THE OUTCOMES OF MILLENIUM DEVELOPMENT GOALS (MDGs) AND THE POSSIBILITY OF

SUSTAINABLE DEVELOPMENT GOALS’ IMPLEMENTATION (SDGs) IN THE HEALTH

CARE SECTOR

2

5/8 HEALTH-RELATED MDGs

2

Eradicate extreme hunger and poverty

Achieve Universal Primary Education

Promote Gender Equality and empower womenReduce child mortality

Improve maternal health

Combat HIV/AIDS, malaria and other diseases

Ensure environmental sustainability

Develop a global partnership for development

OUTCOMES

Collaborate with line Ministries, relevant sectors to submit Laws, bylaws, strategy related to MDGs to the National Assembly, Prime Minister for its enactment.

Ministry of Health issues action plans, standard/expertise documentations...to implement MDGs

To draw the involvement of relevant Ministries, sectors, state organizations, community and people to the development and implementation of MDGs.

To monitor, evaluate MDGs implementation, 6 month-review or annual review to define advantages and causes for better solution

3

RESOLUTION NO 05/NQ-CP ISSUED BY GOVERMENT

Ministry of Health submit the proposal of Resolution No 05/NQ-CP to promote health related MDGs to the Government for its enactment.

To overcome obstacles, challenges to achieve MDGs in 2015 and maintain its sustainability post 2015 period

To develop roadmap in political system: Ministries, Governmental entities, Provincial People’s Committee at the central level take this Resolution’s target implementation into great consideration.

Provincial People’s Committees have issued Action plans to implement Resolution No. 05.

4

THE ACTION PLAN OF THE HEALTH CARE SECTOR

Dec 30, 2014, Ministry of Health issued the Action Plan of the Health care sector to implement Resolution No.05/NQ-CP.

Main contents:o Objectives: To define and implement effectively Resolution No 05

o Indicators: Based on the current outcomes of MDGs to define MDGs to be achieved in 2015 and 2020.

o To clarify tasks, activities for each solution denoted in Resolution

o Units under MOH, Provincial Dept of Health are assigned to implement the Action Plan

o To figure out projects, policy to be developed in 2015

Provincial Dept of Health reported their implementaion, development and evaluation on MDGs

5

Target No 1c. Children malnutrition reduced by half

6

4136.7

33.831.9

30.1 28.426.6 25.2

23.421.2 19.9 18.9 17.5 16.8 16.2 15.3 14.5

20,5

0

5

10

15

20

25

30

35

40

45

Under 5 malnutrition rate (underweight) has sustainably reduced with 41% (1990) to 14.5% (2014) exceeding the MDG target with 20,5% and 7 years

Target No 1c. Children malnutrition rate by region

7

MDG4. Reduce 2/3 mortality of children under 5

8

Under 1 Mortality rate per 1000 live births declined from 44,4 (1990) to 4,9 (2014) that was on the way to 14,8 in 2015 target. Under 5 mortality rate per 1000 live births fell from 58 (1990) to 22,4 (2014), reaching to target of 2015 with 19.

44,4

36,7

3531

21 18 17,816 15 16 15,8 15,5 15,4 15,3 14,9

14,8

58 56,9

42 39,6

32,8 31,526,8

24,1 22,5 24,1 23,8 23,3 23,2 23,1 22,4

19,3

0

10

20

30

40

50

60

70

1990 1999 2000 2001 2003 2004 2005 2007 2008 2009 2010 2011 2012 2013 2014 MDG 2015Tỷ suất tử vong trẻ em <1 tuổi trên 1.000 trẻ đẻ sống

Tỷ suất tử vong trẻ em < 5 tuổi trên 1.000 trẻ đẻ sống

MDG Targe

t

MDG4. under 5 mortality rate by region

9

MDG5a. Reducing maternal mortality by 3/4

10

. Maternal mortality has declined considerably over the last two decades, from 233 per 100,000 live births in 1990 to 60 per 100,000 live births in 2014, with approximately two-thirds of this decrease related to safer pregnancy. MDG would be achieved at 58,3/100000 live births

233

130

85 80 75.1 75 76 69 68 69 69 61.9 60 58,3

0

50

100

150

200

250

1990 2001 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 MDG2015

MDG5b. Reproductive health education

11

Indicators Initial dataImplemented in 2014

Target of 2015

The possibility to reach target

Women giving birth with support from health staff (%)

86 (2001) 97,5 >95 achieved

Women with contraception (%)

73,9 (2001)77,2

(2013)82

Need great effort

Women provided with minimum 3 times for health check up. (%)

78,1 (2002) 89,6 87 achieved

MDG6. Combat HIV/AIDS, malaria and other diseases

12

IndicatorsInitial data

Implemented in 2014

Target of 2015

The possibility to reach target

Target No. 6a: Have halted by 2015 and begun to reverse the spread of HIV/AIDSThe percentage of HIV transmission in population at the age of 15 -24.

- <0,3 <0,3 achieved

The percentage of female sex worker using condom 77,7 (2009) 90,7 ≥80 achieved

The percentage of people at the age of 15-24 fully educated about HIV/AIDS

26,4 (2003)49,9

(2011)≥ 50 possible

Target No. 6b: Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need itThe percentage people living with HIV receiving antiretroviral therapy

5 (2005) 67 70Need great

effortTarget No. 6c: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseasesNumber of malaria patient per1.000 3,84 (2000) 0,4 0,35 possibleNumber of death case per 100.000 0,19 (2000) 0,016 0,02 achieved

Number of TB case per 100.000 dân 375 (2000) 209 187 possible

MDG Target 7.C:. Halve, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation

13

IndicatorsInitial data

Implemented in 2014

Mục tiêu 2015

The possibility to reach target

Percentage of people using sanitary latrines (%)

37 (1990) 76 68,5 achieved

Percentage of people using safe water (%)

57 (1990) 94 78,5 achieved

According to survey of “Joint Monitoring Programe for Water Supply and Sanitation” (JMP) WHO, UNICEF collaborated with GENERAL STATISTICS OFFICE of VIET NAM: Viet Nam achieved MDG on safe water and sanitation in 2010

DIFFICULTIES AND CHALLENGES

Number of indicators have fallen considerably in the last 3 years for example under 5 mortality rate, mother mortality, assess to HIV/AIDS treatment.

The disparity in health indicators among areas, group of people keeps increasing.

Mother and child mortality rate in mountainous areas is 3 - 4 time higher than that in plains area and go double compared to the national average rate

Children malnutrition stays high in the North West and Central Highland Number of MDG programs implemented with foreign financial supports

which is rapidly reduced, thus supplement sources is needed There’s little interest from government, the involvement of people, civil

organization stay limited. Unmet health service coverage/capacity , commune health care faces up

difficulties especially in the remote areas.

14

From MDGs to SDGs

17 Targets: Target No 3: Good health. Target No 2 and 6 provide health related indicators

Key messages for Viet Nam

To harmonize hunger alleviation with sustainable environment – inclusive growth

To fulfill unfinished MDGs Stronger political system: to ensure the integration among

process Better orientation aligned with the context of a middle income

country. Managing development process– focus on consultation &

accountability Donor sources- state budget, with partnership with private

sector Data requirement– measurement and data souces

POSSIBILITY TO IMPLEMENT SDGS ON HEALTH CARE

Globally, Number of targets built for developed and developing countries, Viet Nam should review and set up list of targets, specific targets which aligns with country context.

Summarization: It’s possible to implement if the outcomes could be sustained and promoted post 2015

Indicators on NCDs control, poisoning and injuries: the death cases due to these diseases tend to decrease. To achieve this, collaboration among sectors and great efforts of the whole political system are required.

Indicators on health system development including universal coverage: has made achievements in expanding local heath system, improving quantity/quality of health services, 72,3% population in universal coverage. To achieve this, the health care sector have to overcome obstacles and challenges.

17

18

Thank you so much