From the Millennium Development Goals to

the Sustainable Development Goals

(2030 Agenda for Sustainable Development)

Dr/ Omar Zidan

 Outline
 MDGs: where are we now?
 What are the sustainable development
goals?
 What are the related targets and indicators
 Tools
 Egypt vision 2030
 Way forward

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 MDGs 20002015
Goal 1: Eradicate extreme hunger and poverty

Goal 2: Achieve universal primary education

Goal 3: Promote gender equality and empower women

Goal 4: Reduce child mortality

Goal 5: Improve maternal health

Goal 6: Combat HIV/AIDS, malaria and other diseases

Goal 7: Ensure environmental sustainability

Goal 8: Develop a global partnership for development

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 MDGs: where are we now?
• Since 2000 Egypt has made a good
progress to achieve the MDGS

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For instance, the country expended
access to basic education

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Closing the gap between
boys & girls

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Child mortality was brought down by
more than one halve

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Maternal health was improved by enhancing
access to reproductive health & family
planning services

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However Egypt still faces many
CHALLENGES

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More than Quarter of population less
than Poverty line

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and lack of access to Quality Basic
Services

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Unemployment is still high particularly
among youth

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There significantly in equality is between rural & urban
areas where poverty can reach up to sixty %

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Although some positive trends in the area of education &
political participation Egyptian women still faces many
challenges

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 MDGs: strengths and gaps
Strengths
• Measurable and time-bound
goals and targets
• Helped to:
• achieve health results
• promote global awareness
• gain political accountability
• improve metrics
• encourage community
participation
Gaps
• UN-led process
• Exclusion of health priorities
such as NCDs, mental health,
and violence and injuries
• Equity, human rights and social
determinants of health were not
well articulated or monitored
• No implementation framework
• Implemented vertically with no
linkage with other MDGs
• Late accountability
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 Sustainable development goals
• In September 2015, the UN General Assembly adopted a new
development agenda for the period 20162030 that includes
a set of sustainable development goals (SDGs)
• There are 17 SDGs with 169 associated targets & 230
indicators that are supported by three pillars of
sustainability:
1. Economic development
2. Environmental protection
3. Social equity

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 9 Targets of the health goal
Ensure healthy lives & promote well-being for all at all ages

• By 2030, reduce the global maternal mortality ratio to less

than 70 per 100 000 live births
Unfinished •
By 2030, end preventable deaths of newborns and children
business
of the under 5 years of age
MDGs • By 2030, end the epidemic of AIDS, tuberculosis, malaria,
neglected tropical diseases and combat hepatitis,
waterborne diseases and other communicable diseases

• By 2030, reduce by one third premature mortality from

noncommunicable disease through prevention and treatment
NCDs and promote mental health and well-being
and •
Strengthen the prevention and treatment of substance
injurie abuse, including narcotic drug abuse and harmful use of alcohol
s
• By 2020, halve the number of global deaths and injuries from
road traffic accidents
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 Targets of the health goal
• By 2030, ensure universal access to sexual
and reproductive health care services

Cross- • Achieve universal health coverage, including

cutting financial risk protection, access to quality
and essential health care services and access to
safe, effective, quality and affordable essential
system medicines and vaccines for all
s
focused • By 2030, substantially reduce the number of
deaths and illness from hazardous
chemical and air water soil pollution and
contamination

:Strengthen health information systems and civil registration

Availability of quality, timely, accessible and reliable disaggregated data
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 4 Sub-Targets
3.a Strengthen the implementation of the World Health Organization
Framework Convention on Tobacco Control in all countries, as appropriate
3.b Support the research and development of vaccines and medicines for the
communicable and non-communicable diseases that primarily affect
developing countries, provide access to affordable essential medicines and
vaccines,( in accordance with the Doha Declaration on the TRIPS Agreement
and Public Health, which affirms the right of developing countries to use to
the full the provisions in the Agreement on Trade-Related Aspects of
Intellectual Property Rights regarding flexibilities to protect public health,
and, in particular, provide access to medicines for all)
3.c Substantially increase health financing and the recruitment, development,
training and retention of the health workforce in developing countries,
especially in least developed countries and small island developing States

3.d Strengthen the capacity of all countries, in particular developing countries,

for early warning, risk reduction and management of national and global
health risks
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 Health in other goals
Paving the way for a more integrated agenda
Health is also linked to at least 10 other goals and 17 targets, as a
contributor - examples
 Target 2.2 By 2030, end all forms of malnutrition, including achieving, by
2025, the internationally agreed targets on stunting and wasting in
children under 5 years of age, and address the nutritional needs of
adolescent girls, pregnant and lactating women and older persons
 Target 5.2: : Eliminate all forms of violence against all women and girls in
the public and private spheres, including trafficking and sexual and other
types of exploitation
 Target 6.2 By 2030, achieve access to adequate and equitable sanitation
and hygiene for all and end open defecation, paying special attention to
the needs of women and girls and those in vulnerable situations.

 Target 16.9 By 2030, provide legal identity for all, including birth
registration 21
 NCDs: most relevant targets
Build upon the NCD Declaration & Action Plan
 Target 3.4: By 2030, reduce by one third premature mortality from non-
communicable diseases through prevention and treatment and promote
mental health and well-being
 Target 3.5: Strengthen the prevention and treatment of substance abuse,
including narcotic drug abuse and harmful use of alcohol
 Target 3.a Strengthen the implementation of the World Health Organization
Framework Convention on Tobacco Control in all countries, as appropriate
 Target 3.b Support the research and development of vaccines and medicines for the
communicable and non-communicable diseases that primarily affect developing
countries, provide access to affordable essential medicines and vaccines, in accordance
with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the
right of developing countries to use to the full the provisions in the Agreement on
Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect
public health, and, in particular, provide access to medicines for all
 Target 3.8: Achieve universal health coverage, including financial risk
protection, access to quality essential health-care services and access to safe,
effective, quality and affordable essential medicines and vaccines for all 22
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 How many Indicators do we have
230 indicators classified into three indicator tiers:

Tier 1: Indicator conceptually clear, established methodology and

standards available and data regularly produced by
countries (81)
Tier 2: Indicator conceptually clear, established methodology and
standards available but data are not regularly produced by
countries (57)

Tier 3: Indicator for which there are no established methodology

and standards or methodology/standards are being
developed/tested (88)
+ 4 indicators that have multiple tiers (different components of
the indicator are classified into different tiers).
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 Health Indicators 26
 
3.1.1 Maternal mortality ratio
 
3.1.2 Proportion of births attended by skilled health personnel
 
3.2.1 Under-five mortality rate
 
3.2.2 Neonatal mortality rate
 
3.3.1 Number of new HIV infections per1,000 uninfected population, by sex, age and key populations
3.3.2 Tuberculosis incidence per 1,000 population
 
3.3.3 Malaria incidence per 1,000 population
3.3.4 Hepatitis B incidence per 100,000 population
3.3.5 Number of people requiring interventions against neglected tropical diseases
 
3.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic resp. disease
 
3.4.2 Suicide mortality rate
 
3.5.1 Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and
aftercare services) for substance use disorders
3.5.2 Harmful use of alcohol, defined according to the national context as alcohol per capita
consumption (aged 15 years and older) within a calendar year in liters of pure alcohol
 
3.6.1 Death rate due to road traffic injuries 25
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 Health Indicators Continue
3.7.1 Proportion of women of reproductive age (aged 15-49 years) who have their need for family
planning satisfied with modern methods
 3.7.2 Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group
 3.8.1 Coverage of essential health services (defined as the average coverage of essential services
based on tracer interventions that include reproductive, maternal, newborn and child health,
infectious diseases, non-communicable diseases and service capacity and access, among the
general and the most disadvantaged population)

 3.8.2 Number of people covered by health insurance or a public health system per 1,000 population

 3.9.1 Mortality rate attributed to household and ambient air pollution

3.9.2 Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to
unsafe Water, sanitation and Hygiene for All (WASH) services)
 3.9.3 Mortality rate attributed to unintentional poisoning

 3.a.1 Age-standardized prevalence of current tobacco use among persons aged 15 years and older

 3.b.1 Proportion of the population with access to affordable medicines and vaccines on a
sustainable basis

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 Health Indicators Continue
  
3.b.2 Total net official development assistance to medical research and basic
health sectors
 
 

3.c.1 Health worker density and distribution

 
3.d.1 International Health Regulations (IHR) capacity and health emergency
preparedness

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 Linking health indicators to data sources
Strengthening country systems
INDICATORS Country system
DATA SOURCES
& capacity
Mortality by age and sex Digital / data
Life expectancy (mortality before age 70)
Child / neonatal mortality Civil registration and vital revolution
Mortality by cause Maternal, HIV, statistics
TB, malaria, leading NCD, suicide, road system
traffic accidents
Collection
Morbidity HIV, TB, malaria, hepatitis Compilation
B, NTD; adolescent births Household surveys and census
Data quality
Coverage of interventions Analysis
Prevention: FP, ANC4+, immunization, Dissemination &
;.tobacco, alcohol, ITN, air quality etc
use
Treatment: child treatment, SBA, ART, Health facility and community
;.TB, severe mental illness, etc
information systems
Protection: Catastrophic expenditure
/impoverishment due to health OOP Country and global
investment
Other and alignment
IHR surveillance capacity, knowledge & through SDG and
.access SRH, etc related initiatives
Administrative data sources
 Available Tools to achieve the Targets
NCDs
 UN political Declaration, the NCD Regional framework, the Global
NCD POA, PEN
Nutrition
 ICN2 recommendations, Nutrition Decade of Action, Global
Targets and their policy briefs, Maternal, Infant and Young Child
feeding, Global Policy Briefs for salt, fat and sugar reduction.
MCH:
 Global Strategy of Women's, Children’s and Adolescents’ Health,
Code of Marketing of breast milk substitutes, Integrated
management of Child health IMCI, Regional Counselling training
manual, FP 2020 Recommendations
 Tools Continue
Health Promotion:
 Marketing of unhealthy food and beverages to children,
Recommendations of the Physical Activity Forum, Shanghai
Global Conference Declaration, Ottawa Charter for Health
Promotion
Mental health:
 mh Gap, Regional mental health framework, Regional
Strategic Directions of mental health of women, children and
adolescents
International Health Regulations IHR
Framework for Universal Health Coverage
All strategies and POA for communicable Diseases (HIV/AIDs,
Malaria, TB etc..
(Egypt vision 2030)
Egypt’s government committed to achieve its
national SDGs strategy through
(Egypt vision 2030)

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1- In the next 15 years extreme poverty will end and the
food security will be guaranteed for all citizens.

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2- Preventable diseases that leads to child mortality will
end & Equal access to PHC will be universal

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3- All boys & girls will be complete free and Quality
Education at all levels

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4- Sound policy & good legislation for promotion of
gender equality & empowering women & girls will be
strengthen

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5- Protection of natural resources will be improved &
people will have equal access to clean water &
sanitation

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6- Citizens will have a universal access to affordable,
reliable & modern Energy services

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7- People will have a Decent work and Egypt will
achieve Economic growth

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8- Gaps between regents & inequality between cities
will be reduced

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 9- Climate changes will be integrated in a national
planning in line with Egypt international commitment

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10- Role of law and transparency and good
governments will be strengthen

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11- Partnership with national & global partner will be
expend to encouraged growth and development

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How we can implement this in
Egypt?
How we can implement Egypt vision ?
 Way forward
1. Strong political commitment
2. Adequate financing mechanisms
3. Multisectoral approach with engagement of all
governmental sectors at the highest level
4. Inclusive platform and partnership with key stakeholders
including civil societies
5. Use of new health technologies
6. Accountability and close monitoring, using the global and
regional targets and indicators that are harmonized with
the SDG indicators

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 Way forward (cont.)
7.UNDP should collaborate with Egypt government to deliver this

ambitious this agenda. And internal commitment to tangible results.

8.We should work hand in hand to formulate sound policy, monitor

progress in connect with people around the world to change

knowledge, experience & technology.

9.government should continue to implement MDGs & support to achieve

its national priority and accelerate the progress to SDGs.

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 How we can implement this in Egypt?

• Multi-sectoral Mechanisms at National Level

• A multi-sectoral mechanism for Health
• Different programmes to include SDG in their forthcoming plans
(2017-2021) and modify accordingly
• Departments need to identify the indicators relevant to their
programmes and see how they will be able to collect these
indicators
• To harmonize these indicators within the existing HIS. So we need
staff who are responsible for HIS to look at these indicators to
identify which ones exist and which we need to start collect.
• Develop a monitoring mechanism and an accountability framework

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Finally, Together with governments, partners

& citizens we can build the future with no

one lift behind

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