1. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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 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

13. 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

14. 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

15. 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

16. 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

17. 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%...

18. 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

19. Six essential elements for delivering on the SDGs