Ensuring healthy lives and promoting well-being at all ages is essential to sustainable development. Currently, the world is facing a global health crisis unlike any other — COVID-19 is spreading human suffering, destabilizing the global economy and upending the lives of billions of people around the globe.
Before the pandemic, major progress was made in improving the health of millions of people. Significant strides were made in increasing life expectancy and reducing some of the common killers associated with child and maternal mortality. But more efforts are needed to fully eradicate a wide range of diseases and address many different persistent and emerging health issues. By focusing on providing more efficient funding of health systems, improved sanitation and hygiene, and increased access to physicians, significant progress can be made in helping to save the lives of millions.
Health emergencies pose a global risk and have shown the critical need for preparedness. The United Nations Development Programme highlighted huge disparities in countries’ abilities to cope with and recover from the COVID-19 crisis. The pandemic provides a watershed moment for health emergency preparedness and for investment in critical 21st century public services.
What’s the goal here?
To ensure healthy lives and promote well-being for all at all ages. Why? Ensuring healthy lives and promoting well-being is important to building prosperous societies.
However, the COVID-19 pandemic has devastated health systems globally and threatens already achieved health outcomes. Most countries, especially poor countries, have insufficient health facilities, medical supplies and health care workers for the surge in demand.
The pandemic has shown that in rich and poor countries alike, a health emergency can push people into bankruptcy or poverty. Concerted efforts are required to achieve universal health coverage and sustainable financing for health; address the growing burden of zoonotic and non-communicable diseases, tackle antimicrobial resistance and environmental factors contributing to ill health.
What progress have we made so far?
Progress in many health areas, such as in reducing maternal and child mortality, in increasing coverage of immunization, and in reducing some infectious diseases, continues, but the rate of improvement has slowed down, especially during COVID-19 which is overwhelming the health systems globally and threatens health outcomes already achieved.
How can we achieve these targets?
Ensuring healthy lives for all requires a strong commitment, but the benefits outweigh the cost. Healthy people are the foundation for healthy economies. Immunization is one of the world’s most successful and cost-effective health interventions.
While vaccination coverage among infants increased from 72 per cent in 2000 to 86 per cent in 2018, an estimated 19.4 million children did not receive the essential vaccines during the first year of life. In fact, since March 2020, routine childhood immunization services have been disrupted on a scale not seen since the inception of the Expanded Programme on Immunization in the 1970s.
Does everyone have access to healthcare?
In 2017, only around one third to half of the global population was covered by essential health services. If current trends continue, only 39 per cent to 63 per cent of the global population will be covered by essential health services by 2030. The COVID-19 crisis has disrupted essential health services around the world. Some services have been suspended to free up resources for COVID-19 patients and to reduce the risk of transmission.
If universal health coverage is to become a reality by 2030, growth in the provision and use of essential health services must greatly accelerate.
What can I do to help?
You can start by promoting and protecting your own health and the health of those around you, by making well-informed choices, practicing safe sex and vaccinating your children. You can raise awareness in your community about the importance of good health, healthy lifestyles as well as people’s right to quality health care services, especially for the most vulnerable such as women and children. You can also hold your government, local leaders and other decisionmakers accountable to their commitments to improve people’s access to health and health care.
To find out more about Goal #3 and the other Sustainable Development Goals, visit: http://www.un.org/ sustainabledevelopment
3.1 By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.
Indicator 1.1.1 Proportion of population below the international poverty line, by sex, age, employment status and geographical location (urban/rural)
3.2 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.
Indicator 1.2.1 Proportion of population living below the national poverty line, by sex and age
Indicator 1.2.2 Proportion of men, women and children of all ages living in poverty in all its dimensions according to national definitions
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.
Indicator 1.3.1 Proportion of population covered by social protection floors/systems, by sex, distinguishing children, unemployed persons, older persons, persons with disabilities, pregnant women, newborns, work-injury victims and the poor and the vulnerable
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.
Indicator 1.4.1 Proportion of population living in households with access to basic services
Indicator 1.4.2 Proportion of total adult population with secure tenure rights to land, with legally recognized documentation and who perceive their rights to land as secure, by sex and by type of tenure
3.5 Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.
Indicator 1.5.1 Number of deaths, missing persons and persons affected by disaster per 100,000 people
Indicator 1.5.2 Direct disaster economic loss in relation to global gross domestic product (GDP)
Indicator 1.5.3 Number of countries with national and local disaster risk reduction strategies
3.6 By 2020, halve the number of global deaths and injuries from road traffic accidents.
Indicator 1.A.1 Proportion of resources allocated by the government directly to poverty reduction programmes
Indicator 1.A.2 Proportion of total government spending on essential services (education, health and social protection)
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.
Indicator 1.B.1 Proportion of government recurrent and capital spending to sectors that disproportionately benefit women, the poor and vulnerable groups
Indicators Reported on:
3.1.1 Maternal mortality ratio
3.1.2 Proportion of births attended by skilled health personnel
3.2.1 Under-five mortality rate
3.2.2 Neonatal mortality rate
3.3.1 Number of new HIV infections per 1,000 uninfected population
3.3.2 Tuberculosis incidence per 100,000 population
3.3.3 Malaria incidence per 1,000 population
3.3.4 Hepatitis B incidence per 100,000 population
3.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease and Indicator
3.4.2 Suicide mortality rate
3.6.1 Death rate due to road traffic injuries
3.7.2 Adolescent birth rate (aged 10–14 years; aged 15–19 years) per 1,000 women in that age group
3.9.2Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene
3.9.3Mortality rate attributed to unintentional poisoning
3.a.1 Age-standardized prevalence of current tobacco use among persons aged 15 years and older
3.b.1 Proportion of the target population covered by all vaccines included in their national programme
The Maternal Mortality Ratio, Neonatal Mortality Rate, Infant Mortality Rate, Total Fertility Rate, and Adolescent Pregnancy Rate are the five health impact indicators in the Health Sector Development Plan that track the sector’s contribution towards Universal Health Care by providing essential health and related services needed for the promotion of a healthy and productive life. Nationally representative data on these indicators are measured every five years using Uganda Demographic Health Survey (UDHS) data. Some of this analysis uses proxy administrative data and programmatic reports to estimate progress towards the goal of Universal Health Care.
Uganda has continued to register gains in several health indicators, owing in part to increasing investment in health infrastructure, human resources and access to medical services. The Maternal Mortality Rate declined from 438 deaths per 100,000 in 2011 to 336 deaths in 2016 (Figure 5), surpassing the NDPI (2010/11–2014/15) target of However, the estimated annual rate of decline of 5.2 percent is below the 7.5 percent established in the Health Sector Development Plan (2015/16–2019/20) as the rate required to achieve the SDG target of 140 by 2030. Signif- icant effort is also required to meet the NDPIII target of 211 by 2025.