1 / 30

Rising to the challenges *

Rising to the challenges *. Health-related millennium development goals FETP India. * Source: World Bank publication of the same name. Competency to be gained from this lecture.

Download Presentation

Rising to the challenges *

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Rising to the challenges * Health-related millennium development goals FETP India * Source: World Bank publication of the same name

  2. Competency to be gained from this lecture Understand the importance of millennium development goals to drive targeted, outcome-oriented public health efforts

  3. Key elements • Millennium development goals • Indicators for the goals • Progress towards the goals

  4. Origins of the millennium development goals • United nations summit, 2001 • Endorsement by 147 heads of state • Eight goals • Most of goals directly or indirectly health related • Outcome oriented • 1990-2015 perspective The goals

  5. The millennium development goals • Eradicate extreme poverty and hunger • Achieve universal primary education • Promote gender equality • Reduce child mortality • Improve maternal health • Combat HIV/AIDS, malaria and other diseases • Ensure environmental sustainability • Develop a global partnership for development The goals

  6. Millennium development goals directly related to health • Eradicate extreme poverty and hunger • Achieve universal primary education • Promote gender equality • Reduce child mortality • Improve maternal health • Combat HIV/AIDS, malaria and other diseases • Ensure environmental sustainability • Develop a global partnership for development The goals

  7. Goal1: Eradicate extreme poverty and hunger • Cut by half the proportion of people who suffer from hunger between 1990 and 2015 • Implications: • Average annual reduction of 2.7 percent The goals

  8. Goal 4: Reduce child mortality • Reduce under five mortality by two thirds between 1990 and 2015 • Implications: • Average annual reduction of 4.3 percent The goals

  9. Goal 5: Improve maternal health • Reduce maternal mortality ratio by three quarters between 1990 and 2015 • Implications: • Average annual reduction of 5.4 percent The goals

  10. Goal 6: Combat HIV/AIDS, malaria and other diseases • Halt and begin to reverse the spread of these diseases by 2015 The goals

  11. Goal 7: Ensure environmental sustainability • Cut in half the proportion of people without sustainable access to drinking water by 2015 The goals

  12. Goal 8: Develop a global partnership for development • Provide access to affordable essential drugs in developing countries The goals

  13. Eradicate extreme poverty and hunger: Indicators for goal 1 • Indicators • Prevalence of underweight children < 5 years of age • Proportion of population below minimum level of dietary energy consumption • Core intermediate indicators • Percentage of children 6-59 month of age who received one dose of vitamin A in the past six months • Proportion of infants under six months who are exclusively breastfed Indicators

  14. Reduce child mortality:Indicators for goal 4 • Indicators • Under-five mortality rate • Infant mortality rate • Measles immunization among children under one • Selected additional core intermediate indicator • Proportion of infants under 6 months exclusively breastfed Indicators

  15. Improve maternal health:Indicators for goal 5 • Indicators • Maternal mortality ratio • Proportion of births attended by skilled health personnel • Selected additional core intermediate indicators • Contraceptive prevalence rate • Percentage of women receiving antenatal care Indicators

  16. Combat HIV/AIDS: Indicators for goal 6 • Indicators • HIV prevalence among 15-24 years old pregnant women • Condom use rate of the contraceptive prevalence rate • Number of children orphaned by HIV/AIDS • Additional core intermediate indicators • Percentage of people using a condom during most recent higher risk sexual encounter • Percentage of STI clients who are diagnosed and treated according to guidelines • Percentage of HIV-positive women receiving anti-retroviral treatment during pregnancy to prevent mother to child transmission of HIV Indicators

  17. Combat malaria: Indicators for goal 6 • Indicators • Prevalence and death rate associated with malaria • Proportion of population in malaria risk areas using effective malaria prevention and treatment measures • Additional core intermediate indicators • Percentage of patients with uncomplicated malaria who receive treatment within 24 hours of onset of symptoms • Percentage of children under 5 sleeping under insecticide treated bed nets • Percentage of pregnant women sleeping under insecticide treated bed nets • Percentage of pregnant women who have taken chemoprophylaxis or drug treatment for malaria Indicators

  18. Combat tuberculosis: Indicators for goal 6 • Indicators • Prevalence and death rate associated with tuberculosis • Proportion of tuberculosis cases detected and cured under DOTS • Additional core intermediate indicators • Percentage of estimated new smear-positive tuberculosis cases registered under the DOTS approach Indicators

  19. Ensure environmental sustainability:Indicators for goal 7 • Proportion of population with sustainable access to an improved water source, urban and rural • Proportion of urban population with access to improved sanitation Indicators

  20. Develop a global partnership for development: Indicator for goal 7 • Proportion of population with access to affordable essential drugs on a sustainable basis Indicators

  21. How is the world doing with the millennium development goals? • 80% of the world population lives in countries on track for the target of the malnutrition goal • 38% of countries accelerated the rate of decline of under 5 mortality during the 1990s • Progress for under 5 mortality too slow • Sub-Saharan African countries lagging behind • Poorest countries are the slowest to progress Progress

  22. How is South Asia doing on the millennium development goals? Progress

  23. Goal 1: Progress on eradication of hunger in India, 1990-2001 7 0 % 6 0 % < 5 c h i l d 5 0 % m a l n u t r i t i o n ( % ) 4 0 % Proportion (%) 3 0 % P o p u l a t i o n b e l o w m i n i m u m 2 0 % r e q u i r e m e n t s ( % ) 1 0 % 0 % 1 9 9 0 1 9 9 5 2 0 0 1 Y e a r s Progress Source: World development indicators database, April 2004

  24. Goal 4: Progress on reduction of child mortality in India, 1990-2001 1 4 0 1 2 0 1 0 0 < 5 m o r t a l i t y r a t e 8 0 Rate per 1000 6 0 I n f a n t m o r t a l i t y r a t e 4 0 2 0 0 1 9 9 0 1 9 9 5 2 0 0 1 Y e a r s Progress Source: World development indicators database, April 2004

  25. Goal 5: Progress on improvement of maternal health in India, 1990-2001 0 . 4 5 0 . 4 0 . 3 5 0 . 3 0 . 2 5 B i r t h s a t t e n d e d b y Proportion (%) 0 . 2 s k i l l e d h e a l t h s t a f f 0 . 1 5 0 . 1 0 . 0 5 0 1 9 9 0 1 9 9 5 2 0 0 1 Y e a r s Progress Source: World development indicators database, April 2004

  26. Goal 6: Progress on combating tuberculosis in India, 1995-2002 3 5 % 3 0 % 2 5 % 2 0 % Proportion (%) C a s e d e t e c t i o n 1 5 % 1 0 % 5 % 0 % 1995 1996 1997 1998 1999 2000 2001 2002 Y e a r s Progress Source: World development indicators database, April 2004

  27. Goal 7: Progress on environmental sustainability in India, 1990-2001 9 0 % 8 0 % 7 0 % 6 0 % A c c e s s t o i m p r o v e d 5 0 % w a t e r s o u r c e Proportion (%) 4 0 % A c c e s s t o i m p r o v e d 3 0 % s a n i t a t i o n 2 0 % 1 0 % 0 % 1 9 9 0 2 0 0 1 Y e a r s Progress Source: World development indicators database, April 2004

  28. If they can’t be reached, why do the millennium development goals matter? • Progress can be quickened irrespective of the target • Improvement require a focus on the poor • Goals help focus on outcome to work at all levels • Household • Health system • Communities • Goals remind what can be achieved Progress

  29. Making progress towards the millennium development goals • Use available effective intervention • The technology is here, it must be used • Increase government targeted spending for health • Work across interrelated areas • Combat diseases • Involve donors Progress

  30. Take home messages • The millennium development goals provide guidance towards outcome-oriented inter-related development efforts • Indicators are available to monitor progress towards the goals • Targeted efforts towards effective interventions will make a difference

More Related