1. THE OUTCOMES OF MILLENIUM DEVELOPMENT GOALS (MDGs) AND THE POSSIBILITY OF SUSTAINABLE DEVELOPMENT GOALS’ IMPLEMENTATION (SDGs) IN THE HEALTH CARE SECTOR

2. 2 5/8 HEALTH-RELATED MDGs 2 Eradicate extreme hunger and poverty Achieve Universal Primary Education Promote Gender Equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria and other diseases Ensure environmental sustainability Develop a global partnership for development

3. 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

4. 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

5. 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

6. Target No 1c. Children malnutrition reduced by half 6 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

7. Target No 1c. Children malnutrition rate by region 7

8. 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.

9. MDG4. under 5 mortality rate by region 9

10. 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

11. MDG5b. Reproductive health education 11 IndicatorsInitial data Implement ed in 2014 Target of 2015 The possibility to reach target Women giving birth with support from health staff (%) 86 (2001)97,5>95achieved 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)89,687achieved

12. MDG6. Combat HIV/AIDS, malaria and other diseases 12 Indicators Initial data Impleme nted 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/AIDS The percentage of HIV transmission in population at the age of 15 -24. -<0,3 achieved The percentage of female sex worker using condom77,7 (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) ≥ 50possible Target No. 6b: Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it The percentage people living with HIV receiving antiretroviral therapy 5 (2005)6770 Need great effort Target No. 6c: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases Number of malaria patient per1.0003,84 (2000)0,40,35possible Number of death case per 100.0000,19 (2000)0,0160,02 achieved Number of TB case per 100.000 dân375 (2000)209187possible

13. MDG Target 7.C:. Halve, by 2015, the proportion of the population without sustainable access to safe drinking water and basic sanitation 13 Indicators Initial data Implemen ted in 2014 Mục tiêu 2015 The possibility to reach target Percentage of people using sanitary latrines (%) 37 (1990)7668,5achieved Percentage of people using safe water (%) 57 (1990)9478,5achieved 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

14. 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

15. From MDGs to SDGs 17 Targets: Target No 3: Good health. Target No 2 and 6 provide health related indicators

16. 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

17. 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. 18 Thank you so much