Building on successes: The future after 2015 Building on success: The future after 2915 MDGs November 8, 2010 Building on successes: The future after 2015 Gopal Sankaran*, MD, DrPH Interim Assistant Vice President for International Programs and Professor of Public Health, West Chester University, PA 138th Annual Meeting of American Public Health Association Denver, CO November 8, 2010 Gopal Sankaran

Presenter Disclosures Gopal Sankaran The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: “No relationships to disclose” November 8, 2010 Gopal Sankaran

Session Objectives Provide an overview of the current status of accomplishments of MDGS 1 through 8 . Identify the challenges pertaining to MDG themes after 2015. Explain why MDG 8 is critical for continuation of the successes accrued in all MDGs till 2015 and thereafter. Specify strategies through which MDG 8 outcomes could be strengthened into the future. Gopal Sankaran November 8, 2010

The Millennium Development Goals (The Millennium Declaration, 2000) MDG 1: Eradicate extreme poverty and hunger MDG 2: Achieve universal primary education. MDG 3: Promote gender equality and empower women MDG 4: Reduce child mortality MDG 5: Improve maternal health MDG 6: Combat HIV/AIDS, malaria and other diseases MDG 7: Ensure environmental sustainability MDG 8: Develop a global partnership for development November 8, 2010 Gopal Sankaran

MDGs: Current status of accomplishments (WHO, 2010) Three summary findings: Progress made on any goal varies from region to region (and country to country). Progress made on different targets varies within the same goal. Progress made on all eight goals varies from goal to goal. November 8, 2010 Gopal Sankaran

MDG with differences among regions (Millennium Development Goals: 2010 Progress Chart) November 8, 2010 Gopal Sankaran

MDGs with differences among goals in different regions ((Millennium Development Goals: 2010 Progress Chart) November 8, 2010 Gopal Sankaran

MDG-2: Some challenges to accomplishment (The MDG Report 2010, p. 18) November 8, 2010 Gopal Sankaran

MDG-3: Some challenges to accomplishment (The MDG Report 2010, p. 21) November 8, 2010 Gopal Sankaran

MDG-5: Some challenges to accomplishment (The MDG Report 2010, p. 35) November 8, 2010 Gopal Sankaran

Challenges to accomplishing MDGs by 2015 “One shoe fits all” approach Relative benchmarks too harsh on low resource nations Often “donor centric” with considerable variability in availability of donor funds Inadequate capacity building Key factors such as gender equality and the empowerment of women have not kept up pace External conditions: Food, economic, energy crises; natural disasters November 8, 2010 Gopal Sankaran

Progress on MDG-8: Donors need to fulfill promises The Millennium Development Goals Report 2010, p.67 November 8, 2010 Gopal Sankaran

Progress on MDG-8: Structural inequalities need to be removed The Millennium Development Goals Report 2010, p. 72 November 8, 2010 Gopal Sankaran

Strategies for MDGs beyond 2015 Rethinking and fresh planning rather than mere extension of goals based on projections Consider MDGs be collectively achieved than by individual nations Country-specific absolute and relative benchmarks with well thought out time horizon Capacity-building specific to each nation MDGs made part of each nation’s development goals MDGs need to be rethought in a human rights framework November 8, 2010 Gopal Sankaran

Strategies for MDGs beyond 2015 (continued) Address all types of gap (needs gap, delivery gap, and coverage gap) in terms of overseas development assistance Tie in overseas development resources with internal resource capacity Adjust trade policies and procedures to benefit low income nations Build leadership as well as program implementation and evaluation capabilities Do high income nations need to have their own MDGs? November 8, 2010 Gopal Sankaran

(Foreword, The Millennium Development Goals Report 2010, p. 3) The world is watching… “Meeting the goals is everyone’s business. Falling short would multiply the dangers of our world – from instability to epidemic diseases to environmental degradation. But achieving the goals will put us on a fast track to a world that is more stable, more just, and more secure.” “Billions of people are looking to the international community to realize the great vision embodied in the Millennium Declaration. Let us keep that promise.” --Ban Ki Moon, UN Secretary-General, 2010 (Foreword, The Millennium Development Goals Report 2010, p. 3) November 8, 2010 Gopal Sankaran

Contact Information Gopal Sankaran, MD, DrPH Interim Assistant Vice President for International Programs and Professor of Public Health Center for International Programs 310 McKelvie Hall West Chester University West Chester, PA 19383 P: 610-738-0536 F: 610-436-3426 E: gsankaran@wcupa.edu November 8, 2010 Gopal Sankaran