R e f e r e n c e Commonwealth Health Partnerships 2015 315 Assessing MDG 5 Goal: Improve maternal health MDG 5 has one target: Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio There are two indicators used by international agencies to assess progress towards MDG 5: • Maternal mortality ratio • Proportion of births attended by skilled health personnel The country profiles in Commonwealth Health Partnerships 2015 assess both of these. The data sources are: • Unicef, The State of the World’s Children Report 2013, Unicef, New York • World Bank: http://databank.worldbank.org/ddp/home.do In assessing progress for MDG 5 for each relevant country: • The latest maternal mortality ratio – taken from the nationally reported figures reported by Unicef, and if unavailable modelled estimates from UN agencies/World Bank – is compared with one-quarter of the 1990 maternal mortality ratio for that country. All 1990 maternal mortality ratios are as estimated by UN agencies/World Bank. A country has achieved its target according to this indicator if the latest maternal mortality ratio has reached or fallen below one-quarter of the 1990 maternal mortality ratio • In assessing the proportion of births attended by skilled health personnel, the latest proportion is compared to a target of 100 per cent. A country has fully achieved its target according to this indicator if 100 per cent of births are attended by skilled health personnel Assessing MDG 6 Goal: Combat HIV/AIDS, malaria and other diseases MDG 6 has two targets: • Have halted by 2015 and begun to reverse the spread of HIV/AIDS • Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases There are ten indicators used by international agencies to assess progress towards MDG 6: • HIV prevalence among pregnant women aged 15–24 years • Condom use rate or the contraceptive prevalence rate • Condom use at last high-risk sex • Percentage of population aged 15–24 years with comprehensive and correct knowledge of HIV/AIDS • Contraceptive prevalence rate • Ratio of school attendance of orphans to school attendance of non-orphans aged ten to 14 years • Prevalence and death rates associated with malaria • Proportion of population in malaria-risk areas using effective malaria prevention and treatment measures • Prevalence and death rates associated with tuberculosis • Proportion of tuberculosis cases detected and cured under DOTS Of the indicators above recommended by international agencies the country profiles in Commonwealth Health Partnerships 2015 assess two of these: • Death rates associated with malaria • Incidence and death rates associated with tuberculosis The country profiles also assess: • HIV prevalence among population aged 15–49 years since it provides a better time series and more data for analysis in terms of understanding the impact of the disease The data sources are: • World Bank: http://databank.worldbank.org/ddp/home.do • UNAIDS: www.unaids.org/en/regionscountries/countries/ • WHO: www.who.int/tb/country/data/profiles/en/index.html • WHO: www.who.int/malaria/publications/world_malaria_report_ 2013/wmr2013_country_profiles.pdf In assessing progress for MDG 6 for each relevant country: • Success with regard to HIV/AIDS is judged on the basis of a decline in HIV prevalence within the 15–49 years age group over a time period going from 1990 to 2012. Understandably there are other forms of progress associated with other indicators that are not assessed here, such as prevalence among pregnant women aged 15–24, condom use and comprehensive knowledge of the disease among people aged 15–24. To counter this, national MDG progress reports and the MDG Monitor created by the United Nations Development Programme were also referenced • Success with regard to malaria is judged on the basis of a significant fall in annual deaths over the relevant period under study, availability of data permitting • Success with regard to tuberculosis (TB) is judged on the basis of a significant fall in estimated incidence and mortality (when mortality data excludes cases comorbid with HIV) over the relevant period under study
Commonwealth Health Partnerships 2015
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