Sustainable Development Goals and the expected implementation of Health-related SDGs in Viet Nam Dr. Tran Thi Giang Huong Director General, International Cooperation Department Ministry of Health of Viet Nam

Sustainable Development Goals (1) End poverty in all its forms everywhere End hunger, achieve food security and nutrition Ensure healthy lives and promote well-being Ensure inclusive and equitable quality education Achieve gender equality Ensure sustainable water and sanitation for all Ensure access to sustainable energy for all Promote employment and decent work for all Build resilient infrastructure and foster innovation Sustainable appears 5 times

Sustainable Development Goals (2) Reduce inequality within and among countries Make cities and human settlements safe and resilient Ensure sustainable consumption and production Take urgent action to combat climate change Conserve and sustainably use the oceans Protect and manage forests and halt biodiversity loss Provide access to justice for all and build accountable institutions Revitalize the global partnership for sustainable development Sustainable appears 6 times

Health SDG Targets (1) Target 3.1 By 2030, reduce the global maternal mortality ratio to less than 70/100,000 live births Target 3.2 By 2030, end preventable deaths of newborns and children under 5 years of age Target 3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases Target 3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being Target 3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

Health SDG Targets (2) Target 3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents Target 3.7 By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes Target 3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all Target 3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

Additional Health SDG Targets (3) Target 3.a Strengthen the implementation of the WHO FCTC in all countries, as appropriate Target 3.b Support the research and development of vaccines and medicines for the communicable and NCDs Target 3.c Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries Target 3.d Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

Health SDG indicators (1) Maternal mortality ratio (<70 / 100,000 live births) Under-5 mortality rate (<= 25 per 1,000 live births) HIV incidence (90% reduction) TB incidence number (80% less) Malaria incidence (90% less) Hepatitis B incidence (90% less) Mortality rate due to CVD, cancer, diabetes, or chronic respiratory disease between 30 and 70 (30% less) Coverage treatment for substance abuse disorders (at least 80%) Sustainable appears 6 times

Health SDG indicators (2) Mortality numbers due to road traffic accidents (50% reduction) Family planning coverage rate (at least 75%) Coverage of tracer interventions for prevention and treatment (80%+ in all groups) Population in urban areas exposed to outdoor air pollution levels above WHO guideline values Tobacco use (30% reduction) Population with access to affordable medicines (%) Health workers per 1000 population Sustainable appears 6 times

Other Health-related SDG targets (1) Target 2.2 By 2030, end all forms of malnutrition Target 1.3 Implement nationally appropriate social protection Target 4.2 By 2030, all girls and boys have quality early childhood development, care and pre-primary education Target 4.a provide effective learning environments for all Target 5.2 Eliminate all forms of violence against all women and girls including trafficking and sexual exploitation. Target 5.3 Eliminate harmful practices, female genital mutilation Target 5.6 Universal access to sexual & reproductive health. Sustainable appears 6 times

Other Health-related SDG targets (2) Target 6.1 By 2030, universal access to safe water Target 6.2 By 2030, achieve access to adequate sanitation. Target 6.3 By 2030, improve water quality by reducing pollution Target 10.4 Adopt policies to achieve greater equality Target 11.5 By 2030, significantly reduce the number of deaths and the number of people affected by disasters, including water-related disasters, with a focus on protecting the poor and people in vulnerable situations Sustainable appears 6 times

Health-related SDG indicators (1) Prevalence of Stunting in children under 5 years of age. Prevalence of overweight children under 5 years of age. Percentage of population covered by social protection Early Childhood Development Index % of schools electricity; internet drinking water; sanitation Proportion women (15-49) subjected violence % of women aged 20-24 who were married before age 18 % of women and girls who make decisions about their own sexual and reproductive health and reproductive rights Existence of laws and regulations that guarantee all women and adolescents informed choices regarding their rights Sustainable appears 6 times

Health-related SDG indicators (2) % of population using safe drinking water services % of population using safely managed sanitation services Population with a hand washing facility with soap and water Percentage of waste water safely treated % of people covered by minimum social protection Number of people killed, injured, displaced, evacuated, relocated or otherwise affected by disasters Sustainable appears 6 times

Expected implementation of Health SDGs in Viet Nam (1) Target 3.1 By 2030, reduce the global maternal mortality ratio to less than 70/100,000 live births: Current maternal mortality ration in Viet Nam: 58,3/100,000 live births Current global maternal mortality ratio: 210/100,000 live births Target 3.2 By 2030, end preventable deaths of newborns and children under 5 years of age: In Viet Nam: in 2014, mortality of children < 1 year was 14,9 %o, mortality of children < 5 year was 22,7 %o Possible, if continuous investment and decrease of disparities among groups and regions

Expected implementation of Health SDGs in Viet Nam (2) Target 3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases: Numerous challenges, due to inappropriate behaviour, people’ low awareness of disease prevention, lack of dengue vaccine and drugs, continuous increase of people living with HIV... Target 3.4 By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being High mortality due to NCD (cardio vascular, cancer, COPD, diabetes) in Viet Nam: 63,34 %o in 2009 to 69,63 %o in 2014 Risk factors: tobacco, alcohol, diet, physical activities... Necessity of intersectoral collaboration

Expected implementation of Health SDGs in Viet Nam (3) Target 3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol High consumption of alcohol, beer in Viet Nam: 3 billion litters of beer and 68 million litters of wine in 2013, equivalent to 3 billion $ US, 1,8% of GDP One of 25 countries with highest increase of alcohol consumption per capita Lots of challenges, for example: inefficient legal documents/regulatory, ineffective cross sectoral collaboration in the control of alcohol production, commerce and consumption, limited legal awareness of people on harmful use of alcohol Target 3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents Viet Nam is one of countries with highest deaths and injuries from road traffic accidents Difficulties and the need of intersectoral collaboration

Expected implementation of Health SDGs in Viet Nam (4) Target 3.7 By 2030, ensure universal access to sexual and reproductive health-care services Possibility, if MDG 5b’s achievements are maintained and resources are properly mobilized. Target 3.8 Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all. Viet Nam’s achievements in UHC: growingly development of primary health care network, high health insurance coverage 75%, improved quality and quantity of health care services... Still lots of challenges: limited integration of preventive and curative healthcare services provision, over-crowed hospital, disparities among groups and regions on the access of health care services, low public investment for health, OPP 47%...

Expected implementation of Health SDGs in Viet Nam (5) Target 3.9 By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination Challenges: water pollution, air pollution... along with industrialization and urbanization in Viet Nam => health problems, such as respiratory infection, lung cancer, COPD... One of 10 countries with highest air pollution (Environmental Performance Index-EPI report 2012) Requirements of intersectoral collaboration and a-whole-society

Six essential elements for delivering on the SDGs