Millennium Development Goals (MDGs), time period of which will end by
2015, will be replaced by the Sustainable Development Goals (SDG). These
are proposed set of targets which represent the unified vision of
countries on the development agenda till 2030. SDGs represent not only
the agreement on the unfinished agendas of MDGs, but also the challenges
ahead to build universal and transformative goals which leaves "no one
behind" and "ensures the health and wellbeing of all, particularly
women, children and adolescents"[1].
Over the last one and a half decade, India has
achieved many gains during the journey to achieve MDGs. However, we are
far behind the targets for achieving universal primary school enrolment
and completion (Goal 2), reducing child and infant mortality (Goal 4)
and improving access to adequate sanitation to eliminate open defecation
(Goal 7) – all these are important as far as child health is concerned
[2]. India has attained victory on maternal health to a large extent,
and on many communicable diseases but it seems that we were off-track on
child health. Many challenges remain in areas such as immunization
coverage, malnutrition and adolescent health, especially for girls.
Children are still at risk of violence, trafficking, child labour and
early marriage [3].
SDGs directly related to child health are Goal 3 –
"Ensure healthy lives and promote well-being for all at all ages with a
target as to end preventable deaths of newborns and under-five children
by 2030." Other goals also address determinants of child health like
ensuring inclusive and equitable quality education and promote lifelong
learning opportunities for all; achieving gender equality and empower
all women and girls; ensuring availability and sustainable management of
water and sanitation for all; ending poverty in all its forms
everywhere; ending hunger, achieve food security, and improved nutrition
and promote sustainable agriculture [1]. With these targets, SDGs offer
a platform for development of our country by placing children at the
heart of the country’s vision [1,3]. Universalizing health, nutrition
and education has to be the key strategy for achieving sustainable
development. The strategies should ensure that everyone has access to
quality services, irrespective of their social background and financial
status.
Government of India’s vision also converge with the
proposed SDGs. Government of India has already adopted the principle of
"Sabka Sath, Sabka Vikas." Universal Health Assurance Scheme that
the Government is planning to implement is hopeful in reducing financial
hardships. More than ever before, the Government is calling for improved
sanitation and dignity of women and girl children. Government’s
Swachh Bharat Abhiyan campaign intends to achieve a ‘Clean India’ by
2019. India has recently pledged to speed up the efforts to end
preventable child and maternal deaths.
More vigorous and sustained efforts on improving
child health will be needed, especially to meet the new global targets
of zero preventable child deaths by 2030. More investments and
partnerships are the need of the hour. Efforts will also be needed to
optimize human resources in health sector, to reach out to remote
population, to improve monitoring of national programs, and to improve
quality of health services. Public-private partnerships have to be
strengthened, and information technology to be exploited to its maximum
for the betterment of health services.
We have a dual responsibility to shoulder – as
pediatricians and as citizens of the nation. Let us dedicate ourselves
and work together to achieve the goal of zero preventable child deaths
in our country.
References
1. United Nations. Sustainable Development Goals.
2015. New York. Available from: http://www.un.org/sustain
abledevelopment/sustainable-development-goals/ Accessed October 17,
2015.
2. Government of India. Millenium Development Goals:
India Country Report 2015. Ministry of Statistics and Programme
Implementation. New Delhi
3. UN India. India and the MDGs. Towards a Sustainable Future for
All. United Nations Country Team – India. 2015