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Table of Contents   
EDITORIAL COMMENTARY  
Year : 2017  |  Volume : 10  |  Issue : 2  |  Page : 299-300
Accelerating progress to achieve the sustainable development goal target 3.3 worldwide


Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Kancheepuram, Tamil Nadu, India

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Date of Web Publication22-Jun-2017
 

How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. Accelerating progress to achieve the sustainable development goal target 3.3 worldwide. Ann Trop Med Public Health 2017;10:299-300

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. Accelerating progress to achieve the sustainable development goal target 3.3 worldwide. Ann Trop Med Public Health [serial online] 2017 [cited 2017 Jul 22];10:299-300. Available from: http://www.atmph.org/text.asp?2017/10/2/299/196843

   Introduction Top


The millennium development goal (MDG) 6 aimed to contain HIV/AIDS, malaria, tuberculosis (TB), and other major diseases.[1] Although the stakeholders failed to achieve the desired target for some of the diseases on the global scale; nevertheless, a significant decline in the incidence, mortality, and prevalence of HIV, TB, and malaria was accomplished.[1],[2] In addition, the reduction in the disease burden enabled to improve the maternal and child health indicators, in accordance with the MDGs 4 and 5.[1] Even though the diseases such as viral hepatitis or neglected tropical diseases (NTDs) have been associated with enormous burden, they were not included in MDG, yet most of them have been close to elimination owing to the targeted efforts.[1]


   Success of Millennium Development Goal 6: Potential Factors Top


A wide range of driving factors have been attributed to this progress achieved, namely a significant global economic growth and development, which has translated into improved nutrition and environment standards; focus around a specific number of goals which were precise, time-bound, and measurable; deployment of practical, evidence-based, and viable strategies; strategies to develop partnership and collaboration with national and international agencies; development of a sense of nationwide ownership and leadership leading to involvement of all the concerned stakeholders, including members of the community; extensive mobilization of resources, including the financial assistance; investment in research and innovation, resulting in the development of newer drugs – vaccine diagnostic tools and shift to more on community-based initiatives; improvement in the surveillance, data management, monitoring and evaluation activities; and health-care system strengthening on varied fronts.[1],[2],[3]


   Postmillennium Development Goal: Sustainable Development Goals Top


Globally, infectious diseases still remain a major public health concern which has imposed a serious burden on the economies and the health-care system.[1],[3],[4],[5] In fact, the estimates for the year 2014 revealed that close to 4.3 million deaths were attributed to HIV, TB, malaria, viral hepatitis, and NTDs combined together worldwide.[1],[3],[4],[5] Further, these diseases are even associated with chronic ailments, disabilities, impairment in the quality of life/years of life lost, and associated stigma and discrimination.[2] Sustainable development goals which came into existence since September 2015 have laid down a specific target of 3.3 under the goal 3 to eventually end the epidemics of HIV, TB, malaria, and NTDs, by 2030, and implement sustainable efforts for containing viral hepatitis.[1],[2],[3],[4],[5]


   Planned Strategies and Interventions Top


In accordance with the defined targets, all the member states have expressed their full commitment, and the international welfare agencies have formulated a set of comprehensive strategies and action plans toward the accomplishment of the 2030 goals.[2] The primary strategy is to rapidly expand the coverage of those interventions which can cast a major impact on the burden and other associated indicators of the diseases.[1] However, it has to be kept in mind that mere expansion of services would not guarantee results unless adequate attention is given toward improvement in the quality and efficiency of interventions and services.[1],[3] Further, at any stage, the overall achievement of targets will be determined by the effectiveness and flexibility of the health-care system, which, in turn, is dependent on a strong health workforce, adaptable health services, and a continuous supply of quality-assured/affordable logistics.[2],[4]

In addition, there is a great need to target the efforts toward the vulnerable and marginalized sections of society, who are often neglected, and every effort should be taken to negate the barriers which are preventing them from availing the health-care services.[1],[5] At the same time, measures such as strengthening the monitoring and surveillance activities through the adoption of appropriate information and communication technologies and developing a clear-cut action plan (comprising elements such as intensified research activities, improvement in the resistance surveillance, adoption of newer diagnostic technologies to support monitoring, ensure rational use of medicines, etc.,) to reduce and even effectively tackle the rising trends of drug and insecticide resistance can enable positive outcomes.[1],[2],[4]

Furthermore, a simultaneous investment in the research front to ensure that health-care professionals are better equipped with tools in the battle against the infectious diseases; exploring various options to ensure a long-term financing (through donors, international welfare agencies, etc.,) and sustainability (by improving resource allocation, decreasing the costs of drugs/diagnostics/other logistics) for the delivery of interventions and services; and fostering partnership with different stakeholders can also play a defining role.[1],[3],[4],[5] However, most of the above-mentioned interventions cannot deliver the desired results unless the national government prioritizes the concern and thus supports the implementation of the cost-effective strategies.[1],[2]


   Conclusion Top


In the mission to achieve the targets set for infectious diseases by 2030, it is very much essential to implement the planned interventions from the very beginning. This is a defining phase in the fight against the infectious disease because if we fail to sustain and accelerate the progress toward elimination of them, the diseases could easily rebound and any gains achieved during the MDG phase would be lost.

 
   References Top

1.
World Health Organization. Accelerating progress on HIV, tuberculosis, malaria, hepatitis and neglected tropical diseases. Geneva: WHO Press; 2016. p. 1-26.  Back to cited text no. 1
    
2.
Jha A, Kickbusch I, Taylor P, Abbasi K; SDGs Working Group. Accelerating achievement of the sustainable development goals. BMJ 2016;352:i409.  Back to cited text no. 2
[PUBMED]    
3.
Waheed Y. Transition from millennium development goals to sustainable development goals and hepatitis. Pathog Glob Health 2015;109:353.  Back to cited text no. 3
[PUBMED]    
4.
Lönnroth K, Raviglione M. The WHO's new end TB strategy in the post-2015 era of the sustainable development goals. Trans R Soc Trop Med Hyg 2016;110:148-50.  Back to cited text no. 4
    
5.
Fitzpatrick C, Engels D. Leaving no one behind: A neglected tropical disease indicator and tracers for the sustainable development goals. Int Health 2016;8 Suppl 1:i15-8.  Back to cited text no. 5
    

Top
Correspondence Address:
Saurabh RamBihariLal Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, 3rd Floor, Ammapettai Village, Thiruporur - Guduvancherry Main Road, Sembakkam Post, Kancheepuram, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.196843

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   Introduction
    Success of Mille...
    Postmillennium D...
    Planned Strategi...
   Conclusion
    References

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