VIET NAM COUNTRY OFFICE The Sustainable Development Goals (SDGs) From the MDGs to the SDGs

2 |2 | COUNTRY OFFICE FOR Viet Nam What are the SDGs? Goals and targets related to international development that follow on from the Millennium Development Goals – Agreed by 193 countries and adopted on 25 September at the UNGA – Relevant to all countries (LDC, LMIC, MICs, UICs…) 17 goals and 169 targets that integrate all three dimensions of sustainable development (economic, social, environmental) – Wide range of issues: ending poverty and hunger; improving health and education; making cities more sustainable; combatting climate change; and protecting the environment. – The ‘five Ps’ capture the broad scope of the agenda: people; planet; prosperity; peace; and partnership.

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4 |4 | Why do we need the SDGs? To accommodate the significant changes that have taken place in countries over the past 15 years, and the important issues that did not have targets under the MDGs – Economic development (fast but often uneven) – Rapidly ageing population – Increasing burden of NCDs To sustain achievements, but address the limitations of the MDGs – A greater focus on equity – A move towards system strengthening, recognizing the limitations of the project-based approach – A push for investment in the social circumstances and environmental factors that affect health, well-being and sustainable development – A recognition of the need for multi-sectoral action

5 |5 | COUNTRY OFFICE FOR Viet Nam How are the SDGs different from the MDGs? The SDGs are relevant to all countries world wide – not just the worlds poorest countries. They reflect an approach that is universal… – The specific health targets are focused on creating healthier societies and promoting wellbeing for everyone worldwide. SDGs leave no one behind... They reflect an approach that is equitable – Rooted in human rights principles and standards; and inclusive of people with disabilities and in vulnerable circumstances. – The SDGs will allow us to capture inequities within countries. SDGs are comprehensive – and ambitious – MDGs were criticized for having a narrow concept of development and preferencing immediate results over sustainable ones. The SDGs recognize that the development goals are interdependent and interrelated – Effective collaboration and coherence across ministries and sectors is needed. – The SDGs recognize that health is socially determined – with 75% of health outcomes dependent on living and working conditions – and that health contributes to growth and development.

6 |6 | COUNTRY OFFICE FOR Viet Nam Only one health goal? Goal 3 is the ‘health goal’: “Ensure healthy lives and promote well-being for all ages” There is only one goal, but health more prominent than ever…Health is positioned as a key feature of human development in a more integrated manner than was the case for the MDGs – Social, environmental and economic determinants (e.g. education, income and urbanization) have an impact on health and also benefit from a healthy population. Health is a determinant, outcome and indicator of sustainable development – Almost all 17 goals are directly related to the health or contribute to health indirectly.

7 |7 | COUNTRY OFFICE FOR Viet Nam What does Goal 3 “Ensure healthy lives and promote well-being for all ages” encompass? It accommodates changes in the health landscape globally, driven by economic growth and development It recognizes the unfinished MDG agenda – It includes targets for key issues on which MDG progress was made, but not attained by all countries. It aims for health and well-being for all through UHC to address increasing disparities in health outcomes It considers a shift from CDs to NCDs including mental health conditions, recognizing that 63% of deaths globally can be attributed to NCDs

8 |8 | COUNTRY OFFICE FOR Viet Nam One goal, nine targets 1. By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births 2. By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births 3. By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases 4. By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being 5. Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol 6. By 2020, halve the number of global deaths and injuries from road traffic accidents 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 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 9. By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

9 |9 | COUNTRY OFFICE FOR Viet Nam … and four mechanisms to support implementation Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate Support the research and development of vaccines and medicines for the communicable and noncommunicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines …and…provide access to medicines for all Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries… Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

10 | COUNTRY OFFICE FOR Viet Nam What next ? A ‘game plan’ on how to deliver the SDGs including through the next SEDPs and five-year health sector plans from – Systems strengthening will be key. Vertical projects/programmes won’t do the job as they did for the MDGs! – Strong multi-sectoral partnerships will be needed. – A commitment to keeping people at the centre will be essential. Resource mobilization and financing strategies to support the ‘game plan’ A national process for Viet Nam to develop it’s own indicators to assist in monitoring

Thank you!