After
the Sustainable Development Goals (SDGs) were brought up in our last class
discussion, I ran across an article in Lancet that attempted to quantify early
progress in the health-related SDGs (GBD 2015 SDG Collaborators, 2016). Measures from the Global Burden of Disease
Study (GBD) of 2015 were used to quantify 33 SDG health indicators. As you may know, the SDGs are composed of 17
primary goals, with 169 targets and 230 indicators, and will serve as the
framework for development from 2015-2030.
In this study, an SDG index was developed to give an overall picture of
health in each nation; the highest scoring included Iceland, Sweden, and
Singapore, while the lowest were Central African Republic and Somalia (GBD 2015
SDG Collaborators, 2016). Factors that
could severely impact the SDG index score in a positive way included universal
health care, family planning, and hygiene.
When comparing the SDG index (for health) to the Socio-demographic
Index, a few countries proved surprising, either by having worse SDG progress
than expected (Russia, India, and the U.S.) or better (Uruguay, Maldives, and
Morocco) (GBD 2015 SDG Collaborators, 2016).
While
these numbers and indices and statistics can show interesting trends, criticism
abounds for the convoluted structure of the SDGs. William Easterly suggested SDG may as well
stand for “senseless, dreamy, garbled” (Easterly, 2015). He complains that much of the content is too
vague and full of wishful thinking, and that by attempting to make such a wide
range of topics a “priority”, it turns out that nothing is a priority. Another slant of criticism is articulated in
Devi Sridhar’s comment in response to the Lancet article I described
above. Sridhar realizes the importance
of statistically significant results for the sake of maintaining aid funding,
but she challenges the notion that the numbers always spell out the answer for
developing nations, who all have their own development priorities that are not
always reflected in the numeric representation of their struggle. As she beautifully articulates, “This view raises a larger
question of why heavily modelled numbers exported from Seattle or Washington,
DC, USA, are taken as the benchmark for what poor people require, over their
own voices, and whether global health has moved to such abstraction that
statistical models, imputations, and programming no longer resonate with the
reality of people's lives” (Sridhar 2016).
So
what do you guys think? Do the SDGs
establish a strong framework for sustainable development, or do they lack
clarity or priority? How do you feel
about the reliance on indices and data?
What role do these numbers have to play in relation to the voices of
local people?
References:
Easterly, W. 2015. The SDGs
should stand for senseless, dreamy garbled. Foreignpolicy.com. Accessible at http://foreignpolicy.com/2015/09/28/the-sdgs-are-utopian-and-worthless-mdgs-development-rise-of-the-rest/.
Sridhar, D. 2016. Making the
SDGs useful: a Herculean task. The Lancet 388;1453-1454.
GBD 2015 SDG
Collaborators. 2016. Measuring the
health-related Sustainable Development Goals in 188 countries: a baseline
analysis from the Global Burden of Disease Study 2015. The
Lancet 388;1813-1850.
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