Sustainable Development Goals' health-related indicators for Brazil and Ecuador: an analysis for the period of 1990-2019.

Autor: Malta DC; Departamento de Enfermagem Materno Infantil e Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: dcmalta@uol.com.br., Romero-Sandoval N; School of Medicine, Universidad Internacional del Ecuador, Quito, Ecuador. Electronic address: nromero@uide.edu.ec., Cardoso LSM; Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: laissmcardoso@gmail.com., Arcos P; Universidad Internacional del Ecuador, Quito, Ecuador. Electronic address: pamela.arcos@gmail.com., Gualán M; School of Medicine, Universidad Internacional del Ecuador, Quito, Ecuador. Electronic address: mogualanch@uide.edu.ec., Pescarini JM; Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom; Centro de Integração de Dados e Conhecimentos para Saúde (Cidacs), Oswaldo Cruz Foundation, Salvador, Brazil. Electronic address: julia.pescarini1@lshtm.ac.uk., Brickley EB; Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom. Electronic address: elizabeth.brickley@lshtm.ac.uk., Veloso GA; Departamento de Estatística, Instituto de Matemática e Estatística, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil. Electronic address: guilhermeaugustoveloso@yahoo.com.br., Bernal RTI; Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: reginabernal@terra.com.br., Gomes CS; Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: criziansaar@gmail.com., Kerr LRFS; Universidade Federal do Ceará, Fortaleza, Ceará, Brazil. Electronic address: ligiakerr@gmail.com., Naghavi M; University of Washington, Institute for Health Metrics and Evaluation, Seattle, Washington, USA. Electronic address: nagham@uw.edu., Cooper PJ; Institute of Infection and Immunity St. George's University of London. School of Medicine, Universidad Internacional del Ecuador, Ecuador. Electronic address: pcooper@sgul.ac.uk., Barreto ML; Centre for Data and Knowledge Integration for Health, Fiocruz Bahia, Salvador, Brazil. Electronic address: mauricio.barreto@fiocruz.br., Leyland AH; Social and Public Health Sciences Unit, University of Glasgow, United Kingdom. Electronic address: alastair.leyland@glasgow.ac.uk.
Jazyk: angličtina
Zdroj: Public health [Public Health] 2024 Jun; Vol. 231, pp. 88-98. Date of Electronic Publication: 2024 Apr 22.
DOI: 10.1016/j.puhe.2024.01.034
Abstrakt: Objective: This article aims to analyse the evolution of 40 Sustainable Development Goals' (SDGs) health-related indicators in Brazil and Ecuador from 1990 to 2019.
Study Design: Epidemiological study of long-term trends in 40 SDGs' health-related indicators for Brazil and Ecuador from 1990 to 2019, using estimates from the Global Burden of Disease Study.
Methods: Forty SDGs' health-related indicators and an index from 1990 to 2017 for Brazil and Ecuador, and their projections up to 2030 were extracted from the Institute for Health Metrics and Evaluation's Global Burden of Disease website and analysed. The percent annual change (PC) between 1990 and 2019 was calculated for both countries.
Results: Both countries have made progress on child stunting (Brazil: PC = -38%; Ecuador: PC = -43%) and child wasting prevalences (Brazil: PC = -42%; Ecuador: PC = -41%), percent of vaccine coverage (Brazil: PC = +215%; Ecuador: PC = +175%), under-5 (Brazil: PC = -75%; Ecuador: PC = -60%) and neonatal mortality rates (Brazil: PC = -69%; Ecuador: PC = -51%), health worker density per 1000 population (Brazil: PC = +153%; Ecuador: PC = +175%), reduction of neglected diseases prevalences (Brazil: PC = -40%; Ecuador: PC = -58%), tuberculosis (Brazil: PC = -27%; Ecuador: PC = -55%) and malaria incidences (Brazil: PC = -97%; Ecuador: PC = -100%), water, sanitation and hygiene mortality rates (Brazil and Ecuador: PC = -89%). However, both countries did not show sufficient improvement in maternal mortality ratio to meet SDGs targets (Brazil: PC = -37%; Ecuador: PC = -40%). Worsening of indicators were found for violence, such as non-intimate partner violence for both countries (Brazil: PC = +26%; Ecuador: PC = +18%) and suicide mortality rate for Ecuador (PC = +66%), child overweight indicator for Brazil (PC = -67%), disaster mortality rates (Brazil: PC = +100%; Ecuador: PC = +325%) and alcohol consumption (Brazil: PC = +46%; Ecuador: PC = +35%).
Conclusions: Significant improvements are necessary in both countries requiring the strengthening of health and other policies, particularly concerning the prevention and management of violence and alcohol consumption, and preparedness for dealing with environmental disasters.
(Copyright © 2024 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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