WHEN May 2010 1 |1 | World Health Editors Network Progress towards the health-related Millennium...
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Transcript of WHEN May 2010 1 |1 | World Health Editors Network Progress towards the health-related Millennium...
WHEN May 20101 |
World Health Editors Network
Progress towardsthe health-related Millennium
Development Goals
World Health Editors Network
Progress towardsthe health-related Millennium
Development Goals
Carla Abou-Zahr, Ties BoermaFiona Gore, Annet Mahanani
Department of Health Statistics and Informatics
Carla Abou-Zahr, Ties BoermaFiona Gore, Annet Mahanani
Department of Health Statistics and Informatics
WHEN May 20102 |
WHO and MDGsWHO and MDGs
The Millennium Development Goals (MDGs)
Health-related MDGs
Progress and Challenges
Moving forward
WHEN May 20103 |
In September 2000, 191 heads of state adopted the UN Millennium Declaration and endorsed a framework for development, the plan being for countries and development partners to work together to:– reduce poverty and hunger, and tackle ill health, lack of education, gender
inequality, lack of access to clean water and environmental degradation
Eight Millennium Development Goals (MDGs) were established, with targets for 2015, and indicators to monitor progress
At the 2008 World Health Assembly, WHO Member States tasked the Organization to provide an annual update on progress towards the health-related MDGs, starting in 2009.
The Millennium Development GoalsThe Millennium Development Goals
WHEN May 20104 |
Health-related MDGsHealth-related MDGs
MDG 1: Target 1C: Halve the proportion of people who suffer from hunger (underweight)
MDG 4: Target 4A: Reduce child mortality by two thirds
MDG 5: Improve maternal health
MDG 6: Combat HIV/AIDS, malaria, and other diseases
MDG 7: Halve the proportion of people without sustainable access to safe drinking water and basic sanitation
MDG 8, Target 8E: Access to affordable essential medicines in developing countries
WHEN May 20105 |
Progress is being made, but huge challenges remain
Progress is being made, but huge challenges remain
Often the countries making the least progress are those affected by
high levels of HIV/AIDS, economic hardship or conflict.
Currently available data show that while some countries have made impressive gains in achieving health-related targets, others are falling behind.
WHEN May 20106 |
Progress on the health-related MDGsProgress on the health-related MDGs
Fewer children are dying Annual global deaths of children under five years of age fell from 12.6
in 1990 to 8.8 million in 2008 – down by 30%
Fewer children under five are underweight: % has dropped from 25% in 1990 to 16% in 2010
Although more women get skilled help during childbirth globally, for women in Africa and South-East Asia fewer than 50% of all births were attended.
WHEN May 20107 |
Progress on the health-related MDGsProgress on the health-related MDGs
Fewer people are contracting HIV - New HIV infections declined by 16% globally between 2001 and 2008
Tuberculosis treatment is more successful - existing cases of TB are declining, along with deaths among HIV-negative TB cases
More people have safe drinking-water, but….not enough have toilets
WHEN May 20108 |
Health-related MDG scorecardHealth-related MDG scorecard
MDG4
MDG 7
MDG 6
MDG 5
Malaria mortalityper 100 000 population
Skilled birth attendant% births
Sanitation% using improved facilities
Water% using improved sources
TB treatmentsuccess rate %
HIV/AIDS prevalence% adults aged 15-45
Contraceptive use% married women aged 15-49
Maternal mortalityper 100 000 live births
Measles immunization %
coverage
Under 5 mortality per 1000
live births
WorldWestern Pacific
South-East Asia
EuropeEastern Mediterranean
AmericasAfrica
The WHO African and Eastern Mediterranean regions are most off-track to achieve the MDG4 target
The WHO African and Eastern Mediterranean regions are most off-track to achieve the MDG4 target
WHEN May 201010 |
MDG 5: Improve maternal healthMaternal mortality not moving fast enough in the right direction
MDG 5: Improve maternal healthMaternal mortality not moving fast enough in the right direction
0.5
0 1 2 3 4 5 6%
MDG Required annual pace of decline
Lancet estimates 1990-2008
UN estimates 1990-2005New UN estimates - in preparation
WHEN May 201011 |
Discrepancies in coverage of key maternal and child health interventions
Discrepancies in coverage of key maternal and child health interventions
Coverage of interventions such as antenatal care and immunization is relatively high
Coverage of interventions that are dependent on a functioning health care system, such as skilled care during delivery, management of diarrhoea and care for pneumonia tends to be comparatively low
0
20
40
60
80
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AN
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Con
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ent
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ess
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Per
cent
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Dipping in and out of the health care system;low- and lower middle-income countries
Dipping in and out of the health care system;low- and lower middle-income countries
More people in need are receiving antiretroviral therapy in low- and middle-income countries 2002–2008
More people in need are receiving antiretroviral therapy in low- and middle-income countries 2002–2008
Source: Towards universal access: scaling up priority HIV/AIDS interventions in the health sector.
WHO/UNAIDS/UNICEF Progress Report 2009
WHEN May 201014 |
ChallengesChallenges
Conflict-affected and fragile states are furthest away from achieving the MDGs
More efforts and investment are necessary to prevent set backs, and to accelerate progress towards the MDGs
Better data are key – the lack of investment in health information systems at country level to assess achievements is a significant problem
Time is short – urgent action is needed!
WHEN May 201015 |
Moving forwardMoving forward
Better health outcomes depend on effective interventions delivered by better health systems
Better health requires coherent policies and a comprehensive approach that also addresses the social, environmental and economic determinants of ill-health
Outcomes, interventions, programmes and systems come together in a robust country-led national health policy & strategy requiring an inclusive process of consultation to ensure democratic ownership
There is an urgent need to align external support around the national health policy & strategy to reduce fragmentation and the burden on countries
WHEN May 201016 |
8.8 million deaths in children under 5
3 million diarrhoea & pneumonia child deaths
1 million malaria deaths
2.7 million new cases of HIV infections
33 million people living with HIV/AIDS
5 million people in need without access to ARVs
1100 million people without access to sanitation
We can't afford to look away…..We can't afford to look away…..
WHEN May 201017 |
Key messages to concludeKey messages to conclude The MDGs have been a powerful force in the fight to reduce
poverty and inequity
Progress towards the health MDGs is being made, but is unequal and fragile
Health is at the centre of the development agenda. All the MDGs influence health, and all causes of ill-health affect the achievement of the MDGs
…We need to ensure the momentum remains around the MDGs and that political commitment is sustained!
WHEN May 201019 |
WHO ActivitiesWHO Activities
Setting prevention and treatment guidelines and other global norms and standards;
Providing technical support to countries to implement them;
Analyzing social and economic factors and highlighting the broader risks and opportunities for health
Assisting national authorities as they develop health policies and plans;
Helping governments work with development partners to align external assistance with domestic priorities;
Collecting and disseminating data on health so countries can plan health spending and track progress.