The document summarizes Turkey's Health Transformation Program and progress towards achieving universal healthcare and sustainable development goals. It discusses how the program has led to substantial improvements in key health metrics like life expectancy and maternal mortality in a short period. Patient satisfaction has doubled and citizens now have improved financial, physical and social access to healthcare services while keeping total healthcare spending at 5.4% of GDP. International organizations like WHO and The Lancet have recognized Turkey's success in designing reforms to achieve universal health coverage and reduce health inequities. The government is now focusing on establishing a multisectoral approach and national platform to further implement sustainable development goals related to health.

1. Implementing the Health Aspects of
Sustainable Development at the
National Level
in an Interagency Mode
Prof. Dr. Recep Akdağ
Republic of Turkey, Deputy Prime Minister
September 12, 2017
Roadmap to Implement SDGs

2. Health Transformation Program in Turkey
We have embarked on our journey by building our Health Transformation
Program (HTP) in Turkey on the philosophy of ‘Human First’
Health Transformation Program in Turkey
Efficiency
Access
Quality
Sustainability
• Improvement in Health Status
• Financial Protection
• Citizen Satisfaction
Health is wealth.
We need to be aware of
how critical it is. As the
government, our first
priority is human.
Recep Tayyip Erdoğan
2

3. Health Transformation Program in TurkeyHealth Transformation Program in Turkey
• Patient satisfaction had been doubled and reached a level of 76%
in 2011.
• Our citizens have been provided with financial, physical and social
access to healthcare.
• The offering of extensive healthcare services has been achieved
without drastically increasing costs: total healthcare spending is kept
at 5.4% of the GDP.
Health Transformation Program in Turkey has created
a great success story acclaimed internationally
• Substantial improvements have been achieved in key healthcare
metrics in a short period of time.
3

4. Health Indicators
The WHO's estimations for Turkey were exceeded in much shorter time
Health Indicators
2025
Estimation
Year of
Achievement
As of 2015
Life Expectancy at Birth (year) 751
75.32
(2007)
784
Maternal Mortality Ratio (per 100,000 births) 251
21.23
(2007)
14.75
Source: 1 1998 WHO Report 2 Turkish Statistical Institute (TSI) Population Projections 3 Health Statistics Yearbook 2011
4 TSI LifeTables 5 Health Statistics Yearbook 2015 4

5. Health Indicators – Historical Benchmark in Turkey
Health indicators have improved significantly during the Health
Transformation Program (HTP)
Health Indicators 2002 2015
Life expectancy at birth (year) 72.5 78.0
Maternal Mortality Ratio (per 100,000 births) 64 14.7
Source: Ministry of Health, WHO 5

6. 71,1
74,4
76,5
78 79,3
Dünya Orta-Üst Gelir Grubu
Ülkeler
DSÖ Avrupa Bölgesi Türkiye Üst Gelir Grubu
Ülkeler
Health Indicators – Global Benchmark
Life Expectancy at Birth1 (year)
World Middle- and High-
Income Countries
WHO
European
Region
High-
Income
Countries
Turkey
56
18 17 14.7
Maternal Mortality Ratio1 (per 100,000 births)
These results
have moved
Turkey to the
league of
developed
countries in
health.
World Middle- and High-
Income Countries
WHO
European
Region
Turkey High-
Income
Countries
6

7. Health Spending & Life Expectancy at Birth
Source: Ministry of Health, WHO 7

8. The Lancet – UHC in Turkey
8
Universal health coverage in Turkey: enhancement of equity
Atun et. al, The Lancet, July 6, 2013
"... after 30 years of slow progress, since
2003 Turkey has been able to design and
implement wide-ranging health system
reforms to achieve universal health
coverage that substantially reduced
inequities in health financing, health
service access, and outcomes."

9. The Lancet – Healthcare Access and Quality Index
9Healthcare Access and Quality Index 1990
HealthcareAccessandQualityIndex2015
Turkey

10. Health Transformation Program in Turkey
We have embarked on our journey by building our Health Transformation
Program (HTP) in Turkey on the philosophy of ‘Human First’
Health Transformation Program in Turkey (2nd Phase)
Efficiency
Access
Quality
Sustainability
• Improvement in Health Status
• Financial Protection
• Citizen Satisfaction
Health is wealth.
We need to be aware of
how critical it is. As the
government, our first
priority is human.
Recep Tayyip Erdoğan
10

11. Multisectoral Approach
Objective: defining the roles
and responsibilities of all
stakeholders and establishing
a national platform for
managing it at the highest
level.
Status: Adopted Through a Prime
Ministerial Circular
11

12. Health in the SDG Era
12