Post-2015 Development Goals Research Articles

Is technical demography becoming less relevant? Two decade review of published articles in selected demography journals

Background : In this paper, we reviewed development in the field of technical demography and empirically demonstrate that there has been a decline in the proportion of technical demographic studies published in the last two decades. Methods: All original articles published in nine demographic journals from Africa, Europe, Australia, Canada and United States were reviewed. We derived yearly aggregate for total number of articles and number of technical demographic papers from 1994 to 2015. We illustrated the trends in the proportion of technical demographic studies in a graph and also estimated the annual rate of decline using least square regression techniques. Results: A total of 4091 studies were published in 465 issues of the selected journals between 1994 and 2015 of which 371 (9.0%) were related to technical demography. The proportion of technical demographic papers declined gradually at an annual rate of 0.42% (CI= 0.29-0.62) between 1994 (12.0%) and 2015 (10.0%). Conclusion: Technical demography need to be strengthened in order to provide the critical data and evidence required to objectively monitor the post-2015 development goals.

Back from oblivion? The rise and fall of the early initiatives against corporate tax avoidance from the 1960s to the 1980s

Tax havens and tax avoidance have gathered much interest, e.g., in the United Nations (UN) negotiations on the post-2015 development goals. The analyses of initiatives against corporate tax avoidance typically focus on developments from the mid-1990s onward. This article shows that contrary to the common perception, the country-by-country reporting initiative and many of the other contemporary policy responses had already been developed and discussed in the 1970s by the United Nations Commission and Centre for Transnational Corporations. I demonstrate how the weakening of the policy community of the UN and the failure of the Organisation of Economic Co-operation and Development (OECD) to refer to the earlier discussions, not only in the UN but also in the OECD, contributed to the passing into oblivion of these ideas. Other factors were the reframing of the UN work on multinational enterprises to human rights issues and the transformation of academic theories of the firm. The examples demonstrate how ideas shape world politics and how the oblivion of certain ideas can have concrete impacts on the power relations between its actors. The oblivion of the earlier debates paved the way for the triumph of more business-friendly discourses centred on the anti-corruption and corporate social responsibility arguments.

Production and use of estimates for monitoring progress in the health sector: the case of Bangladesh

ABSTRACTBackground: In order to support the progress towards the post-2015 development agenda for the health sector, the importance of high-quality and timely estimates has become evident both globally and at the country level.Objective and Methods: Based on desk review, key informant interviews and expert panel discussions, the paper critically reviews health estimates from both the local (i.e. nationally generated information by the government and other agencies) and the global sources (which are mostly modeled or interpolated estimates developed by international organizations based on different sources of information), and assesses the country capacity and monitoring strategies to meet the increasing data demand in the coming years. Primarily, this paper provides a situation analysis of Bangladesh in terms of production and use of health estimates for monitoring progress towards the post-2015 development goals for the health sector.Results: The analysis reveals that Bangladesh is data rich, particularly from household surveys and health facility assessments. Practices of data utilization also exist, with wide acceptability of survey results for informing policy, programme review and course corrections. Despite high data availability from multiple sources, the country capacity for providing regular updates of major global health estimates/indicators remains low. Major challenges also include limited human resources, capacity to generate quality data and multiplicity of data sources, where discrepancy and lack of linkages among different data sources (local sources and between local and global estimates) present emerging challenges for interpretation of the resulting estimates.Conclusion: To fulfill the increased data requirement for the post-2015 era, Bangladesh needs to invest more in electronic data capture and routine health information systems. Streamlining of data sources, integration of parallel information systems into a common platform, and capacity building for data generation and analysis are recommended as priority actions for Bangladesh in the coming years. In addition to automation of routine health information systems, establishing an Indicator Reference Group for Bangladesh to analyze data; building country capacity in data quality assessment and triangulation; and feeding into global, inter-agency estimates for better reporting would address a number of mentioned challenges in the short- and long-run.

Millennium development goals-5 and sexual and reproductive health in post-2015 United Nations global development goals

Millennium development goals-5 and sexual and reproductive health in post-2015 United Nations global development goals

Modeling Household Income and Consumption Expenditure Multipliers for Uzbekistan Based on SAM

The empirical analysis of current development process impact on welfare and distribution of income and consumption among individuals has been at the centre of economic research over the last three to four decades, since this type of research has largely come to address important issues of inequality and poverty measurement. Post-2015 Development Goals agenda has placed greater focus of economic policy to such the priority areas as sustainable economic development, poverty reduction and employment growth based on activation of new sources related to the increase in the quality of human capital. In this regard, special attention is required to study the effectiveness of mechanisms to promote sustainable growth of welfare and improvement of living standards in Uzbekistan. This article discusses the multiplicative effects of economic shocks on incomes and consumption of household quintiles using data from the SNA accounts on distribution and use of income. Particularly, it analyses the path of quality of life of society and possibility to achieve a significant goal to improve the competitiveness and efficiency of the national economy applying SAM model in order to measure population differentiation in terms of spending on food and non-food consumer goods and services. Results show, that despite the fact that the impact multiplier of food production is the largest for the first quintile (relatively to multiples of non-food industries and services), its impact is small enough to be a tool for poverty reduction in Uzbekistan. Moreover, only the stimulation of production of goods and services may not have a significant impact on the reduction of inequality in income distribution. The preferred tool to protect vulnerable sectors of the population and reduce poverty is targeted support, which forms the basis for the economic policy of Uzbekistan on the way to sustainable and shared growth.

Universal Health Coverage's evolving location in the post-2015 development agenda: Key informant perspectives within multilateral and related agencies during the first phase of post-2015 negotiations.

In 2001, technocrats from four multilateral organizations selected the Millennium Development Goals mainly from the previous decade of United Nations (UN) summits and conferences. Few accounts are available of that significant yet cloistered synthesis process: none contemporaneous. In contrast, this study examines health’s evolving location in the first-phase of the next iteration of global development goal negotiation for the post-2015 era, through the synchronous perspectives of representatives of key multilateral and related organizations. As part of the Go4Health Project, in-depth interviews were conducted in mid-2013 with 57 professionals working on health and the post-2015 agenda within multilaterals and related agencies. Using discourse analysis, this article reports the results and analysis of a Universal Health Coverage (UHC) theme: contextualizing UHC’s positioning within the post-2015 agenda-setting process immediately after the Global Thematic Consultation on Health and High-Level Panel of Eminent Persons on the Post-2015 Development Agenda (High-Level Panel) released their post-2015 health and development goal aspirations in April and May 2013, respectively. After the findings from the interview data analysis are presented, the Results will be discussed drawing on Shiffman and Smith (Generation of political priority for global health initiatives: a framework and case study of maternal mortality. The Lancet 2007; 370: 1370–79) agenda-setting analytical framework (examining ideas, issues, actors and political context), modified by Benzian et al. (2011). Although more participants support the High-Level Panel’s May 2013 report’s proposal—‘Ensure Healthy Lives’—as the next umbrella health goal, they nevertheless still emphasize the need for UHC to achieve this and thus be incorporated as part of its trajectory. Despite UHC’s conceptual ambiguity and cursory mention in the High-Level Panel report, its proponents suggest its re-emergence will occur in forthcoming State led post-2015 negotiations. However, the final post-2015 SDG framework for UN General Assembly endorsement in September 2015 confirms UHC’s continued distillation in negotiations, as UHC ultimately became one of a litany of targets within the proposed global health goal.

"Everywhere but not specifically somewhere": a qualitative study on why the right to health is not explicit in the post-2015 negotiations.

BackgroundThe Millennium Development Goals expire at the end of 2015 and global negotiations are underway to finalise the post-2015 Sustainable Development Goals. Much activism has occurred encouraging a post-2015 health and development goal embedded in the highest attainable standard of health (‘right to health’). Despite this, the right to health was absent in three key post-2015 intergovernmental Sustainable Development Goal proposals in 2014, one of which was reinforced by the United Nations General Assembly in September 2014 as the guiding document for ongoing interstate negotiations. This article examines why it appears the right to health, so far, is not gaining direct expression in post-2015 discussion.MethodsThis qualitative research is part of a broader study using thematic and discourse analysis examining the high-level policy debate on health goals in the discourse of the formulation of the post-2015 Sustainable Development Goals. Key-informant interviews were conducted in two interview rounds in 2013 and 2014, with participants from multilateral and other organisations (government, academia, civil society and philanthropy) responsible for health in the post-2015 development agenda (or the post-2015 development agenda more broadly). This study synthesises data from both interview rounds on Health and Human Rights in post-2015 Sustainable Development Goal negotiations.ResultsSix reasons why the right to health may not have gained effective traction in the unfolding post-2015 Member State negotiations were found. The first three reasons relate to broader issues surrounding human rights’ (including sexual and reproductive health and rights) positioning within international relations discourse, and the second three relate to the challenges of transforming the human right to health into a practically applied post-2015 health goal.ConclusionsThis paper reports the views of participants, many of who sit at the interface of United Nations and Member State negotiations, on the right to health’s location (and projected trajectory) at two temporal junctions in evolving post-2015 negotiations. The interviews provide insight into high-level hesitancy that the right to health be expressly incorporated in the final post-2015 health and development goal, as well as documents participants’ doubt that rights language will explicitly frame the broader Sustainable Development Goals, their targets and indicators.

Options for Including Community Resilience in the Post-2015 Development Goals

Resilience needs to be at the heart of the post-2015 debate. Disasters inflict significant damage on local communities, with disproportionate effects felt by the poorest and most vulnerable. Disasters, alongside gradual stresses and ‘everyday crises’, are also responsible for significant setbacks in development progress, including in food security and poverty reduction efforts (see ECLAC 2005). With this in mind, a ‘resilience approach’ is needed to safeguard progress on the goals that will be agreed under a post-2015 framework in the face of current and future risk. Looked at in another way, the next set of goals must be underpinned by a risk-sensitive development framework. This is especially relevant given that the intensity of, and exposure and vulnerability to, many disasters is increasing in light of global trends such as climate change, depletion of natural resources, urbanisation and demographic shifts.Below we outline the case for including resilience in the post-2015 development goals and explore the characteristics of a resilient community. We briefly take stock of existing proposals for including resilience in the post-2015 framework, and make recommendations for practical options for targets and indicators based on three scenarios: Embedding resilience in a poverty goal; mainstreaming resilience in other sectoral goals; and a standalone goal on resilience. Finally, areas for further consideration in ensuring that resilience is taken up within the post-2015 consultation process are outlined.

Towards integrated social–ecological sustainability indicators: Exploring the contribution and gaps in existing global data

Sustainable development goals (SDGs), which recognise the interconnections between social, economic and ecological systems, have ignited new interest in indicators able to integrate trends in – and interactions between – nature and socio-economic development. We explore whether existing global data can be used to measure nature's contribution to development targets and explore limitations in these data. Using Millennium Development Goal (MDG) 1– eradicate extreme hunger and poverty. We develop two indicators to assess the contribution of nature to progress in this goal. The indicators (based on income and employment data from nature-based sectors (NBS) represented by agriculture, forestry and fisheries) show large but declining contributions of nature to MDG 1: NBS contributed to lifting 18% of people out of poverty and provided 37% of global employment between 1991 and 2010. For low income countries, the contributions were 20% and 55% respectively. In exploring data gaps the study highlighted low reporting rates especially in low income countries, as well as lack of other measures of poverty alleviation beyond income and employment. If we are to move beyond target setting to implementation of sustainable development goals at national scales, these shortcomings require as much attention as the elaboration and agreement on the post-2015 development goals.

Learning at the bottom of the pyramid: Constraints, comparability and policy in developing countries

United Nations development goals have consistently placed a high priority on the quality of education—and of learning. This has led to substantive increases in international development assistance to education, and also to broader attention, worldwide, to the importance of children’s learning. Yet, such goals are mainly normative: they tend to be averages across nations, with relatively limited attention to variations within countries. This review provides an analysis of the scientific tensions in understanding learning among poor and marginalized populations: those at the bottom of the pyramid. While international agencies, such as UNESCO and OECD, often invoke these populations as the “target” of their investments and assessments, serious debates continue around the empirical science involved in both research and policy. The present analysis concludes that the UN post-2015 development goals must take into account the critical need to focus on learning among the poor in order to adequately address social and economic inequalities.

Cause-specific mortality at INDEPTH Health and Demographic Surveillance System Sites in Africa and Asia: concluding synthesis

This synthesis brings together findings on cause-specific mortality documented by means of verbal autopsies applied to over 110,000 deaths across Africa and Asia, within INDEPTH Network sites.MethodsDevelopments in computerised methods to assign causes of death on the basis of data from verbal autopsy (VA) interviews have made possible these standardised analyses of over 110,000 deaths from 22 African and Asian Health and Demographic Surveillance System sites in the INDEPTH Network. In addition to previous validations of the InterVA-4 probabilistic model, these wide-ranging analyses provide further evidence of the applicability of this approach to assigning the cause of death. Plausible comparisons with existing knowledge of disease patterns, as well as substantial correlations with out-of-model parameters such as time period, country, and other independent data sources were observed.FindingsSubstantial variations in mortality between sites, and in some cases within countries, were observed. A number of the mortality burdens revealed clearly constitute grounds for public health actions. At an overall level, these included high maternal and neonatal mortality rates. More specific examples were childhood drowning in Bangladesh and homicide among adult males in eastern and southern Africa. Mortality from non-communicable diseases, particularly in younger adulthood, is an emerging cause for concern. INDEPTH's approach of documenting all deaths in particular populations, and successfully assigning causes to the majority, is important for formulating health policies.Future directionsThe pooled dataset underlying these analyses is available at the INDEPTH Data Repository for further analysis. INDEPTH will continue to fill cause-specific mortality knowledge gaps across Africa and Asia, which will also serve as a baseline for post-2015 development goals. The more widespread use of similar VA methods within routine civil registration systems is likely to become an important medium-term strategy in many countries.

Community participation in formulating the post-2015 health and development goal agenda: reflections of a multi-country research collaboration.

Global discussion on the post-2015 development goals, to replace the Millennium Development Goals when they expire on 31 December 2015, is well underway. While the Millennium Development Goals focused on redressing extreme poverty and its antecedents for people living in developing countries, the post-2015 agenda seeks to redress inequity worldwide, regardless of a country’s development status. Furthermore, to rectify the UN’s top-down approach toward the Millennium Development Goals’ formulation, widespread negotiations are underway that seek to include the voices of people and communities from around the globe to ground each post-2015 development goal. This reflexive commentary, therefore, reports on the early methodological challenges the Go4Health research project experienced in its engagement with communities in nine countries in 2013. Led by four research hubs in Uganda, Bangladesh, Australia and Guatemala, the purpose of this engagement has been to ascertain a ‘snapshot’ of the health needs and priorities of socially excluded populations particularly from the Global South. This is to inform Go4Health’s advice to the European Commission on the post-2015 global goals for health and new governance frameworks. Five methodological challenges were subsequently identified from reflecting on the multidisciplinary, multiregional team’s research practices so far: meanings and parameters around qualitative participatory research; representation of marginalization; generalizability of research findings; ethical research in project time frames; and issues related to informed consent. Strategies to overcome these methodological hurdles are also examined. The findings from the consultations represent the extraordinary diversity of marginal human experience requiring contextual analysis for universal framing of the post-2015 agenda. Unsurprisingly, methodological challenges will, and did, arise. We conclude by advocating for a discourse to emerge not only critically examining how and whose voices are being obtained at the community-level to inform the post-2015 health and development goal agenda, but also how these voices are being translated and integrated into post-2015 decision-making at national and global levels.

Health, equity and the post-2015 agenda: raising the voices of marginalized communities.

In September 2012 the United Nations (UN) initiated a process that would extend and enhance the unfinished agenda of the Millennium Development Goals (MDGs), integrating a new vision for sustainable development beyond the year 2015. The initial consultation phase has been completed, with the UN and partner organizations undertaking eleven thematic consultations, including one on health. It is in this context that the European Commission (EC) has tasked the research consortium Goals and Governance for Global Health (Go4Health) with providing recommendations for the post-2015 health-related development goals and including voices that are routinely excluded from health-related decision-making processes. This has not been an easy task. It has led us to question how to define marginalization, how to access marginalized communities, as well as how community members could provide informed consent. The context of the communities we worked with was far removed from the reality of the post-2015 debates, where the MDGs and the new goals are remote and abstract, and where the promise of immediate benefit from participation could not be assured. Given the social, historical, cultural, ethnic and geographical diversity of our chosen community partners, and the diversity of their lived experiences, could their unique situations be generalized in ways that could influence the global debate? In this special issue, we have tried to explore the uniqueness and the commonalities of the issues and barriers that marginalized communities face all over the globe, and present them in individual papers that, together, provide a nuanced and complex picture of the challenges that face the post-2015 health-related agenda setting-process.

A ZEN approach to post-2015 development goals for Asia and the Pacific

The Asia-Pacific region includes a majority of the world's population and many of its most rapidly growing economies. It is also home to the world's largest number of extremely poor people, many fragile states, and unsustainable environmental practices. The region has increased its influence in the world economy but is still grappling to overcome complex interrelated challenges of poverty, inequality and sustainable development. Its priorities must be addressed as a central element of any post-2015 global development goal framework. Drawing from lessons of the Millennium Development Goals, this paper suggests a conceptual framework to guide a new generation of goals, along with an intergovernmental approach to implementation. The “ZEN” framework stresses the distinct challenges of achieving zero extreme poverty (Z), setting country-specific “Epsilon” benchmarks for broader development challenges (E), and promoting environmental sustainability both within and across borders (N).

Veterinary medicine's increasing role in global health.

Veterinary medicine's increasing role in global health.

Addendum to Report of the Special Rapporteur on Extreme Poverty and Human Rights. Summary of Activities 2008-2014

This report presents an overview of the activities of the United Nations Special Rapporteur on extreme poverty and human rights, Magdalena Sepulveda Carmona, during the term of her mandate 2008-2014. It summarizes the Special Rapporteur’s country visits to Ecuador, Zambia, Bangladesh, Viet Nam, Ireland, Timor-Leste, Paraguay, Namibia, Mongolia, Mozambique, the Republic of Moldova and Guinea-Bissau (in chronological order). It also highlights the Special Rapporteur’s thematic reports on social protection, welfare reform, penalization of poverty, access to justice, participation, unpaid care work, and the post-2015 development goals as well as her work on advocacy and in concluding the drafting process for the Guiding Principles on extreme poverty and human rights.

Development goals in the post-2015 world: whither Canada?

A new set of post-2015 development goals for the world is being negotiated. Several potential goals relating to sustainable development, poverty, the economy and health have been identified. Many of them have potential public health gains, although there are inadequacies in how several of them have been defined. In participating in finalization of these goals, Canada should strengthen its commitments to maternal/child health; promote its publicly funded health system as an important model for universal health coverage; incorporate stronger protections for public health in trade and investment treaties; use its foreign aid to help low- and middle-income countries build the transparent and progressive tax systems to mobilize domestic revenues for health; and promote global systems of taxation to prevent tax evasion and illicit capital flight.

The global burden of disabling hearing impairment: a call to action.

At any age, disabling hearing impairment has a profound impact on interpersonal communication, psychosocial well-being, quality of life and economic independence. According to the World Health Organization's estimates, the number of people with such impairment increased from 42 million in 1985 to about 360 million in 2011. This last figure includes 7.5 million children less than 5 years of age. In 1995, a "roadmap" for curtailing the burden posed by disabling hearing impairment was outlined in a resolution of the World Health Assembly. While the underlying principle of this roadmap remains valid and relevant, some updating is required to reflect the prevailing epidemiologic transition. We examine the traditional concept and grades of disabling hearing impairment - within the context of the International Classification of Functioning, Disability and Health - as well as the modifications to grading that have recently been proposed by a panel of international experts. The opportunity offered by the emerging global and high-level interest in promoting disability-inclusive post-2015 development goals and disability-free child survival is also discussed. Since the costs of rehabilitative services are so high as to be prohibitive in low- and middle-income countries, the critical role of primary prevention is emphasized. If the goals outlined in the World Health Assembly's 1995 resolution on the prevention of hearing impairment are to be reached by Member States, several effective country-level initiatives - including the development of public-private partnerships, strong leadership and measurable time-bound targets - will have to be implemented without further delay.

Global health in the 21st century

Introduction Since the end of the 1990s, globalization has become a common term, facilitated by the social media of today and the growing public awareness of life-threatening problems common to all people, such as global warming, global security and global divides. Review For the main parameters of health like the burden of disease, life expectancy and healthy life expectancy, extreme discrepancies are observed across the world. Infant mortality, malnutrition and high fertility go hand in hand. Civil society, as an indispensable activator of public health development, mainly represented by non-governmental organisations (NGOs), is characterised by a high degree of fragmentation and lack of public accountability. The World Federation of Public Health Associations is used as an example of an NGO with a global mission and fostering regional cooperation as an indispensable intermediate level. The lack of a globally valid terminology of basic public health functions is prohibitive for coordinated global and regional efforts. Attempts to harmonise essential public health functions, services and operations are under way to facilitate communication and mutual understanding. Recommendations 1) Given the limited effects of the Millennium Development Goal agenda, the Post-2015 Development Goals should focus on integrated regional development. 2) A code of conduct for NGOs should be urgently developed for the health sector, and NGOs should be registered and accredited. 3) The harmonisation of the basic terminology for global public health essentials should be enhanced.

Leveraging Africa’s Voice: Determining the Post-2015 Development Goals

African leaders recognize that setting the post-2015 development agenda is an essential opportunity to influence global policy. Priorities identified during this process will inform internal and external development policies for the next fifteen years and beyond. Although pan-African institutions and individual African states are stepping up to that challenge, a convoluted drafting process may obfuscate the unified, yet fragile, position they have generated.