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Health in Sustainable Development Goals

15 October 2016Kingsbury Hotel, Colombo

Dr Janakan Navaratnasingam NPO, Communicable Diseases

WHO

Background - MDGs• Millennium Development Goals (MDG) - 2000 to 2015• 8 Goals, 21 Targets & 60 Key Indicators

Background - MDGs8 Goals adopted by 150 Heads of State in 2000 to be achieved by 2015

End Poverty and Hunger

Universal Education

Gender Equality

Reduce child deaths

Improve Maternal Health

Combat HIV/AIDS, Malaria and other diseases

Ensure environmental sustainability

Improve a global partnership for development

Background - MDGsGoal 4: Reduce child deaths

• 2000 - 2015 witnessed major decline in child mortality

Under five mortality 50% decline between 1990- 2015

Measles cases declined 67% between 2000 and 2013

Measles vaccination helped to prevent nearly 15.6 million deaths

Background - MDGsGoal 5: Improve maternal health

• Maternal Mortality Ratio declined by 45%

• More than 71 % of births were assisted by skilled health personnel in 2014 - an increase from 59 % in 1990

• Contraceptive prevalence among women aged 15 to 49 increased from 55 % in 1990 worldwide to 64% in 2015

Background - MDGsGoal 6: Combat HIV/AIDS, TB & malaria

• New HIV infections fell by approximately 40 % between 2000 and 2013 from an estimated 3.5 million cases to 2.1 million

• By June 2014, 13.6 million people living with HIV were receiving ART globally, an increase from 800,000 in 2003

• ART averted 7.6 million deaths from AIDS between 1995 and 2013

Background - MDGs• Issues identified

Although the health MDGs missed a number of global targets, the overall results were impressive

Limited focus e.g. NCDs not includedLack of attention to strengthening health systemsEmphasis on a “one-size-fits-all” development

approachFocus on aggregated targets than equity

What is next?

Sustainable development has been

a priority for Ban Ki-moon

since he was elected United Nations

Secretary-General on 1 Jan 2007

“The new agenda is a promise by leaders to all people everywhere. It is an agenda for people, to end poverty in all its forms”

What is sustainable development?

• Sustainable development meets the needs of the present without compromising future generations

• 3 core elements must be harmonized: economic growth, social inclusion & environmental protection

• Eradicating poverty in all forms is a prerequisite• Sustainable development calls for an inclusive,

sustainable & resilient future for people & planet

SDGThe new Sustainable Development Agenda

“Transforming Our World: The 2030 Agenda for Sustainable Development” was adopted by the

UN General Assembly in Sep 2015

President pledged full support to Sustainable Development Agenda & pursuance of 17 SDGs to be completed by 2030

SDGs vs MDGs

• Broader• More ambitious than MDGs• Relevant to all countries, all people• Ensures ‘No one is left behind’• Covers the 3 dimensions of sustainable development

EconomicSocialEnvironmental

Transitioning from MDGs to SDGs

MDGs

•UN agencies-led process

•Driven by small group of experts

•Developing country focus: poverty reduction and social development

•8 Goals - 3 for health

•21 Targets - 6 for health

SDGs

•Intergovernmental process •UN in technical advisory role•Highly collaborative process involving all stakeholders•All-country focus: economic, social & environmental pillars of development •17 Goals - 1 for health•169 Targets - 13 for health•230 indicators

On 1 Jan 2016, 17 Sustainable Development Goals officially came into force

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

• One goal with 13 targets by 2030

• 40 health & health-related indicators

Goal 3: Key areas

• Reproductive, maternal, newborn, child & adolescent health• Infectious diseases including HIV, tuberculosis, malaria,

hepatitis & neglected tropical diseases• Non-communicable diseases (NCDs) including heart disease,

cancer & diabetes• Mental health and substance use including narcotics &

harmful use of alcohol• Injuries and violence• Universal health coverage

Health Targets by 20301. Reduce global maternal mortality ratio to less than 70 per 100,000

live births2. End preventable deaths of newborns and children under 5 years of

age3. End the epidemics of AIDS, tuberculosis, malaria and NTDs, combat

hepatitis, water borne diseases and other communicable diseases4. Reduce by 1/3 premature mortality from NCDs5. Strengthen prevention and treatment of substance abuse including

drugs and alcohol6. Halve number of deaths and injuries from road traffic accidents7. Ensure universal access to sexual & reproductive health-care

services

Health Targets by 20308. Achieve universal health coverage9. Reduce deaths and illnesses due to pollution and contamination10. Strengthen implementation of WHO Framework Convention on Tobacco Control11. Support research and development of vaccines and medicines and provide access to affordable essential medicines and vaccines12. Increase health financing and the health workforce 13. Strengthen early warning systems, risk reduction and management of national and global health risks

Goal 3 link to other SDGs

• Goal 1: No poverty• Goal 2: Zero hunger • Goal 4: Ensure inclusive and equitable education• Goal 5: Achieve gender equality and empower all women & girls• Goal 6: Clean water & sanitation for all• Goal 10: Reduced inequalities• Goal 11: Sustainable cities & communities• Goal 12: Climate action• Goal 16: Promote peaceful & inclusive societies for sustainable

development

Next Steps• Individual governments will set their own targets for

achieving the SDGs based on national priorities & agendas

• UN working with the Government of Sri Lanka to establish a monitoring framework for the SDGs

• Sri Lanka has committed to establish a SDG Secretariat to monitor the progress

• All governments due to announce their national targets

Thank you

Challenges

• Ensuring that health is well presented and understood in Planning Commissions & other bodies charged with responsibilities for overseeing the whole SDG agenda

• In parallel, ensuring that the health sector is geared to the new challenges presented by the SDGs

Background - SDG• On 1 Jan 2016, 17 Sustainable Development Goals

officially came into force

Sri Lanka

• Urban population - 18% • Poverty - 4.1% • GDP per capita - 3794.9• Total health expenditure as a share of GDP - 3.5%

Sustainable Development Goals• 17 Goals, 169 Targets and 230 Indicators