MDGs Update!!!

"Looking ahead to 2015 and beyond, there is no question that we can achieve the overarching goal: we can put an end to poverty. In almost all instances, experience has demonstrated the validity of earlier agreements on the way forward; in other words, we know what to do. But it requires an unswerving, collective, long-term effort." United Nations - Secretary General Ban Ki-moon.

The MDGs represent a global partnership that has grown from the commitments and targets established at the world summits of the 1990s. Responding to the world's main development challenges and to the calls of civil society, the MDGs promote poverty reduction, education, maternal health, gender equality, and aim at combating child mortality, AIDS and other diseases.

Set for the year 2015, the MDGs are an agreed set of goals that can be achieved if all actors work together and do their part. Poor countries have pledged to govern better, and invest in their people through health care and education. Rich countries have pledged to support them, through aid, debt relief, and fairer trade.

What are the Millennium Development Goals?

The eight Millennium Development Goals (MDGs) – which range from halving extreme poverty to halting the spread of HIV/AIDS and providing universal primary education, all by the target date of 2015 – form a blueprint agreed to by all the world’s countries and the entire world’s leading development institutions. They have galvanized unprecedented efforts to meet the needs of the worlds poorest.

The Eight Millennium Development Goals:

1. Eradicate extreme poverty and hunger
2. Achieve universal primary education
3. Promote gender equality and empower women
4. Reduce child mortality
5. Improve maternal health
6. Combat HIV/AIDS, malaria and other diseases
7. Ensure environmental sustainability
8. Develope a global partnership for development

Useful links:

- http://www.undp.org/mdg/

- http://mdgs.un.org/unsd/mdg/Default.aspx

- MDG Report 2008 - United Nations : http://www.un.org/millenniumgoals/pdf/The%20Millennium%20Development%20Goals%20Report%202008.pdf

MDG: Investment Study

The MDGs represent a global partnership that has grown from the commitments and targets established at the world summits of the 1990s. Responding to the world's main development challenges and to the calls of civil society, the MDGs promote poverty reduction, education, maternal health, gender equality, and aim at combating child mortality, AIDS and other diseases.

In terms of Maternal Mortality Rate, MDG achievement reflected the existing challenges and need further efforts to ensure that delivery is safe for all mothers, especially in the remote and hard-to-reach areas.

To reduce child mortality is another opportunity to be able to enjoy long and healthy lives. And we are certainly living longer: between 1970 and 2005 our average life expectancy increased by around 15 years. Children born in Indonesia today can expect on average to live 67 years.

To improve in reducing the Maternal Mortality Rate and Child Mortality, means that we have to improve the quality of maternal and child health services especially during and immediately after delivery. One reason of overall is that the health of young children is very closely linked to those of their mothers. This brings us to the next goal.

MDGs Indonesia Achievement Status

Goal 4. Reduce Child Mortality
Target 5. Reduce by two thirds, between 1990 and 2015, the under-five mortality rate
Indicators	1990	Recent	Target	Status
4.1 Under-five mortality rate (per 1,000 live births)	97	40	32	Likely to achieve
4.2 Infant mortality rate (per 1,000 live births)	57	32	19	Likely to achieve
4.3 Proportion of 1 year-old children immunized against measles	44.5%	72%
4.3a Proportion of children aged 12-23 months who have been immunized against measles	57.5%	82%

Goal 5. Improved Maternal Health
Target 06. Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio
Indicators	1990	Recent	Target	Status
5.1 Maternal mortality ratio (per 100,000 live births)	390	307	110	Needs improvement
5.2 Proportion of births attended by skilled health personnel	40,7%	72,4%
5.3 Contraceptive use among married women aged 15 - 49	50,5%	57,9%

Outline WHO work in Maternal and Child Health

What WHO has done in the past few years

What will be done in the next few years

Assisting MoH with the : 1. Development and updating of the Child Survival and Maternal Health strategy. 2. Analyzed information from household surveys in the areas of child health, adolescent health and maternal health. 3. Developed Maternal and Child Health Provincial profile 4. Developed Advocacy materials 5. Instrumented Major assessment and evaluations for child, adolescent health, maternal dan reproductive health. 6. Adapted and updated technical materials representing global standard and best practices.

Work of WHO in the next biennium will focus on: 1. Adoption of national standards for service delivery at community, health facility and hospital levels. 2. The development of decentralized process to achieve these standards through quality improvement mechanism. 3. The development of data-based planning for maternal and child health at district and provincial level. 4. Develop the National monitoring and mapping of the situation of service delivery 5. Updating guidelines based on global development 6. Improving the standards of preserve training in medical and paramedical schools in the areas of maternal health, delivery care and reproduction health and child health.