CONTENTS Executive summary Abbreviations Introduction 1. The 2030 Agenda- a new impetus for health monitoring 2. Implications of the SD Gs for health monitoring-a challenge and an opportunity for all countries 2.1 Scope-an agenda for all countries 2.2 Contents-all major health areas are included 2.3 Equity -the need for disaggregated data 2.4 Multisectoral data-health-related risk factors and determinants 2.5 Country monitoring- data gaps and capacity 2.6 Regional and global monitoring -mechanisms and estimates 2.7 Review -using data for improved implementation 6 3. Monitoring the health goal- indicators of overall progress 3.1 Life expectancy -major gains but still large differences 3.2 Healthy life expectancy- gaining healthy life years 3.3 Premature mortality -focusing on deaths among those under 70 years of age 12 3.4 Data gaps-most deaths not registered 4. Universal health coverage-at the centre of the health goal 4.1 UHC coverage index of essential health services-a new summary measure 15 4.2 Inequalities in coverage- towards an integrated assessment 4.3 Financial protection -measuring the impact of out-of-pocket payments 4.4 Data gaps- regular UHC monitoring is possible 5. Equity- leave no one behind 5.1 Sex-major differences between men and women for many indicators 5.2 Age- data should cover the full life course 5.3 Socioeconomic status -major disadvantages for the poorest and the least educated 5.4 Place of residence- focus on geographical differences within countries 5.5 Migrants and minorities-requiring special efforts 5.6 Data gaps- disaggregation is a crucial data challenge 6. SDG health and health-related targets 29 6.1 Health targets-13 targets and 26 proposed indicators 6.2 Health-related targets in other goals -many targets linked to health 6.3 Situation in 2016-a sketch based on global data Reproductive, maternal, newborn and child health 30 eases Noncommunicable diseases and mental health Injuries and violence Health systems 6.4 Data gaps - need for strong country health information systems MONITORING HEALTH FOR THE SDGsMONITORING HEALTH FOR THE SDGs iii Executive summary ....................................................................... v Abbreviations ........................................................................... vi Introduction............................................................................ viii 1. The 2030 Agenda – a new impetus for health monitoring........................................ 1 2. Implications of the SDGs for health monitoring – a challenge and an opportunity for all countries........ 3 2.1 Scope – an agenda for all countries....................................................... 3 2.2 Contents – all major health areas are included .............................................. 4 2.3 Equity – the need for disaggregated data .................................................. 4 2.4 Multisectoral data – health-related risk factors and determinants ................................ 4 2.5 Country monitoring – data gaps and capacity ............................................... 4 2.6 Regional and global monitoring – mechanisms and estimates ................................... 5 2.7 Review – using data for improved implementation ........................................... 6 3. Monitoring the health goal – indicators of overall progress ...................................... 7 3.1 Life expectancy – major gains but still large differences ........................................ 7 3.2 Healthy life expectancy – gaining healthy life years .......................................... 10 3.3 Premature mortality – focusing on deaths among those under 70 years of age...................... 12 3.4 Data gaps – most deaths not registered .................................................. 12 4. Universal health coverage – at the centre of the health goal .................................... 15 4.1 UHC coverage index of essential health services – a new summary measure ....................... 15 4.2 Inequalities in coverage – towards an integrated assessment................................... 17 4.3 Financial protection – measuring the impact of out-of-pocket payments .......................... 17 4.4 Data gaps – regular UHC monitoring is possible ............................................ 21 5. Equity – leave no one behind............................................................. 23 5.1 Sex – major differences between men and women for many indicators ........................... 24 5.2 Age – data should cover the full life course ................................................ 25 5.3 Socioeconomic status – major disadvantages for the poorest and the least educated ................. 25 5.4 Place of residence – focus on geographical differences within countries ........................... 26 5.5 Migrants and minorities – requiring special efforts .......................................... 26 5.6 Data gaps – disaggregation is a crucial data challenge........................................ 28 6. SDG health and health-related targets ..................................................... 29 6.1 Health targets – 13 targets and 26 proposed indicators ....................................... 29 6.2 Health-related targets in other goals – many targets linked to health ............................. 30 6.3 Situation in 2016 – a sketch based on global data ........................................... 30 Reproductive, maternal, newborn and child health ........................................ 30 Infectious diseases ............................................................... 35 Noncommunicable diseases and mental health .......................................... 36 Injuries and violence .............................................................. 37 Health systems.................................................................. 38 6.4 Data gaps – need for strong country health information systems ................................ 39 CONTENTS