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MILLENNIUM DEVELOPMENT GOALS




              Dr. Suraj Chawla
      Junior Resident, Community Medicine
                 PGIMS, Rohtak              1
Contents
 Milestones
 Introduction
 Discussion of MDGs :
      Targets & Indicators
      World scenario

      Indian scenario

 Barriers towards achieving MDGs
 Current policies of INDIA




                                    2
Milestones
 1990
    Watershed in the evolution of ideas about poverty
     reduction
    World Bank’s World Development Report

    UNDP’s Human Development Reports

    World Summit for Children in New York, to which
     the processes leading to the MDGs can be traced
     back

 1993
      World Conference on Human Rights in Vienna,
       advanced the recognition of the rights of women
                                                         3
Milestones
 1994
      International Conference on Population and
       Development (ICPD) in Cairo, focused on reductions in
       child, infant and maternal mortality and access to
       reproductive health services

 1995
      World Summit on Social Development in Copenhagen,
       crucial for the MDGs as a global consensus was
       reached that poverty reduction was the priority goal
       for development


                                                         4
Introduction
 189 heads of state in September 2000 adopted the
  Millennium Declaration during the UN Millennium
  summit
 The plan was for countries and development partners
  to work together to reduce poverty and hunger,
  tackle ill-health, gender inequality, lack of
  education, lack of access to clean water and
  environmental degradation
 They established eight Millennium Development Goals
  (MDGs), with targets set for 2015, and to be
  measured in terms of progress since 1990


                                                   5
Cont.
 Each year, the Secretary-General presents a
  report to the UN General Assembly on progress
  achieved towards implementing the Declaration
 The goals, targets and indicators as developed in
  2002 were used until 2007 to measure progress
  towards the MDGs
 In 2007, the MDGs monitoring framework was
  revised to include four new targets as agreed by
  member states at the 2005 World Summit and
  recommended in 2006



                                                      6
Cont.
 In 2007, the General Assembly took note of the
 Secretary-General's report in which he presented
 the new framework, including the indicators to
 monitor progress towards the new targets as
 recommended by the Inter-Agency and Expert
 Group on MDG Indicators (IAEG).

 The 8 MDGs, break down into 21 quantifiable
 targets that are measured by 60 indicators,
 effective since January 15, 2008



                                                    7
INTER-RELATED




                8
‘ Overcoming poverty is not a gesture of charity. It is an act of justice. ’
                           - Nelson Mandela.




                                                                               9
GOAL- 1
ERADICATE EXTREME POVERTY AND HUNGER
TARGETS                       INDICATORS

1.A: Halve ( between 1990     1.1 Proportion of population
and 2015) the proportion of   below $1 (PPP) per day
people whose income is less   1.2 Poverty gap ratio
than one dollar a day         1.3 Share of poorest quintile
                              in national consumption




                                                       10
GOAL- 1
ERADICATE EXTREME POVERTY AND HUNGER
TARGETS                          INDICATORS
1.B: Achieve full and            1.4 Growth rate of GDP per
productive employment and        person employed
decent work for all, including   1.5 Employment to population
women and young people           ratio
                                 1.6 Proportion of employed
                                 people living below $1 (PPP)
                                 per day
                                 1.7 Proportion of own-
                                 account and contributing
                                 family workers in total
                                 employment

                                                         11
GOAL- 1
ERADICATE EXTREME POVERTY AND HUNGER
TARGETS                        INDICATORS

1.C: Halve ( between 1990      1.8 Prevalence of
and 2015 ) the proportion of   underweight children under-
people who suffer from         five years of age
hunger                         1.9 Proportion of population
                               below minimum level of
                               dietary energy consumption




                                                        12
MDGs REPORT 2010
                              (world scenario)




The global economic crises has slowed down the progress, but world is still on track
                      to meet the poverty reduction target
                                                                               13
MDGs REPORT 2010
                            (world scenario)




Hunger may have spiked in 2009, one of the many dire consequences of the global
                            food & financial crises
                                                                           14
GOAL-1 PROGRESS
                     (INDIAN SCENARIO)


Declining poverty needs to be accelerated…
 Proportion of people below the national poverty line
  (poverty headcount ratio or PHR) :
            37.2% (1990)
            27.5% (2004‐05)
            Target is to reduce it by half to 18.6% (2015)

 Rate of decline in poverty ratio per annum :
            0.8%   (1990‐2005)
            1.4%   (2005‐06)     Sign of improvement
 This improved rate, if persists, India will be able to
  achieve the 2015 target by 2012‐13.


                                                                     15
                                               Source: MDGs GOI Report 2009
GOAL-1 PROGRESS
                    GOAL-1 PROGRESS
                     (INDIAN SCENARIO)



Hunger, particularly undernourishment among children,
persists as major food insecurity issue…
   Proportion of underweight children below 3 years of
    age :
           53.5% (1990)
           46% (2005-06)
           Target is to reduce it to 26.8% by 2015

                 Expected to come down to about 40% (2015)




                                                                       16
                                                 Source: MDGs GOI Report 2009
GOAL-1 PROGRESS
                  GOAL-1 PROGRESS
                   (INDIAN SCENARIO)



Addressing the poverty burden in the heartland is
vital…
    The major states namely, Bihar, Jharkhand,
     Chhattisgarh, MP, Maharashtra, Orissa, UP and
     Uttarakhand, are among the slow‐moving States &
     are not likely to achieve their target of halving the
     poverty.




                                                                 17
                                           Source: MDGs GOI Report 2009
‘Education is a human right with immense power to transform. On its foundation
rest the cornerstone of freedom, democracy and sustainable human development.’
                                   - Kofi Annan



                                                                           18
GOAL- 2
ACHIEVE UNIVERSAL PRIMARY EDUCATION
TARGETS                         INDICATORS

2.A: Ensure that, by 2015,      2.1 Net enrolment ratio in
children everywhere boys        primary education
and girls alike, will be able   2.2 Proportion of pupils
to complete a full course of    starting grade 1 who reach
primary schooling               last grade of primary
                                2.3 Literacy rate of 15-24
                                year-olds, women and men




                                                        19
MDGs REPORT 2010
                            (world scenario)




Hope dims for universal primary education by 2015, even as many poor countries
                           make tremendous strides
                                                                          20
GOAL-2 PROGRESS
                     (INDIAN SCENARIO)


Universal primary education is imminent...
 The country is tending to achieve 2015 target of
  universal primary education for all children aged 6‐11
  years.
 Primary enrolment of 6‐11 year old children by their
  NER :
            83% (2000)
            95% (2007‐08)
 Survival rate in the primary stage up to Grade V :
            62% (1999)
            72% (2007-08)
 Youth literacy :
         82.1% (2007 )

         Expected 100% by the end of 2012.

                                                                    21
                                              Source: MDGs GOI Report 2009
‘ Women hold up half the sky ’.
   - Ancient Chinese saying




                                  22
GOAL- 3
PROMOTE GENDER EQUALITY AND EMPOWER WOMEN

TARGETS                      INDICATORS

3.A: Eliminate gender        3.1 Ratios of girls to boys in
disparity in primary and     primary, secondary and
secondary education,         tertiary education
preferably by 2005, and in   3.2 Share of women in wage
all levels of education no   employment in the non-
later than 2015              agricultural sector
                             3.3 Proportion of seats held
                             by women in national
                             parliament


                                                       23
MDGs REPORT 2010
              (world scenario)




For girls in some regions, education remains elusive
                                                       24
GOAL-3 PROGRESS
                     (INDIAN SCENARIO)


Gender disparity in primary and secondary education
is set to disappear…

 Gender Parity Index (GPI) ratios in primary and
 secondary education are :

           76 and 60 respectively (1990‐91)

           94 and 82 respectively (2006‐07)




                                                                     25
                                               Source: MDGs GOI Report 2009
GOAL-3 PROGRESS
                     (INDIAN SCENARIO)


Empowerment of women is still far & too slow to
reckon...
 Participation of women in employment and decision
  making remains far less than that of men and the
  disparity is not likely to be eliminated by 2015.
 Percentage share of women parliamentarians
           9.7% (1991)
           9.1% (2007)
           10.3% after the 15th General Election held in
            April‐May 2009
 Though a marginal increase, this can be a turning
  point for the better to come by.

                                                                     26
                                               Source: MDGs GOI Report 2009
‘ A child like all other human beings has inalienable rights.’
                        - Lucrezia Molt




                                                                 27
GOAL- 4
REDUCE CHILD MORTALITY
TARGETS                     INDICATORS

4.A: Reduce by two-thirds, 4.1 Under-five mortality
between 1990 and 2015, the rate
under-five mortality rate  4.2 Infant mortality rate
                           4.3 Proportion of 1 year-old
                           children immunized against
                           measles




                                                    28
MDGs REPORT 2010
                      (world scenario)




Child deaths are falling, but not quickly enough to reach the target
                                                                       29
GOAL-4 PROGRESS
                      (INDIAN SCENARIO)


Much sharper focus is needed for faster
improvement in child-survival prospect …

 U5MR per thousand live births :
           125 (1990)
           74.6 (2005-06)
           Target is to reduce it to 42 (2015)

                   Expected near 70 by 2015




                                                                        30
                                                  Source: MDGs GOI Report 2009
GOAL-4 PROGRESS
                      (INDIAN SCENARIO)


Much sharper focus is needed for faster
improvement in child-survival prospect
 IMR per thousand live births :
           80 (1990)
           53 (2008)
           Target is to reduce it to 26.7 (2015)

                  Expected near 46 by 2015


 The proportion of 1 year olds immunised against
 measles reached 69.6% in 2007‐08
                  Expected to reach 97% by
                            2015


                                                                      31
                                                Source: MDGs GOI Report 2009
‘There is simply no good reason why in the 21st century thousands of women and
                   children should be dying during childbirth.’
                                 - Aileen Carroll



                                                                           32
GOAL- 5
IMPROVE MATERNAL HEALTH
TARGETS                        INDICATORS

5.A: Reduce by three           5.1 Maternal mortality ratio
quarters, between 1990 and     5.2 Proportion of births
2015, the maternal mortality   attended by skilled health
ratio                          personnel




                                                        33
MDGs REPORT 2010
                              (world scenario)




Giving birth is especially risky in southern Asia & sub- Saharan Africa, where most
                          women deliver without skilled care
                                                                              34
GOAL-5 PROGRESS
                       (INDIAN SCENARIO)


Life risk to motherhood takes a turn for the better…
 MMR per 100,000 live births :
            301 (2001‐2003)
            254 (2004-2006)
            Target is to reduce it to 109 by 2015
                  Expected to reach 135 by 2015

 Coverage of deliveries by skilled personnel :
            33% (1992-1993)
            52% (2007-2008)
            Target - universal coverage by 2015
                 Expected to reach 62% by 2015



                                                                         35
                                                   Source: MDGs GOI Report 2009
‘ Of all the forms of inequality, injustice in health is the most shocking and the
                                  most inhumane.’
                                                 - Martin Luther King



                                                                               36
GOAL- 6
COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

TARGETS                    INDICATORS

6.A: Have halted by 2015   6.1 HIV prevalence among
and begun to reverse the   population aged 15-24 years
spread of HIV/AIDS         6.2 Condom use at last high-
                           risk sex
                           6.3 Proportion of population
                           aged 15-24 years with
                           comprehensive correct
                           knowledge of HIV/AIDS
                           6.4 Ratio of school
                           attendance of orphans to
                           school attendance of non-
                           orphans aged 10-14 years  37
GOAL- 6
COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

TARGETS                      INDICATORS

6B: Achieve, by 2010,      6.5 Proportion of population
universal access to        with advanced HIV infection
treatment for HIV/AIDS for with access to antiretroviral
all those who need it      drugs




                                                     38
GOAL- 6
COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

TARGETS                    INDICATORS

6C: Halt and begin to      6.6 Incidence and death
reverse the incidence of   rates associated with malaria
malaria and other major    6.7 Proportion of children
diseases                   under 5 sleeping under
                           insecticide-treated bed nets
                           6.8 Proportion of children
                           under 5 with fever who are
                           treated with appropriate
                           anti-malarial drugs


                                                    39
GOAL- 6
COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES

TARGETS                    INDICATORS

6C: Halt and begin to      6.9 Incidence, prevalence
reverse the incidence of   and death rates associated
malaria and other major    with tuberculosis
diseases                   6.10 Proportion of
                           tuberculosis cases detected
                           and cured under directly
                           observed treatment short
                           course



                                                   40
MDGs REPORT 2010
                              (world scenario)




The spread of HIV appears to have stabilized in most regions, and more peoples are
                                surviving longer
                                                                             41
MDGs REPORT 2010
                    (world scenario)


About Malaria …

 Global procurement of more effective antimalarial
  drugs continues to rise rapidly
 Poverty continues to limit the use of insecticide
  treated mosquito nets
 External funding is helping to reduce malaria incidence
  and deaths, but additional support is needed




                                                        42
MDGs REPORT 2010
                              (world scenario)


    About Tuberculosis…

     Incidence fell to 139 cases per 100,000 peoples in
      2008 after peaking in 2004 at 143 cases per 100,000
      people
     Though Tuberculosis prevalence is decreasing in most
      regions, it remains the second leading killer after
      HIV/AIDS




If current trends are sustained, the world as a whole will have already achieved the
       target of halting and reversing the incidence of Tuberculosis in 2004
                                                                              43
GOAL-6 PROGRESS
                     (INDIAN SCENARIO)


Trend reversal in prevalence of HIV/AIDS looks
lasting…
 Estimated adult prevalence :
           0.45% (2002)
           0.34% (2007)
 Prevalence among pregnant women of 15‐24 years :
           0.86% (2004)
           0.49% (2007)
 Proportion of people aged 15‐49 having correct
 awareness about HIV/AIDS :
           17.6% (2001 )
           29.3% (2006)

                                                               44
                                         Source: MDGs GOI Report 2009
GOAL-6 PROGRESS
                       (INDIAN SCENARIO)


Trend reversal in prevalence of HIV/AIDS looks
lasting…
 Condom use as percentage of all contraceptive
  methods is low, particularly in rural areas (3.3% in
  2005‐06)
 Condom use is however, quite prevalent (71% in
  2005‐06) among non regular sex partners
 Total number of females living with HIV/AIDS :
            1.07 million (2002)
            0.95 million (2007)




                                                                 45
                                           Source: MDGs GOI Report 2009
GOAL-6 PROGRESS
                    (INDIAN SCENARIO)


Prevalence of Malaria and TB moves to a halt…

 Incidence of the Malaria :
           1.74% (2005)
           1.52% (Sept. 2009)



 In the malaria prone states like the North East
 States, Gujarat, Karnataka, Madhya Pradesh,
 Maharashtra, Orissa, Rajasthan, Tripura and West
 Bengal, the number of deaths of malaria patients has
 consistently declined .


                                                              46
                                        Source: MDGs GOI Report 2009
GOAL-6 PROGRESS
                    (INDIAN SCENARIO)


Prevalence of Malaria and TB moves to a halt…

 The prevalence of TB per 100,000 population :
           586 (1990)
           283 (2007)
 The case detection rate under DOTS for new smear
  positive cases has improved from near 1% in 1997 to
  68% in 2007, which is just short of 70% ‐ the desired
  level prescribed under DOTS
 The treatment success rate has remained steady at
  86%‐87% level during the last five years


                                                              47
                                        Source: MDGs GOI Report 2009
‘ Take care of earth and it will take care of you .’




                                                       48
GOAL- 7
ENSURE ENVIRONMENTAL SUSTAINABILITY
TARGETS                         INDICATORS

7.A: Integrate the principles   7.1 Proportion of land area
of sustainable development      covered by forest
into country policies and       7.2 CO2 emissions, total,
programmes and reverse the      per capita and per $1 GDP
loss of environmental           (PPP)
resources                       7.3 Consumption of ozone-
                                depleting substances
                                7.4 Proportion of fish stocks
                                within safe biological limits
                                7.5 Proportion of total water
                                resources used
                                                         49
GOAL- 7
ENSURE ENVIRONMENTAL SUSTAINABILITY
TARGETS                        INDICATORS

7.B: Reduce biodiversity       7.6 Proportion of terrestrial
loss, achieving, by 2010, a    and marine areas protected
significant reduction in the   7.7 Proportion of species
rate of loss                   threatened with extinction




                                                         50
GOAL- 7
ENSURE ENVIRONMENTAL SUSTAINABILITY
TARGETS                        INDICATORS

 7.C: Halve, by 2015, the      7.8 Proportion of   population
proportion of people without   using an improved   drinking
sustainable access to safe     water source
drinking water and basic       7.9 Proportion of   population
sanitation                     using an improved   sanitation
                               facility




                                                           51
GOAL- 7
ENSURE ENVIRONMENTAL SUSTAINABILITY
TARGETS                       INDICATORS

7.D: By 2020, to have         7.10 Proportion of urban
achieved a significant        population living in slums
improvement in the lives of
at least 100 million slum
dwellers




                                                           52
MDGs REPORT 2010
                            (world scenario)




The rate of deforestation shows sign of decreasing, but is still alarmingly high
                                                                             53
MDGs REPORT 2010
                          (world scenario)

About biodiversity…
 The world has missed the 2010 target for biodiversity
  conservation, with potentially grave consequences
 The number of species facing extinction is growing by the
  day, especially in developing countries

About safe drinking water &
sanitation …
 The world is on track to meet the drinking water target,
  though much remains to be done in some regions
 With half the population of developing regions without
  sanitation, the 2015 target appears to be out of reach
  The unparalleled success of the Montreal Protocol shows that action on
                     climate change is within our grasp
                                                                           54
GOAL-7 PROGRESS
                    (INDIAN SCENARIO)


Environmental measures covered up much of losses …
 India’s forest cover has increased by 0.03% (728
  sq.km) of the country’s geographical area :
           20.99% (2005)
           21.02% (2007)
 There was a significant loss of forest in the Andaman
  & Nicobar Islands because of the Tsunami in 2004
 Most of the major forest losing states namely
  Arunachal Pradesh, Assam, Chhattisgarh, Jharkhand,
  Karnataka, Madhya Pradesh and Manipur had much
  lesser loss of forest during 2005‐07 as compared to
  the earlier 3 years

                                                              55
                                        Source: MDGs GOI Report 2009
GOAL-7 PROGRESS
                 (INDIAN SCENARIO)


Environmental measures covered up much of losses …
 The coverage of national parks and wildlife
  sanctuaries (protected areas) in India has increased
  from 4.74% in 2006 to 4.83% in 2009 of the country’s
  geographical area.
 The per capita emission of carbon dioxide was 1.31
  metric tonne in 2006, which is still much lower than
  that in some of advanced countries..




                                                            56
                                      Source: MDGs GOI Report 2009
GOAL-7 PROGRESS
                     (INDIAN SCENARIO)


Access to safe drinking water tends to reach all …
 The overall proportion of households having access to
  improved water sources :
            68.2% (1992‐93)
            84.4% (2007‐08)

 The urban coverage has increased to 95% from 87.6%
  during the same period.
 The growth in rural coverage is not less significant,
  being about 19%
            61%   ( 1992‐93)
            79.6% (2007-08)




                                                               57
                                         Source: MDGs GOI Report 2009
GOAL-7 PROGRESS
                    (INDIAN SCENARIO)


Sanitation facility still eludes half the population …
 The proportion of households without any toilet
  facility :
           70% (1992‐93)
           51% (2007‐08)
 The rural‐urban gap in access/use of sanitation
  facility continues to be very high
 66% of rural households do not have toilet facilities
  against 19% of urban households(2007‐08)
 The target is to reduce the proportion of the
  household having no access to improved sanitation to
  38% by 2015

                                                              58
                                        Source: MDGs GOI Report 2009
‘The world’s leader won’t act unless they hear enough people telling them. And every
  day they fail to act thousand’s of people die because they can’t afford the basics
                                      of survival.’



                                                                              59
GOAL- 8
DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
TARGETS                                INDICATORS
8.A: Develop further an open, rule-    Official development assistance
based, predictable, non-               (ODA)
discriminatory trading and financial   8.1 Net ODA, total and to the least
system                                 developed countries, as percentage
Includes a commitment to good          of OECD/DAC (Organization for
governance, development and poverty    Economic Co-operation and
reduction - both nationally and        Development/ Development
internationally                        Assistance Committee) donors' gross
                                       national income
                                       8.2 Proportion of total bilateral,
                                       sector-allocable ODA of OECD/DAC
                                       donors to basic social services (basic
                                       education, primary health care,
                                       nutrition, safe water and sanitation)
                                       8.3 Proportion of bilateral official
                                       development assistance of
                                       OECD/DAC donors that is untied60
GOAL- 8
DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
TARGETS                         INDICATORS
8.B: Address the special        8.4 ODA received in
needs of the least developed    landlocked developing
countries                       countries as a proportion of
Includes: tariff and quota      their gross national incomes
free access for the least       8.5 ODA received in small
developed countries' exports;   island developing States as a
enhanced programme of debt      proportion of their gross
relief for heavily indebted     national incomes
poor countries (HIPC) and
cancellation of official
bilateral debt; and more
generous ODA for countries
committed to poverty
reduction                                                 61
GOAL- 8
DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
TARGETS                               INDICATORS
8.C: Address the special needs of     Market access
landlocked developing countries and   8.6 Proportion of total developed
small island developing States        country imports (by value and
(through the Programme of Action      excluding arms) from developing
for the Sustainable Development       countries and least developed
of Small Island Developing States     countries, admitted free of duty
and the outcome of the twenty-        8.7 Average tariffs imposed by
second special session of the         developed countries on agricultural
General Assembly)                     products and textiles and clothing
                                      from developing countries
                                      8.8 Agricultural support estimate
                                      for OECD countries as a
                                      percentage of their gross domestic
                                      product
                                      8.9 Proportion of ODA provided to
                                      help build trade capacity      62
GOAL- 8
DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
TARGETS                           INDICATORS
8.D: Deal comprehensively with    Debt sustainability
the debt problems of developing   8.10 Total number of countries
countries through national and    that have reached their HIPC
international measures in order   (heavily indebted poor
to make debt sustainable in the   countries) decision points and
long term                         number that have reached their
                                  HIPC completion points
                                  (cumulative)
                                  8.11 Debt relief committed
                                  under HIPC and MDRI
                                  Initiatives
                                  8.12 Debt service as a
                                  percentage of exports of goods
                                  and services                 63
GOAL- 8
DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT
TARGETS                          INDICATORS

8.E: In cooperation with         8.13 Proportion of population
pharmaceutical companies,        with access to affordable
provide access to affordable     essential drugs on a sustainable
essential drugs in developing    basis
countries

8.F: In cooperation with the     8.14 Telephone lines per 100
private sector, make available   population
the benefits of new              8.15 Cellular subscribers per
technologies, especially         100 population
information and communications   8.16 Internet users per 100
                                 population
                                                             64
MDGs REPORT 2010
                              (world scenario)

   Aid remains well below the
    United Nations target of 0.7
    per cent of gross national
    income for most donors. In
    2009, the only countries to
    reach or exceed the target
    were Denmark, Luxembourg,
    the Netherlands, Norway and
    Sweden.
   The largest donors by volume
    in 2009 were the United
    States, followed by France,
    Germany, the United Kingdom
    and Japan.

Growth in mobile telephony remains strongest in the developing world, where, by
end-2009, mobile penetration had passed the 50 per cent mark
( Information & Communication Technology partnership )                        65
MDGs REPORT 2010
                     (world scenario)




 In 2009, net disbursements of official development
  assistance (ODA) amounted to $119.6 billion (0.31%) of
  the combined national income of developed countries
 US is contributing only 0.22 per cent of GNI
 Least developed countries benefit most from tariff
  reductions, especially on their agricultural products
 Access to the World Wide Web is still closed to the
  majority of the world’s people



                                                           66
GOAL-8 PROGRESS
                     (INDIAN SCENARIO)


Technology partnership drives connectivity fast …
 The tele-density per hundred population :
           0.67 (1991)
           36.98 (March 2009)
 The tele-density has more than doubled in the last
  two years
 The total number of telephones, both fixed and
  wireless :
           22.8 million (1999 )
           467.7 million (March 2009)




                                                               67
                                         Source: MDGs GOI Report 2009
GOAL-8 PROGRESS
                      (INDIAN SCENARIO)


Technology partnership drives connectivity fast …

 The number of internet subscribers
           0.21 million (1999)
           13.54 million (2009)


 The Govt. of India is contemplating of raising internet
 subscriber base to 100 million by 2014 and is planning
 to provide internet connectivity to all villages in the
 country by that time



                                                                68
                                          Source: MDGs GOI Report 2009
Barriers towards Achieving the Millennium Development
                        Goals


 Many people throughout the developed world are unaware
  of the plight of billions in developing countries.
 Television and other media typically do not report on these
  issues. It is not “news,” the information is depressing, and
  people will not pay attention.
 Diffusion of responsibility: It is someone else’s problem.
 Developed countries have their own issues; why should they
  help other countries when plenty of people in their own land
  live in poverty?
 Corrupt leaders in many developing countries have
  squandered or diverted foreign aid leaving developed
  countries feeling angry and fed up.
 Problems beget more problems: Witness Sub-Saharan
  Africa.                                                 69
How MDGs can be achieved ?


Keeping the promise
Building on successes
      The economic growth momentum in developing
       regions remains strong
      learning from the many successes of even the
       most challenged countries
Bridging the gaps
      Local government officials should put the issue of
       the Millennium Development Goals at the
       forefront of their attention and legislative work
      Proper implementation of programs and policies


                                                        70
CURRENT POLICIES OF INDIA




                        71
National Rural Employment Guarantee Act
                (NREGA)

    Introduction of NREGA guaranteed 100 days of
     employment per household every year at the
     minimum wage level.
    The human rights approach to policy is a
     developmental step to improving the lives of
     millions, however problem of implementation have
     meant the average employment is still much less
     than the 100 day baseline.




                                                        72
Agricultural debt waiver and debt relief
             scheme (2008)

   Announced in the 2008/09 budget and extended
    in the 2009/10 budget, this one time bank waiver
    of nearly Rs. 71,000 crore to an estimated 40
    million farmers aimed to resolve the issue of
    agrarian debt.
   The act failed to address the private debts of
    farmers as those were difficult to assess.
    However, it was announced in the 2009/10 budget
    that in Maharashtra, a state badly affected, a
    task force has been set up to look into the issue



                                                    73
Right To Education Act 2009

 The Right of children to Free and Compulsory
  Education Act has come into force from 1st April
  2010
 Provides for free and compulsory education to all
  children of the age of six to fourteen years
 All private schools shall be required to enroll
  children from weaker sections in their incoming
  class to the extent of 25% of their enrolment, by
  simple random selection




                                                  74
Public spending on education

 In India, public spending in the year 2009/10 stood
  just 2% of GDP. This means there is major
  deficiency in the amount of money being paid into
  primary school education
 This is one of the leading causes as to why public
  schools are suffering from high rates of teacher
  absenteeism, lack of resources and basic
  infrastructure
 12 crore children from government schools ranging
  from class 1-5 are covered by the Mid-day Meal
  scheme


                                                        75
Domestic Violence Act 2005


 The act defines domestic violence to incorporate
  sexual, physical, economical and social abuse
 As domestic violence typically takes place behind
  closed doors, the implementation of the act is
  difficult, however it should be recommended for
  being an incremental step in ending discrimination




                                                       76
Integrated Management of Neonatal and
     Childhood Illnesses (IMNCI)

  Under the IMNCI, baseline workers are trained in
  holistic management of
         measles,
         malaria,
         pneumonia,
         diarrhoea   and
         Malnutrition
  From Nov 2009 IMNCI has been shifted to
    F-IMNCI : with added component of asphyxia
    management & care of sick born at facility level

                                                       77
National Rural Health Mission (NRHM)


Universal access to public health services

       Women’s   health
       Child health
       Water, Sanitation & Hygiene
       Immunization
       Nutrition




                                              78
National AIDS Control Programme (NACP)


  Phase III of the NACP was implemented in 2007-
  08 and will run for five years: it aims to halt and
  reverse the HIV epidemic during its time frame

  The National and State Action Plans for
  Adolescence Education, aims to deliver to Grade IX
  and above: information of growing up, HIV/AIDS,
  life skills and extracurricular activities




                                                        79
National Action Plan for Climate Change
               (NAPCC)

   Launched in June 2008
   Emphasizes the need for sustainable
    development through clean energy technology,
    however it does not set targets for reduction in
    greenhouse gas emissions
   India’s stance is that developed countries
    should support developing countries should
    fulfill their commitments under the Kyoto
    Protocol




                                                   80
Accomplishment of the Millennium Development Goals
simply…

           “Provides every individual with the capacity
               to fulfill, their greatest potential”
                        -Dr. Manmohan Singh

…an accomplishment that is simply a human right, and
hardly a lofty goal.



                                                       81
“ We must not fail the billions who look to the
international community to fulfill the promise of
the Millennium Declaration for a better world.

Let us keep the promise.”

-UN Secretary- General Ban Ki-moon
                                               82
References

 The Millennium Development Goals Report 2010
  UNITED NATIONS NEW YORK, 2010
 United Nations Economic and Social Council. 2008.
  Report of the Secretary-General on the indicators
  for Monitoring the Millennium Development Goals.
 http://www.un.org/Docs/journal/asp/ws.asp?m=A/R
  ES/60/1
 New and Revised MDG Targets and Indicators
  According to the revised MDG framework,
  effective 15 January 2008
 MDG Government of India Report 2009
 Fact Sheets on MDGs in South Asia.
  www.mdgasiapacific.org

                                                      83
84
85

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MDGs Dr. Suraj Chawla

  • 1. MILLENNIUM DEVELOPMENT GOALS Dr. Suraj Chawla Junior Resident, Community Medicine PGIMS, Rohtak 1
  • 2. Contents  Milestones  Introduction  Discussion of MDGs :  Targets & Indicators  World scenario  Indian scenario  Barriers towards achieving MDGs  Current policies of INDIA 2
  • 3. Milestones  1990  Watershed in the evolution of ideas about poverty reduction  World Bank’s World Development Report  UNDP’s Human Development Reports  World Summit for Children in New York, to which the processes leading to the MDGs can be traced back  1993  World Conference on Human Rights in Vienna, advanced the recognition of the rights of women 3
  • 4. Milestones  1994  International Conference on Population and Development (ICPD) in Cairo, focused on reductions in child, infant and maternal mortality and access to reproductive health services  1995  World Summit on Social Development in Copenhagen, crucial for the MDGs as a global consensus was reached that poverty reduction was the priority goal for development 4
  • 5. Introduction  189 heads of state in September 2000 adopted the Millennium Declaration during the UN Millennium summit  The plan was for countries and development partners to work together to reduce poverty and hunger, tackle ill-health, gender inequality, lack of education, lack of access to clean water and environmental degradation  They established eight Millennium Development Goals (MDGs), with targets set for 2015, and to be measured in terms of progress since 1990 5
  • 6. Cont.  Each year, the Secretary-General presents a report to the UN General Assembly on progress achieved towards implementing the Declaration  The goals, targets and indicators as developed in 2002 were used until 2007 to measure progress towards the MDGs  In 2007, the MDGs monitoring framework was revised to include four new targets as agreed by member states at the 2005 World Summit and recommended in 2006 6
  • 7. Cont.  In 2007, the General Assembly took note of the Secretary-General's report in which he presented the new framework, including the indicators to monitor progress towards the new targets as recommended by the Inter-Agency and Expert Group on MDG Indicators (IAEG).  The 8 MDGs, break down into 21 quantifiable targets that are measured by 60 indicators, effective since January 15, 2008 7
  • 9. ‘ Overcoming poverty is not a gesture of charity. It is an act of justice. ’ - Nelson Mandela. 9
  • 10. GOAL- 1 ERADICATE EXTREME POVERTY AND HUNGER TARGETS INDICATORS 1.A: Halve ( between 1990 1.1 Proportion of population and 2015) the proportion of below $1 (PPP) per day people whose income is less 1.2 Poverty gap ratio than one dollar a day 1.3 Share of poorest quintile in national consumption 10
  • 11. GOAL- 1 ERADICATE EXTREME POVERTY AND HUNGER TARGETS INDICATORS 1.B: Achieve full and 1.4 Growth rate of GDP per productive employment and person employed decent work for all, including 1.5 Employment to population women and young people ratio 1.6 Proportion of employed people living below $1 (PPP) per day 1.7 Proportion of own- account and contributing family workers in total employment 11
  • 12. GOAL- 1 ERADICATE EXTREME POVERTY AND HUNGER TARGETS INDICATORS 1.C: Halve ( between 1990 1.8 Prevalence of and 2015 ) the proportion of underweight children under- people who suffer from five years of age hunger 1.9 Proportion of population below minimum level of dietary energy consumption 12
  • 13. MDGs REPORT 2010 (world scenario) The global economic crises has slowed down the progress, but world is still on track to meet the poverty reduction target 13
  • 14. MDGs REPORT 2010 (world scenario) Hunger may have spiked in 2009, one of the many dire consequences of the global food & financial crises 14
  • 15. GOAL-1 PROGRESS (INDIAN SCENARIO) Declining poverty needs to be accelerated…  Proportion of people below the national poverty line (poverty headcount ratio or PHR) :  37.2% (1990)  27.5% (2004‐05)  Target is to reduce it by half to 18.6% (2015)  Rate of decline in poverty ratio per annum :  0.8% (1990‐2005)  1.4% (2005‐06) Sign of improvement  This improved rate, if persists, India will be able to achieve the 2015 target by 2012‐13. 15 Source: MDGs GOI Report 2009
  • 16. GOAL-1 PROGRESS GOAL-1 PROGRESS (INDIAN SCENARIO) Hunger, particularly undernourishment among children, persists as major food insecurity issue…  Proportion of underweight children below 3 years of age :  53.5% (1990)  46% (2005-06)  Target is to reduce it to 26.8% by 2015 Expected to come down to about 40% (2015) 16 Source: MDGs GOI Report 2009
  • 17. GOAL-1 PROGRESS GOAL-1 PROGRESS (INDIAN SCENARIO) Addressing the poverty burden in the heartland is vital…  The major states namely, Bihar, Jharkhand, Chhattisgarh, MP, Maharashtra, Orissa, UP and Uttarakhand, are among the slow‐moving States & are not likely to achieve their target of halving the poverty. 17 Source: MDGs GOI Report 2009
  • 18. ‘Education is a human right with immense power to transform. On its foundation rest the cornerstone of freedom, democracy and sustainable human development.’ - Kofi Annan 18
  • 19. GOAL- 2 ACHIEVE UNIVERSAL PRIMARY EDUCATION TARGETS INDICATORS 2.A: Ensure that, by 2015, 2.1 Net enrolment ratio in children everywhere boys primary education and girls alike, will be able 2.2 Proportion of pupils to complete a full course of starting grade 1 who reach primary schooling last grade of primary 2.3 Literacy rate of 15-24 year-olds, women and men 19
  • 20. MDGs REPORT 2010 (world scenario) Hope dims for universal primary education by 2015, even as many poor countries make tremendous strides 20
  • 21. GOAL-2 PROGRESS (INDIAN SCENARIO) Universal primary education is imminent...  The country is tending to achieve 2015 target of universal primary education for all children aged 6‐11 years.  Primary enrolment of 6‐11 year old children by their NER :  83% (2000)  95% (2007‐08)  Survival rate in the primary stage up to Grade V :  62% (1999)  72% (2007-08)  Youth literacy :  82.1% (2007 )  Expected 100% by the end of 2012. 21 Source: MDGs GOI Report 2009
  • 22. ‘ Women hold up half the sky ’. - Ancient Chinese saying 22
  • 23. GOAL- 3 PROMOTE GENDER EQUALITY AND EMPOWER WOMEN TARGETS INDICATORS 3.A: Eliminate gender 3.1 Ratios of girls to boys in disparity in primary and primary, secondary and secondary education, tertiary education preferably by 2005, and in 3.2 Share of women in wage all levels of education no employment in the non- later than 2015 agricultural sector 3.3 Proportion of seats held by women in national parliament 23
  • 24. MDGs REPORT 2010 (world scenario) For girls in some regions, education remains elusive 24
  • 25. GOAL-3 PROGRESS (INDIAN SCENARIO) Gender disparity in primary and secondary education is set to disappear…  Gender Parity Index (GPI) ratios in primary and secondary education are :  76 and 60 respectively (1990‐91)  94 and 82 respectively (2006‐07) 25 Source: MDGs GOI Report 2009
  • 26. GOAL-3 PROGRESS (INDIAN SCENARIO) Empowerment of women is still far & too slow to reckon...  Participation of women in employment and decision making remains far less than that of men and the disparity is not likely to be eliminated by 2015.  Percentage share of women parliamentarians  9.7% (1991)  9.1% (2007)  10.3% after the 15th General Election held in April‐May 2009  Though a marginal increase, this can be a turning point for the better to come by. 26 Source: MDGs GOI Report 2009
  • 27. ‘ A child like all other human beings has inalienable rights.’ - Lucrezia Molt 27
  • 28. GOAL- 4 REDUCE CHILD MORTALITY TARGETS INDICATORS 4.A: Reduce by two-thirds, 4.1 Under-five mortality between 1990 and 2015, the rate under-five mortality rate 4.2 Infant mortality rate 4.3 Proportion of 1 year-old children immunized against measles 28
  • 29. MDGs REPORT 2010 (world scenario) Child deaths are falling, but not quickly enough to reach the target 29
  • 30. GOAL-4 PROGRESS (INDIAN SCENARIO) Much sharper focus is needed for faster improvement in child-survival prospect …  U5MR per thousand live births :  125 (1990)  74.6 (2005-06)  Target is to reduce it to 42 (2015) Expected near 70 by 2015 30 Source: MDGs GOI Report 2009
  • 31. GOAL-4 PROGRESS (INDIAN SCENARIO) Much sharper focus is needed for faster improvement in child-survival prospect  IMR per thousand live births :  80 (1990)  53 (2008)  Target is to reduce it to 26.7 (2015) Expected near 46 by 2015  The proportion of 1 year olds immunised against measles reached 69.6% in 2007‐08 Expected to reach 97% by 2015 31 Source: MDGs GOI Report 2009
  • 32. ‘There is simply no good reason why in the 21st century thousands of women and children should be dying during childbirth.’ - Aileen Carroll 32
  • 33. GOAL- 5 IMPROVE MATERNAL HEALTH TARGETS INDICATORS 5.A: Reduce by three 5.1 Maternal mortality ratio quarters, between 1990 and 5.2 Proportion of births 2015, the maternal mortality attended by skilled health ratio personnel 33
  • 34. MDGs REPORT 2010 (world scenario) Giving birth is especially risky in southern Asia & sub- Saharan Africa, where most women deliver without skilled care 34
  • 35. GOAL-5 PROGRESS (INDIAN SCENARIO) Life risk to motherhood takes a turn for the better…  MMR per 100,000 live births :  301 (2001‐2003)  254 (2004-2006)  Target is to reduce it to 109 by 2015 Expected to reach 135 by 2015  Coverage of deliveries by skilled personnel :  33% (1992-1993)  52% (2007-2008)  Target - universal coverage by 2015 Expected to reach 62% by 2015 35 Source: MDGs GOI Report 2009
  • 36. ‘ Of all the forms of inequality, injustice in health is the most shocking and the most inhumane.’ - Martin Luther King 36
  • 37. GOAL- 6 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES TARGETS INDICATORS 6.A: Have halted by 2015 6.1 HIV prevalence among and begun to reverse the population aged 15-24 years spread of HIV/AIDS 6.2 Condom use at last high- risk sex 6.3 Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS 6.4 Ratio of school attendance of orphans to school attendance of non- orphans aged 10-14 years 37
  • 38. GOAL- 6 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES TARGETS INDICATORS 6B: Achieve, by 2010, 6.5 Proportion of population universal access to with advanced HIV infection treatment for HIV/AIDS for with access to antiretroviral all those who need it drugs 38
  • 39. GOAL- 6 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES TARGETS INDICATORS 6C: Halt and begin to 6.6 Incidence and death reverse the incidence of rates associated with malaria malaria and other major 6.7 Proportion of children diseases under 5 sleeping under insecticide-treated bed nets 6.8 Proportion of children under 5 with fever who are treated with appropriate anti-malarial drugs 39
  • 40. GOAL- 6 COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES TARGETS INDICATORS 6C: Halt and begin to 6.9 Incidence, prevalence reverse the incidence of and death rates associated malaria and other major with tuberculosis diseases 6.10 Proportion of tuberculosis cases detected and cured under directly observed treatment short course 40
  • 41. MDGs REPORT 2010 (world scenario) The spread of HIV appears to have stabilized in most regions, and more peoples are surviving longer 41
  • 42. MDGs REPORT 2010 (world scenario) About Malaria …  Global procurement of more effective antimalarial drugs continues to rise rapidly  Poverty continues to limit the use of insecticide treated mosquito nets  External funding is helping to reduce malaria incidence and deaths, but additional support is needed 42
  • 43. MDGs REPORT 2010 (world scenario) About Tuberculosis…  Incidence fell to 139 cases per 100,000 peoples in 2008 after peaking in 2004 at 143 cases per 100,000 people  Though Tuberculosis prevalence is decreasing in most regions, it remains the second leading killer after HIV/AIDS If current trends are sustained, the world as a whole will have already achieved the target of halting and reversing the incidence of Tuberculosis in 2004 43
  • 44. GOAL-6 PROGRESS (INDIAN SCENARIO) Trend reversal in prevalence of HIV/AIDS looks lasting…  Estimated adult prevalence :  0.45% (2002)  0.34% (2007)  Prevalence among pregnant women of 15‐24 years :  0.86% (2004)  0.49% (2007)  Proportion of people aged 15‐49 having correct awareness about HIV/AIDS :  17.6% (2001 )  29.3% (2006) 44 Source: MDGs GOI Report 2009
  • 45. GOAL-6 PROGRESS (INDIAN SCENARIO) Trend reversal in prevalence of HIV/AIDS looks lasting…  Condom use as percentage of all contraceptive methods is low, particularly in rural areas (3.3% in 2005‐06)  Condom use is however, quite prevalent (71% in 2005‐06) among non regular sex partners  Total number of females living with HIV/AIDS :  1.07 million (2002)  0.95 million (2007) 45 Source: MDGs GOI Report 2009
  • 46. GOAL-6 PROGRESS (INDIAN SCENARIO) Prevalence of Malaria and TB moves to a halt…  Incidence of the Malaria :  1.74% (2005)  1.52% (Sept. 2009)  In the malaria prone states like the North East States, Gujarat, Karnataka, Madhya Pradesh, Maharashtra, Orissa, Rajasthan, Tripura and West Bengal, the number of deaths of malaria patients has consistently declined . 46 Source: MDGs GOI Report 2009
  • 47. GOAL-6 PROGRESS (INDIAN SCENARIO) Prevalence of Malaria and TB moves to a halt…  The prevalence of TB per 100,000 population :  586 (1990)  283 (2007)  The case detection rate under DOTS for new smear positive cases has improved from near 1% in 1997 to 68% in 2007, which is just short of 70% ‐ the desired level prescribed under DOTS  The treatment success rate has remained steady at 86%‐87% level during the last five years 47 Source: MDGs GOI Report 2009
  • 48. ‘ Take care of earth and it will take care of you .’ 48
  • 49. GOAL- 7 ENSURE ENVIRONMENTAL SUSTAINABILITY TARGETS INDICATORS 7.A: Integrate the principles 7.1 Proportion of land area of sustainable development covered by forest into country policies and 7.2 CO2 emissions, total, programmes and reverse the per capita and per $1 GDP loss of environmental (PPP) resources 7.3 Consumption of ozone- depleting substances 7.4 Proportion of fish stocks within safe biological limits 7.5 Proportion of total water resources used 49
  • 50. GOAL- 7 ENSURE ENVIRONMENTAL SUSTAINABILITY TARGETS INDICATORS 7.B: Reduce biodiversity 7.6 Proportion of terrestrial loss, achieving, by 2010, a and marine areas protected significant reduction in the 7.7 Proportion of species rate of loss threatened with extinction 50
  • 51. GOAL- 7 ENSURE ENVIRONMENTAL SUSTAINABILITY TARGETS INDICATORS 7.C: Halve, by 2015, the 7.8 Proportion of population proportion of people without using an improved drinking sustainable access to safe water source drinking water and basic 7.9 Proportion of population sanitation using an improved sanitation facility 51
  • 52. GOAL- 7 ENSURE ENVIRONMENTAL SUSTAINABILITY TARGETS INDICATORS 7.D: By 2020, to have 7.10 Proportion of urban achieved a significant population living in slums improvement in the lives of at least 100 million slum dwellers 52
  • 53. MDGs REPORT 2010 (world scenario) The rate of deforestation shows sign of decreasing, but is still alarmingly high 53
  • 54. MDGs REPORT 2010 (world scenario) About biodiversity…  The world has missed the 2010 target for biodiversity conservation, with potentially grave consequences  The number of species facing extinction is growing by the day, especially in developing countries About safe drinking water & sanitation …  The world is on track to meet the drinking water target, though much remains to be done in some regions  With half the population of developing regions without sanitation, the 2015 target appears to be out of reach The unparalleled success of the Montreal Protocol shows that action on climate change is within our grasp 54
  • 55. GOAL-7 PROGRESS (INDIAN SCENARIO) Environmental measures covered up much of losses …  India’s forest cover has increased by 0.03% (728 sq.km) of the country’s geographical area :  20.99% (2005)  21.02% (2007)  There was a significant loss of forest in the Andaman & Nicobar Islands because of the Tsunami in 2004  Most of the major forest losing states namely Arunachal Pradesh, Assam, Chhattisgarh, Jharkhand, Karnataka, Madhya Pradesh and Manipur had much lesser loss of forest during 2005‐07 as compared to the earlier 3 years 55 Source: MDGs GOI Report 2009
  • 56. GOAL-7 PROGRESS (INDIAN SCENARIO) Environmental measures covered up much of losses …  The coverage of national parks and wildlife sanctuaries (protected areas) in India has increased from 4.74% in 2006 to 4.83% in 2009 of the country’s geographical area.  The per capita emission of carbon dioxide was 1.31 metric tonne in 2006, which is still much lower than that in some of advanced countries.. 56 Source: MDGs GOI Report 2009
  • 57. GOAL-7 PROGRESS (INDIAN SCENARIO) Access to safe drinking water tends to reach all …  The overall proportion of households having access to improved water sources :  68.2% (1992‐93)  84.4% (2007‐08)  The urban coverage has increased to 95% from 87.6% during the same period.  The growth in rural coverage is not less significant, being about 19%  61% ( 1992‐93)  79.6% (2007-08) 57 Source: MDGs GOI Report 2009
  • 58. GOAL-7 PROGRESS (INDIAN SCENARIO) Sanitation facility still eludes half the population …  The proportion of households without any toilet facility :  70% (1992‐93)  51% (2007‐08)  The rural‐urban gap in access/use of sanitation facility continues to be very high  66% of rural households do not have toilet facilities against 19% of urban households(2007‐08)  The target is to reduce the proportion of the household having no access to improved sanitation to 38% by 2015 58 Source: MDGs GOI Report 2009
  • 59. ‘The world’s leader won’t act unless they hear enough people telling them. And every day they fail to act thousand’s of people die because they can’t afford the basics of survival.’ 59
  • 60. GOAL- 8 DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT TARGETS INDICATORS 8.A: Develop further an open, rule- Official development assistance based, predictable, non- (ODA) discriminatory trading and financial 8.1 Net ODA, total and to the least system developed countries, as percentage Includes a commitment to good of OECD/DAC (Organization for governance, development and poverty Economic Co-operation and reduction - both nationally and Development/ Development internationally Assistance Committee) donors' gross national income 8.2 Proportion of total bilateral, sector-allocable ODA of OECD/DAC donors to basic social services (basic education, primary health care, nutrition, safe water and sanitation) 8.3 Proportion of bilateral official development assistance of OECD/DAC donors that is untied60
  • 61. GOAL- 8 DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT TARGETS INDICATORS 8.B: Address the special 8.4 ODA received in needs of the least developed landlocked developing countries countries as a proportion of Includes: tariff and quota their gross national incomes free access for the least 8.5 ODA received in small developed countries' exports; island developing States as a enhanced programme of debt proportion of their gross relief for heavily indebted national incomes poor countries (HIPC) and cancellation of official bilateral debt; and more generous ODA for countries committed to poverty reduction 61
  • 62. GOAL- 8 DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT TARGETS INDICATORS 8.C: Address the special needs of Market access landlocked developing countries and 8.6 Proportion of total developed small island developing States country imports (by value and (through the Programme of Action excluding arms) from developing for the Sustainable Development countries and least developed of Small Island Developing States countries, admitted free of duty and the outcome of the twenty- 8.7 Average tariffs imposed by second special session of the developed countries on agricultural General Assembly) products and textiles and clothing from developing countries 8.8 Agricultural support estimate for OECD countries as a percentage of their gross domestic product 8.9 Proportion of ODA provided to help build trade capacity 62
  • 63. GOAL- 8 DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT TARGETS INDICATORS 8.D: Deal comprehensively with Debt sustainability the debt problems of developing 8.10 Total number of countries countries through national and that have reached their HIPC international measures in order (heavily indebted poor to make debt sustainable in the countries) decision points and long term number that have reached their HIPC completion points (cumulative) 8.11 Debt relief committed under HIPC and MDRI Initiatives 8.12 Debt service as a percentage of exports of goods and services 63
  • 64. GOAL- 8 DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT TARGETS INDICATORS 8.E: In cooperation with 8.13 Proportion of population pharmaceutical companies, with access to affordable provide access to affordable essential drugs on a sustainable essential drugs in developing basis countries 8.F: In cooperation with the 8.14 Telephone lines per 100 private sector, make available population the benefits of new 8.15 Cellular subscribers per technologies, especially 100 population information and communications 8.16 Internet users per 100 population 64
  • 65. MDGs REPORT 2010 (world scenario)  Aid remains well below the United Nations target of 0.7 per cent of gross national income for most donors. In 2009, the only countries to reach or exceed the target were Denmark, Luxembourg, the Netherlands, Norway and Sweden.  The largest donors by volume in 2009 were the United States, followed by France, Germany, the United Kingdom and Japan. Growth in mobile telephony remains strongest in the developing world, where, by end-2009, mobile penetration had passed the 50 per cent mark ( Information & Communication Technology partnership ) 65
  • 66. MDGs REPORT 2010 (world scenario)  In 2009, net disbursements of official development assistance (ODA) amounted to $119.6 billion (0.31%) of the combined national income of developed countries  US is contributing only 0.22 per cent of GNI  Least developed countries benefit most from tariff reductions, especially on their agricultural products  Access to the World Wide Web is still closed to the majority of the world’s people 66
  • 67. GOAL-8 PROGRESS (INDIAN SCENARIO) Technology partnership drives connectivity fast …  The tele-density per hundred population :  0.67 (1991)  36.98 (March 2009)  The tele-density has more than doubled in the last two years  The total number of telephones, both fixed and wireless :  22.8 million (1999 )  467.7 million (March 2009) 67 Source: MDGs GOI Report 2009
  • 68. GOAL-8 PROGRESS (INDIAN SCENARIO) Technology partnership drives connectivity fast …  The number of internet subscribers  0.21 million (1999)  13.54 million (2009)  The Govt. of India is contemplating of raising internet subscriber base to 100 million by 2014 and is planning to provide internet connectivity to all villages in the country by that time 68 Source: MDGs GOI Report 2009
  • 69. Barriers towards Achieving the Millennium Development Goals  Many people throughout the developed world are unaware of the plight of billions in developing countries.  Television and other media typically do not report on these issues. It is not “news,” the information is depressing, and people will not pay attention.  Diffusion of responsibility: It is someone else’s problem.  Developed countries have their own issues; why should they help other countries when plenty of people in their own land live in poverty?  Corrupt leaders in many developing countries have squandered or diverted foreign aid leaving developed countries feeling angry and fed up.  Problems beget more problems: Witness Sub-Saharan Africa. 69
  • 70. How MDGs can be achieved ? Keeping the promise Building on successes  The economic growth momentum in developing regions remains strong  learning from the many successes of even the most challenged countries Bridging the gaps  Local government officials should put the issue of the Millennium Development Goals at the forefront of their attention and legislative work  Proper implementation of programs and policies 70
  • 72. National Rural Employment Guarantee Act (NREGA)  Introduction of NREGA guaranteed 100 days of employment per household every year at the minimum wage level.  The human rights approach to policy is a developmental step to improving the lives of millions, however problem of implementation have meant the average employment is still much less than the 100 day baseline. 72
  • 73. Agricultural debt waiver and debt relief scheme (2008)  Announced in the 2008/09 budget and extended in the 2009/10 budget, this one time bank waiver of nearly Rs. 71,000 crore to an estimated 40 million farmers aimed to resolve the issue of agrarian debt.  The act failed to address the private debts of farmers as those were difficult to assess. However, it was announced in the 2009/10 budget that in Maharashtra, a state badly affected, a task force has been set up to look into the issue 73
  • 74. Right To Education Act 2009  The Right of children to Free and Compulsory Education Act has come into force from 1st April 2010  Provides for free and compulsory education to all children of the age of six to fourteen years  All private schools shall be required to enroll children from weaker sections in their incoming class to the extent of 25% of their enrolment, by simple random selection 74
  • 75. Public spending on education  In India, public spending in the year 2009/10 stood just 2% of GDP. This means there is major deficiency in the amount of money being paid into primary school education  This is one of the leading causes as to why public schools are suffering from high rates of teacher absenteeism, lack of resources and basic infrastructure  12 crore children from government schools ranging from class 1-5 are covered by the Mid-day Meal scheme 75
  • 76. Domestic Violence Act 2005  The act defines domestic violence to incorporate sexual, physical, economical and social abuse  As domestic violence typically takes place behind closed doors, the implementation of the act is difficult, however it should be recommended for being an incremental step in ending discrimination 76
  • 77. Integrated Management of Neonatal and Childhood Illnesses (IMNCI)  Under the IMNCI, baseline workers are trained in holistic management of  measles,  malaria,  pneumonia,  diarrhoea and  Malnutrition  From Nov 2009 IMNCI has been shifted to F-IMNCI : with added component of asphyxia management & care of sick born at facility level 77
  • 78. National Rural Health Mission (NRHM) Universal access to public health services  Women’s health  Child health  Water, Sanitation & Hygiene  Immunization  Nutrition 78
  • 79. National AIDS Control Programme (NACP)  Phase III of the NACP was implemented in 2007- 08 and will run for five years: it aims to halt and reverse the HIV epidemic during its time frame  The National and State Action Plans for Adolescence Education, aims to deliver to Grade IX and above: information of growing up, HIV/AIDS, life skills and extracurricular activities 79
  • 80. National Action Plan for Climate Change (NAPCC)  Launched in June 2008  Emphasizes the need for sustainable development through clean energy technology, however it does not set targets for reduction in greenhouse gas emissions  India’s stance is that developed countries should support developing countries should fulfill their commitments under the Kyoto Protocol 80
  • 81. Accomplishment of the Millennium Development Goals simply… “Provides every individual with the capacity to fulfill, their greatest potential” -Dr. Manmohan Singh …an accomplishment that is simply a human right, and hardly a lofty goal. 81
  • 82. “ We must not fail the billions who look to the international community to fulfill the promise of the Millennium Declaration for a better world. Let us keep the promise.” -UN Secretary- General Ban Ki-moon 82
  • 83. References  The Millennium Development Goals Report 2010 UNITED NATIONS NEW YORK, 2010  United Nations Economic and Social Council. 2008. Report of the Secretary-General on the indicators for Monitoring the Millennium Development Goals.  http://www.un.org/Docs/journal/asp/ws.asp?m=A/R ES/60/1  New and Revised MDG Targets and Indicators According to the revised MDG framework, effective 15 January 2008  MDG Government of India Report 2009  Fact Sheets on MDGs in South Asia. www.mdgasiapacific.org 83
  • 84. 84
  • 85. 85

Notes de l'éditeur

  1. MDG Report 2010
  2. World health report 2010