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Health : too slow progress towards the Goals of sustainable development

The chances of achieving success in 2030 are thin without "a financial commitment and extraordinary politics," considers a group of 2 500 experts.

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Health : too slow progress towards the Goals of sustainable development

The chances of achieving success in 2030 are thin without "a financial commitment and extraordinary politics," considers a group of 2 500 experts.

re is no guarantee that world will reach by 2030 sustainable development Goals (SDGS) related to health. Certainly, observed trends since 1990 show that more than 60% of countries should reach targets set for mortality neonatal, infant and maternal, as well as for malaria, but less than 5 % of countries are only likely to approach goal regarding number of road deaths, children who are overweight, or tuberculosis. This lucid analysis of study group "global burden of disease" has been published, Tuesday, 12 September, in british journal Lancet.

It was conducted by approximately 2 500 staff members of project, distributed in 135 countries and coordinated by Institute for Health Metrics and Evaluation, based at university of Washington in Seattle. The experts have studied data of 188 countries for 37 of 50 ODD health-related. These 37 indicators are delay of child growth in incidence of infection by HIV, through suicide, access to safe drinking water and sanitation, immunization coverage, and mortality related to air pollution. A note has been assigned to each of m, which has enabled us to obtain an overall score and a ranking of countries.

Singapore, Iceland and Sweden are top three with an overall score of 87/100 for first, 86/100 for or two. Norway, nerlands, Finland, Israel, Malta, Switzerland and United Kingdom complete list of ten best students. With an overall score of 73/100, France is ranked 26th, behind, among ors, by Australia, Canada, Germany, Italy, Belgium, but also Antigua and Barbuda, Cyprus or Slovenia.

The countries that are lagging behind almost all african

at or end of spectrum, Afghanistan, closes works of 188 countries studied. But all in all, group of States that are most behind is outrageously dominated by sub-saharan Africa. On 38 last of list, outside of Afghanistan, Bangladesh, Nepal, Yemen and Papua - New-Guinea, all in africa.

The Index of socio-demographic (ISD) is an instrument combining per capita income, average number of years of schooling for 15 years and over, and fertility rate. Without surprise, it has a bearing on progress of development goals. "For a sub-set of indicators, (...) projected levels of achievement of SDGS are promising, in particular for countries with ISD to highest," stressed authors of this study. They note, however, that se positive projections are exceptions, " most of countries, especially those in West Africa, and central and States, having an ISD down, facing a difficult path to achieve SDGS by 2030 on base paths present ", y argue.

The researchers have added four new indicators that were not accounted for in assessment of global burden of disease published in 2016 : coverage of immunization, physical and sexual violence, child sexual abuse, a death registry reliable, as well as updates of implementation of universal health coverage. On this last point, Cambodia, Rwanda, equatorial Guinea, Laos, Turkey and China are ones which recorded most significant progress during period 2000-2016 thanks to pro-active policies. Conversely, Lesotho, central african Republic and United States are those for which progression is lowest.

Tb and HIV

not surprisingly, France has very good notes for chapters of maternal and child health, communicable diseases and non-communicable diseases and development. On or hand, its weakest points are consumption of alcohol (20/100), daily smoking (28/100) and death by suicide (29/100). Or indicators receive a positive rating, but all same average down : occupational diseases (63/100), overweight in childhood and incidence of infection by HIV (64/100 both).

The projections for 2030, on current trends, do not grow to optimism. Less than half of country would achieve goals for follow-up of delivery in presence of health professionals (48 %), indoor air quality (40 %) and existence of registries of deaths, reliable (35 %). Worse, only 7% of country would be able to keep ir commitment in putting an end, by 2030, epidemic of HIV infection, and no case of tuberculosis. Finally, to this date, less than 5% of m would be at time of SDGS, which have been able to overcome overweight children, mortality by suicide, as well as road mortality.

" It is increasingly clear that agenda of SDGS related to health is based on progress [that should be] much faster, particularly among poorest populations in world ", can only note authors. "To see se efforts crowned with success is not yet impossible, however, this will require a financial commitment and extraordinary politics, on part of national agencies and international to ensure that no-one had been abandoned on road in 2030," y concluded.


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