This slide consist of information about the achievement of Nepal in MDG and target of Suistainable development goals focusing Goal 3 Health

1. MDG and
SDG
Bishnu Subedi
Rakshya Sharma

2. Millennium
Development
Goals
Bishnu
Subedi

3. What are the Millennium Development
Goals?
• The Millennium Development Goals (MDGs) are eight goals which
was to be achieved by 2015 that respond to the world's main
development challenges.
• The MDGs are drawn from the actions and targets contained in the
Millennium Declaration that was adopted by 189 nations-and signed
by 147 heads of state and governments during the
UN Millennium Summit in September 2000.

4. The Millennium Declaration focused on peace, security
and development concerns comprising environment,
human rights and good governance.
What is new about the MDGs is setting of targets under
each goal, a joint meeting of UN Secretariat, and
specialized UN agencies, the World Bank, IMF and
OECD.
MDGs
(2000-2015) – 8 Goals,
21 Targets, 60 indicators

6. Health concern of MDGs
• MDGs place health at the heart of development
• 3 of 8 goals are directly related to health,
• 8 of the 18 targets are required to achieve these
goals, and
• 18 of 48 indicators of the progress are health
related

7. Goal. 4 Target Indicators
Reduce child
mortality
Reduce by two-thirds,
between 1990 and 2015,
the under-five mortality
rate
Under-five mortality rate
Infant mortality rate
Proportion of 1 year old
children immunized
against measles
7

8. Achievements on reducing under 5
mortality in Nepal,
Indicator 2000 2015 2015 Target
IMR(per 1000 live births 64 33 36
Under-five mortality rate (per 1,000
live births)
91 38 54
Proportion of one-year-old children
immunized against measles
71 92.6 >90
We
achieved
it
8

9. Goal. 5 Target Indicators
Improve maternal
health
Reduce by three
quarters,
, the maternal mortality
Ratio
Achieve, by 2015,
universal access to
reproductive health.
Maternal mortality
ratio
Proportion of births
attended by skilled
health personnel
9

10. Indicator 2000 2015 2015 target
Maternal mortality ratio (per 100,000 live
births)
415 258 213
Contraceptive prevalence rate (modern
methods) (percent)
35 49.6 67
Proportion of births attended by skilled birth
attendant (percent)
11% 55.6 60
ANC coverage
• At least one visits
• At least four visits
48%
14%
68.3%
59.5%
100
80
We
partially
achieved
it
Nepal received a Millennium Development Goal (MDG) award for its
outstanding national leadership, commitment and progress toward
achievement of improved maternity health goal under the MDG-5.
10

11. Goal. 6 Target Indicators
Combat with HIV/AIDS,
malaria and other
diseases
Have halted by 2015, and
begun to reverse, the
spread of HIV/AIDS
Achieve, by 2010,
universal access to
treatment for HIV/AIDS
for all those who need it.
HIV prevalence among
15-24 year old pregnant
women
Contraceptive prevalence
rate
Number of children
orphaned by HIV/AIDS
11

12. Goal.6 Target Indicators
Combat with
HIV/AIDS,
malaria and
other
diseases
Have halted by 2015,
and begun to reverse,
the incidence of
malaria and other
major diseases
• Prevalence and death rates associated
with malaria
• Proportion of population in malaria
risk areas using effective malaria
prevention and treatment measures
• Prevalence and death rates associated
with tuberculosis
• Proportion of TB cases detected and
cured under DOTS
12

13. Achievements on reducing the spread and
treating HIV/AIDS in Nepal, 1990–2015

15. End result of Millennium Development Goal
on health
We could
Complete
some Goals
Some Goals
Yet to be
achieved
Some goals
Remained far
back of our
achieving

16. MDGs: Strength and gap
Strengths Gaps
Measureable and time bound
goals and targets
UN-led process
Encourage community
participation
Exclusion of health priorities such as non communicable
disease , mental health , violence and injuries
achieve health results Equity human rights , and social determinants of health
were not monitored
Promote global awareness No implementation framework
Gain political accountability Implemented vertically with no linkage with other MDGs
Improve metrics Lack accountability

17. Rakshya
Sharma

18. Transition From MDGs to SDGs
From MDGs
(2000-2015) – 8 Goals,
21 Targets, 60 indicators
To SDGs (2016-2030) – 17
Goals,
169 Targets, 304 indicators

19. What is sustainable development ?
Development that meets the needs of the present without compromising the
ability of future generation to meet their own needs”
-The United Nations
SDG is the action plan for 15 years that continued the
MDGs that ended in 2015.
Implemented and achieved in every country from the year
2016 to 2030.
Universal call to action from ending poverty to strengthening
international partnership for development.

20. Establishment of SDG
Envisioned at RIO+20 conference in 2012 .
193 countries of UN General Assembly adopted the 2030 Develop
ment Agenda on 25 September 2015 .
Titled as – Transforming our world : the 2030 Agenda for Sustaina
ble Development

21. SDGs: Universal

22. FOCUS AREAS

24. 24

26. Health Related Sustainable Development
Goals
These 6 goals address the various key issues of Public
Health –
Poverty, Hunger, Food security, Health, Education,
Gender equality, Women empowerment and Sanitation

27. SDG 3 Health Targets
The health goal (SDG 3) comprises 13 targets.
• Each target has one or two proposed indicators, with the exc
eption of SDG Target 3.3 Target 3.9 which has 5 and 3 indic
ators respectively
• With a total of 26 indicators, this health goal (SDG 3) has th
e largest number of proposed indicators of all the 17 SDGs.

28. SDG 3 - Ensure healthy lives and promote
well-being for all at all ages
1. Reduce, by 2030, the global maternal mortality ratio to less than 70 per
100,000 live birth.
2. End preventable deaths of newborns and children under 5 years of age.
3. End the epidemics of AIDS, TB, malaria and neglected tropical diseases
and combat hepatitis, water-borne diseases and other communicable
diseases.
4. Reduce by one-third premature mortality from NCDs through prevention
and treatment and promote mental health and wellbeing.
5. Strengthen the prevention and treatment of substance abuse, including
narcotic drug abuse and harmful use of alcohol.

29. 6. Halve by 2020 the number of deaths and injuries from road
traffic accidents.
7. Ensure, by 2030, universal access to sexual and reproduct
ive health-care services, including for family planning,
information and education, and the integration of reproduct
ive health into national strategies and programmes .
8. Reduce the MMR to less than 70 per 100 thousand live
births.
9. Reduce preventable deaths of newborn and children to les
s than 1 percent.

30. Contd….
10.Eliminate HIV, TB and malaria and other tropical diseases, a
nd water borne diseases by 2030. (iv) Reduce NCDs by one-t
hird.
11.Increase the CPR (modern methods) to 75 percent.
12.Raises the proportion of births attended by SBAs to 90 perce
nt.
13.Increase institutional deliveries to 90 percent and provide pos
t-natal care for 90 percent of mothers

31. Issues and Challenges in Implementing the SDGs
• Mainstreaming the SDGs into Periodic Plans and Annual
Budgets.
• Localization of SDGs at Sub-national Levels.
• Up-scaling Implementation.
• Mobilizing Financial Resources.
• Capacity Development at the National and Sub-national
Levels.
• Post-Disaster Recovery and Reconstruction Challenges.
• Strengthening Governance and Service Delivery

32. Recommendations
• Issues of coverage, care, and quality human resource/supplies should
be addressed.
• Good governance at the national level is essential for sustained and in
clusive health gains and sustainable health development.
• The government needs to increase the immunization budget from ge
neral taxation to achieve the sustainable immunization goal, continued
donor support is necessary for sustaining the programme.

34. Conclusion
There are several challenges for improving and sustaining the health s
ector outcomes in mortality, immunization, and reproductive health ca
re. Continued international support is essential in these areas to achie
ve the needed health sector outcomes.
Changing disease patterns resulting from climate change requires the
global community to develop innovative approaches for improving th
e quality, responsiveness, and delivery of peripheral health services to
widen service coverage.
It is our duty to address the challenges and stand up together to me
et the global goals

35. Reference
Sustainable Developments Goals 2016-2030 National preliminary report
MDG Final report 2015