Public Health Seminar

1. Seminar on
Health related SDGs and Nepal: Where we are? Where to go?
Pathway to Achieve
Under the cordial guidance of
Hari Prasad Kaphle
Associate Professor (Public Health)
By
Asmita Poudel
Exam Roll. No.: 16370141
At
Faculty of Health Sciences
SHAS, Pokhara University
2019 1

2. Introduction
• The Sustainable Development Goals (SDGs), also known as the
Global Goals, were adopted by all United Nations Member States in
2015 as a universal call to action to end poverty, protect the planet and
ensure that all people enjoy peace and prosperity by 2030. - UNDP
• All together 17 SDGs , 169 targets and 230 indicators .
• SDGs must balance social, economic and environmental sustainability.
2

3. Health related SDG
SDGs3: Ensure healthy lives and promote well-being for all at all ages
• It includes 13 targets and 25 indicators
SDGs 16: Promote justice, peaceful and inclusive societies is also
directly or indirectly related with health and helps to achieve the target
of SDG 3.
3

4. In the context of Nepal
• In the past two decades, Nepal has more than halved proportion of
people living in poverty line , from 49% in 1992 to23% in 2015.
• Reduced child and maternal mortality rate.
• In Nepal, life expectancy at birth has improved by 7.7 years i.e. 62.5
years in 2000 to 70.2 years in 2016.
• Similarly, healthy life expectancy has improved by 6.2 years i.e. 55.1
years in 2000 and 61.3 years in 2016
4

5. Target by 2030
Reduce global maternal mortality ratio to less than 70 per 100,000 live
births
End preventable deaths of newborns and children under 5 years of age
End the epidemics of AIDS, tuberculosis, malaria and neglected
tropical diseases and other communicable diseases
Reduce by one third premature mortality from non-communicable
diseases
5

6. Strengthen prevention and treatment of substance abuse
Ensure universal access to sexual and reproductive health-care
services
Substantially, reduce the number of deaths and illness from hazardous
chemicals and air, water and soil pollution and contamination.
6

7. • By 2020, halve the number of global deaths and injuries from road
traffic accidents
• Achieve universal health coverage
• Strengthen the implementation of the World Health Organization
Framework Convention on Tobacco Control in all countries
• Support the research and development of vaccines and medicines for
the communicable and non-communicable diseases
7

8. • Substantially increase health financing and the recruitment,
development, training and retention of the health work force in
developing countries
• Strengthen the capacity of all countries, in particular developing
countries, for early warning, risk reduction and management of
national and global health risks.
8

9. Where we are?
• Based on the target and indicators of heath related sustainable
development goals, situation is identified as per the available data in
graphical form.
9

10. Maternal Mortality Ratio ( MMR)
548
281 258
70
0
100
200
300
400
500
600
2000 2006 2015 2030
MMR(100,000livebirth)
10

11. Neonatal Mortality Rate
23
17
1
0
5
10
15
20
25
2014 2017 2030
NMRper1,000livesbirths
Year
NMR
11

12. Under-five mortality rate
38
28
1
0
5
10
15
20
25
30
35
40
2014 2017 2030
U5MRper1,000livesbirths
U5MR
12

13. Epidemics of AIDS
0.2
0.163
0
0.03
0.015
0
0
0.05
0.1
0.15
0.2
0.25
2014 2017 2030
Chart Title
HIV prevalence ( 15-49 year) 15-24 Year
13

14. 1674
1360
0
200
400
600
800
1000
1200
1400
1600
1800
2014 2017
Confirmed Malaria cases
(number)
211
171
0
50
100
150
200
250
2014 2017
PREVALENCE OF TB
14

15. Epidemics of Neglected Tropical Diseases in 2017
0.67
264
10.56
592
81
111
0 100 200 300 400 500 600 700
Leprosy Prevalence
Kala-azar cases
Lymphatic filariasis average prevalence
Dengue cases
Death due to Rabbies
Active trachoma cases
Neglected Tropical Diseases
15

16. Soil transmitted helminthes among school going
children
15%
12.49%
0%
2%
4%
6%
8%
10%
12%
14%
16%
2014 2017
Prevalence of soil transmitted helminthes among school going children
16

17. 141
82
141
0
20
40
60
80
100
120
140
160
Hepatitis A Hepatitis B Unspecified Viral
hepatitis
Numberofcases
Combat hepatitis
17

18. 118
204
96
166
0
50
100
150
200
250
Cases of JE Influenza
Number Other Communicable Diseases
2014 2017
18

19. 43.70%
22.30%
7.00%
4.90%
1.70%
38.20%
19.50%
6.10%
4.30%
1.50%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
Deaths fron
NCDs
CVDs Cancer COPD Diabetes
Premature Mortality from NCD
2014 2017
19

20. 25
20
1
0
5
10
15
20
25
30
2014 2017 2030
Suicide rate per 100,000 population
20

21. Road Traffic Accidents
33.7
25.25
0
5
10
15
20
25
30
35
40
2014 2017
RTA mortality per 100,000 population
21

22. 22.4
2.3
10
2
0
5
10
15
20
25
Unmet need of FP TFR (births per
women
2017 2030
54.4
62.1
75
90
0
10
20
30
40
50
60
70
80
90
100
CPR SBA proportion
2017 2030
22

23. 5.3
5.81
8
0
1
2
3
4
5
6
7
8
9
2014 2017 2030
% of GDP
22
18
0
0
5
10
15
20
25
2014 2017 2030
Deaths due to Hazardaous
chemicals
23

24. Illness from Hazardous Chemicals
1205
998
100
0
500
1000
1500
2014 2017 2030
Number of illness
24
Source: Nepal Gov.Sustainable Development Goals.2016-2030, National (Preliminary)
Report. 2015.

25. Pathway to achieve
• Closed the development gaps in terms of gender, social groups and
geographical locations.
• Helps to meet unmet targets as possible and focus on economic
growth strategy which helps in achieving others goals.
• Also working to fill the gap between data required for SDGs
monitoring and the existing data availability for the same.
• UHC can be achieved by addressing the need of the poor, women and
excluded groups through pro-poor and target free health care policies
and programs
25

26. Cont..
• Providing technical support and funds to the government by External
Development Partners (EDPs) along with UN agencies.
• Malnutrition can be reduced by linking child health program along
with nutrition program.
• Encourage delivery at health facilities along with SBA assistance.
• For the prevention and control of NCD(2014-2020), multi-sectoral
action plan has been developed.
26

27. Cont..
• For reducing road traffic accidents, Nepal has prepared Road Safety
Action Plan which is under implementation.
• SDGs indicators should be strongly aligned in annual work plan which
will helps in progress monitoring of SDGs.
• Immunization budget should be increased from general taxation.
27

28. Bibliographies
• www.undp.org.
• Dhimal M, DHIMAL M, KARKI K, Montag D, GRONEBERG D, Kuch U. Tracking
health-related Sustainable Development Goals (SDGs) in Nepal. Journal of
Health and Social Sciences. 2017;2(2):143-8.
• Government of Nepal. Nepal’s Sustainable Development Goals Baseline
Report, June 2017.
• 2018 Health SDG Profile: Nepal. 2018.
• Nepal Go. Sustainable Development Goals.2016-2030, National
(Preliminary) Report. 2015.
• Nepal Public Health Foundation (NPHF), Kathmandu, Nepal. Policy
Research Institutions and the Health SDGs: Building Momentum in Nepal,
Country Report. 2017
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