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The Action. At the Millennium Summit in September 2000, the largest gathering of world leaders in history adopted the Millennium Declaration , committing their nations to reduce poverty; improve health; and promote peace, human rights, and environmental sustainability.
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The Action • At the Millennium Summit in September 2000, the largest gathering of world leaders in history adopted the Millennium Declaration, committing their nations to reduce poverty; improve health; and promote peace, human rights, and environmental sustainability. • The Millennium Development Goals set out a mutual commitment between developed and developing countries to make sustained progress towards achieving this vision. • Specifically, the Millennium Development Goals aim to reduce poverty, reduce mortality, fight disease and hunger, get girls and boys in school, empower women and give more people access to safe water. African countries need to make the most progress if they are to meet these Goals. www.unmillenniumproject.org
The Millennium Development Goals Goal 1: Eradicate extreme poverty and hunger Goal 2: Achieve universal primary education Goal 3: Promote gender equality and empower women Goal 4: Reduce child mortality Goal 5: Improve maternal health Goal 6: Halt and begin to reverse the spread of HIV/AIDS, malaria and other diseases Goal 7: Ensure environmental sustainability Goal 8: Develop a Global Partnership for Development • The MDGs are the world’s first shared set of integrated, quantitative and time-bound goals for poverty reduction www.unmillenniumproject.org
The UN Millennium Project Task Forces www.unmillenniumproject.org
2005: The Breakthrough Year There is still enough time to meet the MDGs – though barely. With a systematic approach over the next decade, many countries now dismissed as too poor or too far off track could still achieve the Goals, but only if the world moves urgently with specific, scaled-up actions. Immediate action is needed to train of enough doctors and engineers, strengthen service delivery capacity, and construct improved infrastructure. To launch the decade of bold ambition towards 2015, several worldwide initiatives are needed to translate the Goals from ambition to action: Identify fast-track countries Prepare MDG-based poverty reduction strategies Launch a global human resource training effort Launch the Quick Win initiatives Engage middle-income countries in the challenge of meeting the MDGs Developing country governments should adopt MDG-based poverty reduction strategies bold enough to meet the Millennium Development Goal (MDG) targets for 2015, and these strategies should anchor the scaling up of public investments, capacity building, domestic resource mobilization, and official development assistance. LAUNCHING A DECADE OF BOLD AMBITION www.unmillenniumproject.org
Priority Interventions Although far from comprehensive, some Quick Wins could bring vital gains in well-being to millions of people and start countries on the path to the Goals. With adequate resources, some Quick Wins include (SRH-relevant Quick Wins are marked in red): • Eliminating school and uniform fees to ensure that all children, especially girls, are not out of school because of their families’ poverty. • Providing impoverished farmers in Sub-Saharan Africa with affordable replenishments of soil nitrogen and other soil nutrients. • Providing free school meals for all children using locally produced foods with take-home rations. • Training large numbers of village workers in health, farming, and infrastructure (in one-year programs) to ensure basic expertise and services in rural communities. • Distributing free, long-lasting, insecticide-treated bed-nets to all children in malaria-endemic zones to cut decisively the burden of malaria. • Eliminating user fees for basic health services in all developing countries, financed by increased domestic and donor resources for health. www.unmillenniumproject.org
Priority Interventions Although far from comprehensive, some Quick Wins could bring vital gains in well-being to millions of people and start countries on the path to the Goals. With adequate resources, some Quick Wins include: • Expanding access to sexual and reproductive health information and services, including family planning and contraceptive information and services, and closing existing funding gaps for supplies and logistics. • Expanding the use of proven effective drug combinations for AIDS, tuberculosis, and malaria. For AIDS, this includes successfully completing the 3 by 5 initiative to bring antiretrovirals to 3 million people by 2005. • Setting up funding to finance community-based slum upgrading and earmark idle public land for low-cost housing. • Providing access to electricity, water, sanitation, and the Internet for all hospitals, schools, and other social service institutions using off-grid diesel generators, solar panels, or other appropriate technologies. • Launching national campaigns to reduce violence against women. • Establishing an office of science advisor to the president or prime minister to consolidate the role of science in national policymaking. www.unmillenniumproject.org
Resources needed for the MDGs The UN Millennium Project has discovered that the cost of meeting the MDGs is less than what wealthy nations have already promised to contribute in development assistance. • At the Monterrey Financing for Development Conference in 2002, world leaders pledged “to make concrete efforts towards the target of 0.7%” of their GNP in international aid. In today’s dollars, that would amount to almost $200 billion. • In 2003, total aid from the 22 richest countries to the world’s developing countries was $69 billion—a shortfall of $130 billion dollars from the 0.7% promise. • The cost of supporting countries to meet the Goals would require donors to increase ODA to 0.44% of GNPby 2006 (or $135 billion) and to plan for a scale-up to 0.54% by 2015 (or $195 billion). • This means that of the combined rich world GNP of approximately $30 trillion dollars, only an average of $150 billion a year would be enough to get the world on track to ending extreme poverty throughout the world. www.unmillenniumproject.org
SRH Messages & Recommendations • Ensuring access to sexual and reproductive health information and services, including voluntary family planning, is essential for achieving the Millennium Development Goals • Gender equality is essential for achieving the MDGs. And, gender equality cannot be achieved without guaranteeing women’s and girls’ sexual and reproductive health and rights • There are strong links between rapid population growth, high fertility, ill-timed pregnancies and poverty – a demographic-related poverty trap exists. And, indeed, demographic trends affect development prospects • Health systems are needed to ensure universal access to health services, and SRH programs need to be integrated into functioning health systems • Linkages exist between conflict, poverty and demography • Partnering between government, donors, civil society organizations and the private sector is essential Key SRH recommendations in UN Millennium Project reports www.unmillenniumproject.org
SRH and the MDG Monitoring Framework Recommended SRH Target: Universal access to reproductive health services by 2015 through the primary health care system, ensuring the same rate of progress or faster amongst the poor and other marginalized groups Recommended SRH Indicators: Contraceptive prevalence rate (currently Goal 6, recommended to Goal 5) HIV prevalence among 15-24 year old women (Goal 6) Proportion of births attended by skilled birth attendants (Goal 5) Proportion of demand for family planning satisfied (Goals 3 and 5) Adolescent fertility rate (Goals 3 and 5) Availability of emergency obstetric care (Goal 5) These indicators are recommended for measuring together the systematic impact on women’s ability to bring into effect their stated fertility preferences and to have safe, voluntary and healthy sexual and reproductive lives and parenthood. Recommendations for an additional SRH-relevant target and indicators (Recommended by the Task Forces on Maternal/Child Health and Gender Equality) www.unmillenniumproject.org