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

Document Type : Original Article

Authors

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

Abstract

Background 
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.

Methods 
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.

Results 
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.

Conclusion 
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.

Keywords

References

  1. Gostin LO. China's "new" silk road. BMJ. 2018;360:k816. doi:1136/bmj.k816
  2. The State Council of China. Vision and Action of Promoting the Construction of the Silk Road Economic Belt and the Marine Silk Road in the 21st Century. 2015. https://www.yidaiyilu.gov.cn/yw/qwfb/604.htm.
  3. National Development and Reform Commission of China. 2015. https://www.ndrc.gov.cn/xxgk/jd/jd/201503/t20150330_1183159.html.
  4. Tan X, Chen X. Public health challenges and preparations for the “Belt and Road Initiative” (in Chinese). Journal of Public Health and Preventive Medicine. 2017;28(4):1-5.
  5. Tang K, Li Z, Li W, Chen L. China's Silk Road and global health. Lancet. 2017;390(10112):2595-2601. doi:1016/s0140-6736(17)32898-2
  6. Xinhua News Agency. Vision and Actions on Jointly Building Belt and Road. Beijing: Xinhua News Agency; 2017.
  7. Minghui R. Global health and the Belt and Road Initiative. Glob Health J. 2018;2(4):1-4. doi:1016/s2414-6447(19)30176-9
  8. Chan LH, Chen L, Xu J. China's engagement with global health diplomacy: was SARS a watershed? PLoS Med. 2010;7(4):e1000266. doi:1371/journal.pmed.1000266
  9. United Nations (UN). Transforming our world: the 2030 Agenda for Sustainable Development. New York: UN; 2015.
  10. Lim SS, Allen K, Bhutta ZA, et al. Measuring the health-related Sustainable Development Goals in 188 countries: a baseline analysis from the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1813-1850. doi:1016/s0140-6736(16)31467-2
  11. Lozano R, Fullman N, Abate D, et al. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):2091-2138. doi:1016/s0140-6736(18)32281-5
  12. World Health Organization (WHO). Time to Deliver: Report of the WHO Independent High-level Commission on Noncommunicable Diseases. Geneva: WHO; 2018.
  13. World Health Organization (WHO). WHA 71.1 Thirteenth General Programme of Work, 2019-23. Geneva: WHO; 2018.
  14. Nugent R. Chronic diseases in developing countries: health and economic burdens. Ann N Y Acad Sci. 2008;1136:70-79. doi:1196/annals.1425.027
  15. Islam SM, Purnat TD, Phuong NT, Mwingira U, Schacht K, Fröschl G. Non-communicable diseases (NCDs) in developing countries: a symposium report. Global Health. 2014;10:81. doi:1186/s12992-014-0081-9
  16. Mendis S, Davis S, Norrving B. Organizational update: the World Health Organization global status report on noncommunicable diseases 2014; one more landmark step in the combat against stroke and vascular disease. Stroke. 2015;46(5):e121-122. doi:1161/strokeaha.115.008097
  17. Horton R, Sargent J. 2018 must be the year for action against NCDs. Lancet. 2018;391(10134):1971-1973. doi:1016/s0140-6736(18)30674-3
  18. Nishtar S, Niinistö S, Sirisena M, et al. Time to deliver: report of the WHO Independent High-Level Commission on NCDs. Lancet. 2018;392(10143):245-252. doi:1016/s0140-6736(18)31258-3
  19. Ullah A, Pinglu C, Ullah S, Hashmi SH. Nexus of regional integration, socioeconomic determinants and sustainable development in belt and road initiative countries. PLoS One. 2021;16(7):e0254298. doi:1371/journal.pone.0254298
  20. Tambo E, Khayeka-Wandabwa C, Muchiri GW, Liu YN, Tang S, Zhou XN. China's Belt and Road Initiative: incorporating public health measures toward global economic growth and shared prosperity. Glob Health J. 2019;3(2):46-49. doi:1016/j.glohj.2019.06.003
  21. Menhas R, Mahmood S, Tanchangya P, Safdar MN, Hussain S. Sustainable development under belt and road initiative: a case study of China-Pakistan economic corridor’s socio-economic impact on Pakistan. Sustainability. 2019;11(21):6143. doi:3390/su11216143
  22. Dieleman J, Campbell M, Chapin A, et al. Evolution and patterns of global health financing 1995-2014: development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries. Lancet. 2017;389(10083):1981-2004. doi:1016/s0140-6736(17)30874-7
  23. Chow CK, Teo KK, Rangarajan S, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310(9):959-968. doi:1001/jama.2013.184182
  24. Roura LC, Arulkumaran SS. Facing the noncommunicable disease (NCD) global epidemic--the battle of prevention starts in utero--the FIGO challenge. Best Pract Res Clin Obstet Gynaecol. 2015;29(1):5-14. doi:1016/j.bpobgyn.2014.04.018
  25. Fullman N, Barber RM, Abajobir AA, et al. Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1423-1459. doi:1016/s0140-6736(17)32336-x
  26. Yang Y, Xu T. Comparative Analysis of Economic and Social Development of Countries along the Belt and Road Initiative (in Chinese). Journal of Northern Nationalities University. 2016;4:115-118.
  27. Nie Y. Social development along the "Belt and Road" (in Chinese). Economic Research Reference. 2017;15:120-148.
  28. Wang YW. "One Belt, One Road": Opportunities and Challenges. People’s Publishing House; 2015.
  29. United Nations Statistical Commission. Report on the Forty-Ninth Session (6-9 March 2018). New York: United Nations Economic and Social Council; 2018.
  30. Rezaeian M. Suicide among young Middle Eastern Muslim females. Crisis. 2010;31(1):36-42. doi:1027/0227-5910/a000005
  31. Ezzati M, Pearson-Stuttard J, Bennett JE, Mathers CD. Acting on non-communicable diseases in low- and middle-income tropical countries. Nature. 2018;559(7715):507-516. doi:1038/s41586-018-0306-9
  32. General Assembly. A/RES/71/313: Work of the Statistical Commission Pertaining to the 2030 Agenda for Sustainable Development. New York: General Assembly; 2017.
  33. Pritchard C, Amanullah S. An analysis of suicide and undetermined deaths in 17 predominantly Islamic countries contrasted with the UK. Psychol Med. 2007;37(3):421-430. doi:1017/s0033291706009159
  34. Janssens W, Goedecke J, de Bree GJ, Aderibigbe SA, Akande TM, Mesnard A. The financial burden of non-communicable chronic diseases in rural Nigeria: wealth and gender heterogeneity in health care utilization and health expenditures. PLoS One. 2016;11(11):e0166121. doi:1371/journal.pone.0166121

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History

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

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