Urban, 2008

Population using improved sanitation facilities (%): Urban, 2008

Healthcare for Sustainable Society

Developed by UNDP, Human Development Index includes almost all of MDGs to measure country-specific performance.

as the 17th largest economy in the world, Turkey should go back to drawing board to improve 83rd ranking among 169 countries

Healthcare for Sustainable Society

For sustainable society, we should also concentrate on health related issues that are not listed as MDGs.

Health financingService deliveryHealth workforceEssential health technologiesEssential medicines

Environmental health

Occupational health

Noncommunicable dieases

Immunization for communicable diseasesEpidemic prone diesasesNeglected tropical diseases

Road safety

Violence

Nutrition controlAlcohol controlTobacco control

Healthcare for Sustainable Society

Establishing healthcare model for sustainable society needs commitment, discipline, multidisiciplinary approach, determination, allocation of funds, and innovation.

ministries of health other government departments business society donor organizations civil society groups communities themselves

Healthcare for Sustainable Society

To learn more about this topic, please visit the following sites.

http://www.un.org/millennium/declaration/ http://www.who.int/topics/millennium_development_goals/ http://apps.who.int/ghodata/ http://www.who.int/research/en/ http://www.who.int/hdp/ http://hdr.undp.org/en/statistics/ http://hdr.undp.org/en/media/HDR_2010_EN_Readers_reprint.pdf