Millennium Development Goal-
a 15 years program to bring about meaningful changes in global economy. The
initiative began in 2000 at United Nation Summit. All 189 United Nations member
states and at least 23 international
organizations have agreed to achieve these goals by the year 2015. The
goals that focused on health initiatives were as follows:-
GOAL
4: Reducing child mortality rates.
GOAL
5: Improving Maternal Health.
GOAL
6: Combating HIV/AIDS, malaria, and other diseases.
In the last 13 years we have
gone a long way ahead but still a lot needs to be done on various aspects. If we talk about the data’s we would see that
under-five child mortality has decreased almost by half in last 25 years
despite of global population growth. We have been able to save lots of life
through greater access to antiretroviral viral therapy (ART). Various lives are
being saved through better tuberculosis and malaria prevention and treatment
activities. Community engagement in health care has reached its high time, all
around the globe and India has also not been excluded from it. Antenatal care
is being provided to women by various government and non-government agencies. Pharmaceutical
companies have also supported in this regards with resources for the provision
of medicines to global health funds rising of late despite the economic
downturn.
When we look at the overall
scenario it is not beauty all around. Some results seen so far even represent a
depressing fact. 6.9 million Children under 5 died in 2011. Even maternal
mortality has is 15 times higher in developing countries then developed
countries. There are also a significant number of new HIV infection carriers
year after year. The most important fact that has to be noticed here is
inequalities in every development
goal in rural and urban areas. Rural areas still lag behind cities; infant
mortality is climbing in many areas. Many patients face denied access to life
extending treatment because of the cost barrier.
But now when we are about to
end the year 2013 we have to start thinking
about the future, the MDG’s in reality is not just the ‘final
push’. What are we going to do after
2015? Since we are viewing the project as the most successful development
project in history there is also a little doubt that this may be only one step
for the way forward. Apart from setting future goals, development goals may
also move to addressing issues of strategy and best practice. With antipathy to
funding development projects growing in the majority of the world (as countries
look towards domestic needs the focus is likely to shift to issues of how to
fund future goals) perhaps the goals shifting towards something considered more
obtainable in an increasingly financially scarce world. This in turn could
drive measurers to improve access to essential medicines through cost
initiatives or greater donations of medicines, although the compliance of
international pharmaceutical companies on this could be uncertain.
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