Barriers to achieving the health MDGs and how these can be overcome Action for Global Health UK Policy Conference London, 28 June 2010 Isabelle de Zoysa.

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Presentation transcript:

Barriers to achieving the health MDGs and how these can be overcome Action for Global Health UK Policy Conference London, 28 June 2010 Isabelle de Zoysa

Health-related MDGs – Scorecard 2010 AFR AMR EMR EUR SEA WPR World Child Mortality Measles immunization Maternal mortality Skilled birth attendant Contraceptive use HIV/AIDS incidence TB treatment success Malaria impact MDG 4 MDG 5 MDG 6

East Africa Proportion of HIV-related under-5 mortality in African sub-regions, Central Africa West Africa Proportion (%) Proportion (%) Southern Africa Proportion (%) Proportion (%)

Leading causes of death among women of reproductive age (15-44 yrs) World %Deaths(000s)CauseRan k HIV/AIDS Maternal conditions Tuberculosis Self-inflicted injuries Road traffic accidents 5 Source: Women and Health report, WHO, 2009

Maternal Mortality Trends, Source: Hogan et al, 2010

Unequal declines in under 5 mortality

Progress diverges across interventions FAST - scale-up of people receiving ARVs in low- and middle-income countries Millions SLOW – coverage of skilled attendant at delivery, especially in Africa Skilled birth attendant % Receiving ARVs

Women and children are dipping in and out of the health care system

Current concerns and opportunities

Integration? …how to make it work..

Don't turn away now.5 m cases multidrug resistant TB 1 m malaria deaths 2.7 m new HIV infections 5 m people in need without access to ARVs 3-800,000 maternal deaths 3 m diarrhoea & pneumonia deaths in children 8.8 child deaths 1100 m people without access to sanitation

Addressing the challenges Sustain high level political commitment Ensure sustainability of resources in times of economic crisis Strengthen health systems to deliver integrated interventions across the life course Promote implementation research to learn from successes and failures across countries and interventions Build sound information systems to identify problem areas and monitor change.

Opportunities to make a difference Regional commitments (such as the Maputo Plan of Action and Campaign on Accelerated Reduction of Maternal Mortality in Africa) The Joint Action Plan and accountability framework Muskoka Initiative – additional funding for a comprehensive and integrated approach to accelerate progress towards MDGs 4 & 5 Commitment to integrating approaches to maximize health outcomes related to MDGs 4, 5 and 6, while strengthening health systems Global mobilization around scaling up PMTCT towards elimination GF Board Decision to explore options for optimizing synergies with Maternal and Child Health; GF replenishment Other programming and financing opportunities (GHI/PEPFAR etc)

Thank you!