Measuring the health-related sustainable development goals in 188 countries : a baseline analysis from the Global Burden of Disease Study 2015

• Autor(a) principal: World Health Organization. Global Burden of Disease
• Data de Publicação: 2016
• Outros Autores: Lim, Stephen S., Allen, Kate, Bhutta, Zulfiqar A., Dandona, Lalit, Forouzanfar, Mohammad, Fullman, Nancy, Gething, Peter W., Goldberg, Ellen M., Hay, Simon I., Holmberg, Mollie, Kinfu, Yohannes, Kutz, Michael J., Larson, Heide J., Liang, Xiaofeng, Lopez, Alan D., Lozano, Rafael, McNellan, Claire R., Mokdad, Ali H., Mooney, Meghan D., Naghavi, Mohsen, Olsen, Helen E., Pigott, David M., Salomon, Joshua A., Vos, Theo, Wang, Haidong, Abajobir, Amanuel Alemu, Abate, Kalkidan Hassen, Abbafati, Cristiana, Abbas, Kaja M., Abd-Allah, Foad, Abdulle, Abdishakur M., Abraham, Biju, Abubakar, Ibrahim, Abu-Raddad, Laith J., Abu-Rmeileh, Niveen M. E., Abyu, Gebre Yitayih, Achoki, Tom, Adebiyi, Akindele Olupelumi, Adedeji, Isaac Akinkunmi, Afanvi, Kossivi Agbelenko, Afshin, Ashkan, Agarwal, Arnav, Agrawal, Anurag, Kiadaliri, Aliasghar Ahmad, Ahmadieh, Hamid, Ahmed, Kedir Yimam, Akanda, Ali S., Akinyemi, Rufus Olusola, Akinyemiju, Tomi F., Akseer, Nadia, Al-Aly, Ziyad, Alam, Khurshid, Alam, Uzma, Alasfoor, Deena, AlBuhairan, Fadia S., Aldhahri, Saleh Fahed, Aldridge, Robert William, Alemu, Zewdie Aderaw, Ali, Raghib, Alkerwi, Ala’a, Alkhateeb, Mohammad A. B., Alla, Francois, Allebeck, Peter, Allen, C., Al-Raddadi, Rajaa, Alsharif, Ubai, Altirkawi, Khalid A., Martin, Elena Alvarez, Alvis-Guzman, Nelson, Amare, Azmeraw T., Amberbir, Alemayehu, Amegah, Adeladza Kofi, Amini, Heresh, Ammar, Walid, Amrock, Stephen Marc, Andersen, Hjalte H., Anderson, Benjamin O., Anderson, Gregory M., Antonio, Carl Abelardo T., Anwari, Palwasha, Ärnlov, Johan, Artaman, Al, Asayesh, Hamid, Asghar, Rana, Atique, Suleman, Avokpaho, Euripide Frinel G. Arthur, Awasthi, Ashish, Quintanilla, Beatriz Paulina Ayala, Azzopardi, Peter, Bacha, Umar, Badawi, Alaa, Balakrishnan, Kalpana, Banerjee, Amitava, Barac, Aleksandra, Barber, Ryan M., Barker-Collo, Suzanne L., Bärnighausen, Till, Barrero, Lope H., Barrientos-Gutierrez, Tonatiuh, Basu, Sanjay, Bayou, Tigist Assefa, Bazargan-Hejazi, Shahrzad, Beardsley, Justin, Bedi, Neeraj, Beghi, Ettore, Béjot, Yannick, Bell, Michelle L., Bello, Aminu K., Bennett, Derrick A., Benseñor, Isabela Judith Martins, Benzian, Habib, Berhane, Adugnaw, Bernabé, Eduardo, Bernal, Oscar Alberto, Betsu, Balem Demtsu, Beyene, Addisu Shunu, Bhala, Neeraj, Bhatt, Samir, Biadgilign, Sibhatu, Bienhoff, Kelly, Bikbov, Boris, Binagwaho, Agnes, Bisanzio, Donal, Bjertness, Espen, Blore, Jed D., Bourne, Rupert R., Brainin, Michael, Brauer, Michael, Brazinova, Alexandra, Breitborde, Nicholas, Broday, David M., Brugha, Traolach S., Buchbinder, Rachelle, Butt, Zahid A., Cahill, Leah E., Campos-Nonato, Ismael R., Campuzano, Julio C., Carabin, Hélène, Cárdenas, Rosario, Carrero, Juan Jesus, Carter, Austin, Casey, Daniel C., Caso, Valeria, Castañeda-Orjuela, Carlos A., Castillo Rivas, Jacqueline, Catalá-López, Ferrán, Cavalleri, Fiorella, Cecílio, Pedro, Chang, Hsing-Yi, Chang, Jung-Chen, Charlson, Fiona J., Che, Xuan, Chen, Alan Zian, Chiang, Peggy Pei-Chia, Chibalabala, Mirriam, Chisumpa, Vesper Hichilombwe, Choi, Jee-Young Jasmine, Chowdhury, Rajiv, Christensen, Hanne, Ciobanu, Liliana G., Cirillo, Massimo, Coates, Matthew M., Coggeshall, Megan S., Cohen, Aaron, Cooke, Graham S., Cooper, Cyrus, Cooper, Leslie Trumbull, Cowie, Benjamin C., Crump, John A., Damtew, Solomon Abrha, Dandona, Rakhi, Dargan, Paul I., Neves, José das, Davis, Adrian, Davletov, Kairat, Castro, E. Filipa de, De Leo, Diego, Degenhardt, Louisa, Del Gobbo, Liana C., Deribe, Kebede, Derrett, Sarah, Des Jarlais, Don C., Deshpande, Aniruddha, deVeber, Gabrielle A., Dey, Subhojit, Dharmaratne, Samath D., Dhillon, Preet K., Ding, Eric L., Dorsey, E. Ray, Doyle, Kerrie E., Driscoll, Tim R., Duan, Leilei, Dubey, Manisha, Duncan, Bruce Bartholow, Ebrahimi, Hedyeh, Endries, Aman Yesuf, Ermakov, Sergey Petrovich, Erskine, Holly E., Eshrati, Babak, Esteghamati, Alireza, Fahimi, Saman, Farid, Talha A., Farinha, Carla Sofia e Sa, Faro, André, Farvid, Maryam S., Farzadfar, Farshad, Feigin, Valery L., Felicio, Manuela Mendonça, Fereshtehnejad, Seyed-Mohammad, Fernandes, Jefferson Gomes, Fernandes, João C., Ferrari, Alize, Fischer, Florian, Fitchett, Joseph R. A., Fitzmaurice, Christina, Foigt, Nataliya, Foreman, Kyle, Fowkes, F. Gerry R., França, Elisabeth Barboza, Franklin, Richard C., Fraser, Maya, Friedman, Joseph, Frostad, Joseph, Fürst, Thomas, Gabbe, Belinda J., Garcia-Basteiro, Alberto L., Gebre, Teshome, Gebrehiwot, Tsegaye Tewelde, Gebremedhin, Amanuel Tesfay, Gebru, Alemseged Aregay, Gessner, Bradford D., Gillum, Richard F., Ginawi, Ibrahim Abdelmageem Mohamed, Giref, Ababi Zergaw, Giroud, Maurice, Gishu, Melkamu Dedefo, Giussani, Giorgia, Godwin, W., Gona, Philimon, Goodridge, Amador, Gopalani, Sameer Vali, Gotay, Carolyn C., Goto, Atsushi, Gouda, Hebe N., Graetz, Nicholas, Greenwell, Karen Fern, Gugnani, Harish Chander, Guo, Yuming, Gupta, Rahul, Gupta, Rajeev, Gupta, Vipin, Gutiérrez, Reyna A., Gyawali, Bishal, Haagsma, Juanita, Haakenstad, Annie, Hafezi-Nejad, Nima, Haile, Demewoz, Hailu, Gessessew Bugssa, Halasa, Yara A., Hamadeh, Randah Ribhi, Hamidi, Samer, Hammami, Mouhanad, Hankey, Graeme J., Harb, Hilda L., Haro, Josep Maria, Hassanvand, Mohammad Sadegh, Havmoeller, Rasmus, Heredia-Pi, Ileana B., Hoek, Hans W., Horino, Masako, Horita, Nobuyuki, Hosgood, H. Dean, Hoy, Damian G., Htet, Aung Soe, Hu, Guoqing, Huang, Hsiang, Iburg, Kim M., Idrisov, Bulat T., Inoue, Manami, Islami, Farhad, Jacobs, Troy A., Jacobsen, Kathryn H., Jahanmehr, Nader, Jakovljevic, Mihajlo B., James, Peter, Jansen, Henrica A. F. M., Javanbakht, Mehdi, Jayaraman, Sudha P., Jayatilleke, Achala Upendra, Jee, Sun Ha, Jeemon, Panniyammakal, Jha, Vivekanand, Jiang, Ying, Jibat, Tariku, Jin, Ye, Jonas, Jost B., Kabir, Zubair, Kalkonde, Yogeshwar, Kamal, Ritul, Kan, Haidong, Kandel, Amit, Karch, André, Karema, Corine K., Karimkhani, Chante, Karunapema, Palitha, Kasaeian, Amir, Kassebaum, Nicholas J., Kaul, Anil, Kawakami, Norito, Kayibanda, Jeanne Françoise, Keiyoro, Peter Njenga, Kemmer, Laura, Kemp, Andrew Haddon, Kengne, Andre Pascal, Keren, Andre, Kesavachandran, Chandrasekharan Nair, Khader, Yousef Saleh, Khan, Abdur Rahman, Khan, Ejaz Ahmed, Khan, Gulfaraz, Khang, Young-Ho, Khoja, Tawfik Ahmed Muthafer, Khosravi, Ardeshir, Khubchandani, Jagdish, Kieling, Christian Costa, Kim, Cho-il, Kim, Daniel, Kim, Sungroul, Kim, Yunjin, Kimokoti, Ruth W., Kissoon, Niranjan, Kivipelto, Miia, Knibbs, Luke, Kokubo, Yoshihiro, Kolte, Dhaval, Kosen, Soewarta, Kotsakis, Georgios A., Koul, Parvaiz A., Koyanagi, Ai, Kravchenko, Michael A., Krueger, Hans, Defo, Barthelemy Kuate, Kuchenbecker, Ricardo de Souza, Kuipers, Ernst J., Kulikoff, Xie Rachel, Kulkarni, Veena S., Kumar, G. Anil, Kwan, Gene F., Kyu, Hmwe, Lal, Aparna, Lal, Dharmesh Kumar, Lalloo, Ratilal, Lam, Hilton, Lan, Qing, Langan, Sinead M., Larsson, Anders, Laryea, Dennis Odai, Latif, Asma Abdul, Leasher, Janet L., Leigh, James, Leinsalu, Mall, Leung, Janni, Leung, Ricky, Levi, Miriam, Li, Yichong, Li, Yongmei, Lind, Margaret, Linn, Shai, Lipshultz, Steven E., Liu, Patrick Y., Liu, Shiwei, Liu, Yang, Lloyd, Belinda K., Lo, Loon-Tzian, Logroscino, Giancarlo, Lotufo, Paulo Andrade, Lucas, Robyn M., Lunevicius, Raimundas, El Razek, Mohammed Magdy Abd, Magis-Rodriguez, Carlos, Mahdavi, Mahdi, Majdan, Marek, Majeed, Azeem, Malekzadeh, Reza, Malta, Deborah Carvalho, Mapoma, Christopher Chabila, Margolis, David J., Martin, Randall V., Martinez-Raga, Jose, Masiye, Felix, Mason-Jones, Amanda J., Massano, João, Matzopolous, Richard, Mayosi, Bongani M., McGrath, John J., McKee, Martin, Meaney, Peter A., Mehari, Alem, Mekonnen, Alemayehu B., Melaku, Yohannes Adama, Memiah, Peter, Memish, Ziad A., Mendoza, Walter, Mensink, Gert B. M., Meretoja, Atte, Meretoja, Tuomo J., Mesfin, Yonatan Moges, Mhimbira, Francis A., Micha, Renata, Miller, Ted R., Mills, Edward J., Mirarefin, Mojde, Misganaw, Awoke, Mitchell, Philip B., Mock, Charles N., Mohammadi, Alireza, Mohammed, Shafiu, Monasta, Lorenzo, Monis, Jonathan de la Cruz, Montañez Hernandez, Julio Cesar, Montico, Marcella, Moradi-Lakeh, Maziar, Morawska, Lidia, Mori, Rintaro, Mueller, Ulrich O., Murdoch, Michele E., Murimira, Brighton, Murray, Joseph, Murthy, Gudlavalleti Venkata Satyanarayana, Murthy, Srinivas, Musa, Kamarul Imran, Nachega, Jean B., Nagel, Gabriele, Naidoo, Kovin S., Naldi, Luigi, Nangia, Vinay, Neal, Bruce, Nejjari, Chakib, Newton, Charles R., Newton, John N., Ngalesoni, Frida Namnyak, Nguhiu, Peter, Nguyen, Grant, Le Nguyen, Quyen, Nisar, Muhammad, Pete, Patrick Martial Nkamedjie, Nolte, Sandra, Nomura, Marika, Norheim, Ole F., Norrving, B. O., Obermeyer, Carla Makhlouf, Ogbo, Felix Akpojene, Oh, In Hwan, Oladimeji, Olanrewaju, Olivares, Pedro R., Olusany, Bolajoko O., Olusanya, Jacob Olusegun, Opio, John Nelson, Oren, Eyal, Ortiz, Alberto, Osborne, Richard H., Ota, Erika, Owolabi, Mayowa O., Mahesh, Padukudru Anand, Park, Eun-Kee, Park, Hye-Youn, Parry, Charles D., Parsaeian, Mahboubeh, Patel, Tejas, Patel, Vikram, Caicedo, Angel J. Paternina, Patil, Snehal T., Patten, Scott B., Patton, George C., Paudel, Deepak, Pedro, João Mário, Pereira, David M., Perico, Norberto, Pesudovs, Konrad, Petzold, Max, Phillips, Michael R., Piel, Frédéric Bernard, Pillay, Julian David, Pinho, Christine, Pishgar, Farhad, Polinder, Suzanne, Poulton, Richie, Pourmalek, Farshad, Qorbani, Mostafa, Rabiee, Rynaz H. S., Radfar, Amir, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Mohammad Hifz Ur, Rahman, Sajjad UR, Rai, Rajesh Kumar, Rajsic, Sasa, Raju, Murugesan, Ram, Usha, Rana, Saleem M., Ranabhat, Chhabi Lal, Ranganathan, Kavitha, Rao, Puja C., Refaat, Amany H., Reitsma, Marissa B., Remuzzi, Giuseppe, Resnikoff, Serge, Ribeiro, Antônio Luiz Pinho, Rios Blancas, Maria Jesus, Roba, Hirbo Shore, Roberts, Bayard, Rodriguez, Alina, Rojas-Rueda, David, Ronfani, Luca, Roshandel, Gholamreza, Roth, Gregory A., Rothenbacher, Dietrich, Roy, Ambuj, Roy, Nobhojit, Sackey, Ben Benasco, Sagar, Rajesh, Saleh, Muhammad Muhammad, Sanabria, Juan Ramon, Santos, João Vasco, Santomauro, Damian F., Santos, Itamar de Souza, Sarmiento-Suarez, Rodrigo, Sartorius, Benn, Satpathy, Maheswar, Savic, Miloje, Sawhney, Monika, Sawyer, Susan M., Schmidhuber, Josef, Schmidt, Maria Inês, Schneider, Ione J.C, Schutte, Aletta E., Schwebel, David C., Seedat, Soraya, Sepanlou, Sadaf G., Servan-Mori, Edson E., Shackelford, Katya, Shaheen, Amira, Shaikh, Masood Ali, Levy, Teresa Shamah, Sharma, Rajesh, She, Jun, Sheikhbahaei, Sara, Shen, Jiabin, Sheth, Kevin N., Shey, Muki, Shi, Peilin, Shibuya, Kenji, Shigematsu, Mika, Shin, Min-Jeong, Shiri, Rahman, Shishani, Kawkab, Shiue, Ivy, Sigfusdottir, Inga Dora, Silpakit, Naris, Silva, Diego Augusto Santos, Silverberg, Jonathan I., Simard, Edgar P., Sindi, Shireen, Singh, Abhishek, Singh, Gitanjali M., Singh, Jasvinder A., Singh, Om Prakash, Singh, Prashant Kumar, Skirbekk, Vegard, Sligar, Amber, Soneji, Samir, Søreide, Kjetil, Sorensen, Reed J. D., Soriano, Joan B., Soshnikov, Sergey S., Sposato, Luciano A., Sreeramareddy, Chandrashekhar T., Stahl, Hans-Christian, Stanaway, Jeffrey D., Stathopoulou, Vasiliki Kalliopi, Steckling, Nadine, Steel, Nicholas, Stein, Dan J., Steiner, Caitlyn, Stöckl, Heidi, Stranges, Saverio, Strong, Mark, Sun, Jiandong, Sunguya, Bruno F., Sur, Patrick, Swaminathan, Soumya, Sykes, Bryan L., Szoeke, Cassandra E. I., Tabarés-Seisdedos, Rafael, Tabb, Karen M., Talongwa, Roberto Tchio, Tarawneh, Mohammad Rasoul, Tavakkoli, Mohammad, Taye, Bineyam, Taylor, Hugh R., Tedla, Bemnet Amare, Tefera, Worku, Tegegne, Teketo Kassaw, Tekle, Dejen Yemane, Shifa, Girma Temam, Terkawi, Abdullah Sulieman, Tessema, Gizachew Assefa, Thakur, J. S., Thomson, Alan J., Thorne-Lyman, Andrew L., Thrift, Amanda G., Thurston, George D., Tillmann, Taavi, Tobe-Gai, Ruoyan, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Fotis, Tran, Bach X., Truelsen, Thomas, Dimbuene, Zacharie Tsala, Tura, Abera Kenay, Tuzcu, Emin Murat, Tyrovolas, Stefanos, Ukwaja, Kingsley N., Undurraga, Eduardo A., Uneke, Chigozie Jesse, Uthman, Olalekan A., Van Donkelaar, Aaron, Varakin, Yuri Y., Vasankari, Tommi J., Vasconcelos, Ana Maria Nogales, Veerman, Jacob Lennert, Venketasubramanian, Narayanaswamy, Verma, Raj Kumar, Violante, Francesco S., Vlassov, Vasiliy Victorovich, Volkow, Patricia, Vollset, Stein Emil, Wagner, Gregory R., Wallin, Mitchell T., Wang, Linhong, Wanga, Valentine, Watkins, David A., Weichenthal, Scott, Weiderpass, Elisabete, Weintraub, Robert G., Weiss, Daniel J., Werdecker, Andrea, Westerman, Ronny, Whiteford, Harvey A., Wilkinson, James D., Wiysonge, Charles Shey, Wolfe, Charles D.A, Wolfe, Ingrid, Won, Sungho, Woolf, Anthony D., Workie, Shimelash Bitew, Wubshet, Mamo, Xu, Gelin, Yadav, Ajit Kumar, Yakob, Bereket, Yalew, Ayalnesh Zemene, Yan, Lijing L., Yano, Yuichiro, Yaseri, Mehdi, Ye, Pengpeng, Yip, Paul, Yonemoto, Naohiro, Yoon, Seok-Jun, Younis, Mustafa, Yu, Chuanhua, Zaidi, Zoubida, Zaki, Maysaa El Sayed, Zambrana-Torrelio, Carlos, Zapata, Tomas, Zegeye, Elias Asfaw, Zhao, Yi, Zhou, Maigeng, Zodpey, Sanjay, Zonies, David, Murray, Christopher J. L.
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/259230
• topic: Saúde global; Pessoas com deficiência; Fatores de risco

Background: In September, 2015, the UN General Assembly established the Sustainable Development Goals (SDGs). The SDGs specify 17 universal goals, 169 targets, and 230 indicators leading up to 2030. We provide an analysis of 33 health-related SDG indicators based on the Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015). Methods: We applied statistical methods to systematically compiled data to estimate the performance of 33 health- related SDG indicators for 188 countries from 1990 to 2015. We rescaled each indicator on a scale from 0 (worst observed value between 1990 and 2015) to 100 (best observed). Indices representing all 33 health-related SDG indicators (health-related SDG index), health-related SDG indicators included in the Millennium Development Goals (MDG index), and health-related indicators not included in the MDGs (non-MDG index) were computed as the geometric mean of the rescaled indicators by SDG target. We used spline regressions to examine the relations between the Socio-demographic Index (SDI, a summary measure based on average income per person, educational attainment, and total fertility rate) and each of the health-related SDG indicators and indices. Findings: In 2015, the median health-related SDG index was 59∙3 (95% uncertainty interval 56∙8–61∙8) and varied widely by country, ranging from 85∙5 (84∙2–86∙5) in Iceland to 20∙4 (15∙4–24∙9) in Central African Republic. SDI was a good predictor of the health-related SDG index (r²=0∙88) and the MDG index (r²=0∙92), whereas the non-MDG index had a weaker relation with SDI (r²=0∙79). Between 2000 and 2015, the health-related SDG index improved by a median of 7∙9 (IQR 5∙0–10∙4), and gains on the MDG index (a median change of 10∙0 [6∙7–13∙1]) exceeded that of the non- MDG index (a median change of 5∙5 [2∙1–8∙9]). Since 2000, pronounced progress occurred for indicators such as met need with modern contraception, under-5 mortality, and neonatal mortality, as well as the indicator for universal health coverage tracer interventions. Moderate improvements were found for indicators such as HIV and tuberculosis incidence, minimal changes for hepatitis B incidence took place, and childhood overweight considerably worsened. Interpretation: GBD provides an independent, comparable avenue for monitoring progress towards the health-related SDGs. Our analysis not only highlights the importance of income, education, and fertility as drivers of health improvement but also emphasises that investments in these areas alone will not be sufficient. Although considerable progress on the health-related MDG indicators has been made, these gains will need to be sustained and, in many cases, accelerated to achieve the ambitious SDG targets. The minimal improvement in or worsening of health-related indicators beyond the MDGs highlight the need for additional resources to effectively address the expanded scope of the health-related SDGs.