Were the MDGs Successful?

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September 23, 2015 – The Millennium Development Goals expire at the end of this year and will be replaced by the Sustainable Development Goals that will be adopted by UN member states on Friday.

But as advocates have pointed out, particularly those from the least developed countries, the MDG agenda is still unfinished business and will be incorporated into the new, and expanded, global goals that will run until 2030.

Here we take stock of what has been achieved since 2000 when the eight Millennium Development Goals were adopted, and the gaps that remain.

Goal 1 – Eradicate extreme poverty and hunger

The number of people living in extreme poverty has fallen from 1.75 billion in 1999 to 836 million in 2015 but about 800 million people still live in extreme poverty and suffer from hunger. Over 160 million children under the age of five have inadequate height for their age due to malnutrition.

Goal 2 – Achieve universal primary education

The number of out-of-school children of primary school age worldwide fell by almost half, to an estimated 57 million in 2015, down from 100 million in 2000. Primary school net enrollment rate in the developing regions has reached 91 percent in 2015 from 83 percent in 2000. Further efforts needed to achieve universal primary education.

Goal 3 – Promote gender equality and empower women

The average proportion of women in parliament has increased from 14 percent to 22 percent since 2000, but remains low in absolute terms. Globally, about three-quarters of working-age men participate in the labor force, compared to only half of working-age women. Women earn 24 percent less than men globally.

Goal 4 – Reduce child mortality

The global under-five mortality rate has declined by more than half, dropping from 90 to 43 deaths per 1,000 live births between 1990 and 2015. More work is needed to improve child survival rates. Every minute around the world, 11 children die before their fifth birthday, mostly from preventable causes.

Goal 5 – Improve maternal health

The global maternal mortality ratio has fallen from 330 to 210 deaths per 100,000 live births between 2000 and 2013. Only half of pregnant women receive the recommended amount of antenatal care.

Goal 6 – Combat HIV/AIDS, malaria and other diseases

New HIV infections fell by 40 percent between 2000 and 2013, from an estimated 3.5 million cases to 2.1 million. In sub-Saharan Africa, still less than 40 percent of youth aged 15 to 24 years had correct knowledge of HIV transmission in 2014. Over 6.2 million malaria deaths have been averted between 2000 and 2015

Goal 7 – Ensure environmental sustainability

Between 1990 and 2015, the proportion of the global population using an improved sanitation facility has risen from 54 percent to 68 percent, and those using an improved drinking water source increased from 76 percent to 91 percent. Globally, 147 countries have met the MDG drinking water target, 95 countries have met the MDG sanitation target and 77 countries have met both. Emissions of carbon dioxide rose from 23.8 to 33.0 billion metric tons from 2000 to 2012.

Goal 8 –  Develop a global partnership for development

Official development assistance from developed countries rose 66 percent in real terms between 2000 and 2014, to USD 135.2bn. Funding will remain a critical factor for the post-2015 development agenda.

Related Story: Understanding the Sustainable Development Goals – Five Key Questions

Cuba First Country to Eliminate Mother to Child HIV Transmission

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June 30, 2015 – The Caribbean region has the second highest incidence of HIV after sub-Saharan African but has made steady progress over the past decade in reducing new infections and on Tuesday Cuba achieved a feat that has so far evaded the rest of the world.

The World Health Organization announced that the island nation has become the first country to eliminate mother-to-child transmission of HIV. The most recent figures from WHO show that 240,000 children globally were born with HIV in 2013, down from 400,000 in 2009.

“Eliminating transmission of the virus is one of the greatest public health achievements possible,” WHO Executive-Director Margaret Chan said in a statement. “This is a celebration for Cuba and a celebration for children and families everywhere.”

An estimated 1.4 million women living with HIV become pregnant annually and, unless treated with anti-retrovirals, have a 15-45 percent chance of transmitting the virus during pregnancy, labor or through breastfeeding. If both mother and child receive antiretroviral treatment during these crucial stages then the risk of transmission is lowered to about 1 percent, according to WHO.

The Caribbean nation has also eliminated mother-to-child transmission of syphilis. Some 1 million pregnant women are infected with the disease annually and it results in early miscarriage and stillbirth, newborn death, low-birth-weight and other serious infection in newborns.

The WHO guidelines for validating elimination of mother-to-child transmission of HIV and syphilis notes that as treatment is not 100 percent effective, elimination is defined as a reduction to such a low-level that it no longer constitutes a public health concern. Among the indicators are new HIV infections among infants are less than 50 cases per 100,000 live births or less than 5 percent for women living with HIV who are breastfeeding. These targets must be met for two consecutive years.

In 2013, only two babies in Cuba were born with HIV and only five with syphilis.

– Denis Fitzgerald 
On Twitter @denisfitz