The document discusses healthcare for a sustainable society. It defines a sustainable society and outlines the UN Millennium Development Goals (MDGs) established in 2000 to combat issues like poverty, hunger, disease, and environmental degradation by 2015. The goals focus on eradicating extreme poverty and hunger, improving health, education, gender equality, and the environment. Health is interdependent with and influences achieving all the MDGs. The document focuses on health-related MDGs and metrics to measure progress, and argues establishing a sustainable healthcare model requires commitment from governments, organizations, and communities.

1. Healthcare for Sustainable Society
Koç University - Kyoto University International Symposium
on
“Innovative and Sustainable Development”
İstanbul, September 8, 2011
Murat Dayanıklı, MD, MPH, MBA

2. Healthcare for Sustainable Society
 How can we define sustainable society?
 able to maintain or keep going, as an action or process
 balanced population growth
 optimum life expectancy at birth
 acceptable health status
 physical, biological and mental well-being
 improved quality of life
 continued effectiveness, efficiency and productivity
 all of the above

3. Healthcare for Sustainable Society
 Exactly 11 years ago today, all 191 UN member states signed the
Millenium Declaration to combat issues that risk sustainable
society.
 poverty
 hunger
 disease
 illiteracy
 environmental degradation
 discrimination against women

4. Healthcare for Sustainable Society
 With such a declaration, the UN has established Millenium
Development Goals to achieve by the year 2015.
 eradicate extreme poverty and hunger
 achieve universal primary education
 promote gender equality and empower women
 reduce child mortality
 improve maternal health
 combat HIV/AIDS, malaria, and other diseases
 ensure environmental sustainability
 develop a global partnership for development

5. Healthcare for Sustainable Society
 MDGs are inter-dependent; all MDGs influence health and health
influences all MDGs.
 better health enables children to learn and adults to earn
 gender equality is essential to the achievement of better health
 reducing poverty, hunger and environmental degradation positively influences, but
also depends on, better health
"The biggest enemy of health in the developing world is poverty."
Kofi Annan

6. Healthcare for Sustainable Society
 For today’s discussion purposes, we will primarily focus on health
related MDGs (1/2).
MDG 1: Hunger
Children aged <5 years underweight (%)
Children aged <5 years stunted (%)
MDG 4: Child Mortality
Under-five mortality rate (probability of dying by age 5 per 1000 live births)
Infant mortality rate (probability of dying between birth and age 1 per 1000 live births)
Measles immunization coverage (percentage immunized among 1-year-olds)
MDG 5: Maternal Health
Maternal mortality ratio (per 100 000 live births)
Births attended by skilled health personnel (%)
Contraceptive prevalence rate (percentage among women aged 15-19)
Adolescent fertility rate (per 1000 girls aged 15-19 years)
Antenatal care coverage rate (at least one visit)
Unmet need for family planning (%)
MDG 6: HIV/AIDS, Malaria and Other Diseases
HIV prevalence (percentage among adults aged 15 to 49)
Condom use at last high-risk sex (percentage among adults aged 15 to 49)
Population with comprehensive correct knowledge of HIV/AIDS (percentage among adults aged 15 to 24)
Antiretroviral therapy coverage among people with advanced HIV (%)

7. Healthcare for Sustainable Society
 For today’s discussion purposes, we will primarily focus on health
related MDGs (2/2).
MDG 6: HIV/AIDS, Malaria and Other Diseases (cont'd)
Deaths due to malaria (per 100 000 population per year)
Children sleeping under insecticide-treated nets (%)
Children with fever who received treatment with any antimalarial (%)
Incidence of tuberculosis (per 100 000 population per year)
Prevalence of tuberculosis (per 100 000 population per year)
Deaths due to tuberculosis among HIV-negative people (per 100 000 population per year)
TB case detection rate (%)
TB treatment success rate (%)
MDG 7: Environment Sustainability
Population using improved drinking-water sources (%)
Population using improved sanitation facilities (%)
MDG 8: Global Partnership for Development
Median availability of selected generic medicines (%)
Median consumer price ratio of selected generic medicines

11. Maternal and reproductive health

12. Maternal and reproductive health

14. Estimated deaths due to malaria
per 1000 population, 2006

15. Estimated mortality of TB cases (all forms,
ecluding HIV) per 100 000 population, 2009

16. Population using improved drinking-water
sources (%): Urban, 2008

17. Population using improved sanitation facilities
(%): Urban, 2008

18. Healthcare for Sustainable Society
 Developed by UNDP, Human Development Index includes almost
all of MDGs to measure country-specific performance.
 as the 17th largest economy in the world, Turkey should go back to drawing board to
improve 83rd ranking among 169 countries

19. Healthcare for Sustainable Society
 For sustainable society, we should also concentrate on health
related issues that are not listed as MDGs.
Health financing
Service delivery
Health workforce
Essential health technologies
Essential medicines
Environmental health
Occupational health
Noncommunicable dieases
Immunization for communicable diseases
Epidemic prone diesases
Neglected tropical diseases
Road safety
Violence
Nutrition control
Alcohol control
Tobacco control

20. Healthcare for Sustainable Society
 Establishing healthcare model for sustainable society needs
commitment, discipline, multidisiciplinary approach,
determination, allocation of funds, and innovation.
 ministries of health
 other government departments
 business society
 donor organizations
 civil society groups
 communities themselves

21. Healthcare for Sustainable Society
 To learn more about this topic, please visit the following sites.
 http://www.un.org/millennium/declaration/
 http://www.who.int/topics/millennium_development_goals/
 http://apps.who.int/ghodata/
 http://www.who.int/research/en/
 http://www.who.int/hdp/
 http://hdr.undp.org/en/statistics/
 http://hdr.undp.org/en/media/HDR_2010_EN_Readers_reprint.pdf