New Challenges in Global Health: In the Context of Sustainable Development Goals Health data visualization tools available at IHME

1. New Challenges in Global Health: In
the Context of Sustainable
Development Goals
March 2017
Keiko Ono, Ph.D.
International Christian University Social
Science Research Institute
National Graduate Institute for Policy
Studies

2. Division of Behavioral, Social Science and Education
NATIONAL RESEARCH COUNCIL (2010-2012)
 “Sociology, social epidemiology and social
psychology of aging”
 “Epidemiological transition in sub-Saharan Africa”

3. What is Global Health?
 Public Health in Global Context
 Emphasis on prevention and health promotion
 Emphasis on population rather than individuals

4. Overview of today’s presentation
 New priorities in global health
 Global health goals in MDG and SDG
 Health inequity snapshots (IM and MMR)
 “Global Burden of Disease” project
 Progress toward SDG
 Health and demographic surveillance
 Accra, Ghana (2010)

5. Global health, health crises…What
comes to your mind?

6. Global health, health crises…What comes to your mind?
In an increasingly connected world, health concerns are becoming more global, too.
Center for Disease
Control and Prevention.
Ebola virus.
CFR

7. Context
Shifting Priorities in Global Health
 Socio-economic progress
 Used to advance health
 Now possibly detrimental effect
 Changing nature of health inequity
 Transition from communicable to non-
communicable disease (NCD)
 Aging population
 Medicine to policy
 Universal Health Coverage (UHC)

8. Health Goals in the Millennium Development
Goals and Sustainable Development Goals

9. Global Health in the UN Millennium
Development Goals (2000-2015)
1. Eradicate Extreme Poverty and Hunger
2. Achieve Universal Primary Education
3. Promote Gender Equality and Empower Women
4. Reduce Child Mortality
5. Improve Maternal Health
6. Combat HIV/AIDS, Malaria, and other Diseases
7. Ensure Environmental Sustainability
8. Global Partnership for Development

10. UN Millennium Goals ‘scorecard’ spotlights successes, gaps and path towards ‘the future we want’
http://www.un.org/apps/news/story.asp?NewsID=48212#.WMJZkdIrIXA

11. UN Millennium Goals ‘scorecard’ spotlights successes, gaps and path towards ‘the future we want’
http://www.un.org/apps/news/story.asp?NewsID=48212#.WMJZkdIrIXA

12. UN Millennium Goals ‘scorecard’ spotlights successes, gaps and path towards ‘the future we want’
http://www.un.org/apps/news/story.asp?NewsID=48212#.WMJZkdIrIXA

13. UN Millennium Goals ‘scorecard’ spotlights successes, gaps and path towards ‘the future we want’
http://www.un.org/apps/news/story.asp?NewsID=48212#.WMJZkdIrIXA

14. UN Millennium Goals ‘scorecard’ spotlights successes, gaps and path towards ‘the future we want’
http://www.un.org/apps/news/story.asp?NewsID=48212#.WMJZkdIrIXA

15. STALLED PROGRESS IN REDUCING MATERNAL MORTALITY
RATIO IN INDONESIA
MERY KESUMA (2017)

16. Global Health in Sustainable
Development Goals (2015-)
http://www.un.org/sustainabledevelopment/sustainable-development-goals/

17. SDG3. Ensure healthy lives and
promote well-being for all at all
ages. (2015-)
 A universal response to the failure to meet MDG
health goals

18. Why SDG Health goals and targets
are important
Global health inequity
 Health is important in itself
 Health is critical for human capital development
and productive life

19. SDG HEALTH GOALS
 Reduce maternal mortality
 Reduce child mortality
 Control infectious diseases
 Improve mental health
 Control substance abuse
 Reduce traffic accident mortality and injuries
 Universal access to reproductive healthcare
 Universal health insurance coverage
 Health financing
 Capacity building

20. Visualizing Health Inequity
What are some of the key performance
indicators in health?
To compare across
 Countries
 Sub-national units (e.g. states or prefectures)
 Time
 Demographic groups (e.g. men and women, young
and old)

21. Infant mortality as one of the KPIs.
Compare countries to different points in history
of Japan

22. SDG goal (25)
World today (42)

23. MMR IN JAPAN, HISTORICAL
http://www.mhlw.go.jp/shingi/2008/11/dl/s1120-11n_0002.pdf
MMR is even
lower than
this in some
Western
European
countriesSDG goal (70)
World today (210)

24. Visualizing Health Inequity and
Progress toward SDG targets
 “Global Burden of Disease”
 Originally a WHO project
 Brainchild of Christopher Murray (M.D.) and
Alan Lopez (epidemiologist)
 Now a part of the Institute for Health Metric and
Evaluation
 Let’s take a look at country profiles of COD
(communicable vs. NCD) and progress toward
SDG

28. SDG TRACKER

29. Accra, Ghana

30. Accra, Ghana

31. Accra, Ghana

32. Dodowa Health Research Centre. Health and
demographic surveillance site.

33. Health clinic in Dodowa, Ghana

34. Infectious diseases still claim many lives.

41. Dodowa, Ghana

42.  http://data.worldbank.org/indicator/SH.DTH.NC
OM.ZS?view=map (NCD mortality as % of all
deaths)
 http://www.healthdata.org/data-
visualization/mdg-viz MDG achievement
by country
 http://www.healthdata.org/data-
visualization/health-related-sdgs SDG
 http://www.healthdata.org/data-
visualization/gbd-compare Compare