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Millennium Development Goals 2015

Feb 12, 2018

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    MillenniumDevelopment Goals

    Dr. Sampatha Goonewardena

    2015

    22ndBatch

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    At the end of the session, the studentshould be able to :

    describe the background for the PrimaryHealth Care PHC! and Millennium

    Development Goal MDG! concept describe the concept and components of

    PHC and MDG

    "ist the components of MDGChallenges to achieve the MDG

    #ustainable Development Goals #DG!

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    Background

    $ne%uities in the provision of health care services

    Disparities bet&een

    Developed and underdeveloped countries 'rban and (ural populations

    (ich and Poor

    Curative and Preventive health care services

    Among different ethnic groups

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    )*++ (esolution at the -.th/orld HealthAssembly

    01he main social target of governments and /H2 in the comingdecades should be the attainment by all citi3ens of the &orld by theyear 4... of a level of health that &ill permit them to lead a sociallyand economically productive life5

    )*+6 Alma Ata declaration and acceptance of

    the goal of Health for All H7A! by 4...

    AD 8*6. 9ational #trategies for H7A &ere

    formulated by #ri "anka

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    Primary Health Care no&n as ;ssential Health Care

    Consists of 6 basic components ;ducation about prevailing health problems and

    methods of preventing and controlling them

    Promotion of food supply and proper nutrition Ade%uate supply of safe &ater and basic sanitation

    Maternal and Child Health care including familyplanning

    $mmuni3ation against infectious diseases

    Prevention and control of endemic diseases

    Appropriate treatment of common diseases and in

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    "ate )**.=s 1argets of the MDG &ere set

    out

    "ate 4... Member states of 'nited

    9ations unanimously adopted

    the Millennium Declaration

    A Blueprint for Progress

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    hat i! "illennium De#elopment Goal!Goals> commonly accepted as a frame&ork for

    measuring development progress outcome!

    Guide for planning and implementation of

    development efforts globally

    Provide a benchmark for eradicating poverty

    Set standards for monitoring progress towards

    achieving the benchmarks

    Creates opportunities for people at national andlocal levels to connect with a larger global

    movement

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    Component! o$ "DG

    6 Goals

    4) 1argets ?y year 4.)@

    ) $ndicators

    Progress to&ards the 6 goals is measured bythe above targets and indicators

    ?aseline as )**.

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    Goal!

    ;radicate eBtreme poverty and hunger

    Achieve universal primary education

    Promote gender e%uality and empo&er &omen

    (educe child mortality $mprove maternal health

    Combat H$A$D#, malaria and other diseases

    ;nsure environmental sustainability Develop a global partnership for development

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    Goal 1 % &radicate e'treme po#erty

    and hunger

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    Goal 1 % &radicate e'treme po#erty

    and hunger

    Millions of people live in eBtreme poverty and hunger

    )E) billion people live on less than F) a day

    Mostly in African and Asian region

    ;ven in Developed &orld ) in every children live belo&the national poverty line

    arget ! " #alve between !$$% and &%!'( the proportion ofpeople whose income is less than one dollar per day

    arget & ) #alve between !$$% and &%!'( the proportion of

    people who suffer from hunger

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    Goal 2 % (chie#e uni#er!al Primary

    education

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    ;ducation is developmentCreates choices and opportunities, reduces the

    t&in burden of poverty and diseaseGives stronger voice in society?y year 4..), over ).. million children never

    attended schoolMost @+! &ere girls, * in developing

    countries

    arget * " +nsure that( by &%!'( childreneverywhere( boys and girls alike( will be able to

    complete a full course of primary schooling

    Goal 2 % (chie#e uni#er!al Primary

    education

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    Goal ) % Promote gender e*uality

    and empower women

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    Gender ine%ualities have important negativeimplications for development outcomes andfamilies= &ell>being

    /omen and girls are discriminated

    /omen=s status has improved in recent decades

    #till, "ot needs to be done888

    arget , " +liminate gender disparity in primaryand secondary education preferably by &%%'and in all levels of education no later than &%!'-

    Goal ) % Promote gender e*uality

    and empower women

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    Goal + % ,educe child

    mortality

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    More than ). million children die each year in

    developing countries Ma ) in )4 dies before @ th

    birthday $n developed countries> ) in )@4 dies before @ th?=day

    arget ' " .educe by two)thirds( between !$$%and &%!'( the under five mortality rate-

    Goal + % ,educe child mortality

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    Goal 5 % -mpro#e maternal

    health

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    /orld&ide, @. million &omen suffer from poor

    reproductive health and serious pregnancy relatedillness and disability

    ;very year @..,... &omen die from complications ofpregnancy and childbirth

    Most die in Africa and AsiaAfrica ) in ) lifetime risk of dying ;urope ) in 4... risk of dying

    arget / " .educe by three)0uarters( between!$$% and &%!'( the maternal mortality ratio-

    Goal 5 % -mpro#e maternal health

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    Goal % H-/(-DS malaria

    and other di!ea!e!.

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    H$ A$D#, 1? and malaria &orld=s biggestkillers

    Greatest impact in poor countries and poorpeople

    arget 1 " #ave halted by &%!' and begun toreverse the spread of #234A25S

    arget 6 " #ave halted by &%!' and begun toreverse the incidence of malaria and otherma7or diseases-

    Goal % H-/(-DS malaria and

    other di!ea!e!.

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    Goal % &n!ure en#ironmental

    !u!taina3ility

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    ;nvironment provides goods and services that sustainhuman development

    $mproved &ater and sanitation reduce child mortality

    ?etter drainage reduces malaria

    arget $ " 2ntegrate the principles of sustainabledevelopment into country policies and program andreverse the loss of environmental resources-

    arget !% " #alve( by &%!'( the proportion of peoplewithout sustainable access to safe drinking water andbasic sanitation-

    Goal % &n!ure en#ironmental

    !u!taina3ility

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    Cont 4Goal

    arget !! " #ave achieved( by &%&%( asignificant improvement in the lives of at least

    !%% million slum dwellers

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    Goal 6 % De#elop a glo3al

    partner!hip $or de#elopment.

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    More generous aid to countries committed to povertyreduction

    MDG is most effective &hen developing countries anddonors are committed to effective development

    strategies

    arget !& ) 5evelop further an open( rule)based(predictable( nondiscriminatory trading and

    financial system 82ncludes a commitment( andpoverty reduction)both nationally andinternationally9

    Goal 6 % De#elop a glo3al partner!hip

    $or de#elopment.

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    arget !* " Address the special needs of the

    least developed countries-

    arget !, " Address the special needs oflandlocked developing countries and small

    island developing states-

    arget !' " 5eal comprehensively with the debt

    problems of developing countries through

    national and international measures in

    order to make debt sustainable in the long term

    Cont 4Goal 6

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    arget !/ " 2n cooperation with developingcountries( develop and implement strategies

    for decent and productive work for youth-

    arget!1 " 2n cooperation with pharmaceuticalcompanies( provide access to affordable(essential drugs in developing countries

    arget !6 " 2n cooperation with the private sector(make available the benefits of new technologies(especially information and communications-

    Cont 4Goal 6

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    Health related "illennium De#elopment

    Goal! 4 "DG! 7 8arget! 9 -ndicator!

    Goal 8arget -ndicator

    ) ;radicateeBtremePoverty andHunger

    4 Halve bet&een )**. and 4.)@ ,theproportion of people &ho sufferfrom hunger

    I Prevalence of under&eight children under@ years of age

    @ Proportion of the population belo&minimal level or dietary energyconsumption

    JI

    (educe ChildMortality

    @ (educe by t&o thirds bet&een )- 'nder>five mortality rate

    )**. and 4.)@, the under fivemortality rateE

    )I $nfant mortality rate>special emphasis onneonatal mortality

    )@ Proportion of )>year>old childrenimmuni3ed against measles

    J@

    maternalhealth

    (educe by three %uarters, bet&een)**. and 4.)@ , the maternalmortality ratio

    ) Maternal mortality ratio

    )+ Proportion of births attended by skilledhealth personnel

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    Goal 8arget -ndicator

    CombatH$A$D#,Malaria, Kotherdiseases

    + Have halted by 4.)@ andbegun toreverse the spread ofH$A$D#

    )6 H$ prevalence among pregnant &omen aged )@>4Iyears

    )* Condom use rate of the contraceptive prevalence rate

    4. (atio of school attendance of orphans to schoolattendance of non orphans aged).>)I years

    6 Have halted by4.)@ and begunto reverse theincidence of

    a!Malaria

    4)a $ncidence of Malaria per )..,... populationE

    4)b Deaths associated &ith Malaria

    44 Proportion of population in malaria>risk areas using

    effective malaria prevention and treatment measures

    b!1uberculosis

    4-a $ncidence of 1? per )..,... population

    4-b Death rates per )..,... associated &ith 1?

    4I Proportion of 1? cases detected and Cured using D21#

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    Goal 8arget -ndicator

    + ;nsure;nvironmental#ustainability

    * $ntergrate the principles ofsustainable development intocountry policies and programmesand reverse the loss ofenvironmental resourcesE

    4* Proportion of population using solidfuels

    ). Halve by 4.)@, the proportion ofpeople &ithout sustainable access

    to safe drinking &ater andsanitation

    -. Proportion of population &ithsustainable

    access to an improved &atersource,urbaan and rural

    -) Proportion of population &ithaccess toimproved sanitation

    6 Develop aglobalpartnership fordevelopment

    )+ $n co>operation &ithphamarceuticalcompanies,provide accesstoaffordable essential drugs indeveloping countries

    I Proportion of population &ithaccess toaffordable drugs

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    Health -ndicator! in the "illennium De#elopment Goal! 4"DG! % Sri :anka.-ndicator Benchmark 8arget $or 2015

    Prevalence of underweight children

    < 5 years

    29.40% 20%

    Under 5 mortality rate Under 5 mortality rate 4.4/000

    !o!ulation

    "/000 under 5

    !o!ulation

    #nfant mortality rate 2.2/000 $ 9/000 $

    of ) year>old immuni3ed againstmeasles

    *.E). **

    Maternal mortality ratio I+).. ... "? 4I).. ... "?

    births attended by skilled healthpersonal

    *+ **

    H$ prevalence among )@>4I year oldpregnant &omen

    #ee ?elo& ) >

    Condom use rate of the contraceptiveprevalence rate

    -E+. IE@.

    Proportion of children orphaned by H$A$D#

    #ee ?elo& 4 >

    Prevalence and death rate associated&ith Malaria

    #ee ?elo& - J to have halted by4.)@, and begun toreverse the spread ofMalaria

    population in Malaria risk areas usingeffective Malariapreventive measures

    #ee ?elo& I >

    Prevalence and death rates associated&ith 1?

    #ee ?elo& @ J have halted by 4.)@and begun to reversethe spread of 1?

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    1 (! Sri :anka i! H-/ low re#alence countr H-/ re#alence amon the (ntenatal Po ulation i! not !creened $or

    -ndicator Benchmark 8arget $or 2015

    of 1? cases detected and cured underdirectly observedtreatment short course D21!

    +- >

    population using solid fuels #ee ?elo& >

    population &ith sustainable access toan improved &atersource

    *-E*. )..

    population &ith access to improvedsanitation

    +@EI. )..

    population &ith access to affordableessential drugs on asustainable basis of hospital &ith access to +@ of theessential drugs on asustainable basis!

    +@ )..

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    ;radicate eBtreme poverty and hunger

    Achieve full : productive : decent work for all( includingwomen and young people

    Goal @> $mprove maternal health

    Achieve by &%!'( universal access to reproductive health

    Goal > Combat H$A$D#, malaria and other diseases

    Achieve by &%!%( universal access to treatment for

    #234A25S for all who need it

    ;nsure envE #ustainability

    .educe biodiversity loss achieving by &%!%( a significant

    reduction in the rate of loss

    Some organi?ation! helping to

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    Some organi?ation! helping to

    achie#e the "DG

    7ood and Agriculture 2rgani3ation 7A2! $nternational ;nergy Agency $;A! $nternational "abour 2rgani3ation $"2! $nternational Monetary 7und $M7!

    $nter Parlimentary 'nion $P'! $nternational 1elecommunication 'nion $1'! 'nited 9ations '9 Agencies /orld Conservation 'nion /orld Health 2rgani3ation /H2!

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    he ;5G have shown that we can make

    profound differences in people Secretary General ? Ban @i) ;oon