How to accelerate achieving the MDGs

1. Adapted from a presentation given at
APHA Annual conference 2012
SAN FRANCISCO
Title Page
Millennium Development Goals:
Challenges
Elvira Beracochea, MD. MPH.
President
elvira@midego.com
www.midego.com

2. Learning objectives
1. Discuss how to accelerate the achievement
of the MDGs
2. Propose ways to make global health projects
more effective

3. Helping the helpers
• Innovation and improvement to public health systems in
developing countries is essential to achieve MDGs 4 and 5 and
most of the other MDGs.
• Most of the innovation is funded by foreign donors through
global health aid programs. Countries pay for health staff
salaries and operating costs and do not invest in innovation,
staff development or continuous improvement programs.
• The involvement of local health professionals in the forefront of
any intervention is essential to sustain results.
• the support they get through these programs is still limited and
piecemeal leading to unsustainable results in many cases.

4. Helping the helpers
Three effective ways:
1.Country Leadership,
2.Career Development
3.Organizational Development

5. Effective help
1. Country leaders:
1.How can I help you?
2.Credit is to be shared 80/20
2. Career development
1. What do you want to achieve in your career?
2. Here is how you can plan your career to achieve
your goals…
3. Organizational Development:
1.Patient flow
2.Jointly set new performance standards to deliver
better healthcare

6. What is an effective global
health project?
1. Focused on measurable results
2. Accountable for progress towards those results
3. Respects country ownership by design
4. Simplifies interventions to strengthen systems
5. Sets the pace of change
6. Sets the example in taking action
7. Consistently transfers knowledge, activities and responsibility
to country’s institutions and organizations

7. Thank you
For more information, visit
www.midego.com
To start to effectively implement global
health projects, visit our website and
download:
“The Integrated Global Health Starter
Program”

8. REFERENCES
• Dr. Elvira Beracochea, Health for All
NOW, MIDEGO 2008
• Beracochea E. , Evans D, Weinstein C.
Rights Based Approaches to Public
Health, Springer 2010