mdg report to the un
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National Department of Health Presentation to the Portfolio Committee on Health Progress towards attaining the Millennium Development Goals (MDS) 30 October 2013. MDG REPORT TO THE UN. The MDGs were adopted by the UN in 2000 Goals are to be met by 31 December 2015 - PowerPoint PPT PresentationTRANSCRIPT
National Department of Health
Presentation to the Portfolio Committee on Health
Progress towards attaining the Millennium Development Goals (MDS)
30 October 20131
MDG REPORT TO THE UN
• The MDGs were adopted by the UN in 2000• Goals are to be met by 31 December 2015• Countries report to the UN through Heads of
State• STATSSA co-ordinates the writing of the
national report using verifiable data
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The 8 MDGs• To eradicate extreme poverty and hunger• To promote universal primary education• To promote gender equality and empower
women• To reduce child mortality• To improve maternal health• To combat HIV/AIDS, malaria and other diseases• To ensure environmental sustainability• To develop a global partnership for the
development.
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Government Outcome MDGs
Outcome 1: Improved quality of basic education Goal 2: Achieve universal primary education
Outcome 2: A long and healthy life for all South Africans
Goal 4: Reduce child moralityGoal 5: Reduce maternal mortalityGoal 6: Combat HIV/AIDS, malaria & other diseases
Outcome 3: All people in South Africa are, and feel safe
Outcome 4: Decent employment through inclusive economic growth
Goal 1 (Target 1B): Achieve full and productive employment and decent work for all including women and young people
Outcome 5: A skilled & capable workforce Goal 2: Achieve universal primary education Goal 3: Promote gender equality and empower women
Outcome 6: An efficient, competitive, and responsive economic infrastructure network
Outcome 7: Vibrant, equitable, and sustainable rural communities with food security for all
Goal 7 (Target 7A): Integrate the principles of sustainable development into country policies and programmes and reverse the loss of environmental resourcesGoal 1 (Target 1C): Halve, between 1990 and 2015, the proportion of people who suffer from hunger
Outcome 8: Sustainable human settlements, and improved quality of life for households
Goal 7 (Target 7C): Halve by 2015, the proportion of people without sustainable access to safe drinking water & basic sanitationGoal 7 (Target 7D): Achieve significant improvement in the lives of slum dwellers
Outcome 9: A responsive, accountable, effective, and efficient local government system.
Outcome 10: Environmental assets and natural resources that are well protected and continuously enhanced
Goal 7 (Target 7B): Reduce biodiversity loss, achieving by 2010, a reduction in the rate of loss.
Outcome 11: Create a better South Africa and contribute to a better and safer Africa and world
Goal 8: To develop a global partnership for development. Develop an open, rule-based, predictable, non-discriminatory trading and financial system
Outcome 12: An efficient, effective, and development oriented public service and an empowered, fair, and inclusive citizenship
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Indicators 1994 baseline (or nearest year)
2010 Status (or nearest year)
Current status (2013 or nearest year)
2015 Target Target achievability
Target 1A: Halve between 1990 and 2015 the proportion of people whose income is less than one dollar a dayProportion of population below $1.00 (PPP) per day
11.3 (2000) 5.0 (2006) 4.0 (2011) 5.7 Achieved
Proportion of population below $1.25 (PPP) per day
17.0 (2000) 9.7 (2006) 7.4 (2011) 8.5 Likely
Proportion of population below $2.00 (PPP) per day
33.5 (2000) 25.3 (2006) 20.8 (2011) 16.8 Likely
Poverty gap ratio ($1.00 (PPP) per day)
3.2 (2000) 1.1 (2006) 1.0 (2011) 1.6 Achieved
Poverty gap ratio ($1.25 (PPP) per day)
5.4 (2000) 2.3 (2006) 1.9 (2011) 2.7 Likely
Poverty gap ratio ($2.00 (PPP) per day)
13.0 (2000) 8.1 (2006) 6.5 (2011) 6.5 Likely
Poverty gap ratio ($2.50 (PPP) per day)
18.0 (2000) 12.5 (2006) 10.3 (2011) 9.0 Likely
Share of the poorest quintile in national consumption
2.9 (2000) 2.8 (2006) 2.7 (2011) 5.8 Unlikely
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Target 1B: Achieve full and productive employment and decent work for all, including women and young people
Percentage growth rate of GDP per person employed
4.7 (2002) 1.9 (2009) 1.5 (2011) 6.0 Unlikely
Employment-to-population ratio 44.1 (2001) 42.5 (2009) 40.8 (2011) 50-70 Unlikely
% of employed people living below $1 (PPP) per day
5.2 (2000) No data 3.9 (2009) 0 Likely
% of own-account and contributing family workers in total employment
11 .0 (2000) 9.9 (2010) 10.0 (2011) 5 Unlikely
Target 1C: Halve between 1990 and 2015, the proportion of people who suffer from hunger
Prevalence of underweight children under five years of age (%)
13.2 (1993) 10.2 (2005) 8.3 (2008) 4.7 Likely
[1]
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Target 3: Ensure that by 2015, children everywhere, boys and girls alike will be able to complete a full course of primary schooling
Net enrolment ratio in primary education
Data deficiency Data deficiency Data deficiency NA NA
96.8 (2002) 99.0 (2009) 99.2 (2011) 100
Proportion of learners starting grade 1 who reach last grade of primaryMale Female
89.2 (2002) 91.8 (2009) 93.4 (2012) 100 Likely
90.1 (2002) 93.4 (2009) 96.1 (2012) 100
Literacy rate of 15-24 year-oldsMale Female
83.3 (2002) 88.9 (2009) 90.7 (2011) 100 Likely
88.4 (2002) 93.1 (2009) 94.6 (2011) 100
15 (2001) 19 (2009) 22 (2011) 20 Achieved
NA NA 43 (2011) No target
59.5 (2009) 66.5 (2010) 72.4 (2012) 84.4 Likely
12.0 (2002) No data 26.7 (2011) No target NA
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Goal 3: Promote Gender Equality and Empower WomenIndicator 1994 baseline
(or nearest year)2010 Status (or nearest year)
Current status (2013 or nearest year)
2015 Target
Target achievability
Target 4: Eliminate gender disparity in primary and secondary education, preferably by 2005, and in all levels of education no later than 2013
GPI primary 0.97:1 (1996) 0.98:1 (2009)
0.96:1 (2011) 1:1 Likely
GPI secondary 1.13:1 (1996) 1.01:1 (2009)
1.07:1 (2011) 1:1 Achieved
GPI tertiary 0.86:1 (1996) 1.32:1 (2009)
1.38:1 (2011) 1:1 Achieved
Ratio of literate females to literate males 15-24 years
1.1:1 (1996) 1:1 (2009)
1.0:1 (2011) 1:1 Achieved
Female share of non-agricultural wage employment
43 (1996) 45 (2010)
45 (2012) 50 Unlikely
Proportion of seats held by women in national parliament (%)
25 (1996) 44 (2009) 44 (2009) 50 Likely
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Goal 4: Reduce child mortality
Indicator
1994 baseline (or nearest year)
2010 status (or nearest year)
Current status (2013 or nearest
year)
2015 Target
Target achievability
Target 4: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate
Under 5 mortality rate (per 1 000 live births)
59(1998)
104(2007)
* - (2011)20 Likely***
**67(2007)
**53(2010)
Infant mortality rate (per 1 000 live births)
54 (1998)
53 (2007)
* - (2011)
18 Likely***
**48(2007)
**38(2010)
Proportion of one year old children immunised against measles (%)
68.5(2001)
97.1(2009)
99.1(2011)
100 Likely
Life expectancy at birth (years):Males Females
50.0
(2002)
51.7
(2007)
56.8
(2012)70 Unlikely
So what will it take the meet the MDG targets?
• Focus on the major causes of mortality• Newborns
– Prematurity– Infections– Asphyxia
• Under 5– HIV– Diarrhoea– Pneumonia– Severe malnutrition– TB
• Maternal mortality– HIV– Hypertension– Haemorrhage
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Goal 5: Improve Maternal Health
Indicators 1994 baseline (or nearest year)
2010 status (or nearest year)
Current status (2013 or nearest year)
2015 Target
Target achievability
Target 5A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio
Maternal mortality ratio (per 100 000 live births)
150(1998)
625 (2007)
269**(2010)
38 Unlikely
299**(2007)
Proportion of births attended by skilled health personnel (%)
76.6(2001)
94.3(2009)
No update available
100 Likely
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Target 5B: Achieve by 2015, universal access to reproductive health
Contraceptive prevalence rate (for all women using all methods) (%)
50.1(1998)
50.2(2003)
No update available 100 NA
Adolescent birth rate (%)
12.5(1996)
No data
13.7(2011)
No target NA
Antenatal care coverage (at least one visit and at least four visits) (%)
76.6(2001)
102.8(2009)
100.6(2011)
100 Achieved
Unmet need for family planning (married women or those in union) (%)
15.0(1998)
13.8(2003)
No update available No target NA
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Maternal mortality ratios by year of death: 2002-2010 and the 2015 MDG target
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Province 2008 2009 2010 2011 2012Eastern Cape 180.4 215.2 197.0 158.26 146.44
Free State 267.0 350.9 263.5 240.08 124.54
Gauteng 136.0 160.2 159.2 121.45 142.52
KwaZulu-Natal 183.8 194.2 208.7 186.74 160.33
Limpopo 176.6 160.4 166.7 195.51 185.80
Mpumalanga 179.8 159.4 218.6 190.13 173.76
North West 161.7 279.5 256.1 153.75 127.76
Northern Cape 274.4 251.8 267.4 191.10 149.33
Western Cape 61.8 113.1 88.0 64.81 78.64
South Africa 164.8 188.9 186.2 159.14 146.71
Table: Comparison of Institutional MMR per province from 2008-2012 (NCCEMD)
Key achievements attained in reducing MMR
• Improved access to lifelong ART for pregnant women taking antiretrovirals for their own health.
• Considerable decline in the Free State within 12 to 18 months by:– Re-organizing their emergency medical services;
improving inter facility transfer times.– Realignment of services for caesarean section
times.
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Goal 6: Combat HIV/AIDS, Malaria and Other DiseasesIndicators 1994 baseline
(or nearest year)
2010 status (or nearest year)
Current status (2013 or nearest year)
2015 Target
Target achievability
Target 6A: Have halted by 2015 and begun to reverse the spread of HIV/AIDS
HIV prevalence among population aged 15-24 years (%)
9.3(2002)
8.7(2008)
7.3(2012)
4.2 Likely
Condom use at last high risk sex (%)
27.3(2002)
62.4(2008)
59.9(2012)
100 Unlikely
Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS (%)
66.4(2005)
42.1(2008)
48.5(2012)
95 Likely
Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
1:1(2002)
1:1(2008)
1:1.01(2011)
1:1 Achieved
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Target 6B: Achieve by 2010, universal access to treatment for HIV/AIDS for all those who need it
Proportion of population with advanced HIV infection with access to antiretroviral drugs (%)
13.9(2005)
41.6(2009)
75.2(2011)
80 Likely
Target 6C: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases
Incidence of tuberculosis per 100 000 population
253 (2004)
283 (2009)
< 253 NA
993(2011)
449 NA
Prevalence of tuberculosis per 100 000 population
768(2011)
392 NA
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Death rates associated with tuberculosis per 100 000 population
147(2002)
50(2010)
49(2011)
<147 Achieved
Incidence of malaria per 100 000 population
64 622(2000)
8 066(2010)
6 846(2012)
32 311 Achieved
Death rates associated with malaria per 100 000 population
459(2000)
87(2010)
72(2012)
229 Achieved
Non Health MDGs.
Integral to improved health outcomes
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Target 7C: Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation
Proportion of population using an improved drinking water source (%)
76.6(1996)
84.4(2001)
90.8(2011)
88.3 (2015)
Achieved
Proportion of population using an improved sanitation facility (%)
49.3(1996)
53.6( 2001)
66.5(2011)
74.65 Likely
In Conclusion
• Need to consider the impact of the social determinants of health on health outcomes
• Many gains have been made – especially since 2009
• However, more work in specific areas are needed to meet the MDGs by 31 December 2015
• Many of these issues should be taken forward past 2015, including a focus on universal health coverage and non-communicable diseases
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Thank You
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