From MDGs to SDGs

Dr. Jimuel S. Cardenas

Division Chief, LHSD
DOH Regional Office I

Financial Risk
Protection

Attainment of
Health-Related
MDGs
Access to
Quality Health
Services

Distribution of DOH Budget

DOH Budget

MDG

HFEP

Premium Subsidy for indigents

100
90
80
70
60

Billion Pesos

50
40
30
20
10
0

0.7

0.7

2000

2005
Fiscal Year

4.64
2010

10.34
2015

Proportion of underweight
children under five

27. 21.
4
5
(198
9)

(201
5)

Source: 1989, 2015 NNS

GOAL 1

ERADICATE EXTREME HUNGER AND POVERTY

Mortality Rates in Children

IMR
Per 1,000 live births

U5MR

60

48.4

50
40

30
35.1
20

40

29

34
25

10
0

1998

2003

SOURCE: 1998,2003,2008,2013 NDHS

GOAL 4

REDUCE CHILD MORTALITY

2008

31
2
7
1
23
9
2013

Proportion of Infants
immediately
breastfed at birth

35.6 49.7
(1993)

Measles vaccine coverage

(2013
)

Fully immunized child

77.9 90 71.5 83
(1993)

(2015, Program data)

SOURCE: 1993, 2013 NDHS and 2015 Program Data

GOAL 4

REDUCE CHILD MORTALITY

(1993)

(2015, Program data)

Maternal Mortality Ratio

Per 100,000 live births

135
129
130

127

125
120
115

126
121
117
114

52

110
105
2010 2011 2012 2013 2014 2015

Source: WHO, UNICEF, UNFPA, The World Bank, and the United Nations Population
Division

GOAL 4

IMPROVE MATERNAL HEALTH

Facility-Based Deliveries

28.2 79
(1993)

Contraceptive Prevalence
rate

(2015, Program Data)

44

(1993)

(2015, Program
Data)

Unmet need for family

planning

Births attended by Skilled Health Personnel

30 17.5

52.8 83
(1993)

40
(1993)

(2015, Program
Data)

Antenatal care coverage ( at least 4 visits)

SOURCE: 1993, 2008 NDHS and 2015 Program Data

GOAL 4

52
(1993)

74

(2015, Program
Data)

IMPROVE MATERNAL HEALTH

(2013,
NDHS)

Proportion of TB cases detected under DOTS,

all forms

Malaria-free Provinces

13
(1995)

53

32

(2001)

(2015)

(2015, Program data)

Proportion of TB cases cured under DOTS

Death rate associated with malaria

73

1.40 0.019
(1990)

99

(2001)

(2015)

92

(2015, Program data)

New HIV/AIDS Cases and ART

7828
6011
Number of Cases
3309
2672 2349
1591

Source: Program data

GOAL 6

2010

2011

4823
3338

2012

4814

2013

2014

2015

COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

Smoking Profile in the Philippines

Current Smoker

Previous Smoker

70
6056

50

59

59

26

25

24

18

16

17

Mar 14

Aug 15

Dec 15

56

52

Non-smoker

50
40
30
30
20

29

26

21

21

Dec 12

Sep 13

1014
0

Sep 11

12

10.6

10

Daily
Cigarette
Consumpti
on

6
4
2
0

Source:SWS

GOAL +

10

GATS 2009

TOBACCO CONTROL

Mar-14

Aug-15

Dec-15

Households with access to safe water

73 94.5
(1990
)

(2015
)
Households with access to
sanitary toilet facility

Source: PSA APIS, NNS 2015

GOAL 7

67. 91.2
6
(1990)

(2015)

ENSURE ENVIRONMENTAL SUSTAINABILITY

Achieved

Antenatal care coverage

Unmet need for family
planning

TB prevalence & incidence

TB case detection rate
TB treatment success rate
TB mortality rate
Malaria mortality rate

Proportion of families with

access to safe water
Proportion of families with
sanitary toilet facility

Not achieved

Proportion of
underweight children
under-five

Infant mortality rate

Under-five mortality rate

Maternal mortality ratio

Births attended by SHP
Contraceptive
Prevalence Rate

HIV prevalence

Challenges
Fragmented service delivery across public and
private providers
Timely and reliable data; efficient health
information system
Multi-sectoral approach to public health issues

Sustaining the Gains

National commitment to MDGs
- National development plan
- Investment
- Policy support

Alignment of partnership
- Local Government Units, Civil societies, Private sector

Transition to SDGs

MDGs

EQUITY

SDGs

Equity targets
Multi-sectoral action
Sharpen
accountability
Data for decisions

Sustainable Development Goals

Sustaining the MDGs, Moving Forward
through SDGs

The 2030 Agenda

Declaration
Achieve sustainable development in three
dimensions economic, social , environmental
Recommit to realize the off-track MDGs

The 2030 Agenda

Declaration- continued:
SDGs will come into effect on 1 January
2016 until end of 2030
Poverty reduction is the greatest global
challenge
Nobody will be left behind
Needs of children, youth, people living with
disability, older people, migrants, indigenous
peoples are reflected

The 2030 Agenda

Declaration- continued:
Interrelated challenges: inequality,
unemployment, violence and
extremism, climate change
Gender equality and women
empowerment are crucial
Each country faces specific challenges

The 2030 Agenda

For Sustainable Development:
PEOPLE end poverty and hunger in all forms
and ensure dignity and equality
PROSPERITY- ensure prosperous and fulfilling
lives in harmony with others
PEACE
PARTNERSHIP implement the agenda
through a solid global partnership
PLANET

Comparison of MDGs and

SDGs
No. of Goals
No. of
Targets
No. of
Indica-tors
(global)
General
scope/ focus

MDGs
8
21

SDGs
17
169

60

230

Social

Economic growth, social

inclusion & environmental
protection

Target

Developing
countries,
particularly
poorest

Entire world (rich and

poor)

Formulation

Produced by a Result of consultation

process among:

SDGs for 2016-2030

Of the 17 Goals, there are 3 Health-related SDGs:
Reduce
Neonatal
and UnderFive
Mortality
End Epidemics of AIDS, TB,

End Epidemics of AIDS, TB,

Malaria and Neglected Tropical
Diseases and Combat
Hepatitis, Water-Borne
Diseases and other
Communicable
Reduce
Diseases

Premature
Mortality from
NCDs
Prevention

Reduce
Matern
al
Mortalit
y

and
Treatment of
Substance
Abuse

Reduce deaths and

illnesses from hazardous
chemicals and air, water
and soil pollution and
contamination
Universal
Health
Coverage

Universal Access
to Sexual and
Reproductive
Healthcare
Services
Reduce Global
Deaths and Injuries
from Road Traffic
Accidents

SDG 3 Targets and Proposed Indicators

Targets
Target 3.1: By 2030,
reduce the global
maternal mortality ratio
to less than 70 per
100,000 livebirths

Global Indicators
3.1.1 Maternal deaths per 100,000 live births
3.1.2 Proportion of births attended by skilled
health personnel
Suggested: Proportion of births delivered in a
health facility

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators
3.2.1 Under-five mortality rate
(deaths per 1,000 live births)

Target 3.2: By 2030, end

preventable deaths of newborns
and children under 5 years of age,
with all countries aiming to reduce
neonatal mortality to at least as low
as 12 per 1,000 live births and
under-5 mortality to at least as low
as 25 per 1,000 live births

3.2.2 Neonatal mortality rate

(deaths per 1,000 live births)
Infant Mortality Rate

Proportion of FIC

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators
3.3.1 Number of new HIV infections per
1,000 uninfected population, by sex, age
and key populations

Target 3.3: By 2030, end the

epidemics of AIDS,
tuberculosis, malaria and
neglected tropical diseases
and combat hepatitis, waterborne diseases and other
communicable diseases

Proxy: No. of new HIV infections

Addl: HIV Prevalence among total
population
Add'l: Percentage of ART eligible PLHIV on
ART
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

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators

3.3.5 Number of people requiring

interventions against neglected tropical
Target 3.3: By 2030, end the diseases
epidemics of AIDS,
Filaria-free provinces
tuberculosis, malaria and
neglected tropical diseases Prevalence of Schistosomiasis
and combat hepatitis, waterPrevalence of Soil-Transmitted
borne diseases and other
Helminthiasis
communicable diseases
Percent of school children 12 years and
(continued)
below dewormed
Number of rabies free areas

SDG 3 Targets and Proposed Indicators

Targets
Target 3.4: By 2030, reduce
by one third premature
mortality from noncommunicable diseases
through prevention and
treatment and promote
mental health and wellbeing

Global Indicators
3.4.1 Mortality rate attributed to
cardiovascular disease, cancer, diabetes
and chronic respiratory disease

3.4.2 Suicide mortality rate

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators
3.5.1 Coverage of treatment interventions
(pharmacological, psychosocial and
rehabilitation and aftercare services) for
substance use disorders

Target 3.5: Strengthen the

prevention and treatment of Prevalence of drug use/abuse
substance abuse, including
3.5.2 Harmful use of alcohol, defined
narcotic drug abuse and
according to the national context as alcohol
harmful use of alcohol
per capita consumption (aged 15 years and
older) within a calendar year in litres of pure
alcohol
Proportion of binge drinkers 20 years old
and above

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators

Target 3.6: By 2020, halve

3.6.1 Death rate due to road traffic injuries
the number of global deaths
and injuries from road traffic
accidents
Prevalence of injuries due to road traffic
crashes

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators

3.7.1 Proportion of women of reproductive

age (aged 15-49 years) who have their need
Target 3.7: By 2030,
for family planning provided with modern
ensure universal access to methods
sexual and reproductive
Contraceptive Prevalence Rate
health-care services,
including for family
planning, information and 3.7.2 Adolescent birth rate (aged 10-14
years; aged 15-19 years) per 1,000 women
education, and the
integration of reproductive in that age group
health into national
Pregnancy rate among adolescents
strategies and
regardless of outcome (10-14, 15-19)
programmes
Abortion rate

SDG 3 Targets and Proposed Indicators

Targets
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

Global Indicators

3.8.1 Coverage of essential health services

Out-of-pocket health spending as percentage of

total health expenditure
3.8.2 Number of people covered by health
insurance or a public health system per 1,000
population
Percentage of the population suffering catastrophic
health expenditure
Percentage availability of essential drugs in public
health facilities

SDG 3 Targets and Proposed Indicators

Targets
Target 3.9: By 2030,
substantially reduce the
number of deaths and
illnesses from hazardous
chemicals and air, water
and soil pollution and
contamination

Global Indicators
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

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators

Target 3.a
Strengthen
the implementation of the
World Health Organization
Framework Convention on
Tobacco Control in all
countries, as appropriate.

3.a.1 Age-standardized prevalence of current

tobacco use among persons aged 15 years
and older
Proxy: Prevalence of current tobacco use

SDG 3 Targets and Proposed Indicators

Targets
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

Global Indicators
3.b.1 Proportion of the
population with access to
affordable medicines and
vaccines on a sustainable
basis
3.b.2 Total net official
development assistance to
medical research and
basic health sectors

Proportion of health budget

allocated for research

SDG 3 Targets and Proposed Indicators

Targets

Global Indicators

Target 3.c: Substantially

increase health financing
3.c.1 Health worker density and distribution
and the recruitment,
development, training and
retention of the health
workforce in developing
countries, especially in
least developed countries Percentage of health budget allocated for
HRH
and small island
developing States

SDG 3 Targets and Proposed Indicators

Targets

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

Target 3.d: Strengthen the

capacity of all countries, in
Proxy: Compliance to the IHR Core
particular developing
Capacities
countries, for early
warning, risk reduction and
management of national
Addl: Percentage of areas with disaster or
and global health risks
emergencies responded to with no major
disease outbreak

Attaining the SDGs

Monitor and respond

Reach the unreached
Intersectoral collaboration

A universal call to action to transform

our world beyond 2015

THANK YOU!!!