United NationsDepartment of Economic and Social Affairs Sustainable Development

Major Group: Children & Youth and Women

Cluster Statement on Goal 3

Signed by UN Major Group in Children and Youth and UN Women’s Major Group

June 17, 2014

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Thank you co-chairs. My name is Marianne Haslegrave and I speak on behalf of the Women’s Major Group, the Major Group on Children and Youth, and others [1].

We, the undersigned groups and organizations, support a standalone, overarching, universally applicable health goal that goes beyond disease-specific, vertical approaches to health, and improves health for all ages across the life course. This goal 3, as it is currently written, “to attain healthy life for all at all ages” begins the process of meeting this requirement.

In proposing the following changes to the targets we have taken into account the key elements of the WHO position to Ensure healthy lives and universal health coverage at all ages, as well as addressing concerns that are missing from the zero draft or goal 3. We recognize the crucial health related targets for means of implementation in goal 17, which include issues that we have not duplicated here.

While we have proposed a number of critical changes to these targets, which we have provided to the co-chairs, we wish to highlight those targets that we consider of greatest importance:

Chapeau

We urge the inclusion of the right to health in paragraph four of the chapeau after the right to food.

Targets
3.1 by 2030 reduce the eliminate preventable maternal mortality ratio to less than 40 per 100,000 live births and reduce morbidity
3.2 by 2030 end preventable newborn, infant and under-five deaths
3.3 by 2030 end HIV/AIDS, tuberculosis, malaria, and neglected tropical diseases by guaranteeing equitable, universal and affordable access to prevention, treatment, care and support for all people of all ages, with a particular focus on adolescents and young people

3.4 By 2030, reduce by x% at least 40% premature deaths from non-communicable diseases (NCDs), reduce deaths from injuries, including halving road traffic deaths, promote mental health and wellbeing, and strengthen prevention and treatment of narcotic drug and substance abuse morbidity, and disability, reduce by 50% deaths from road traffic injuries, and reduce by x% stress-related and mental health and neurological disorders.

3.5 by 2030 increase healthy life expectancy for all by x% at birth and at age 60

3.6 by 2030 achieve universal health coverage (UHC), including strengthening health systems, and ensuring access to essential health services, a well-trained health workforce, and financial risk protection including zero impoverishment due to health expenses and zero catastrophic out of pocket expenses, with particular attention to the most marginalized and people in vulnerable situations.

3.7 by 2030 ensure universal availability and access to safe, effective, quality and affordable essential medicines, vaccines, immunizations and medical technologies, including health and assistive technologies, treatments and services, including essential surgical care, anaesthesia, and rehabilitation for all

3.8 by 2030 ensure universal access to high quality, comprehensive, equitable and integrated sexual and reproductive health for all services, information and education, and respect, protect and fulfill all human rights in this regard, with a particular focus on adolescents and young people

3.9 by 2030 decrease by x%/two-thirds the number of deaths and illnesses disability adjusted life years (DALYS) from indoor and outdoor air pollution of air (indoor and outdoor), soil and water



[1] In addition to the Major Group on Children and Youth and the Women’s Major Group, this statement has also been endorsed by:
Alliance for Surgery and Anesthesia Presence (ASAP)
Asia Pacific Council of AIDS Service Organizations (APCASO)
Association of Surgeons in Training (ASiT)
Blacksmith Institute
Centre for Human Rights and Climate Change Research
FIA FOUNDATION
Fundacion para estudio e Investigacion de la Mujer
Global Alliance on Health and Pollution and its Secretariat
Global Surgery Initiative, Johns Hopkins University
Global Youth Coalition on HIV/AIDS (GYCA)
Gradian Health
Handicap International
HIV Young Leaders Fund (HYLF) endorses
Humanity First
ICASO
International AIDS Vaccine Initiative (IAVI)
International AIDS Women Caucus
International Anesthesia Education Forum (IAEF)
International Collaboration for Essential Surgery (ICES)
International College of Surgeons (ICS)
International Federation of Medical Students' Associations (IFMSA)
International Federation of Medical Students' Associations (IFMSA)
IVUMed
Lifebox
Operation Smile
Stakeholder Group on Ageing
The group of Global Surgery and Anaesthesia Partners, through the International Federation of Surgical Colleges (IFSC)
The Lancet Commission on Global Surgery
The Right to Heal
UCSF Institute for Global Orthopaedics and Traumatology (IGOT)
University of Utah Center for Global Surgery