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Health Services Research Focusing on Chronic Care and Ageing 1
Moving from MDGs to the new order(SDGs)
Unmet SRHR dimensions in SSA
Ayanore Martin
Department of Health Services Research
Maastricht University
Health Services Research Focusing on Chronic Care and Ageing 2
Demographics across populations!! Should we be bothered?
MDGs & SDGs consensus/aberrations for SRHR
Unmet maternity and reproductive health In SSA!!
SDGs Gaps !! Where must national policies focus?
Where do we invest?
Presentation Synopsis
Health Services Research Focusing on Chronic Care and Ageing 3
Health Services Research Focusing on Chronic Care and Ageing 4
Demographics
Con’td Two key drivers to look at SSA
• Dividends
• Gender inequality
 Population data
(Mobility, patterns,
drivers, migration,
immigration,
emigration)
 Gender equality and
women empowerment
(economic game
changer)
 Social, cultural and
historical precedents
amidst globalisation
 Changing trends of
disease burden within
and across populations
Health Services Research Focusing on Chronic Care and Ageing 5
Health Services Research Focusing on Chronic Care and Ageing 6
Unmet Need
Health Services Research Focusing on Chronic Care and Ageing 7
Health Services Research Focusing on Chronic Care and Ageing 8
Comprehensive education (inclu. sexuality) for life and livelihoods
Indicators on disrespect and abuse are fundamental for sexual rights
Integrated context sexual services delivered in efficient health
systems
UHC (Service, Provider, Society) is a catalyst
How can SDGs address unmet needs in SSA
Health Services Research Focusing on Chronic Care and Ageing 9
MDGS/SDGS: Consensus and aberrations on
Reproductive and maternity health
Consensus
• Targeted Outcomes yields
faster results (utilization,
satisfaction, cost, quality of
services)
• Poor people benefit less
from public spending
• Integrated services are
possible and cost effective
• Collective commitment
begins at home
Aberrations
• SDGs are ambitious,
witnessed greater
stakeholder inputs ever seen
• SDGs will require more than
just people, resources and
power
• How can globalisation break
social/cultural/economic/
inequity barriers for health
outcomes?
Health Services Research Focusing on Chronic Care and Ageing 10
• Growth that is not inclusive:
cannot be sustained
• How do we guarantee
sexual/reproductive health and
rights in emergencies? And such
situations who takes the greater
responsibility?
• What accountability issues
can we hold all actors to? UN
agencies, civil society, NGOs,
etc
Can we do more on SDGs?
Health Services Research Focusing on Chronic Care and Ageing 11
Gender empowerment + compulsory basic to secondary education for all
girls and women
Building reliable vital health systems (data and profiles of needs, LSS,
push/pull factors)
Breaking the vicious cycle of child abuse and early child marriages in low
income countries
Investing more in ending unintended pregnancies with social inclusion
Clear indicators, measures for implementation and progress markers as
benchmark to progress
SDGs gaps !! Where should national policies focus
Health Services Research Focusing on Chronic Care and Ageing 12
• Gender empowerment
• Legislative acts on sexual and
reproductive violence
• Strengthening health systems
at all levels of the health
delivery
• Strong fiscal institutions/
financial sectors that target
specific growth driven areas
• Broad national and
community level context
stakeholder engagements for
greater ownership of local
targets and drivers for
change
‘We are not
promising, we are
delivering’-
Christine Lagarde
Where do we invest?
Health Services Research Focusing on Chronic Care and Ageing 13
CONCLUSIONS
Context specific outcomes and measures counts
Strong public health systems are the bedrock sustaining
SRHR beyond 2030
Top-down approaches towards meeting SDGs will not WORK
in SSA
Health Services Research Focusing on Chronic Care and Ageing 14
THE SUSTAINABALE DEVELOPMENT GOALS WILL REMAIN
UNSUSTAINABLE IF NATIONS ABANDON THEIR QUEST TO
REMAIN SUSTAINABLE

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Sexual reproductive health rights and SDGs

  • 1. Health Services Research Focusing on Chronic Care and Ageing 1 Moving from MDGs to the new order(SDGs) Unmet SRHR dimensions in SSA Ayanore Martin Department of Health Services Research Maastricht University
  • 2. Health Services Research Focusing on Chronic Care and Ageing 2 Demographics across populations!! Should we be bothered? MDGs & SDGs consensus/aberrations for SRHR Unmet maternity and reproductive health In SSA!! SDGs Gaps !! Where must national policies focus? Where do we invest? Presentation Synopsis
  • 3. Health Services Research Focusing on Chronic Care and Ageing 3
  • 4. Health Services Research Focusing on Chronic Care and Ageing 4 Demographics Con’td Two key drivers to look at SSA • Dividends • Gender inequality  Population data (Mobility, patterns, drivers, migration, immigration, emigration)  Gender equality and women empowerment (economic game changer)  Social, cultural and historical precedents amidst globalisation  Changing trends of disease burden within and across populations
  • 5. Health Services Research Focusing on Chronic Care and Ageing 5
  • 6. Health Services Research Focusing on Chronic Care and Ageing 6 Unmet Need
  • 7. Health Services Research Focusing on Chronic Care and Ageing 7
  • 8. Health Services Research Focusing on Chronic Care and Ageing 8 Comprehensive education (inclu. sexuality) for life and livelihoods Indicators on disrespect and abuse are fundamental for sexual rights Integrated context sexual services delivered in efficient health systems UHC (Service, Provider, Society) is a catalyst How can SDGs address unmet needs in SSA
  • 9. Health Services Research Focusing on Chronic Care and Ageing 9 MDGS/SDGS: Consensus and aberrations on Reproductive and maternity health Consensus • Targeted Outcomes yields faster results (utilization, satisfaction, cost, quality of services) • Poor people benefit less from public spending • Integrated services are possible and cost effective • Collective commitment begins at home Aberrations • SDGs are ambitious, witnessed greater stakeholder inputs ever seen • SDGs will require more than just people, resources and power • How can globalisation break social/cultural/economic/ inequity barriers for health outcomes?
  • 10. Health Services Research Focusing on Chronic Care and Ageing 10 • Growth that is not inclusive: cannot be sustained • How do we guarantee sexual/reproductive health and rights in emergencies? And such situations who takes the greater responsibility? • What accountability issues can we hold all actors to? UN agencies, civil society, NGOs, etc Can we do more on SDGs?
  • 11. Health Services Research Focusing on Chronic Care and Ageing 11 Gender empowerment + compulsory basic to secondary education for all girls and women Building reliable vital health systems (data and profiles of needs, LSS, push/pull factors) Breaking the vicious cycle of child abuse and early child marriages in low income countries Investing more in ending unintended pregnancies with social inclusion Clear indicators, measures for implementation and progress markers as benchmark to progress SDGs gaps !! Where should national policies focus
  • 12. Health Services Research Focusing on Chronic Care and Ageing 12 • Gender empowerment • Legislative acts on sexual and reproductive violence • Strengthening health systems at all levels of the health delivery • Strong fiscal institutions/ financial sectors that target specific growth driven areas • Broad national and community level context stakeholder engagements for greater ownership of local targets and drivers for change ‘We are not promising, we are delivering’- Christine Lagarde Where do we invest?
  • 13. Health Services Research Focusing on Chronic Care and Ageing 13 CONCLUSIONS Context specific outcomes and measures counts Strong public health systems are the bedrock sustaining SRHR beyond 2030 Top-down approaches towards meeting SDGs will not WORK in SSA
  • 14. Health Services Research Focusing on Chronic Care and Ageing 14 THE SUSTAINABALE DEVELOPMENT GOALS WILL REMAIN UNSUSTAINABLE IF NATIONS ABANDON THEIR QUEST TO REMAIN SUSTAINABLE