The United Nations MDG Strategy by decree


									                                 The Action

   At the Millennium Summit in September
    2000, the largest gathering of world leaders
    in history adopted the Millennium
    Declaration, committing their nations to
    reduce poverty; improve health; and
    promote peace, human rights, and
    environmental sustainability.

   The Millennium Development Goals set
    out a mutual commitment between
    developed and developing countries to
    make sustained progress towards achieving
    this vision.

   Specifically, the Millennium Development
    Goals aim to reduce poverty, reduce
    mortality, fight disease and hunger, get
    girls and boys in school, empower women
    and give more people access to safe water.
    African countries need to make the most
    progress if they are to meet these Goals.
         The Millennium Development
Goal 1: Eradicate extreme poverty and
Goal 2: Achieve universal primary
Goal 3: Promote gender equality and
        empower women
Goal 4: Reduce child mortality
Goal 5: Improve maternal health
Goal 6: Halt and begin to reverse the
        spread of HIV/AIDS, malaria and
        other diseases
Goal 7: Ensure environmental
Goal 8: Develop a Global Partnership for

   The MDGs are the world’s first
    shared set of integrated,
    quantitative and time-bound
    goals for poverty reduction
    The UN Millennium Project
          Task Forces
                    Task Force                           Task Force Coordinators

    1-Poverty and Economic Development       Jeffrey D. Sachs, USA
                                             Mari Pangestu, Indonesia

    2-Hunger                                 Pedro Sanchez, USA
                                             M.S. Swaminathan, India

    3-Education and Gender Equality          Nancy Birdsall, USA
                                             Amina J. Ibrahim, Nigeria
                                             Geeta Rao Gupta, India

    4-Child Health and Maternal Health       Mushtaque Chowdhury, Bangladesh
                                             Allan Rosenfield, USA

    5-HIV/AIDS, Malaria, TB, and Access to   Agnes Binagwaho, Rwanda
    Essential Medicines                      Jaap Broekmans, The Netherlands
                                             Paula Munderi, Uganda
                                             Josh Ruxin, USA
                                             Burton Singer, USA
                                             Awash Teklehaimanot, Ethiopia

    6-Environmental Sustainability           Yolanda Kakabadse Navarro, Ecuador
                                             Jeff McNeely, Canada
                                             Don Melnick, USA
    7-Water and Sanitation                   Roberto Lenton, Argentina
                                             Albert Wright, Ghana

    8-Improving the Lives of Slum Dwellers   Pietro Garau, Italy
                                             Elliot Sclar, USA

    9-Trade                                  Patrick Messerlin, France
                                             Ernesto Zedillo, Mexico

    10-Science, Technology and Innovation    Lee Yee-Cheong, Malaysia
                                             Calestous Juma, Kenya
    2005: The Breakthrough Year

    There is still enough time to meet the MDGs – though barely. With a systematic
    approach over the next decade, many countries now dismissed as too poor or
    too far off track could still achieve the Goals, but only if the world moves
    urgently with specific, scaled-up actions. Immediate action is needed to train of
    enough doctors and engineers, strengthen service delivery capacity, and
    construct improved infrastructure.

    To launch the decade of bold ambition towards 2015, several worldwide
    initiatives are needed to translate the Goals from ambition to action:
            Identify fast-track countries
            Prepare MDG-based poverty reduction strategies
            Launch a global human resource training effort
            Launch the Quick Win initiatives
            Engage middle-income countries in the challenge of meeting the MDGs

    Developing country governments should adopt MDG-based poverty reduction strategies bold
    enough to meet the Millennium Development Goal (MDG) targets for 2015, and these
    strategies should anchor the scaling up of public investments, capacity building, domestic
    resource mobilization, and official development assistance.

                       Priority Interventions
    Although far from comprehensive, some Quick Wins could bring vital gains in well-being to
       millions of people and start countries on the path to the Goals. With adequate resources,
                                       some Quick Wins include
                           (SRH-relevant Quick Wins are marked in red):

     Eliminating school and uniform fees to ensure that all children, especially girls, are not out
      of school because of their families’ poverty.

     Providing impoverished farmers in Sub-Saharan Africa with affordable replenishments of soil
      nitrogen and other soil nutrients.

     Providing free school meals for all children using locally produced foods with take-home

     Training large numbers of village workers in health, farming, and infrastructure (in one-year
      programs) to ensure basic expertise and services in rural communities.

     Distributing free, long-lasting, insecticide-treated bed-nets to all children in malaria-
      endemic zones to cut decisively the burden of malaria.

     Eliminating user fees for basic health services in all developing countries, financed by
      increased domestic and donor resources for health.

                       Priority Interventions
    Although far from comprehensive, some Quick Wins could bring vital gains in well-being to
       millions of people and start countries on the path to the Goals. With adequate resources,
                                       some Quick Wins include:

     Expanding access to sexual and reproductive health information and services, including
      family planning and contraceptive information and services, and closing existing funding
      gaps for supplies and logistics.

     Expanding the use of proven effective drug combinations for AIDS, tuberculosis, and
      malaria. For AIDS, this includes successfully completing the 3 by 5 initiative to bring
      antiretrovirals to 3 million people by 2005.

     Setting up funding to finance community-based slum upgrading and earmark idle public
      land for low-cost housing.

     Providing access to electricity, water, sanitation, and the Internet for all hospitals, schools,
      and other social service institutions using off-grid diesel generators, solar panels, or other
      appropriate technologies.

     Launching national campaigns to reduce violence against women.

     Establishing an office of science advisor to the president or prime minister to consolidate the
      role of science in national policymaking.

          Resources needed for the MDGs

    The UN Millennium Project has discovered that the cost of meeting the
       MDGs is less than what wealthy nations have already promised to
                     contribute in development assistance.

       At the Monterrey Financing for Development Conference in 2002, world leaders
        pledged ―to make concrete efforts towards the target of 0.7%‖ of their GNP in
        international aid. In today’s dollars, that would amount to almost $200 billion.

       In 2003, total aid from the 22 richest countries to the world’s developing
        countries was $69 billion—a shortfall of $130 billion dollars from the 0.7%

       The cost of supporting countries to meet the Goals would require donors to
        increase ODA to 0.44% of GNP by 2006 (or $135 billion) and to plan for a
        scale-up to 0.54% by 2015 (or $195 billion).

       This means that of the combined rich world GNP of approximately $30 trillion
        dollars, only an average of $150 billion a year would be enough to get the
        world on track to ending extreme poverty throughout the world.

        SRH Messages & Recommendations

    Key SRH recommendations in UN Millennium Project reports

       Ensuring access to sexual and reproductive health information and services,
        including voluntary family planning, is essential for achieving the Millennium
        Development Goals

       Gender equality is essential for achieving the MDGs. And, gender equality
        cannot be achieved without guaranteeing women’s and girls’ sexual and
        reproductive health and rights

       There are strong links between rapid population growth, high fertility, ill-timed
        pregnancies and poverty – a demographic-related poverty trap exists. And,
        indeed, demographic trends affect development prospects

       Health systems are needed to ensure universal access to health services, and
        SRH programs need to be integrated into functioning health systems

       Linkages exist between conflict, poverty and demography

       Partnering between government, donors, civil society organizations and the
        private sector is essential
         SRH and the MDG Monitoring Framework

     Recommendations for an additional SRH-relevant target and indicators
         (Recommended by the Task Forces on Maternal/Child Health and Gender Equality)

      Recommended SRH Target:
         Universal access to reproductive health services by 2015 through the primary
         health care system, ensuring the same rate of progress or faster amongst the
         poor and other marginalized groups

      Recommended SRH Indicators:
         Contraceptive prevalence rate (currently Goal 6, recommended to Goal 5)
         HIV prevalence among 15-24 year old women (Goal 6)
         Proportion of births attended by skilled birth attendants (Goal 5)
         Proportion of demand for family planning satisfied (Goals 3 and 5)
         Adolescent fertility rate (Goals 3 and 5)
         Availability of emergency obstetric care (Goal 5)

         These indicators are recommended for measuring together the systematic
         impact on women’s ability to bring into effect their stated fertility preferences
         and to have safe, voluntary and healthy sexual and reproductive lives and


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