MDG HOW FAR ????

GROUP D
Ashmita Poudel
Bidhya Poudel
Bigya Acharya
Grishma Giri
Kiran Neupane
CONTENT
Introduction

Statement of the problem

Objectives

Methodology

Findings and discussions

Conclusion

Recommendations



INTRODUCTION
The international development targets and the development goals
were merged together and renamed as the Millennium
Development Goals (MDGs)

There are 8 MDGs goals. Out of them 4 are health related . Each
goal has specific targets and dates for achieving those targets.

Goal 1: Eradicate extreme poverty and hunger
Target 1:
Halve between 1990 and 2015, the proportion of people whose
income is less than $1 per day.
Target 2:
Halve, between 1990 and 2015, the proportion of people who
suffer from hunger.
Goal 4: Reduce Child Mortality Rate
Target 5:
Reduce by two thirds, between 1990 and 2015, the under 5 mortality
rate.

Goal 5: Improve Maternal Health
Target 6:
Reduce by three quarters, between 1990 and 2015, the maternal
mortality ratio.

Goal 6: Combat HIV/ AIDS, malaria, and other diseases
Target 7:
Have halted by 2015 and begun to reverse the spread of HIV / AIDS.
Target 8:
Have halted by 2015 and began to reverse the incidence of malaria and
other major diseases.


STATEMENT OF PROBLEM
Because of various factors like economic problem, geographical
difficulties, lack of interest of people toward their own health,
etc MDGs is still not able to achieve all those goals.

Child and maternal mortality rate is still prevalent in our country.

Full and productive employment for all is just like a dream of
Nepalese people, which hinders to achieve first goal i.e. to
eliminate extreme poverty and hunger.

Unequal distribution of infrastructures in all part of the nation is
another big problem to achieve MDGs.
OBJECTIVES


General Objectives:
To know the current situation and progress towards achieving
MDGS in Nepal.

Specific Objectives:
To know the current situation of extreme poverty and hunger.
To find out the progress related to child mortality rates.
To identify the current situation and progress in maternal health.
To know the present status of HIV/AIDS, malaria and other
diseases



METHODOLOGY

3.1 Study duration:
2014/04/23 - 2014/05/15

3.2 Study design:
Descriptive Cross sectional study

3.3 Data collection tool:
Annual report and internet




3.4 Data collection procedure:
Secondary data were used

3.5 Data processing & Analysis:
Microsoft Excel 2007

3.6 Limitation of study:
Limited time period for the study.


FINDINGS AND DISCUSSION


OBJECTIVE 1:To know the current situation of extreme
poverty and hunger.
Goal 1: Eradicate extreme poverty and hunger
Target 1A. Between 1990 and 2015, halve the proportion of
people whose income is less than one dollar a day





33.5
42
0 0 0
38
11.75
7.6
24.1
31
7.55
6.2
19.7
25.4
6.1
0
16.4
23.82
5.6
8.3
17
21
0 0
0
5
10
15
20
25
30
35
40
45
Percentage of population
below USD 1 per day (ppp
value)
Percentage of population
below national poverty
line
Poverty gap ratio at USD
1 per day (%)
Share of bottom quintile
in national consumption
1990
2000
2005
2010
2013
2015 target
Target 1B. Achieve full and productive employment and decent
work for all, including women and youth




0
10
20
30
40
50
60
70
80
90
1.59
81.73
22
81.9
0
82.2
0
0
17
2010
2013
2015 target
Growth rate of GDP
per person employed
Employment
to population
Proportion of employed people
living below USD 1 per day
proportion of own account and
contributing family workers in total
employment
Target 1C. Between 1990 and 2015 halve the proportion of
hungry people




1990 2000 2005 2010 2013 2015 target
57
53
43
38.6
28.8 29
49
47
40
22.5
15.7
25
57
53
0
49
40.5
30
Prevalence of underweight children aged 6-59 months
Proportion of population below minimum level of dietary energy consumption
Proportion of stunted children aged 6-59 months
Goal 4: Reduce Child Mortality Rate
Target 4: Reduce by two thirds, between 1990 and 2015, the
under 5 mortality rate

0
20
40
60
80
100
120
140
160
180
1990 2000 2005 2011 2015
108
64
48
46
36
162
91
61
54 54
42
71
85
88
0
Infant mortality rate (per 1,000 live births)
Under-five mortality rate (per 1,000 live births)
Proportion of one-year-old children immunised against measels (%)
OBJECTIVE 2 :To find out the progress related to child mortality
rates

0
10
20
30
40
50
60
70
80
90
mountains
hills
terai
73
50
53
87
58
62
IMR
U5MR
IMR & Under 5 mortality rate between 1990 and 2015 in
mountain, hills and terai
IMR U5MR
58
73
65
82
MWDR FWDR
IMR & Under 5 mortality rate between 1990 and 2015 in Mid
western and Far western development region

IMR & Under 5 mortality rate between 1990 and 2015 in
rural and urban areas


IMR
U5MR
0
10
20
30
40
50
60
70
55
64
38
45
rural area
urban area
OBJECTIVE 3: To identify the current situation and progress
in maternal health

Goal 5: Improve Maternal Health
Target 5 A: Reduce maternal mortality by three-quarters between
1990 and 2015


1990 2000 2005 2010 2013 2015 target
850
415
281
229
170
213
7 11
19
36
50
60
Maternal mortality ratio (per 100,000 live births)
Proportion of births attended by skilled birth attendant (%)
Target 5B: Achieve universal access to reproductive health by
2015

1990 2000 2005 2013 2015 target
24
35.4
44.2
43.2
67
0
110
98
81
70
Contraceptive prevalence rate (modern methods) (%)
Adolescent birth rate (births per 1,000 women aged (15-19 yr)
0
10
20
30
40
50
60
70
80
90
100
2000 2005 2010 2013 2015 target
48.5
73.7
89.9
85
100
14
29.4
50.2 50.1
80
26.5
24.6
0
27
15
At least one visit (%)
At least four visits (%)
Unmet need for family planning (%)
Reproductive health by 2015 (ANC care coverage )
OBJECTIVE 4: To know the present status of HIV/AIDS,
malaria and other diseases
Goal 6: Combat HIV/ AIDS, malaria, and other diseases
Target 6C: Have halted and begun to reverse the incidence of
malaria and other major diseases by 2015
i. Malaria



3.3
0.28
0.05
3.23
48.2
5.67
0.11
0.04
2.85
94.2
3.28
0.08
0
0
96.8
0.06
2.5
100
0 20 40 60 80 100 120
Clinical malaria incidence (per 1,000 people)
Annual parasite incidence (per 1,000 people)
Death rate associated with malaria (per 100,000
people at risk)
Percentage of children under five with fever who
are treated with appropriate anti-malarial drugs
Percentage of children under five who sleep under
a long-lasting insecticide-treated bed net
2015 target
2013
2010
2005
ii. Tuberculosis

0
50
100
150
200
250
300
350
400
450
500
1990 2000 2005 2010 2013 2015
target
460
310
280
244
238
43
23 22 22 21
0
70 70
76
73
85
40
89 89 90 90 91
Prevalence rate associated with TB
(per 100,000 people)
Death rate associated with TB (per
100,000 people)
Proportion of TB cases detected (%)
Proportion of TB cases cured under
directly observed treatment short
course %
CONCLUSION



Most of the targets, including poverty and hunger, universal
primary education, gender equality and womens empowerment,
child mortality and maternal health, are likely to be met by 2015

The targets that are unlikely to be met by the time include those
related to HIV/AIDS, malaria and other diseases, environmental
sustainability and global partnership.

A majority of health-related targets have already been met, with
an exception of contraceptive prevalence rate as well as the
proportion of the population with advanced HIV receiving anti-
retroviral combination therapy (ARP),


Nepal can easily half the proportional population living below
the poverty line to 21 percent by 2015 as the poverty level has
already come down to 23.8 percent.

Full and productive employment and decent work for all is
unlikely to be achieved

RECOMMENDATION
Educational opportunities should be ensured and
provided to marginalized children and youth.

Gender equity should be promoted and equality of
access to health care should be focused.

Training should be given to unemployed people
according to their interest and skill to reduce poverty.

Budget allocation should be increased in health related sectors.

Health related laws and policies should be implemented
strictly.


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