Non-communicable Disease-Related Sustainable Development Goals for 66 Belt and Road Initiative Countries

Document Type : Original Article


1 Ningbo No. 2 Hospital, Ningbo, China

2 Ningbo Municipal Center for Disease Control and Prevention, Ningbo, China

3 Department of Global Health, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China

4 Panjin Municipal Center for Disease Control and Prevention, Panjin City, China

5 Fenghua District Center for Disease Control and Prevention, Ningbo, China

6 Department of Health Metrics Sciences/Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA

7 Division of Chronic Disease and Aging Health management, Chinese Center for Disease Control and Prevention, Beijing, China


Since 2015, the Global Burden of Disease Study (GBD) has measured progress in achieving healthrelated Sustainable Development Goals (SDGs) annually worldwide. Little is known about the status and attainment of indicators of non-communicable diseases (NCDs) by 65 countries from the Belt and Road Initiative (BRI) proposed by China in 2013.

Data from GBDs were used to estimate 24 NCD-related SDG indicators in BRI countries from 1990 to 2017. Each indicator was scored from 0 to 100 to compare multiple indicators over the study period. The natural log of the annual change in each location and year and weighted annual rates of change were used to generate projections for 2030. National-level estimates were determined by socio-demographic index (SDI) quintiles in BRI countries with more than 1 million inhabitants.

In 2017, the median overall score of NCD-related SDG index for the 66 BRI countries was 60 points, ranging from 29 points in Afghanistan to 84 points in Israel. More than 80% of countries achieved the SDG 2030 maternal mortality (MM) rate target in 2017, and the national skilled birth attendance rate was above 99% in more than 59% countries. However, none of the BRI countries achieved the goal for children’s overweight, modern methods of contraception, and universal health coverage. It was predicted that 80.4% of NCD-related SDG targets would be achieved in these countries by 2030. The overall score of NCD-related SDG index were positively associated with SDI quintiles.

For many indicators, the achieved progress in many countries is less than the annual rate necessary to meet SDG targets, indicating that substantial efforts need to be made in the coming years. Progress should be accelerated through collaborations between countries, implementation of NCD prevention and control strategies, and monitoring of inequalities in NCD-related SDGs within populations.


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  • Receive Date: 26 March 2021
  • Revise Date: 03 July 2022
  • Accept Date: 28 September 2022
  • First Publish Date: 02 October 2022