The millenium development goals eight goals for 2015

By Bonar

8 goals
1. Eradicate extrempoverty and hunger 2. Achieve universal primary education 3. Promote gender equality & enpower women 4. Reduce child mortality 5. Improve maternal health 6. Combate HIV/AIDS,malaria &other diseases 7. Ensure environmental sustainability 8. Develop a global partnership for development

Eradicate extrem poverty

The proportion of people living on less than $1.25 a day fell

from 47 per cent in 1990 to 24 per cent in 2008a reduction from over 2 billion to less than 1.4 billion. Preliminary estimates indicate that the global poverty rate at $1.25 a day fell in 2010 to less than half the 1990 rate. If these results are confirmed, the first target of the MDGs cutting the extreme poverty rate to half its 1990 levelwill have been achieved at the global level well ahead of 2015. Women are far more likely than men to be engaged in vulnerable employment The numbers of malnourished have stabilized since 1990

advanced....

Progress in relieving food deprivation has slowed or

stalled in many regions Countries in sub-Saharan Africa were the hardest hit by the food and financial crises Nearly one in five children under age five in the developing world is underweight Differences in undernutrition found between rural and urban children are largest in Latin America and the Caribbean Poverty is a major determinant of undernutrution in children in all regions The number of refugees and of the displaced remains high, even with an upturn in repatriation in 2011

Achieve universal primary education

In the developing regions, the net enrolment rate

for children of primary school age rose from 82 to 90 per cent between 1999 and 2010. However, a closer look at the data reveals that nearly all of this growth occurred between 1999 and 2004, and that

progress in reducing the number of out-of-school

children slowed considerably after 2004.

Promote gender equality and empower women

Parity is achieved in developing world primary

schools, even though some regions lag behind Gender disparities emerge at different points through the education system Girls from the poorest households face the highest barriers to education Equal access to job opportunities remains a distant target for women in some regions Women, more often than men, turn to the informal economy

Reduce child mortality

Globally, deaths within the first month of life fell from 32 per 1,000 live

births in 1990 to 23 in 2010. Since 1990, in the developing regions, the mortality rate of under-five years old has declined by 35 percent, from 97 deaths per 1,000 births to 63. Sub- Saharan Africa has doubled its average rate of child mortality reduction from 1.2 percent a year during 1990-2000, to 2.4 percent during 2000-2010. Sub-Saharan Africa suffers though a higher neonatal mortality rate (35 deaths per 1,000 live births in 2010) than any other region, and has recorded the least improvement over the last two decades. Children in the developing regions as a whole, are twice as likely to die before their fifth birthday as children in the richest 20 percent of households. Sub-Saharan Africa had a 85 percent drop in measles deaths between 2000 and 2010.

Improve maternal health

An estimated 287,000 maternal deaths occurred in 2010

worldwide, a decline of 47 percent from 1990.

The regions with the highest maternal mortality, sub Saharan

Africa and Southern Asia, are also those with the lowest coverage
of births attended by skilled health personnelless than half.
The rural-urban gap in skilled care during childbirth has

narrowed.
The number of maternal deaths per 100,000 live births is down

from 440 in 1990 to 240 in 2010, for the developing regions as a whole.

advanced...
The use of contraception is lowest among the poorest women

and those with no education.

More than half of all women aged 15 to 49 who were married or

in a union were using some form of contraception in 2010 in all regions except sub-Saharan Africa and Oceania.
Fewer teens are having children in most regions, but progress

has slowed.
Maternal health coverage has progressively increased in

developing regions from 63 percent in 1990 to 71 percent in 2000, and then to 80 percent in 2010.

Combat HIV/AIDS, malaria and other diseases

In sub-Saharan Africa, annual new infections in 2011 reached 1.7

million people, including 300,000 children. This is 21 percent lower than the 1997 peak and 15 percent lower than in 2001. The number of people dying of AIDS- related causes fell to 1.7 million in 2011, a decline of 24% since the peak in 2005. At the end of 2011, an estimated 8 million people people were receiving antiretroviral therapy for HIV or AIDS in low- and middle-income countries, up from 6.6 million people in 2010 and up from just 400 000 in 2003. HIV incidence and prevalence is substantially lower in Asia than in some other regions. But the absolute size of the Asia population means it has the second largest number of people living with HIV. 57% of HIV-positive pregnant women received treatment to prevent HIV transmission to their child in 2011. The estimated incidence of malaria globally has decreased by 17 percent since 2000, and malaria-specific mortality rates by 25 percent.

Ensure environmental sustainability

The net loss worldwide of forests decreased over the last 20

years, from -8.3 million hectares per year in the 1990s to 5.2 million hectares per year in the last decade. Overexploitation of global fisheries has stabilized, but steep challenges remain to ensure their sustainability. The number of people who do not use any facility and resort to open defecation has decreased by 271 million since 1990. But there remain 1.1 billion people, or 15 percent of the global people with no sanitation facilities at all. The number of people using improved drinking water sources reached 6.1 billion in 2010, up by over 2 billion since 1990.

advanced..
In 2010, 89 percent of the worlds population was using

improved water sources, up from 76 percent in 1990. The share of urban slum residents in the developing world declined from 39 percent in 2000 to 33 percent in 2012. More than 200 million people gained access to improved water sources , improved sanitation facilities, or durable or less crowded housing. Slum prevalence remains high in sub-Saharan Africa and increase in countries affected by conflict

A global partnership for development

Official development assistance stands at 0.31 per cent of the

combined national income of developed countries, still far short of the 0.7 per cent UN target. Aid to the African continent increased by 0.9 percent to 31.4 billion in 2011, but remains below expectations. Developing countries gain greater access to the markets of developed countries. In 2011, 75 percent of the worldwide mobile cellular subscriptions were in the developing regions, up from 59 percent in 2006. By the end of 2011, over 160 countries in the world had launched 3G mobile broadband services and 45 percent of the population worldwide was covered by a high-speed mobile broadband signal. The developing world share of the worlds Internet users rose to 63 percent in 2011, when 35 percent of the world was online. Only 1 in 6 people in the developing world has access to the Internet

Sebagai salah satu anggota PBB, Indonesia memiliki dan ikut melaksanakan komitmen tersebut dalam upaya untuk mensejahterakan masyarakat

STRATEGI PENCAPAIAN MDGs MELALUI AKREDITASI

1. Memasukkan MDGs dalam standar dan elemen penilaian akreditasi RS. Diharapkan standar yang telah ditetapkan dalam rangka mempercepat Pencapaian MDGs khususnya penurunan angka kematian bayi dan peningkatan kesehatan ibu, penurunan angka kesakitan HIV/AIDS, PenurunanangkakesakitanTB akan dilaksanakan dengan sebaik baiknya oleh RS seluruhIndonesia 2. Melakukan monitoring dan evaluasi untuk perbaikan pencapaian program di RS melalui pembuatan perencanaan perbaikan strategis (PPR) yang dievaluai setiap tahun bersamaan dengan pelaksanaan proses survei pendampingan Akreditasi

BAGAN

Sasaran Milenium Development Goals

Sasaran I : Penurunan Angka Kematian Bayi

dan Peningkatan Kesehatan Ibu Sasaran II : Penurunan Angka Kesakitan HIV/AIDS Sasaran III : Penurunan Angka Kesakitan TB

Penurunan angka kematian bayi dan peningkatan kesehatan ibu

Standar SMDGs .1. Maksud dan Tujuan Rumah sakit melaksanakan pelayanan obstetrik & neonatus komprehensif Proses persalinan dan perawatan bayi harus dilakukan dalam sistem terpadu dalam bentuk pelayanan obstetrik & neonatus komprehensif di rumah sakit dan pelayanan obstetrik dan neonatus dasar di Puskesmas

LANGKAH LANGKAH PELAYANAN OBSTETRIK & NEONATUS KOMPREHENSIF

1. Melaksanakan & menerapkan standar pelayanan perlindungan ibu dan bayi secara terpadu & paripurna. 2. Mengembangkan kebijakan&SPO sesuai standar 3. Meningkatkan kualitas pelayanan kesehatan ibu & bayi termasuk kepedulian terhadap ibu & bayi. 4. Meningkatkan kesiapan RS dalam melaksanakan fungsi pelayanan obstetrik & neonatus komrehensif termasuk pelayanan kegawat daruratan

LANJUTAN .....
5. Meningkatkan fungsi RS sbg model & pembina teknis dalam Inisisasi Menyusui Dini (IMD) dan pemberian ASI Eksklusif 6. Meningkatkan fungsi RS sbg pusat rujukan yankes ibu & bayi bagi saryankes lain 7. Meningkatkan fungsi RS dalam Perawatan Metode Kangguru (PMK) pada BBLR 8. Melaksanakan sistem Monev pelaksanaan program Rumah Sakit Sayang Ibu Bayi (RSSIB) 10 langkah menyusui & peningkatan kesehatan ibu

PENURUNAN ANGKA KESAKITAN HIV/AIDS

Standar SMDGs .II. Maksud dan Tujuan 1.RS melaksanakan Penanggulangan HIV/AIDS sesuai pedoman rujukan ODHA 2.kemudahan akses bagi ODHA untuk mendapatkan layanan pencegahan, pengobatan, dukungan & perawatan, shg diharapkan lebih banyak ODHA yang memperoleh pelayanan yang berkualitas di RS yang ditetapkan sbg RS rujukan ODHA.

Langkah langkah penanggulangan HIV/AIDS

1. Meningkatkan fungsi yan VCT (Voluntary Counseling & Testing); 2. Meningkatkan fungsi pelayanan ART (Antiretroviral Therapy); 3. Meningkatkan fungsi pelayanan PMTCT (Prevention Mother to Child Transmision); 4. Meningkatkan fungsi pelayanan Infeksi Oportunistik (IO); 5. Meningkatkan fungsi pelayanan pada Orang Dengan HIV AIDS (ODHA) dengan faktor risiko Injection Drug User (IDU); & 6. Meningkatkan fungsi pelayanan penunjang: gizi, laboratorium, dan radiologi, pencatatan dan pelaporan.

Standar SMDGs .III.

Maksud dan Tujuan 1. Rumah sakit melaksanakan Penanggulangan TB sesuai pedoman strategi DOTS 2. Penerapan strategi DOTS TB di RS dalam meningkatan angka : -Penemuan kasus (care detection rate, CDR), -Keberhasilan pengobatan (cure rate), dan -Keberhasilan rujukan (success referal rate).

kesimpulan
Masuknya sasaran MDGs dalam standar dan instrumen akreditasi RS diharapkan akan Mempercepat Pencapaian sasaran MDGs Khususnya Penurunan Angka Kematian Bayi Dan Peningkatan Kesehatan Ibu serta Penurunan Angka Kesakitan HIV/AIDS, Penurunan Angka Kesakitan TB melalui pnerapan standar standar tersebut di rumah sakit serta maupun monitoring dan evaluasinya

Merci bien