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National Department of Health Presentation to the Portfolio Committee on Health Progress towards attaining the Millennium Development Goals (MDS) 30 October 2013. MDG REPORT TO THE UN. The MDGs were adopted by the UN in 2000 Goals are to be met by 31 December 2015
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National Department of HealthPresentation to the Portfolio Committee on HealthProgress towards attaining the Millennium Development Goals (MDS)30 October 2013
MDG REPORT TO THE UN • The MDGs were adopted by the UN in 2000 • Goals are to be met by 31 December 2015 • Countries report to the UN through Heads of State • STATSSA co-ordinates the writing of the national report using verifiable data
The 8 MDGs • To eradicate extreme poverty and hunger • To promote universal primary education • To promote gender equality and empower women • To reduce child mortality • To improve maternal health • To combat HIV/AIDS, malaria and other diseases • To ensure environmental sustainability • To develop a global partnership for the development.
So what will it take the meet the MDG targets? • Focus on the major causes of mortality • Newborns • Prematurity • Infections • Asphyxia • Under 5 • HIV • Diarrhoea • Pneumonia • Severe malnutrition • TB • Maternal mortality • HIV • Hypertension • Haemorrhage
Maternalmortality ratios by year of death: 2002-2010 and the 2015 MDG target
Table: Comparison of Institutional MMR per province from 2008-2012 (NCCEMD)
Key achievements attained in reducing MMR • Improved access to lifelong ART for pregnant women taking antiretrovirals for their own health. • Considerable decline in the Free State within 12 to 18 months by: • Re-organizing their emergency medical services; improving inter facility transfer times. • Realignment of services for caesarean section times.
Non Health MDGs. Integral to improved health outcomes
In Conclusion • Need to consider the impact of the social determinants of health on health outcomes • Many gains have been made – especially since 2009 • However, more work in specific areas are needed to meet the MDGs by 31 December 2015 • Many of these issues should be taken forward past 2015, including a focus on universal health coverage and non-communicable diseases