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Prof Dr. Sanjev Dave
HOD Department of Community Medicine
Soban Singh Jeena Govt Institute of Medical sciences &
Research,Almora (Uttarakhand)
1
11/26/2022
Outline
Introduction- Indian Scenario of MCHN
SWOT Analysis –Role of MDGs & SDGs
in MCHN status of India
Impact of SDGs adoption- on MCHN
status in India
Way Forward
References
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Mother & Child Health affected by SDGs
All SDGs,
• poverty (Goal 1),
• hunger (Goal 2),
• health (Goal 3),
• education (Goal 4),
• gender equality (Goal 5),
• climate change (Goal 13) or
• violence against children (Goal 16.2).
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Role of Nutrition in SDGs
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Mixed Achievements- A lot needs to be done !!
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Reference: Daniel Lopez de Romaña, Alison Greig, Andrew Thompson, Mandana Arabi,
Successful delivery of nutrition programs and the sustainable development goals,
Current Opinion in Biotechnology,2021
Volume 70, 2021,Pages 97-107,
11/26/2022 15
Focus : MDG 4 and 5
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Impact of MDGs on Maternal & Child Health in India
World Health Organization Report-- Decline
Deaths of children (under 5 years of age)
---12.6 million in 1990 to 6.3 million in 2013
Maternal deaths
----estimated 523,000 in 1990 to 289,000 in 2013.
--The decline in maternal deaths greatly missed
the mark of the Millennium Development
Goals (MDGs)
---if present trends continue, 4.4 million
children younger than 5 years will still die in
2030.
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21
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SDGs Achievement Status for BRICS Countries
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Strengths of
Maternal & Child Health
Status in India
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India’s Progress towards SDGs achievement
11/26/2022 30
Declining trend of Maternal Mortality in India
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Innovative programs introduced in response to the Millennium Development
Goals showed promise to reduce the global rate of maternal mortality. The
Sustainable Development Goals, introduced in 2015, were designed to build on
this progress.
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Reference: Bhatia, M., Dwivedi, L.K., Banerjee, K. et al. Pro-poor policies and
improvements in maternal health outcomes in India. BMC Pregnancy Childbirth 21, 389
(2021).
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Interventions for Achieving SDG goals of
Maternal Health In India
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NFHS -5:Few Achievements that needs Applaud!!
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Opportunities in
Maternal & Child Health Area
11/26/2022 43
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Reference: Aftab W, Siddiqui FJ, Tasic H, et al
Implementation of health and health-related sustainable development goals: progress, challenges and
opportunities – a systematic literature review
BMJ Global Health 2020;5:e002273.
11/26/2022 45
11/26/2022 47
Threats for
Maternal & Child Health Area
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Impact of COVID 19 on MCHN Status in India
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Countries that are off track for 2030 targets for
maternal or child mortality
Reference: McArthur JW, Rasmussen K, Yamey G. How many lives are at stake? Assessing 2030
sustainable development goal trajectories for maternal and child health. BMJ. 2018 Feb 15;360:k373.
11/26/2022 53
Impact of Adopting MDG & SDG Goals on
MCHN in India
11/26/2022 54
Reference: RBI.States’ Social Sector Spending and Sustainable Development
Goals. Available from:https://m.rbi.org.in/Scripts/bs_viewcontent.aspx?Id=3621
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Way Forward
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So do Remember!!......A lot needs to done
11/26/2022 65
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Need for Research on MCHN SDGs
Take Home Mesage
Improving maternal & child health is key to
----saving the lives of more than half a million women &
child --who die as a result of complications from
pregnancy and childbirth each year.
Notable improvements were observed in maternal
and child health and maternal health care utilization
across social groups in India over the period 2005–
06 to 2015–16,
and ---if the trends continue the country can achieve the
SDG target in maternal health by 2030.
However, progress in nutrition and other health
indicators has been slow and uneven.
11/26/2022 67
References
1. Bhatia, M., Dwivedi, L.K., Banerjee, K. et al. Pro-poor policies and improvements in maternal health
outcomes in India. BMC Pregnancy Childbirth 21, 389 (2021).
2. Panda, B., & Mohanty, S. (2019). PROGRESS AND PROSPECTS OF HEALTH-RELATED SUSTAINABLE
DEVELOPMENT GOALS IN INDIA. Journal of Biosocial Science, 51(3), 335-352.
3. Sarvajayakesavalu, Suriyanarayanan. (2015). Addressing challenges of developing countries in
implementing five priorities for sustainable development goals. Ecosystem Health and Sustainability. 1.
art24-art24. 10.1890/EHS15-0028.1.
4. Marsh, Andrew D et al.Effective coverage measurement in maternal, newborn, child, and adolescent
health and nutrition: progress, future prospects, and implications for quality health systems.The Lancet
Global Health,2020 Volume 8, Issue 5, e730 - e736
5. Aftab W, Siddiqui FJ, Tasic H, et al mplementation of health and health-related sustainable development
goals: progress, challenges and opportunities – a systematic literature review. BMJ Global
Health 2020;5:e002273.
5. McArthur JW, Rasmussen K, Yamey G. How many lives are at stake? Assessing 2030 sustainable
development goal trajectories for maternal and child health. BMJ. 2018 Feb 15;360:k373
6. Daniel Lopez de Romaña, Alison Greig, Andrew Thompson, Mandana Arabi, Successful delivery of
nutrition programs and the sustainable development goals, Current Opinion in Biotechnology,2021
Volume 70, 2021,Pages 97-107,
11/26/2022 68
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