The analysis of Tibet Autonomous Region’s process in achieving maternal and child health indicators under the United Nations Sustainable Development Goals
SHI Wei, GUO Yan
School of Public Health, Peking University, Beijing 100191, China
Abstract:Objective To investigate the process in achieving maternal and child health (MCH) indicators under seventeen sustainable development goals (SDGs) of 2030 agenda, analyze challenges and provide strategies for achieving goals of Tibet Autonomous Region. Methods Using data from statistical yearbooks of China and Tibet from 1991 to 2017, we extracted available data from Tibetan and national maternal and child health indicators, and estimated the missing data with interpolation method. We described the trend of maternal and child mortality in Tibet as well as its gap with the national average, analyzed the impact of MCH services and socioeconomic development on MCH status, and predicted Tibet’s process towards SDGs based on historical data. Results From 1990 to 2015, there was a significant reduction of maternal mortality rate (MMR), infant mortality rate (IMR) and under-5 mortality rate (U5MR) in Tibet with average annual reduction rates of 7.6%, 7.0% and 7.1% respectively. Tibet achieved MCH indicators under MDGs on schedule and the disparities between Tibet and the national average in maternal and child mortality continued decreasing, which was largely attributed to the rapid improvement of MCH services and socioeconomic development. As for SDGs, NMR and U5MR indicators had been achieved in 2014 and 2013 in Tibet, MMR indicator was estimated to be achieved in 2023 based on historical trends. Conclusion Tibet is on track to achieve MCH indicators under SDGs with significantly improved MCH status. Health assistance and active interventions on MCH and socioeconomic development can accelerate the progress towards SDGs.
史薇, 郭岩. 西藏自治区实现联合国可持续发展目标(SDGs)妇幼卫生指标的进程分析[J]. 中国生育健康杂志, 2018, 29(4): 307-312.
SHI Wei, GUO Yan. The analysis of Tibet Autonomous Region’s process in achieving maternal and child health indicators under the United Nations Sustainable Development Goals. Chinese Journal of Reproductive Health, 2018, 29(4): 307-312.
1 United Nations.Transforming our world:the 2030 Agenda for Sustainable Development.Working Papers,2015:18. 2 国家卫生和计划生育委员会.2017中国卫生和计划生育统计年鉴.2017:215. 3 China.Ministry of Health; UNICEF; World Health Organization [WHO]; United Nations Population Fund [UNFPA].Joint review of the maternal and child survival strategy in China.Beijing China Ministry of Health Dec,2006:69-71. 4 李春荣.孕产妇死亡率的社会影响因素与降低孕产妇死亡率干预措施的研究.四川大学,2006:52-53. 5 田甜,李军.西藏地区孕产妇死亡率变化趋势及影响因素分析.中国卫生统计,2015,32:281-282. 6 梁娟,王艳萍,朱军,等.孕产妇死亡与支持性指标的关系分析.中国妇幼保健,2009,24:1313-1316. 7 Gao Y,Zhou H,Singh NS,et al.Progress and challenges in maternal health in western China:a Countdown to 2015 national case study.Lancet Glob Health,2017,5:e523-e536 . 8 Guo Y,Yin H.Reducing child mortality in China:successes and challenges.Lancet,2015,387:205-207. 9 中国共产党中央委员会,中华人民共和国国务院."健康中国2030"规划纲要.中国实用乡村医生杂志,2017,24:1-12. 10 Wang Y,Li X,Zhou M,et al.Under-5 mortality in 2851 Chinese counties,1996-2012:a subnational assessment of achieving MDG 4 goals in China.Lancet,2016,387:273-283.