Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015

• Published in: The Lancet
• Main Authors: Lim, S., Allen, K., Dandona, L., Greenwell, K., Noi, A.
• Format: Article in Journal/Newspaper
• Language: English
• Published: 2016
• Subjects: Conservation of Natural Resources; Cost of Illness; disabled persons; Global Health; goals; health status; Health Status Indicators; Humans; Insurance; health; Quality-Adjusted Life Years; risk factors; universal coverage; Iceland
• Online Access: https://ibn.idsi.md/vizualizare_articol/173060; https://doi.org/10.1016/S0140-6736(16)31467-2

Background In September, 2015, the UN General Assembly established the Sustainable Development Goals SDGs. The SDGs specify 17 universal goals, 169 targets, and 230 indicators leading up to 2030. We provide an analysis of 33 health-related SDG indicators based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 GBD 2015. Methods We applied statistical methods to systematically compiled data to estimate the performance of 33 health-related SDG indicators for 188 countries from 1990 to 2015. We rescaled each indicator on a scale from 0 worst observed value between 1990 and 2015 to 100 best observed. Indices representing all 33 health-related SDG indicators health-related SDG index, health-related SDG indicators included in the Millennium Development Goals MDG index, and health-related indicators not included in the MDGs non-MDG index were computed as the geometric mean of the rescaled indicators by SDG target. We used spline regressions to examine the relations between the Socio-demographic Index SDI, a summary measure based on average income per person, educational attainment, and total fertility rate and each of the health-related SDG indicators and indices. Findings In 2015, the median health-related SDG index was 59middot;3 95% uncertainty interval 56middot;8ndash;61middot;8 and varied widely by country, ranging from 85middot;5 84middot;2ndash;86middot;5 in Iceland to 20middot;4 15middot;4ndash;24middot;9 in Central African Republic. SDI was a good predictor of the health-related SDG index r2=0middot;88 and the MDG index r2=0middot;92, whereas the non-MDG index had a weaker relation with SDI r2=0middot;79. Between 2000 and 2015, the health-related SDG index improved by a median of 7middot;9 IQR 5middot;0ndash;10middot;4, and gains on the MDG index a median change of 10middot;0 [6middot;7ndash;13middot;1] exceeded that of the non-MDG index a median change of 5middot;5 [2middot;1ndash;8middot;9]. Since 2000, pronounced progress occurred for indicators such as met need with modern ...