Accelerating progress towards the health-related Millennium Development Goals
|
|
- Cori Morrison
- 6 years ago
- Views:
Transcription
1 Accelerating progress towards the health-related Millennium Development Goals The critical role of the national health policy & strategy in strengthening health systems and delivering effective interventions in an integrated approach to accelerate progress towards the health MDGs, with a special focus on the health of women and children.
2 The Millennium Development Goals In September 2000, 189 heads of state adopted the UN Millennium Declaration and endorsed a framework for development. The plan was for countries and development partners to work together to reduce poverty and hunger, and tackle ill health, lack of education, gender inequality, lack of access to clean water and environmental degradation. Eight Millennium Development Goals (MDGs) were established, with targets for 2015, and indicators to monitor progress. Three MDGs relate directly to health; to reduce child mortality by two thirds (MDG 4), to reduce maternal deaths by three quarters and achieve universal access to reproductive health (MDG 5), and to halt and reverse the spread of HIV/AIDS, achieve universal access to treatment for HIV/AIDS by 2010, and halt and reverse the incidence of malaria and other major diseases (MDG 6). Other MDGs have an indirect influence on health; MDG 1 has a target of halving the proportion of people who suffer from hunger; MDG 7 includes a target of halving the proportion of the population without sustainable access to safe drinking water and basic sanitation; and MDG 8 has a target to provide access to affordable essential drugs in developing countries. Primary education (MDG 2) and empowering women (MDG 3) also lead to health gains. MDG goals, targets and indicators are interdependent measures of progress. They are not meant to limit priorities in health, nor define how programmes should be organized and funded. 2
3 Progress is being made, but huge challenges remain Progress The MDGs have been a powerful force in the fight to reduce poverty and inequity Health is at the centre of the development agenda. All the MDGs influence health, and all causes of ill-health affect the achievement of the MDGs The focus on specific goals has spurred innovation new tools, new ways of doing business and new resources Progress is being made, but is unequal and fragile Challenges Conflict-affected and fragile states are furthest away from achieving the MDGs More efforts and investment are necessary to prevent set backs, and to accelerate progress towards the MDGs Better data are key the lack of investment in health information systems at country level to assess achievements is a significant problem Time is short urgent action is needed 3
4 Health-related MDGs the scorecard 4 The number of children dying before their fifth birthday fell by 30% from 12.4 million in 1990 to 8.8 million in 2008, but diarrhoea and pneumonia still kill 3 million children a year. 40% of child deaths occur in the first month of life most in the first week. Undernutrition is an underlying cause in about one third of child deaths. 99% of maternal deaths occur in developing countries. In Africa and South-East Asia less than 50% of women receive skilled care during childbirth. A woman in the wealthiest quintile is three times more likely to have a skilled birth attendant at the time of delivery than a woman in the poorest quintile. Bleeding and high blood pressure cause over 50% of deaths in pregnancy and child birth. Contraceptive prevalence in developing countries increased from 50% in 1990 to 62% in New HIV infections declined by 16% between 2000 and million of the 9.5 million people who need ARV therapy do not have access to treatment. The proportion of women receiving ARV treatment in pregnancy to prevent mother to child transmission of HIV increased by 10% to 45% between 2007 and of 108 malarious countries reduced malaria cases by 50% or more between 2000 and The global incidence of TB has declined since 2004, but the estimated number of multidrugresistant cases increased to in Noncommunicable diseases and injuries caused an estimated 33 million deaths in developing countries in countries representing 66% of the world s population do not have reliable cause of death statistics.
5 Health MDGs scorecard for WHO Regions Under 5 mortality per 1000 live births Measles immunization % coverage Maternal mortality per live births Skilled birth attendant % births Contraceptive use % married women aged HIV/AIDS prevalence % adults aged Malaria mortality per population TB treatment success rate % Water % using improved sources Sanitation % using improved facilities World Africa Americas Eastern Mediterranean Europe South-East Asia Western Pacific on track insufficient progress off track Data from World Health Statistics
6 Review of progress reveals clear priorities Women and children are at the centre of efforts to achieve the MDGs. Rapid reduction of maternal and newborn deaths is the most urgent and obvious priority. Ensuring safe child birth is the greatest challenge. Success requires access to effective interventions across the life course. Rapid progress in delivering these interventions is limited by the capacity of health care delivery systems. Efforts are needed to strengthen health systems and to address the broader social and economic determinants of the health of women and children. Continuing investment in the fight against HIV/AIDS, malaria, TB, neglected tropical diseases and noncommunicable diseases is important in its own right and as a means of improving the health of women and children. The UN Secretary-General has called for a Joint Action Plan to Improve the Health of Women and Children. 6
7 Women and children are at the centre of efforts to achieve the MDGs Maternal mortality ratio by WHO region Child mortality at global level Africa Americas Eastern Mediterranean Europe South-East Asia Western Pacific Probability of dying by age 5 per 1000 live births Trend Goal Actual Goal per live births Maternal mortality in 2005: estimates developed by UNFPA, UNICEF, WHO and the World Bank. Geneva, World Health Organization, 2007; 7
8 National health policy & strategy is the basis for improving health outcomes Better health outcomes depend on effective interventions delivered by better health systems. Better health requires coherent policies and a comprehensive approach that also addresses the social, environmental and economic determinants of ill-health. Outcomes, interventions, programmes and systems come together in a robust national health policy & strategy. Systems that seek synergies between programmes get better results and can accelerate progress towards the MDGs. The national health policy & strategy links an analysis of needs and current performance with future objectives and priorities and details of the financial and institutional arrangements needed to achieve them. Development of a national health policy & strategy must be country-led and requires an inclusive process of consultation to ensure democratic ownership of the product. There is an urgent need to align external support around the national health policy & strategy to reduce fragmentation and the burden on countries. 8
9 Linking policy to outcomes Policy framework National health policy & strategy National health system Interventions & programmes Better health outcomes National National development policy and plan Poverty reduction strategy Legislative framework Global Millennium Declaration and Development Goals Primary Health Care reforms Paris declaration on aid effectiveness Abuja declaration (2001) International Health Regulations (2005) Framework Convention on Tobacco Control The comprehensive national health plan which describes the context, needs and priorities structure and governance functions and financing targets and monitoring Based on the Three Ones; one plan one coordinating framework one monitoring system Service delivery & infrastructure Health workforce Health information Medical products Financing Leadership & governance Counselling and education Clinical interventions e.g. diagnosis and treatment of disease Protective interventions e.g. vaccination Enabling environment e.g. water and sanitation, public health legislation Socioeconomic interventions e.g. housing, education Reduced mortality and morbidity Reduced risks and threats to health Reduced inequities in health Improved health of women and children 9
10 Strengthening health systems A health system consists of all the organizations, institutions, resources and people whose primary purpose is to improve health. The six building blocks of a health system are health services and infrastructure, the health workforce, a health information system, medical products, vaccines & technologies, health financing, and leadership & governance. A well functioning health system responds in a balanced way to the population s health needs and expectations by addressing key constraints in the six building blocks, to provide equitable access to people-centred care, with a special focus on women, girls and children. Coverage of interventions that depend on a functioning health care system, such as skilled care during delivery, tends to be lower than interventions delivered through specific programmes, such as immunization. Therefore, a comprehensive range of effective public health and clinical interventions, targeted at mothers, newborn and children, delivered in an integrated approach, is urgently needed to improve the health of women and children. There is a direct relationship between the ratio of health workers to population and survival of women during childbirth and children in early infancy. Sub-Saharan Africa has 11% of the world s population, 24% of the global burden of disease, but only 3% of the world s health workers. 10 A monitoring and evaluation plan with mechanisms to assess quality of care, monitor progress against indicators and targets, and measure health system performance is essential for accountability.
11 Women and children are dipping in and out of the health care system PRE-PREGNANCY PREGNANCY BIRTH POSTNATAL CHILDHOOD ADOLESCENCE ADULT / OLDER AGE 100 Percentage at least 1 ANC visit Skilled birth attendant Measles Full immunization Pneumonia care at least 4 ANC visits BCG DPT ORT Family planning 11
12 Delivering effective interventions over the life course to improve health Health systems are designed to deliver a set of effective clinical and public health interventions over the life course to achieve better health outcomes. Interventions can be grouped into five tiers; counselling & education; clinical interventions; protective interventions; enabling environment; and socioeconomic interventions. Creating an enabling environment and socioeconomic interventions have the greatest population impact, such as legislation to promote safe driving, and efforts to reduce poverty and increase employment. Some preventive and clinical interventions also have a population impact, such as vaccination and treatment of communicable diseases. Counselling and education require the greatest individual effort, such as advice to stop smoking. Essential protective and clinical interventions such as immunization and treatment of disease are necessary but insufficient to reach the MDGs addressing socioeconomic factors and creating an enabling environment is crucial. Different interventions often contribute to multiple outcomes and frequently have linkages to one another. For example, immunization can be bundled with growth monitoring, distribution of bed nets, micronutrient supplements and other interventions for mothers and children. Many highly effective interventions that have a significant impact on the health of women and children are the severely under-resourced. 12 Based on: Frieden TR A Framework for Public Health Action: The Health Impact Pyramid. Am J Public Health 2010; 100:
13 Delivering effective interventions over the life course PRE-PREGNANCY PREGNANCY BIRTH POSTNATAL CHILDHOOD ADOLESCENCE ADULT / OLDER AGE Counselling and education Clinical interventions Protective interventions Family planning Promoting breastfeeding Sexual & reproductive health counselling Promotion of healthy life style (alcohol, diet, smoking, physical activity, etc.) Diagnosis and treatment of HIV/AIDS, TB, Malaria, NTDs, and other infectious diseases Antenatal care Safe delivery Postpartum and newborn care Preventing mother-to-child transmission of HIV Intermittent preventive malaria treatment Immunization Management of childhood illness Sexual & reproductive health counselling Early detection, diagnosis and treatment of NCDs: cardiovascular disease, diabetes, cancer and asthma Growth monitoring Family planning Vit A, micronutrients Cancer screening De-worming and other preventive treatment for NTDs Increasing individual effort needed Increasing population impact Enabling environment Socioeconomic interventions Insecticide-treated nets and indoor residual spraying Safe water and improved sanitation Reducing stigma and discrimination Providing facilities, parks, cycle ways to encourage physical activity Better nutrition including policies to reduce salt, trans fats and sugar in foods Road safety, including speed controls, motorcycle helmets, seat belts, drink-driving laws, and child seats Health legislation including tobacco taxation, smoke free workplace, licensing of doctors, hospitals, pharmacies and labs, food, etc. Housing Education Employment Early childhood development Empowerment of women and gender equity Note: this is not a comprehensive list of all health interventions to achieve the MDGs 13
14 Financing for the MDGs should promote sustainability and enhance fairness 14 The facts Direct out-of-pocket payments prevent millions of people from using needed services and can lead to impoverishment. People can be protected from financial hardship through national health financing policies that promote pooling of risk and resources. Extending health protection through insurance and tax-financed systems aims to achieve universal coverage. Most expenditure for the MDGs will continue to come from domestic sources. The poorest and least stable countries will continue to need external aid for the foreseeable future. Aid for health must be predictable, aligned with nationally-defined priorities, provided in ways that minimize transaction costs, designed to enhance sustainability and limit dependency on external funds. The evidence A basic package of health services costs US$ per person per year. Low-income countries currently spend on average US$ 25 per person per year on health, of which US$ 10 is out of pocket expenditure. In 47 countries, out of pocket payments account for over 50% of total health expenditure. 100 million people are driven below the poverty line every year due to catastrophic health care payments. Spending on health in low-income countries needs to increase from US$ 31 billion now to US$ billion by Development assistance for health increased from US$ 6.8 billion in 2000 to US$ 16.7 billion in External resources in low-income countries have increased from 12% of total health expenditure in 2000 to 17% in 2006.
15 Estimated financial gap for 49 low-income countries Billions (US$) 50 Tuberculosis Scale up period Programme costs for other health topics US$ 9 billion Programme costs for women s & children s health US$ 5 billion Malaria HIV/AIDS Other essential drugs Childhood illness Immunization Maternal health Family planning Human resources 10 Health systems costs US$ 31 billion Infrastructure Supply chain / logistics Health info systems Governance / regulation Health financing Note: additional resources are needed to meet the funding gap in high burden middle income countries Source: WHO and Taskforce on Innovative Financing for Health Systems,
16 Conclusions The MDGs have been a powerful force in the fight to reduce poverty and inequity. Progress towards the health MDGs is being made, but is unequal and fragile. The need to reduce maternal and newborn deaths emerges as the most urgent and obvious priority. Improving the health of women and children requires (a) effective interventions; (b) health systems to deliver those interventions; and (c) policies & strategies that set out how the resources needed to deliver results will be mobilized and deployed. A comprehensive national health policy & strategy is therefore the foundation for improving the health of women and children. The national health policy & strategy identifies health system and programme needs to deliver effective interventions that achieve health outcomes. There is an urgent need to increase investment in the health of women and children... and to align financial and technical support with the national health policy & strategy. World Health Organization All rights reserved. WHO/DGO/2010.2
Achieving the health-related Millennium Development Goals in the Western Pacif ic Region
Achieving the health-related Millennium Development Goals in the Western Pacif ic Region 2010 1 4 5 6 7 8 These Millennium Development Goals are a promise of world leaders. They re a blueprint to help
More informationMonitoring of the achievement of the health-related Millennium Development Goals
SIXTY-THIRD WORLD HEALTH ASSEMBLY WHA63.15 Agenda item 11.4 21 May 2010 Monitoring of the achievement of the health-related Millennium Development Goals The Sixty-third World Health Assembly, Having considered
More informationSPECIAL EVENT ON PHILANTHROPY AND THE GLOBAL PUBLIC HEALTH AGENDA. 23 February 2009, United Nations, New York Conference Room 2, 3:00 p.m. 6:00 p.m.
SPECIAL EVENT ON PHILANTHROPY AND THE GLOBAL PUBLIC HEALTH AGENDA 23 February 2009, United Nations, New York Conference Room 2, 3:00 p.m. 6:00 p.m. ISSUES NOTE Improving the Health Outcomes of Women and
More informationMonitoring the achievement of the health-related Millennium Development Goals
SIXTY-SIXTH WORLD HEALTH ASSEMBLY A66/13 Provisional agenda item 14.1 14 May 2013 Monitoring the achievement of the health-related Millennium Development Goals Report by the Secretariat 1. In response
More information2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030
S T A T E M E N T 2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030 World leaders commit to reach three goals and 20 new Fast-Track Targets
More informationBackground. Proposed to develop a framework for action. Address by Foreign Minister Koumura
July 2008 Ministry of Foreign Affairs of Japan Background Address by Foreign Minister Koumura Global Health and Japan s Foreign Policy From Okinawa to Toyako (25 November 2007) Special Address by Prime
More informationToyako Framework for Action on Global Health - Report of the G8 Health Experts Group -
Toyako Framework for Action on Global Health - Report of the G8 Health Experts Group - 8 July 2008 This report is the recommendation from the G8 Health Experts Group to the G8 leaders. I Introduction 1.
More informationStrategies for Achieving the Health Millennium Development Goals (MDGs) in Your Country
Strategies for Achieving the Health Millennium Development Goals (MDGs) in Your Country Stephanie Ferguson, PhD, RN, FAAN Associate Professor and Director, Community Nursing Organization School of Nursing
More informationAchieve universal primary education
GOAL 2 Achieve universal primary education TARGET Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete a full course of primary schooling Considerable progress has
More informationEnding preventable maternal and child mortality
REGIONAL COMMITTEE Provisional Agenda item 9.3 Sixty-ninth Session SEA/RC69/11 Colombo, Sri Lanka 5 9 September 2016 22 July 2016 Ending preventable maternal and child mortality There has been a significant
More informationTHE GLOBAL STRATEGY FOR WOMEN S, CHILDREN S AND ADOLESCENTS HEALTH ( )
THE GLOBAL STRATEGY FOR WOMEN S, CHILDREN S AND ADOLESCENTS HEALTH (2016-2030) SURVIVE THRIVE TRANSFORM AT A GLANCE SURVIVE THRIVE TRANSFORM The Global Strategy for Women s, Children s and Adolescents
More informationPart I. Health-related Millennium Development Goals
11 1111111111111111111111111 111111111111111111111111111111 1111111111111111111111111 1111111111111111111111111111111 111111111111111111111111111111 1111111111111111111111111111111 213 Part I Health-related
More informationMeeting the MDGs in South East Asia: Lessons. Framework
Meeting the MDGs in South East Asia: Lessons and Challenges from the MDG Acceleration Framework Biplove Choudhary Programme Specialist UNDP Asia Pacific Regional Centre 21 23 23 November 2012 UNCC, Bangkok,
More informationLatest Funding Trends in AIDS Response
Latest Funding Trends in AIDS Response 20 th International AIDS Conference Melbourne, Australia J.V.R. Prasada Rao United Nations Secretary-General s Special Envoy for AIDS in Asia and the Pacific 21 July
More informationGLOBAL HEALTH SPESIALISERING IN. Austen Davis
GLOBAL HEALTH SPESIALISERING IN SAMFUNNSMEDISIN 16.02.2016 Austen Davis SUSTAINABLE DEVELOPMENT GOALS THE POST 2015 AGENDA Where do we come from? 14 th C quarantine Tropical Health International Health
More informationOkinawa, Toyako, and Beyond: Progress on Health and Development
Okinawa, Toyako, and Beyond: Progress on Health and Development Prof. Michel D. Kazatchkine Executive Director The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations University, Tokyo,
More informationMATERNAL HEALTH IN AFRICA
MATERNAL HEALTH IN AFRICA This Fact Sheet was prepared in January 2013 for the Summit of CARMMA (Campaign on Accelerated Reduction of Maternal, New Born and Child Mortality in Africa) in Addis Ababa Where
More informationCountdown to 2015: tracking progress, fostering accountability
Countdown to 2015: tracking progress, fostering accountability Countdown to 2015 is a global movement to track, stimulate and support country progress towards achieving the health-related Millennium Development
More informationChildren and AIDS Fourth Stocktaking Report 2009
Children and AIDS Fourth Stocktaking Report 2009 The The Fourth Fourth Stocktaking Stocktaking Report, Report, produced produced by by UNICEF, UNICEF, in in partnership partnership with with UNAIDS, UNAIDS,
More informationWhy do we need SD goals on climate change, environment and health
Why do we need SD goals on climate change, environment and health Roberto Bertollini, M.D, MPH Chief Scientist and WHO Representative to the EU World Health Organization Joint DEVE-ENVI public hearing
More informationThe Sustainable Development Goals: The implications for health post Ties Boerma, Director of Information, Evidence and Research, WHO, Geneva
The Sustainable Development Goals: The implications for health post-2015 Ties Boerma, Director of Information, Evidence and Research, WHO, Geneva Outline SDGs: general process and features 2030 Agenda:
More informationGIVING BIRTH SHOULD NOT BE A MATTER OF LIFE AND DEATH
GIVING BIRTH SHOULD NOT BE A MATTER OF LIFE AND DEATH Updated with technical feedback December 2012 Every day, almost 800 women die in pregnancy or childbirth Almost all of these women 99 per cent live
More informationustainable Development Goals
26 April 2018 ustainable Development Goals Peter Okoth enya Pediatric Association Conference 3-27 April 2018 ombasa, Kenya UNICEF/UNI197921/Schermbrucker MDG Global Achievements: The Benefits of Global
More informationDRAFT: Sexual and Reproductive Rights and Health the Post-2015 Development Agenda
DRAFT: Sexual and Reproductive Rights and Health the Post-2015 Development Agenda This draft working paper considers sexual and reproductive health and rights in the context of the post- 2015 framework.
More information11 Indicators on Thai Health and the Sustainable Development Goals
11 11 Indicators on Thai Health and the Sustainable Development Goals 11 Indicators on Thai Health and the Sustainable Development Goals The Post -2015 Development Agenda began upon completion of the monitoring
More informationBalance Sheets 1. CHILD HEALTH... PAGE NUTRITION... PAGE WOMEN S HEALTH... PAGE WATER AND ENVIRONMENTAL SANITATION...
Balance Sheets A summary of the goals, gains and unfinished business of the 1990-2000 decade as included in the Report of the Secretary-General, 'We the Children: End-decade review of the follow-up to
More informationIntegrating family planning and maternal health into poverty alleviation strategies
08_XXX_MM1 08_XXX_MM2 Integrating family planning and maternal health into poverty alleviation strategies Dr Michael Mbizvo Director a.i., Department of Reproductive Health and Research (RHR) World Health
More informationThe road towards universal access
The road towards universal access Scaling up access to HIV prevention, treatment, care and support 22 FEB 2006 The United Nations working together on the road towards universal access. In a letter dated
More informationHEALTH. Sexual and Reproductive Health (SRH)
HEALTH The changes in global population health over the last two decades are striking in two ways in the dramatic aggregate shifts in the composition of the global health burden towards non-communicable
More informationKey Messages for World Malaria Day 2009
INFORMATION RBM/WG/2009/INF.12 10 APR 2009 Draft document General distribution English Only Key Messages for World Malaria Day 2009 Counting Malaria Out to Reaching the 2010 Targets On the occasion of
More informationXV. THE ICPD AND MDGS: CLOSE LINKAGES. United Nations Population Fund (UNFPA)
XV. THE ICPD AND MDGS: CLOSE LINKAGES United Nations Population Fund (UNFPA) A. INTRODUCTION A global consensus emerged at the Millennium Summit, where 189 world leaders adopted the Millennium Declaration
More informationAddressing Global Reproductive Health Challenges
Addressing Global Reproductive Health Challenges Amb. Dr. Eunice Brookman-Amissah, MB.ChB, FWACP, FRCOG Vice President for Africa, Ipas United Nations Commission on Population and Development 13 April
More informationCARE S PERSPECTIVE ON THE MDGs Building on success to accelerate progress towards 2015 MDG Summit, September 2010
CARE S PERSPECTIVE ON THE MDGs Building on success to accelerate progress towards 2015 MDG Summit, 20-22 September 2010 MDG Goal 5: Improve Maternal Health Target 1: Reduce by three-quarters, between 1990
More informationSEA-FHR-1. Life-Course. Promoting Health throughout the. Department of Family Health and Research Regional Office for South-East Asia
SEA-FHR-1 Promoting Health throughout the Life-Course Department of Family Health and Research Regional Office for South-East Asia the health and development of neonates, children and adolescents
More informationBangladesh Resource Mobilization and Sustainability in the HNP Sector
Bangladesh Resource Mobilization and Sustainability in the HNP Sector Presented by Dr. Khandakar Mosharraf Hossain Minister for Health and Family Welfare Government of the People's Republic of Bangladesh
More informationFAST-TRACK COMMITMENTS TO END AIDS BY 2030
FAST-TRACK COMMITMENTS TO END AIDS BY 2030 FAST-TRACK COMMITMENTS TO END AIDS BY 2030 90-90-90 1 Ensure that 30 million people living with HIV have access to treatment through meeting the 90 90 90 targets
More informationEconomic and Social Council
United Nations E/CN.6/2010/L.6 Economic and Social Council Distr.: Limited 9 March 2010 Original: English ADOPTED 12 March 2010 ADVANCE UNEDITED VERSION Commission on the Status of Women Fifty-fourth session
More information2017 PROGRESS REPORT on the Every Woman Every Child Global Strategy for Women s, Children s and Adolescents Health
PROGRESS IN PARTNERSHIP 2017 PROGRESS REPORT on the Every Woman Every Child Global Strategy for Women s, Children s and Adolescents Health EXECUTIVE SUMMARY Globally, the health and well-being of women,
More informationAgenda Implications for Health. Elena Villanueva Olivo Global Health Policy Forum- October 2015
Agenda 2030 Implications for Health Elena Villanueva Olivo Global Health Policy Forum- October 2015 Strengths MDG Framework 2 Concrete measurable goals and targets Influenced political discourse at highest
More informationTB 2015 burden, challenges, response. Dr Mario RAVIGLIONE Director
TB 2015 burden, challenges, response Dr Mario RAVIGLIONE Director Addis Ababa, Ethiopia 11-13 November 2015 Overview TB basics TB burden & challenges Response: End TB Strategy DAY 1 What is TB? Definition
More informationPriorities for achieving Millennium Development Goals (MDGs) 4 and 5 in the European Region
Priorities for achieving Millennium Development Goals (MDGs) 4 and 5 in the European Region Zsuzsanna Jakab WHO Regional Director for Europe A big challenge Globally every year 7.6 million children die
More informationExecutive Board of the United Nations Development Programme and of the United Nations Population Fund
United Nations DP/FPA/CPD/MOZ/7 Executive Board of the United Nations Development Programme and of the United Nations Population Fund Distr.: General 18 October 2006 Original: English UNITED NATIONS POPULATION
More informationCancer prevention and control in the context of an integrated approach
SEVENTIETH WORLD HEALTH ASSEMBLY A70/32 Provisional agenda item 15.6 13 April 2017 Cancer prevention and control in the context of an integrated approach Report by the Secretariat 1. In January 2017, the
More informationHIV/AIDS in East Asia
HIV/AIDS in East Asia Yonsei University Graduate School of Global Health Sohn, Myong Sei Epidemiology Global summary of the AIDS epidemic, 2008 Number of people living with HIV in 2008 Total Adults Women
More informationWorld Health Organization. A Sustainable Health Sector
World Health Organization A Sustainable Health Sector Response to HIV Global Health Sector Strategy for HIV/AIDS 2011-2015 (DRAFT OUTLINE FOR CONSULTATION) Version 2.1 15 July 2010 15 July 2010 1 GLOBAL
More informationFinancing for Family Planning: Options and Challenges
Repositioning Family Planning and Reproductive Health in the region. Financing for Family Planning: Options and Challenges BASINGA Paulin, MD,MSc, PhD Senior Lecturer School of Public Health National University
More informationThe Unfinished Agenda in Global Health. Richard Skolnik
The Unfinished Agenda in Global Health Richard Skolnik Objectives Objectives: What do poor people in poor countries get sick and die from? What are the risk factors for this burden of disease? What can
More informationThe Investment Framework
The Investment Framework - What is it and why is it important? - How do the different pieces fit together. - emtct Costs. - Next steps. Robin Jackson jacksonr@unaids.org What is the investment framework
More informationOPERATIONAL FRAMEWORK. for the Global Strategy for Women s, Children s and Adolescents Health
OPERATIONAL FRAMEWORK for the Global Strategy for Women s, Children s and Adolescents Health Every Woman Every Child 2016 OPERATIONAL FRAMEWORK for the Global Strategy for Women s, Children s and Adolescents
More informationLinkages between Sexual and Reproductive Health and HIV
Linkages between Sexual and Reproductive Health and HIV Manjula Lusti-Narasimhan Department of Reproductive Health and Research World Health Organization The HIV pandemic 25 years 1981 2006 Rationale for
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 12 July 2011 Original:
More informationThe Strategy Development Process. Global Fund and STOP TB Consultation Istanbul, Turkey 24 July 2015
The Strategy Development Process Global Fund and STOP TB Consultation Istanbul, Turkey 24 July 2015 Structure of the current 2012-16 Global Fund Strategy The 2012-16 Global Fund Strategy.. States a forward
More informationMonitoring the Health-Related Sustainable Development Goals (SDGs)
Background paper for the regional technical consultation on: Monitoring the Health-Related Sustainable Development Goals (SDGs) 9 10 February 2017, SEARO, New Delhi, India Introduction to the Sustainable
More informationENDING AIDS, TB AND MALARIA AS EPIDEMICS
ENDING AIDS, TB AND MALARIA AS EPIDEMICS A SMART INVESTMENT In 2000, AIDS, tuberculosis and malaria appeared to be unstoppable. In many countries, AIDS devastated an entire generation, leaving countless
More informationSafe Motherhood: Helping to make women s reproductive health and rights a reality
Safe Motherhood: Helping to make women s reproductive health and rights a reality What is the greatest threat to a woman s life and health in developing countries? Complications of Pregnancy & Childbirth
More informationPROGRESS REPORT ON CHILD SURVIVAL: A STRATEGY FOR THE AFRICAN REGION. Information Document CONTENTS
29 June 2009 REGIONAL COMMITTEE FOR AFRICA ORIGINAL: ENGLISH Fifty-ninth session Kigali, Republic of Rwanda, 31 August 4 September 2009 Provisional agenda item 9.2 PROGRESS REPORT ON CHILD SURVIVAL: A
More informationThe road towards universal access
The road towards universal access JAN 2006 Issues Paper Requests... that the UNAIDS Secretariat and its Cosponsors assist in facilitating inclusive, country-driven processes, including consultations with
More informationProgress report on. Achievement of the Millennium Development Goals relating to maternal and child health
Regional Committee for the EM/RC52/INF.DOC.4 Eastern Mediterranean July 2005 Fifty-second Session Original: Arabic Agenda item 4 (d) Progress report on Achievement of the Millennium Development Goals relating
More informationThe Global Fund & UNICEF Partnership
The Global Fund & UNICEF Partnership Prof Michel D. Kazatchkine Executive Director UNICEF Executive Board February 9 th, 2011 The Global Fund Millennium Development Goals 1. Eradicate extreme poverty and
More informationDEVELOPMENT. The European Union confronts HIV/AIDS, malaria and tuberculosis. A comprehensive strategy for the new millennium EUROPEAN COMMISSION
DEVELOPMENT The European Union confronts HIV/AIDS, malaria and tuberculosis A comprehensive strategy for the new millennium EUROPEAN COMMISSION DE 121 FEB 2004 A global challenge Every minute, 11 people
More informationCross-cutting HSS (Health Systems Strengthening): Experience from WPRO
Cross-cutting HSS (Health Systems Strengthening): Experience from WPRO Momoe Takeuchi WHO WPRO/Health Services Development Kunhee Park WHO Lao PDR/MCH INTEGRATING RMNCH CONSULTANTS TRAINING FOR GLOBAL
More informationPopulation Council Strategic Priorities Framework
Population Council Strategic Priorities Framework For 65 years, the Population Council has conducted research and delivered solutions that address critical health and development issues and improve lives
More informationGood Health & Well-Being. By Alexandra Russo
Good Health & Well-Being By Alexandra Russo SDG 3 Goal 3 aims to ensure healthy living and promote well-being for all at all ages There are 9 targets associated with SDG 3 The targets encompass a wide
More informationProgress on the targets of Millennium Development Goal 6 in central and eastern Europe and central Asia
Progress on the targets of Millennium Development Goal 6 in central and eastern Europe and central Asia 11 October 2011 Moscow, Russian Federation Zsuzsanna Jakab WHO Regional Director for Europe Millennium
More informationWPR/RC68/7 page 7 ANNEX
page 7 ANNEX DRAFT Regional Framework for the Triple Elimination of Mother-to-child Transmission of HIV, Hepatitis B and Syphilis in Asia and the Pacific 2018 2030 page 8 page 9 Table of Contents Abbreviations....
More informationImproving Nutrition Through Multisectoral Approaches
Improving Nutrition Through Multisectoral Approaches Health Undernutrition and health linkages Undernutrition is the single greatest cause of child deaths in most low-income and lower middle-income countries.
More informationReduction of child and maternal mortality in South-East Asia Region WHO-SEARO. UNESCAP Forum, New Delhi: 17 Feb 2012
Reduction of child and maternal mortality in South-East Asia Region WHO-SEARO 1 1 Progress in MDG 4 in SEAR Country Under 5 Mortality 2010 Target U5MR MDG 4 Status MDG4: Reduction of U5MR by two thirds
More informationThe Millennium Development Goals. A Snapshot. Prepared by DESA based on its annual Millennium Development Goals Report
The Millennium Development Goals A Snapshot Prepared by DESA based on its annual Millennium Development Goals Report New York, March 2010 Eradicate extreme poverty and hunger Halve the proportion of people
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 12 July 2011 Original:
More informationFor more information about the final programme, speakers or the EHFG conference please contact us directly!
For more information about the final programme, speakers or the EHFG conference please contact us directly! SAVE THE DATE! 18th EHFG: 30 September 02 October 2015 Getting to zero How we could be the generation
More informationCountry Health System Fact Sheet 2006 Angola
Population Total fertility rate (per woman) Adolescent fertility proportion Adult literacy rate Net primary school enrolment ratio Gross national income per capita Population living below the poverty line
More informationUHC. Moving toward. Ghana NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES. Public Disclosure Authorized
Public Disclosure Authorized Public Disclosure Authorized Moving toward UHC Ghana NATIONAL INITIATIVES, KEY CHALLENGES, AND THE ROLE OF COLLABORATIVE ACTIVITIES re Authorized Public Disclosure Authorized
More informationOUTCOME AND IMPACT LEVEL INTERVENTION LOGIC & INDICATORS HEALTH SECTOR WORKING PAPER: DRAFT - OCTOBER 2009
EC EXTERNAL SERVICES EVALUATION UNIT OUTCOME AND IMPACT LEVEL INTERVENTION LOGIC & INDICATORS HEALTH SECTOR WORKING PAPER: DRAFT - OCTOBER 2009 This working paper outlines a set of indicators at the outcome
More informationENDING AIDS, TB AND MALARIA AS EPIDEMICS
ENDING AIDS, TB AND MALARIA AS EPIDEMICS A SMART INVESTMENT In 2000, AIDS, tuberculosis and malaria appeared to be unstoppable. In many countries, AIDS devastated an entire generation, leaving countless
More informationGLOBAL STATISTICS FACT SHEET 2015
FACT SHEET 2015 GLOBAL STATISTICS 15.8 people accessing antiretroviral therapy (June 2015) 36.9 [34.3 41.4 ] people globally were living with HIV (end 2014) 2 [1.9 2.2 ] people became newly infected with
More informationAssessment of G8 Commitments on Maternal, Newborn and Child Health
Assessment of G8 Commitments on Maternal, Newborn and Child Health Robin Lennox Researcher, G8 Research Group June 13, 2010 In January 2010, Canadian prime minister Stephen Harper announced that maternal,
More informationWHO Library Cataloguing-in-Publication Data. World health statistics 2011.
WORLD HEALTH STATISTICS 2011 WHO Library Cataloguing-in-Publication Data World health statistics 2011. 1.Health status indicators. 2.World health. 3.Health services - statistics. 4.Mortality. 5.Morbidity.
More information~Health and Development Initiative~
~Health and Development Initiative~ Global Issues Division International Cooperation Bureau Ministry of Foreign Affairs, Japan March 2007 More than 10 million children
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 15 April 2011 Original:
More informationSaving children and mothers
Saving children and mothers child survival & development programme UNICEF South Africa/Blow Fish UNICEF South Africa/Schermbrucker South Africa s progress in healthcare The Statistics Under-five 62/1,000
More informationEconomic and Social Council
United Nations Economic and Social Council Distr.: General 18 November 2014 Original: English Economic and Social Commission for Asia and the Pacific Asia-Pacific Intergovernmental Meeting on HIV and AIDS
More informationCatalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030
Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030 Introduction The Catalytic Framework to End AIDS, TB and Eliminate Malaria in Africa by 2030 provides an overarching policy framework
More informationCOMMITMENTS IN SUPPORT OF HUMANITARIAN AND FRAGILE SETTINGS,
COMMITMENTS TO THE EVERY WOMAN EVERY CHILD GLOBAL STRATEGY FOR WOMEN S CHILDREN S AND ADOLESCENTS HEALTH (2016-2030): COMMITMENTS IN SUPPORT OF HUMANITARIAN AND FRAGILE SETTINGS, 2015-2017 The Every Woman
More informationAfrican Health Development & Financing Parliamentary Policy & Budget Action Plan
AfricanHealthDevelopment&Financing ParliamentaryPolicy&BudgetActionPlan AdoptedBytheNetworkofAfricanParliamentariansforHealthDevelopment&Financing 1 UNECAConferenceCentre.September9,2009.AddisAbaba,Ethiopia
More informationMALAWI STATEMENT BY HIS EXCELLENCY CHARLES MSOSA PERMANENT REPRESENTATIVE OF THE REPUBLIC OF MALAWI TO THE UNITED NATIONS AT THE
MALAWI STATEMENT BY HIS EXCELLENCY CHARLES MSOSA PERMANENT REPRESENTATIVE OF THE REPUBLIC OF MALAWI TO THE UNITED NATIONS AT THE 47 th SESSION OF THE UNITED NATIONS COMMISSION ON POPULATION AND DEVELOPMENT
More informationProgress report on the achievement of the health-related Millennium Development Goals and global health goals after 2015
Regional Committee for the Eastern Mediterranean Fifty-ninth session Provisional agenda item 2 (c) EM/RC59/INF.DOC.3 July 2012 Progress report on the achievement of the health-related Millennium Development
More informationPlan of Action Towards Ending Preventable Maternal, Newborn and Child Mortality
1 st African Union International Conference on Maternal, Newborn and Child Health Plan of Action Towards Ending Preventable Maternal, Newborn and Child Mortality Thematic area Strategic Actions Results
More informationLAO PEOPLE'S DEMOCRATIC REPUBLIC
COUNTRY HEALTH INFORMATION PROFILE LAO PEOPLE'S DEMOCRATIC REPUBLIC WESTERN PACIFIC REGION HEALTH BANK, 2011 Revision Demographics 1 Area (1 000 km2) 236.80 2009 1 2 Estimated population ('000s) 6128.00
More informationOn the way to. the Millennium Development Goals
On the way to the Millennium Development Goals 2015 Goal 1: Eradicate Extreme Poverty and Hunger 1.A: Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar a day Proportion
More informationnamibia Reproductive Health at a May 2011 Namibia: MDG 5 Status Country Context
Country Context May 211 In its Vision 23, Namibia seeks to transform itself into a knowledge economy. 1 Overall, it emphasizes accelerating economic growth and social development, eradicating poverty and
More informationMillennium Development Goals: At a Glance
Millennium Development Goals: At a Glance MDG 1 ERADICATE EXTREME POVERTY & HUNGER Halve, between 1990 and 2015, the proportion of people whose income is less than $1 a day Achieve full and productive
More informationThis brief analyses investments by OECD Development Assistance Committee (DAC) donors in six policy areas
Financing the unfinished business of gender equality and women s rights: priorities for the post-215 framework March 214 This brief analyses investments by OECD Development Assistance Committee (DAC) donors
More informationThe World Bank: Policies and Investments for Reproductive Health
The World Bank: Policies and Investments for Reproductive Health Sadia A Chowdhury Coordinator, Reproductive and Child Health, The World Bank Bangkok, Dec 9, 2010 12/9/2010 2 Maternal Mortality Ratio (MMR):
More informationInvesting for a Malaria-Free World
Investing for a Malaria-Free World Recent years have seen extraordinary advances in the fight against malaria, but the gains are fragile and unevenly distributed. Victory against the malaria parasite would
More informationDella R Sherratt, Senior International Midwifery Adviser & Trainer/ International SBA Coordinator Lao PDR, GFMER RHR Course, UHS, September 2009
Della R Sherratt, Senior International Midwifery Adviser & Trainer/ International SBA Coordinator Lao PDR, GFMER RHR Course, UHS, September 2009 Grateful Acknowledgements to Dr Saramma Mathai Regional
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 29 September 2011 Original:
More informationOptions for meeting Myanmar s commitment to achieving MDG 5
Options for meeting Myanmar s commitment to achieving MDG 5 Dr. Saramma Thomas Mathai Regional Team Coordinator and MH Advisor UNFPA Asia Pacific Regional Office, Bangkok Development Policy Options in
More informationINVESTING FOR A MALARIA-FREE WORLD
INVESTING FOR A MALARIA-FREE WORLD Recent years have seen extraordinary advances in the fight against malaria, but the gains are fragile and unevenly distributed. Victory against the malaria parasite would
More informationCompletion rate (upper secondary education, female)
Annex C. Country profile indicators and data sources Indicator Data source Global database Demographics and contextual factors Demographics Total population Total under-5 population Total adolescent (10
More informationGlobal health sector strategies on HIV, viral hepatitis and sexually transmitted infections ( )
Regional Committee for Europe 65th session EUR/RC65/Inf.Doc./3 Vilnius, Lithuania, 14 17 September 2015 2 September 2015 150680 Provisional agenda item 3 ORIGINAL: ENGLISH Global health sector strategies
More information