Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3
Objectives. To present a methodology for the simultaneous setting of quantitative targets that reflect both an improvement in the national average of an indicator for Sustainable Development Goal 3 (SDG3), as well as a reduction in its geographic inequality. Methods. A five-step algorithm was develo...
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ftdoajarticles:oai:doaj.org/article:b256066851cd498a86fe8e52d3cefe9d 2023-05-15T15:12:14+02:00 Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 Antonio Sanhueza Isabel Espinosa Oscar J. Mújica Jarbas Barbosa da Silva Jr. 2021-04-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.63 https://doaj.org/article/b256066851cd498a86fe8e52d3cefe9d EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53774 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.63 https://doaj.org/article/b256066851cd498a86fe8e52d3cefe9d Revista Panamericana de Salud Pública, Vol 45, Iss 63, Pp 1-7 (2021) sustainable development health equity health status indicators maternal mortality guatemala Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.63 2022-12-31T06:31:21Z Objectives. To present a methodology for the simultaneous setting of quantitative targets that reflect both an improvement in the national average of an indicator for Sustainable Development Goal 3 (SDG3), as well as a reduction in its geographic inequality. Methods. A five-step algorithm was developed: (a) calculate the national average annual percent change (AAPC) for an SDG3 indicator; (b) normatively define geographic strata from the subnational distribution of the indicator in a baseline year; (c) apply a proportional progressivity criterion to the AAPC to project the stratum-specific indicator value for the target year; (d) set the national target as the weighted average of the indicator in the subnational territorial units for the target year; and (e) set the inequality reduction targets by calculating the absolute and relative gaps between the bottom and top strata for the target year. Results. The algorithm was applied to SDG indicator 3.1.1 (maternal mortality ratio, MMR), disaggregated by Guatemala’s 22 departments at the baseline year 2014 (MMR = 113 per 100,000 live births). By sustaining the AAPC rate attained from 2009 to 2014 (-4.3%) and focalizing its actions with territorial progressivity, by 2030 the country could reduce its MMR to 53 per 100,000 and its absolute and relative inequality gaps by 72% and 48%, respectively. Conclusions. The proposed methodology allows for simultaneously setting targets for overall progress and inequality reduction in health, making explicit the primacy of the equity principle contained in the SDG commitment to leave no one behind, whose urgency takes on renewed relevance in the current pandemic scenario. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
sustainable development health equity health status indicators maternal mortality guatemala Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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sustainable development health equity health status indicators maternal mortality guatemala Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Antonio Sanhueza Isabel Espinosa Oscar J. Mújica Jarbas Barbosa da Silva Jr. Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
topic_facet |
sustainable development health equity health status indicators maternal mortality guatemala Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To present a methodology for the simultaneous setting of quantitative targets that reflect both an improvement in the national average of an indicator for Sustainable Development Goal 3 (SDG3), as well as a reduction in its geographic inequality. Methods. A five-step algorithm was developed: (a) calculate the national average annual percent change (AAPC) for an SDG3 indicator; (b) normatively define geographic strata from the subnational distribution of the indicator in a baseline year; (c) apply a proportional progressivity criterion to the AAPC to project the stratum-specific indicator value for the target year; (d) set the national target as the weighted average of the indicator in the subnational territorial units for the target year; and (e) set the inequality reduction targets by calculating the absolute and relative gaps between the bottom and top strata for the target year. Results. The algorithm was applied to SDG indicator 3.1.1 (maternal mortality ratio, MMR), disaggregated by Guatemala’s 22 departments at the baseline year 2014 (MMR = 113 per 100,000 live births). By sustaining the AAPC rate attained from 2009 to 2014 (-4.3%) and focalizing its actions with territorial progressivity, by 2030 the country could reduce its MMR to 53 per 100,000 and its absolute and relative inequality gaps by 72% and 48%, respectively. Conclusions. The proposed methodology allows for simultaneously setting targets for overall progress and inequality reduction in health, making explicit the primacy of the equity principle contained in the SDG commitment to leave no one behind, whose urgency takes on renewed relevance in the current pandemic scenario. |
format |
Article in Journal/Newspaper |
author |
Antonio Sanhueza Isabel Espinosa Oscar J. Mújica Jarbas Barbosa da Silva Jr. |
author_facet |
Antonio Sanhueza Isabel Espinosa Oscar J. Mújica Jarbas Barbosa da Silva Jr. |
author_sort |
Antonio Sanhueza |
title |
Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
title_short |
Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
title_full |
Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
title_fullStr |
Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
title_full_unstemmed |
Leaving no one behind: a methodology for setting health inequality reduction targets for Sustainable Development Goal 3 |
title_sort |
leaving no one behind: a methodology for setting health inequality reduction targets for sustainable development goal 3 |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.63 https://doaj.org/article/b256066851cd498a86fe8e52d3cefe9d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 63, Pp 1-7 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53774 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.63 https://doaj.org/article/b256066851cd498a86fe8e52d3cefe9d |
op_doi |
https://doi.org/10.26633/RPSP.2021.63 |
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Revista Panamericana de Salud Pública |
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45 |
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