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Moving from MDGs to the new order(SDGs)

Unmet SRHR dimensions in SSA

Ayanore MartinDepartment of Health Services Research

Maastricht University

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Demographics across populations!! Should we be bothered? MDGs & SDGs consensus/aberrations for SRHR

Unmet maternity and reproductive health In SSA!! SDGs Gaps !! Where must national policies focus?

Where do we invest?

Presentation Synopsis

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Demographics Con’td Two key drivers to look at SSA

• Dividends

• Gender inequality

Population data (Mobility, patterns, drivers, migration, immigration, emigration)

Gender equality and women empowerment (economic game changer)

Social, cultural and historical precedents amidst globalisation

Changing trends of disease burden within and across populations

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Unmet Need

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Comprehensive education (inclu. sexuality) for life and livelihoods

Indicators on disrespect and abuse are fundamental for sexual rights

Integrated context sexual services delivered in efficient health systems

UHC (Service, Provider, Society) is a catalyst

How can SDGs address unmet needs in SSA

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MDGS/SDGS: Consensus and aberrations on Reproductive and maternity health

Consensus• Targeted Outcomes yields

faster results (utilization, satisfaction, cost, quality of services)

• Poor people benefit less from public spending

• Integrated services are possible and cost effective

• Collective commitment begins at home

Aberrations• SDGs are ambitious,

witnessed greater stakeholder inputs ever seen

• SDGs will require more than just people, resources and power

• How can globalisation break social/cultural/economic/ inequity barriers for health outcomes?

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• Growth that is not inclusive: cannot be sustained

• How do we guarantee sexual/reproductive health and rights in emergencies? And such situations who takes the greater responsibility?

• What accountability issues can we hold all actors to? UN agencies, civil society, NGOs, etc

Can we do more on SDGs?

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Gender empowerment + compulsory basic to secondary education for all girls and women

Building reliable vital health systems (data and profiles of needs, LSS, push/pull factors)

Breaking the vicious cycle of child abuse and early child marriages in low income countries

Investing more in ending unintended pregnancies with social inclusion

Clear indicators, measures for implementation and progress markers as benchmark to progress

SDGs gaps !! Where should national policies focus

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• Gender empowerment• Legislative acts on sexual and

reproductive violence • Strengthening health systems

at all levels of the health delivery

• Strong fiscal institutions/ financial sectors that target specific growth driven areas

• Broad national and community level context stakeholder engagements for greater ownership of local targets and drivers for change

‘We are not promising, we are

delivering’-Christine Lagarde

Where do we invest?

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CONCLUSIONS

Context specific outcomes and measures counts

Strong public health systems are the bedrock sustaining SRHR beyond 2030

Top-down approaches towards meeting SDGs will not WORK in SSA

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THE SUSTAINABALE DEVELOPMENT GOALS WILL REMAIN UNSUSTAINABLE IF NATIONS ABANDON THEIR QUEST TO

REMAIN SUSTAINABLE