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Country progress towards the Millennium Development Goals: adjusting for socioeconomic factors reveals greater progress and new challenges.

Cohen RL, Alfonso YN, Adam T, Kuruvilla S, Schweitzer J, Bishai D - Global Health (2014)

Bottom Line: Measuring by the minimum performance target, 74% and 59% of low- and middle-income countries are on track for reducing child mortality and maternal mortality, respectively, compared with 69% and 22% using global MDGs.Adjusted targets can also flag countries that have surpassed their potential, and open opportunities for learning from success.Partnership for Maternal, Newborn & Child Health and the Alliance for Health Policy and Systems Research, as part of the Success Factors Study on reducing maternal and child mortality.

View Article: PubMed Central - PubMed

ABSTRACT

Background: The health Millennium Development Goals (4, 5, 6) impose the same ambitious 2015 targets on every country. Few low-income countries are on track to reach them. Some authors have proposed country-specific targets as a more informative method by which countries can measure their progress against their potential.

Methods: This paper demonstrates a supplementary approach to assess individual country progress that complements the global goals by adjusting for socioeconomic resources and prior time trends. A minimum performance target adjusts for time and national GDP. Fast-track targets, based on best-performing countries' progress within regional and income groups, adjust for health and non-health sector factors known to affect maternal and child health.

Results: Measuring by the minimum performance target, 74% and 59% of low- and middle-income countries are on track for reducing child mortality and maternal mortality, respectively, compared with 69% and 22% using global MDGs. Only 20% and 7% of low- and middle-income countries are on track for the child and maternal mortality fast-track targets.

Conclusions: Supplementary targets in maternal and child health, adjusted for each country's resources and policy performance can help countries know if they are truly underperforming relative to their potential. Adjusted targets can also flag countries that have surpassed their potential, and open opportunities for learning from success.

Funding: Partnership for Maternal, Newborn & Child Health and the Alliance for Health Policy and Systems Research, as part of the Success Factors Study on reducing maternal and child mortality.

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Percent of countries on track for MDGs 4 & 5, minimum performance target, and fast-track target. The percent of countries in each group on track by each target. A) U5MR, 144 LMICs. B) U5MR, 45 SSA countries. C) MMR, 116 LMICs. D) MMR, 42 SSA countries. MDG target is 66% reduction in U5MR or U5MR less than 40, and 75% reduction in MMR.
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Fig2: Percent of countries on track for MDGs 4 & 5, minimum performance target, and fast-track target. The percent of countries in each group on track by each target. A) U5MR, 144 LMICs. B) U5MR, 45 SSA countries. C) MMR, 116 LMICs. D) MMR, 42 SSA countries. MDG target is 66% reduction in U5MR or U5MR less than 40, and 75% reduction in MMR.

Mentions: Table 3 shows the reported U5MR of each country in our dataset in 1990 and 2010. These can be compared to an MDG target showing what a country’s U5MR would be in 2010 if it were on a linear path to achieve a 67% reduction in the 1990 U5MR by 2015. Of 144 countries available for analysis, we find that 99 (69%) are on track by the MDG 4 target including 12 (27%) in sub-Saharan Africa. In contrast, under our U5MR minimum performance target 107 countries of 144 (74%) would be considered on track and 18 of 45 (40%) of sub-Saharan African countries would be considered on track (Figure 2A-B).Table 3


Country progress towards the Millennium Development Goals: adjusting for socioeconomic factors reveals greater progress and new challenges.

Cohen RL, Alfonso YN, Adam T, Kuruvilla S, Schweitzer J, Bishai D - Global Health (2014)

Percent of countries on track for MDGs 4 & 5, minimum performance target, and fast-track target. The percent of countries in each group on track by each target. A) U5MR, 144 LMICs. B) U5MR, 45 SSA countries. C) MMR, 116 LMICs. D) MMR, 42 SSA countries. MDG target is 66% reduction in U5MR or U5MR less than 40, and 75% reduction in MMR.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4197219&req=5

Fig2: Percent of countries on track for MDGs 4 & 5, minimum performance target, and fast-track target. The percent of countries in each group on track by each target. A) U5MR, 144 LMICs. B) U5MR, 45 SSA countries. C) MMR, 116 LMICs. D) MMR, 42 SSA countries. MDG target is 66% reduction in U5MR or U5MR less than 40, and 75% reduction in MMR.
Mentions: Table 3 shows the reported U5MR of each country in our dataset in 1990 and 2010. These can be compared to an MDG target showing what a country’s U5MR would be in 2010 if it were on a linear path to achieve a 67% reduction in the 1990 U5MR by 2015. Of 144 countries available for analysis, we find that 99 (69%) are on track by the MDG 4 target including 12 (27%) in sub-Saharan Africa. In contrast, under our U5MR minimum performance target 107 countries of 144 (74%) would be considered on track and 18 of 45 (40%) of sub-Saharan African countries would be considered on track (Figure 2A-B).Table 3

Bottom Line: Measuring by the minimum performance target, 74% and 59% of low- and middle-income countries are on track for reducing child mortality and maternal mortality, respectively, compared with 69% and 22% using global MDGs.Adjusted targets can also flag countries that have surpassed their potential, and open opportunities for learning from success.Partnership for Maternal, Newborn & Child Health and the Alliance for Health Policy and Systems Research, as part of the Success Factors Study on reducing maternal and child mortality.

View Article: PubMed Central - PubMed

ABSTRACT

Background: The health Millennium Development Goals (4, 5, 6) impose the same ambitious 2015 targets on every country. Few low-income countries are on track to reach them. Some authors have proposed country-specific targets as a more informative method by which countries can measure their progress against their potential.

Methods: This paper demonstrates a supplementary approach to assess individual country progress that complements the global goals by adjusting for socioeconomic resources and prior time trends. A minimum performance target adjusts for time and national GDP. Fast-track targets, based on best-performing countries' progress within regional and income groups, adjust for health and non-health sector factors known to affect maternal and child health.

Results: Measuring by the minimum performance target, 74% and 59% of low- and middle-income countries are on track for reducing child mortality and maternal mortality, respectively, compared with 69% and 22% using global MDGs. Only 20% and 7% of low- and middle-income countries are on track for the child and maternal mortality fast-track targets.

Conclusions: Supplementary targets in maternal and child health, adjusted for each country's resources and policy performance can help countries know if they are truly underperforming relative to their potential. Adjusted targets can also flag countries that have surpassed their potential, and open opportunities for learning from success.

Funding: Partnership for Maternal, Newborn & Child Health and the Alliance for Health Policy and Systems Research, as part of the Success Factors Study on reducing maternal and child mortality.

Show MeSH