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A systems model of SDG target influence on the 2030 Agenda for Sustainable Development.

ABSTRACT: The Sustainable Development Goals (SDGs) were adopted by the United Nations in 2015 as part of the "2030 Agenda for Sustainable Development" and aim to address issues ranging from poverty and economic growth to climate change. Efforts to tackle one issue can support or hinder progress towards others, often with complex systemic interactions. Thus, each of the SDGs and their corresponding targets may contribute as levers or hurdles towards achieving other SDGs and targets. Based on SDG indicator data, we create a systems model considering influence among the SDGs and their targets. Once assessed within a system, we find that more SDGs and their corresponding targets act as levers towards achieving other goals and targets rather than as hurdles. In particular, efforts towards SDGs 5 (Gender Equality) and 17 (Partnerships for the Goals) may accelerate progress, while SDGs 10 (Reduced Inequalities) and 16 (Peace, Justice and Strong Institutions) are shown to create potential hurdles. The model results can be used to help promote supportive interactions and overcome hindering ones in the long term.

Supplementary information

The online version contains supplementary material available at 10.1007/s11625-021-01040-8.

SUBMITTER: Anderson CC

PROVIDER: S-EPMC8504570 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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A systems model of SDG target influence on the 2030 Agenda for Sustainable Development.

Anderson Carl C CC Denich Manfred M Warchold Anne A Kropp Jürgen P JP Pradhan Prajal P

Sustainability science 20211011 4

The Sustainable Development Goals (SDGs) were adopted by the United Nations in 2015 as part of the "2030 Agenda for Sustainable Development" and aim to address issues ranging from poverty and economic growth to climate change. Efforts to tackle one issue can support or hinder progress towards others, often with complex systemic interactions. Thus, each of the SDGs and their corresponding targets may contribute as levers or hurdles towards achieving other SDGs and targets. Based on SDG indicator ...[more]

PMID: 34659581

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Project description:The Sustainable Development Goal (SDG) target 3.4 is to reduce premature mortality from non-communicable diseases (NCDs) by a third by 2030 relative to 2015 levels, and to promote mental health and wellbeing. We used data on cause-specific mortality to characterise the risk and trends in NCD mortality in each country and evaluate combinations of reductions in NCD causes of death that can achieve SDG target 3.4. Among NCDs, ischaemic heart disease is responsible for the highest risk of premature death in more than half of all countries for women, and more than three-quarters for men. However, stroke, other cardiovascular diseases, and some cancers are associated with a similar risk, and in many countries, a higher risk of premature death than ischaemic heart disease. Although premature mortality from NCDs is declining in most countries, for most the pace of change is too slow to achieve SDG target 3.4. To investigate the options available to each country for achieving SDG target 3.4, we considered different scenarios, each representing a combination of fast (annual rate achieved by the tenth best performing percentile of all countries) and average (median of all countries) declines in risk of premature death from NCDs. Pathways analysis shows that every country has options for achieving SDG target 3.4. No country could achieve the target by addressing a single disease. In at least half the countries, achieving the target requires improvements in the rate of decline in at least five causes for women and in at least seven causes for men to the same rate achieved by the tenth best performing percentile of all countries. Tobacco and alcohol control and effective health-system interventions-including hypertension and diabetes treatment; primary and secondary cardiovascular disease prevention in high-risk individuals; low-dose inhaled corticosteroids and bronchodilators for asthma and chronic obstructive pulmonary disease; treatment of acute cardiovascular diseases, diabetes complications, and exacerbations of asthma and chronic obstructive pulmonary disease; and effective cancer screening and treatment-will reduce NCD causes of death necessary to achieve SDG target 3.4 in most countries.

Project description:INTRODUCTION:Nepal has made considerable progress on improving child survival during the Millennium Development Goal period, however, further progress will require accelerated reduction in neonatal mortality. Neonatal survival is one of the priorities for Sustainable Development Goals 2030. This paper examines the trends, equity gaps and factors associated with neonatal mortality between 2001 and 2016 to assess the likelihood of Every Newborn Action Plan (ENAP) target being reached in Nepal by 2030. METHODS:This study used data from the 2001, 2006, 2011 and 2016 Nepal Demographic and Health Surveys. We examined neonatal mortality rate (NMR) across the socioeconomic strata and the annual rate of reduction (ARR) between 2001 and 2016. We assessed association of socio-demographic, maternal, obstetric and neonatal factors associated with neonatal mortality. Based on the ARR among the wealth quintile between 2001 and 2016, we made projection of NMR to achieve the ENAP target. Using the Lorenz curve, we calculated the inequity distribution among the wealth quintiles between 2001 and 2016. RESULTS:In NDHS of 2001, 2006, 2011 and 2016, a total of 8400, 8600, 13,485 and 13,089 women were interviewed respectively. There were significant disparities between wealth quintiles that widened over the 15 years. The ARR for NMR declined with an average of 4.0% between 2001 and 2016. Multivariate analysis of the 2016 data showed that women who had not been vaccinated against tetanus had the highest risk of neonatal mortality (adjusted odds ratio [AOR] 3.38; 95% confidence interval [CI] 1.20-9.55), followed by women who had no education (AOR 1.87; 95% CI 1.62-2.16). Further factors significantly associated with neonatal mortality were the mother giving birth before the age of 20 (AOR 1.76; CI 95% 1.17-2.59), household air pollution (AOR 1.37; CI 95% 1.59-1.62), belonging to a poorest quintile (AOR 1.37; CI 95% 1.21-1.54), residing in a rural area (AOR 1.28; CI 95% 1.13-1.44), and having no toilet at home (AOR 1.21; CI 95% 1.06-1.40). If the trend of neonatal mortality rate of 2016 continues, it is projected that the poorest family will reach the ENAP target in 2067. CONCLUSIONS:Although neonatal mortality is declining in Nepal, if the current trend continues it will take another 50 years for families in the poorest group to attain the 2030 ENAP target. There are different factors associated with neonatal mortality, reducing the disparities for maternal and neonatal care will reduce mortality among the poorest families.

Dataset Information

A systems model of SDG target influence on the 2030 Agenda for Sustainable Development.

Supplementary information

Publications

A systems model of SDG target influence on the 2030 Agenda for Sustainable Development.

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