RT Journal Article
SR Electronic
T1 Global strategies and local implementation of health and health-related SDGs: lessons from consultation in countries across five regions
JF BMJ Global Health
JO BMJ Global Health
FD BMJ Publishing Group Ltd
SP e002859
DO 10.1136/bmjgh-2020-002859
VO 5
IS 9
A1 Sameen Siddiqi
A1 Wafa Aftab
A1 Fahad Javaid Siddiqui
A1 Luis Huicho
A1 Roman Mogilevskii
A1 Peter Friberg
A1 Johanna Lindgren-Garcia
A1 Sara Causevic
A1 Anil Khamis
A1 Mashal Murad Shah
A1 Zulfiqar Ahmed Bhutta
YR 2020
UL http://gh.bmj.com/content/5/9/e002859.abstract
AB Evidence on early achievements, challenges and opportunities would help low-income and middle-income countries (LMICs) accelerate implementation of health and health-related sustainable development goals (HHSDGs). A series of country-specific and multicountry consultative meetings were conducted during 2018–2019 that involved 15 countries across five regions to determine the status of implementation of HHSDGs. Almost 120 representatives from health and non-health sectors participated. The assessment relied on a multidomain analytical framework drawing on existing public health policy frameworks. During the first 5 years of the sustainable development goals (SDGs) era, participating LMICs from South and Central Asia, East Africa and Latin America demonstrated growing political commitment to HHSDGs, with augmentation of multisectoral institutional arrangements, strengthening of monitoring systems and engagement of development partners. On the other hand, there has been limited involvement of civic society representatives and academia, relatively few capacity development initiatives were in place, a well-crafted communication strategy was missing, and there is limited evidence of additional domestic financing for implementing HHSDGs. While the momentum towards universal health coverage is notable, explicit linkages with non-health SDGs and integrated multisectoral implementation strategies are lacking. The study offers messages to LMICs that would allow for a full decade of accelerated implementation of HHSDGs, and points to the need for more implementation research in each domain and for testing interventions that are likely to work before scale-up.