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Successes and challenges of the millennium development goals in Ethiopia: lessons for the sustainable development goals
- Source :
- BMJ Global Health
- Publication Year :
- 2017
- Publisher :
- BMJ, 2017.
-
Abstract
- We analysed the performance of Ethiopia in achieving the health-related millennium development goals (MDGs) with the aim of acquiring lessons for the sustainable development goals (SDGs). Ethiopia achieved most of the health MDGs: a 67% reduction in under-five mortality, a 71% decline in maternal mortality ratio, a 90% decline in new HIV infections, a decrease in malaria-related deaths by 73% and a more than 50% decline in mortality due to tuberculosis. We argue that these achievements are due to implementation of a mix of comprehensive strategies within the health system and across other sectors of the government. Scaling up of interventions by disease control programmes (including the health extension programme) and strengthening of the health system have played important roles towards the achievements. These health gains could not have been realised without progress in the other MDGs: poverty reduction, education, access to safe drinking-water and peace and stability of the country. However, the gains were not equitable, with differences between urban and rural areas, among regions and socioeconomic strata. Ethiopia's remarkable success in meeting most of the targets of the health-related MDGs could be explained by its comprehensive and multisectoral approach for health development. The inequity gap remains a challenge that achieving the health-related SDGs requires the country to implement strategies, which specifically target more marginal populations and geographic areas. This also needs peace and stability, without which it is almost impossible to improve health.
- Subjects :
- Sustainable development
Economic growth
Government
030219 obstetrics & reproductive medicine
millennium development goals
sustainable development goals
child health
Health Policy
Public Health, Environmental and Occupational Health
Psychological intervention
Millennium Development Goals
medicine.disease
maternal health
malaria
inequity
ethiopia
03 medical and health sciences
0302 clinical medicine
tuberculosis
Acquired immunodeficiency syndrome (AIDS)
Political science
medicine
Global health
HIV/AIDS
030212 general & internal medicine
Rural area
Socioeconomic status
Analysis
Subjects
Details
- ISSN :
- 20597908
- Volume :
- 2
- Database :
- OpenAIRE
- Journal :
- BMJ Global Health
- Accession number :
- edsair.doi.dedup.....9468aa0a7001f121fb2973a6706898bd