Abstract

The Millennium Development Goals (MDGs) are international objectives on poverty reduction adopted by the world community and provide the broad context for this revolution in thinking and practice. The MDGs place a central focus on public health, in recognition of the fact that improvements in public health are vital not only in their own right but also to break the poverty trap of the world's poorest economies. Nepal has been committed to achieving the MDGs since it endorsed the Millennium Declaration. As we have at present just passed the midway through the 15 years to MDGs deadline of 2015, this article reviews the status of Nepal in achieving the MDGs, the challenges it faces and whether it can achieve the MDGs by 2015.

Highlights

  • Health for All by the year 2000 has been in existence for more than 25 years since the Alma Ata declaration when it was stated that ‘inequality in the health status of people, between developed and developing countries as well as within countries, is politically, socially and economically unacceptable’.1 Yet, Health for All remains an elusive goal and large and growing disparities in health persist both within and between the countries.[2]

  • The Millennium Development Goals (MDGs) place a central focus on public health, in recognition of the fact that improvements in public health are vital in their own right and to break the poverty trap of the world’s poorest economies

  • Nepal has been committed to achieving the MDGs since it endorsed the Millennium Declaration

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Summary

Introduction

Health for All by the year 2000 has been in existence for more than 25 years since the Alma Ata declaration when it was stated that ‘inequality in the health status of people, between developed and developing countries as well as within countries, is politically, socially and economically unacceptable’.1 Yet, Health for All remains an elusive goal and large and growing disparities in health persist both within and between the countries.[2]. Many targets were set and compiled in the 1990s in to what was known as the International development Goals. It was only at the turn of the millennium that the Member States of the United Nations adopted the Millennium Declaration from which the Millennium Development Goals (MDGs) were drawn.[3] The MDGs are a groundbreaking international development agenda for the 21st century and outline the major developmental activities and priorities to be achieved by the year 2015.4. Three out of the total 8 goals, eight out of the total 18 targets and 18 out of the 48 indicators are explicitly about health. The overall MDGs, with emphasis on health-related goals with their targets and indicators, are given in the table 1. Vaidya et al Halfway up the highway: Can Nepal meet its Health Millennium Development Goals?

Proportion of population below minimum level of dietary energy consumption
Proportion of population using solid fuels
MDGs and Nepal
Progress of Nepal in achieving the Health MDGs
Challenges for Nepal in achieving the MDGs
Weak but improving
Weak but Unlikely improving
Findings
Conclusion
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