The paradox of growing technical capacities with low global governance: a review of Voluntary National Reviews' SDG health-related indicators.

BACKGROUND: This study delves into the States' accountability for health-related Sustainable Development Goal (SDG) indicators from 2016 to 2020. An analysis of Voluntary National Reviews (VNR) is employed as an instrument to scrutinize the alignment of States' indicators with the global indicator framework, shedding light on global health governance within the context of the 2030 Agenda and States' strategic prioritization. A curation of 60 health-related indicators from 195 VNRs, produced during the aforementioned period, is organized into thematic groups. RESULTS: Our results highlight a concerning discrepancy in the reporting frequency of various health-related themes. The findings reveal a paradoxical coexistence characterized by the concurrent strengthening and diminution of the global health governance articulated in the Agenda's global health governance. This manifests in the increased utilization and consistency of health-related indicators over the study years, coupled with an emphasis on infectious diseases and child and maternal health indicators. Conversely, a discernible governance decline is evidenced by the inadequate representation of health-related indicators in VNRs, notably within the domains of universal health coverage and health system indicators. Furthermore, High-Income States exhibit diminished accountability. CONCLUSIONS: The VNRs unveil a paradox wherein burgeoning technical capacity coexists with governance deficits, a phenomenon attributable to both statistical capabilities and political preferences. The prevalent use of proxy indicators in VNRs oversimplifies the presentation of official indicators, thereby compromising the aspirational goal of pioneering statistical innovations for measuring intricate issues in the SDGs. In light of our conceptualization of the 2030 Agenda's global health as a regime complex governance, we advocate for comprehensive investigations into each health regime cluster. This approach aims to unravel disputes, discern patterns, and elucidate States' preferences concerning specific thematic areas. Functioning as an accountability mechanism for the Agenda's governance, VNRs underscore States' adaptability and short-term learning capabilities, offering valuable insights for identifying harmful goal prioritization. The discretionary nature of indicator selection by States in the VNRs, enabled by the Agenda's proposition of a contextual adaptation of the SDGs and a blind eye to the guideline's request to review all SDG indicators, highlights a critical flaw in the VNR as an accountability mechanism.

Setting a shared development agenda: prioritizing the sustainable development goals in the Dominican Republic with fuzzy-LMAW.

The sustainable development goals (SDGs) were established by the United Nations as an international call to eradicate poverty, safeguard the environment, and guarantee that everyone lives in peace and prosperity by 2030. The SDGs aim to balance growth and sustainability in three dimensions: social, economic and environmental. However, in the post-pandemic era, when resources for public development policies are scarce, nations face the problem of prioritizing which SDGs to pursue. A lack of agreement is one of the determinants of low performance levels of the SDGs, and multicriteria decision analysis tools can help in this task, which is especially relevant in developing countries that are falling behind in achieving the SDGs. To test the feasibility and appropriateness of one of these tools, the Fuzzy Logarithm Methodology of Additive Weights, we apply it to prioritize the SDGs in the Dominican Republic, to see if the priorities established are consistent. Seventeen experts were surveyed, and the main result was that Decent work and economic growth was the most important goal for the country. Our findings, consistent with the literature, show the path to similar applications in other developing countries to enhance performance levels in the achievement of the SDGs.

The critical role of corporate governance in sustainable development goals prioritisation: A 5 P s-based analysis for emerging economies.

The UN Sustainable Development Goals (SDGs) were developed in 2015 and serve as the main guide for achieving the 2030 Agenda. This paper analyses the impact of corporate governance (CG) and financial performance (FP) on SDG prioritisation, taking FP as a mediating variable and categorising the SDGs by the five pillars (5 Ps) commonly used for this purpose: People, Planet, Prosperity, Peace and Partnership. For this purpose, structural equations (PLS-SEM) were applied, using a sample of 312 Latin-American firms. The study results show there is a positive relationship between FP, CG and SDG prioritisation. Moreover, FP has a partial mediating role in the relationship between CG and SDG prioritisation. This study is innovative in the context of emerging Latin American economies and suggests paths for future research on this topic that would be of interest to academics, regulators and industry professionals. This paper highlights the important role of CG in helping achieve the objectives of the 2030 Agenda in Latin America. Furthermore, the study has implications for policymakers, showing that CG may enhance companies' FP and their commitment to the SDGs. Accordingly, regulators should establish minimum requirements for all companies regarding the structure and practices of CG. The study findings also have implications for stakeholders and responsible investors, suggesting that companies' level of sustainable development can be assessed via their CG policies.

Desafíos de salud y bienestar en el mundo según indicadores ODS / Challenges of health and well-being in the world according to SDG indicators

Resumen En este estudio se analiza el estado actual de los indicadores de salud y bienestar pertenecientes a los objetivos de desarrollo sostenible (ODS), identificando los desafíos más significativos que se presentan entre los países del mundo y en la región de las Américas. Se utiliza la técnica multivariante HJ-Biplot para representar las variaciones y covariaciones existentes entre 16 indicadores del ODS 3, reportados al año 2022, según datos de 176 países, entre ellos, 31 del continente americano. Los resultados obtenidos muestran que indicadores como la esperanza de vida al nacer, la cobertura sanitaria universal y la demanda de planificación familiar satisfecha, caracterizan a los países desarrollados. En contraste, los países en vía de desarrollo aún registran retos importantes para favorecer la salud materna, el bienestar de los niños y en el control de enfermedades trasmisibles y crónicas. Por ello, en el marco de la Agenda 2030, es necesario continuar trabajando en acciones de política pública que permitan avanzar en la implementación de programas para mejorar la salud y el bienestar de la población, en especial entre las naciones de menores ingresos.

Abstract This study reviews the current state of the good health and well-being indicators included in the Sustainable Development Goals (SDG), identifying the most significant challenges faced by countries in the world and in the Americas region. The HJ-Biplot multivariate technique is used to represent variances and covariances between 16 SDG 3 indicators, reported as of 2022, based on data from 176 countries, including 31 countries of the American continent. The findings show that indicators such as life expectancy at birth, universal health coverage and satisfied demand for family planning are key characteristics of developed countries. In contrast, developing countries still face significant challenges in terms of promoting maternal health, the well-being of children and the control of communicable and chronic diseases. For this reason, in the framework of the 2030 Agenda, it is necessary to continue working on public policy actions that enable making progress in the implementation of programs to improve the health and well-being of the population, especially in lower-income countries.

Burden of non-communicable diseases and the achievement of the sustainable development goals in 2030 in Mercosur countries.

OBJECTIVES: The aims of this article were to analyse the burden of NCDs and their RFs in the Mercosur countries between 1990 and 2019 and to project mortality trends for 2030. STUDY DESIGN: Epidemiological study of time series. METHODS: The present study used data from the Global Burden of Disease study. The absolute number of deaths, mortality rates, disability-adjusted life years, years of life lost, years lived with disability and the burden of premature mortality by NCD attributable to the RFs were evaluated. Projections were made up to 2030. Age-standardised rates were used to draw comparisons by years and by countries. The analysis was conducted using the RStudio software. RESULTS: Between 1990 and 2019, a decrease was found in the premature mortality rates caused by NCDs in all the countries, except for Paraguay, which remained stable. When analysing premature mortality rates due to NCDs up to 2030, it was predicted that none of the countries would achieve the sustainable development goal of a one-third reduction in premature mortality by NCDs. Regarding the impacts of the RFs for NCDs, smoking, dietary risks, high blood pressure (BP) and high body mass index (BMI) were the main risks attributable to premature deaths due to NCDs. CONCLUSIONS: The results showed that mortality rates are declining in Mercosur countries; however, none of the countries are predicted to achieve the sustainable development goal of a one-third reduction in mortality due to NCDs by 2030. In addition to access to adequate treatment, progress is required in public regulation actions to reduce RFs, such as smoking, dietary risks, high BP and high BMI.

More streamlined and targeted. A comparative analysis of the 7th and 8th Environment Action Programmes guiding European environmental policy.

Environment Action Programmes (EAP's) are the most important documents defining the environmental policies within the European Union. Their implementation, over the previous 50 years, represented a significant advance in raising eco-friendly awareness and suggesting solutions for environmental problems in the European Union. In this paper, we used Institutional Grammar Tool and network analysis to identify the evolution of EU EAP's by investigating the most recent two programmes (7th Environment Action Programme and 8th Environment Action Programme), particularly in priority objectives, institutional statements, enforcement perspectives, and projected participation of stakeholders. We found that the EU's 8th Environment Action Programme (2021-2030) is further streamlined and target oriented as compared to 7th Environment Action Programme. Furthermore, institutional statements included in the 8th EAP will be implemented predominantly at the levels of European Union and European Commission. On the contrary, in the 7th EAP, the number of institutions, frameworks, and stakeholders is higher and often regional and local (e.g., European Union, Environment Action Programme, European Environment Agency, European Commission, European Parliament, Convention on Biological Diversity, regional authorities, local authorities). The close links of the 8th EAP targets with the 2030 Agenda for Sustainable Development and the European Green Deal represent an important step towards a greater applicability of environmental policies in the European Union. Our study reveals that comparative analysis of legal documents using Institutional Grammar Tool and network analysis can assist policymakers in assessing the drafting of legal environmental documents and obtain indispensable information about the changes to improve environmental policies.

What is the role of global health and sustainable development in Swedish medical education? A qualitative study of key stakeholders' perspectives.

BACKGROUND: Global health and sustainable development have increasingly been recognised as important parts of medical education, yet education on these issues remains fragmented and scarce. In 2020, a bill to reform the national medical curricula across all Swedish medical schools was introduced, including a greater emphasis on global health and sustainable development. This study aimed to explore the perspectives of key stakeholders in medical education on the role of global health and sustainable development in Swedish medical education. METHODS: This was a qualitative study based on semi-structured interviews with 11 key stakeholders in medical education, broadly defined as faculty board members (dean and/or vice-deans for medical education) and/or programme chairs representing six universities. Data were analysed using qualitative content analyis (QCA). The study was conducted according to the Consolidated Criteria for Reporting Qualitative research (COREQ) guidelines. RESULTS: Stakeholders discussed the challenges and opportunities associated with the modification of medical education, which was seen as necessary modernisation to fit the changing societal perception of the role of medical doctors. The anchoring process of redesigning the curriculum and integrating global health and sustainable development was discussed, with emphasis on ownership and mandate and the role of teachers and students in the process. Finding a shared understanding of global health and sustainable development was perceived as a challenge, associated with resistance due to fear of curriculum overload. To overcome this, integrating global health and sustainable development with other topics and developing existing components of the curricula were seen as important. Additionally, it was stressed that fostering capacity building and developing infrastructure, including utilization of digital tools and collaborations, were essential to ensure successful implementation. CONCLUSIONS: Medical institutions should prepare future doctors to respond to the needs of a globalised world, which include knowledge of global health and sustainable development. However, conceptual uncertainties and questions about ownership remain among key stakeholders in medical education. Yet, key stakeholders also highlight that the inclusion of global health and sustainable development in the new curricula represents multiple overarching educational opportunities that can bring about necessary improvement.

Universidad latinoamericana y el derecho social a la salud / The Latin-American University and the Social Right to Health

Este artículo se presenta en la sección de Conferencias Magistrales por ser el texto de una conferencia dictada en la IV Conferencia Internacional Educación Médica en el Siglo xxi durante la IV Convención Internacional de Salud, La Habana, octubre de 2022. Se ha mantenido su carácter de discurso oral. Se aborda el tema universidad latinoamericana y el derecho social a la salud, al considerar la relevancia de la salud en el desarrollo social y económico de la población y al tomar en cuenta la importancia de formar recursos humanos comprometidos con la salud como un derecho social, un bien público y una responsabilidad del Estado. Esto permite analizar críticamente el espacio de la salud pública y la formación de los recursos humanos en el siglo xx y el inicio del siglo xxi para aportar a la demanda de una nueva dimensión estratégica que responda, de forma comprometida, a las necesidades y prioridades de salud de nuestras poblaciones(AU)

This article is presented in the Keynote Lectures section because it is the text of a lecture given at the IV International Conference on Medical Education in the 21st Century during the IV International Health Convention, Havana, October 2022. It has been kept as an oral text. The topic on the Latin-American university and the social right to health is addressed, considering the relevance of health in the social and economic development of the population, as well as taking into account the importance of training human resources committed to health as a social right, a public good, and a responsibility of the State. This allows to analyze critically the public health space and the training of human resources in the twentieth century and the beginning of the twenty-first century, in order to contribute to the demand for a new strategic dimension that responds, in a committed manner, to the health needs and priorities of our populations(AU)

Pathways to water sustainability? A global study assessing the benefits of integrated water resources management.

Integrated water resources management (IWRM) has been central to water governance and management worldwide since the 1990s. Recognizing the significance of an integrated approach to water management as a way to achieve the Sustainable Development Goals (SDGs), IWRM was formally incorporated as part of the SDG global indicator framework, thus committing the UN and its Member States to achieving high IWRM implementation by 2030 and measuring progress through SDG indicator 6.5.1. This paper examines the extent to which the implementation of IWRM improves the sustainable management of water and the health of water-related ecosystems-a first-of-its-kind in terms of quantitative analysis on a global scale. To achieve this objective, we conducted regression analyses between SDG 6.5.1 (both IWRM (total score) and the dimensions of SDG 6.5.1) and key water-related environmental sustainability indicators: SDG 6.2.1a (access to basic sanitation), 6.3.1 (treated wastewater), 6.4.1 (water-use efficiency), 6.4.2 (water stress), 6.6.1 (freshwater ecosystems, although here the trophic state and turbidity variables were used) and 6.3.2 (ambient water quality). Our analysis covers 124 countries for all these SDGs, with the exception of SDG 6.3.1 and SDG 6.3.2, which cover 112 and 85 countries, respectively. Results show that IWRM-to different degrees-is mainly associated with the good status of water-related sustainability indicators, with the exception of water stress, water quality, and turbidity. We observe a strong impact of control variables such as governance arrangements, economic situation and environmental and geographical conditions. Lagged effects and the scope of the framework may also explain some observed variations in the degree of association. Our study highlights the importance of further uncovering the interlinkages between IWRM implementation and the achievement of water-related environmental sustainability. Overall, the results suggest that although IWRM implementation is primarily linked to sustainable water management and the health of water systems, context-specific factors should be taken into account when evaluating its effectiveness, to enable policy- and decision-makers to make the necessary adjustments to optimize its outcomes.

The 2030 agenda and brazilian internalization / A agenda 2030 e a internalização brasileira

Introduction: the Sustainable Development Goals define the goals that were defined to be achieved by the signatory member countries to reach by 2030 with the purpose of reducing indicators to promote equality and equity for all.Objective: to describe the path taken towards the adoption of the 2030 Agenda, from its antecedents, main concepts and innovations, resulting in a fundamental and guiding element in the formulation of public policies.Methods: study based on secondary sources of literature relevant to the topic, considering articles from national and international journals and recent productions on the Sustainable Development GoalsResults: the challenges of internalizing the Sustainable Development Goals, with the definition of national goals and indicators, addresses the challenges and setbacks in their implementation, especially with the national reorientation aimed at fulfilling the 2030 Agenda from this year onwards, especially in light of mid-cycle assessments, to take place this year.Conclusion: the demobilization in the adoption of the 2030 Agenda at the Federal level, from 2019 onwards, as the global political scenario of successive crises has severely impacted the fulfillment of the agreed objectives, an accelerated effort to resume policies is necessary, involving public agents , civil society and academia, so that the second half of the time frame for implementing the 2030 Agenda is more assertive and achieves the proposed objectives and goals, without effectively leaving anyone behind

Introdução: os Objetivos do Desenvolvimento Sustentável definem as metas que foram definidas para ser alcançadas pelos países membros signatários para alcançar até 2030 com o propósito de diminuir indicadores para promoção de igualdade e equidade de todos. Objetivo: descrever o caminho percorrido para a adoção da Agenda 2030, desde seus antecedentes, principais conceitos e inovações, resultando em elemento fundamental e orientador na formulação de políticas públicas. Método: estudo consubstanciado em fontes secundárias da literatura pertinente à temática, considerando artigos de periódicos nacionais e internacionais e produções recentes sobre os Objetivos de Desenvolvimento Sustentável.Resultados: os desafios da internalização dos Objetivos de Desenvolvimento Sustentável, com a definição de metas e indicadores nacionais aborda os desafios e revezes na sua implementação, especialmente com a reorientação nacional visando o cumprimento da Agenda 2030 à partir do presente ano, em especial à luz das avaliações de meio de ciclo, a ocorrer este ano.Conclusão: a desmobilização na adoção da Agenda 2030 na esfera Federal, a partir de 2019, como o cenário político mundial de sucessivas crises, impactaram severamente no cumprimento dos objetivos pactuados, é necessário um esforço acelerado de retomada de políticas, que envolva agentes públicos, sociedade-civil e academia, para que a segunda metade do intervalo temporal de implementação da Agenda 2030 seja mais assertivo e alcance os objetivos e metas propostos, sem deixar efetivamente ninguém para trás

Sustainable Development Goals and risks: The Yin and the Yang of the paths towards sustainability.

The United Nations 2030 Agenda and Sustainable Development Goals (SDGs) define a path towards a sustainable future, but given that uncertainty characterises the outcomes of any SDG-related actions, risks in the implementation of the Agenda need to be addressed. At the same time, most risk assessments are narrowed to sectoral approaches and do not refer to SDGs. Here, on the basis of a literature review and workshops, it is analysed how SDGs and risks relate to each other's in different communities. Then, it is formally demonstrated that, as soon as the mathematical definition of risks is broadened to embrace a more systemic perspective, acting to maintain socio-environmental systems within their sustainability domain can be done by risk minimisation. This makes Sustainable Development Goals and risks "the Yin and the Yang of the paths towards sustainability". Eventually, the usefulness of the SDG-risk nexus for both sustainability and risk management is emphasized.

Green building standards and the United Nations' Sustainable Development Goals.

Sustainable practices in the building industry are strongly influenced by published green and sustainable building and real-estate standards (GSBRES). Therefore, it is crucial to assess how these standards contribute to achieving the United Nations' Sustainable Development Goals (SDGs). This paper evaluates the extent to which GSBRESs align with the 2030 Agenda for Sustainable Development, lending a particular focus to the call for transformative change implicit in the SDGs. To this end, we develop a methodology that combines qualitative and quantitative analysis to assess the overlap between the content of three GSBRESs (LEED for design, BOMA BEST for operation, and GRESB for investment) and the SDGs. Despite the overlaps between the attributes of the GSBRESs and the general topics of the SDGs, we find that less than 20% of GSBRES attributes address the specific targets of the 2030 Agenda. Most importantly, the qualitative analysis shows that less than 10% of the standards' scores is attributed to transformative change. We conclude that claims that the GSBRESs are effective in advancing the SDGs are overstated and, without further empirical evidence, caution that they increase the risk of sustainable development greenwashing. We recommend that the standards be repositioned to adopt transformation-focused indicators related to a project's long-term impacts.

A long-run convergence analysis of aerosol precursors, reactive gases, and aerosols in the BRICS and Indonesia: is a global emissions abatement agenda supported?

This article examines the hypothesis of deterministic emissions convergence for a panel of the BRICS and Indonesia to advanced countries' emissions levels as well as to Sweden (which is a country that has clearly gone through decoupling) using a novel dataset with ten series of annual estimates of anthropogenic emissions comprising aerosols, aerosol precursor and reactive compounds, and carbon dioxide from 1820 to 2018. For that purpose, we employ four novel panel unit root tests allowing for several forms of time-dependent and state-dependent nonlinearity. The evidence supports deterministic convergence following a linear process for carbon dioxide, whereas the adjustment is asymmetric and nonlinear for carbon monoxide. Methane and nitrogen oxides exhibit logistic smooth transition converging dynamics. In contrast, black carbon, ammonia, nitrous oxide, non-methane volatile organic compounds, organic carbon, and sulfur dioxide emissions diverge. These results have implications for the abatement of greenhouse gases emissions at the global level, given the high share of emissions of the BRICS.

Sustainable Development Competencies among More than 1100 Certified Physical Education and Health Teachers in Sweden.

School physical education and health (PEH) may not only be an important cornerstone to the holistic development of students but may also contribute to the sustainable development (SD) agenda. Although PEH may have unique characteristics that can contribute to the SD agenda, most research to date has been theoretical. The overall aim of this study was to explore the sustainable development competencies among physical education and health (PEH) teachers in Sweden. An online questionnaire was used to collect data about background and SD competencies. SD competencies was collected through the use of the Physical Education Scale for Sustainable Development in Future Teachers (PESD-FT). Of the 1153 participants, 31% reported being males, and 48% of the participants reported teaching PEH when completing the questionnaire. The median SD competencies score for all the participants was 105 (range: 18-144) out of 144. Virtually no differences were observed across the groups of participants. A stronger correlation was observed between SD competencies vs. long-time interests in health and health issues (rs = 0.343) than for long experience of participating in organized sports (rs = 0.173). In the total sample, 26% reported having taught about SD in PEH, such as using outdoor education, interdisciplinary projects, picking, and sorting waste, as well as paying attention to material issues. Among those who reported teaching PEH when completing the questionnaire, 70% perceived that they are in great need of professional development education in the area of SD. In conclusion, SD competencies were higher for the PESD-FT items that concerned the social dimension of SD compared to the economic and environmental dimensions. Relatively few teachers had taught about SD in PEH, and the majority perceive that they are in great need of professional development education in the area of SD. Future studies are required to understand more of what types of competencies practicing PEH teachers, and PEH teacher education programs, are lacking to fulfil the call for a contribution to the SD agenda.

Development, Application and Evaluation of an Active Learning Methodology for Health Science Students, Oriented towards Equity and Cultural Diversity in the Treatment and Care of Geriatric Patients.

The increased aging of populations and rises in immigration have prompted the design of new methodologies and instruments for fostering the invisible care of geriatric patients among health science students in accordance with the 2030 Agenda and the SDGs. A total of 656 psychology, nursing and dentistry students participated in this study, which had a pretest-posttest design and was implemented over the course of three academic years. The intervention groups received training using an active learning methodology based on a case study involving a geriatric patient; specifically, a Maghrebi woman. The control groups were not exposed to the case study. The CCI-U questionnaire was designed ad hoc to evaluate the acquisition of invisible competences for caring for geriatric patients in accordance with their age, sex, emotional situation and ethnic origin. The questionnaire had a reliability of α = 0.63 to 0.72 and its factor solution was found to have a good fit. Students in the intervention groups scored higher than those in the control groups, with the difference being statistically significant for ethnic origin in all three undergraduate courses and all three academic years. The proper application of this active learning methodology fosters the invisible care of geriatric patients among students in accordance with the 2030 Agenda.

Cognitive Intervention Programs in Minors Belonging to Disadvantaged Contexts in Spain: A Systematic Review.

Research studies show a strong influence of socioeconomic status (SES) on human development, and how the exposure to risk contexts in the earliest stages translates into dangers in the cognitive development of children and adolescents. To alleviate these consequences and favour development, different cognitive training programs have contributed to this field by identifying the criteria of efficacy. This systematic review identifies and synthesizes the evidence of cognitive intervention studies implemented with psychosocial risk groups carried out in Spain. The search strategy was adapted to different databases. Only studies published in English or Spanish and developed in Spain that included interventions applied in populations aged 5 to 18 years with a low SES were included. The analysis of the literature showed nine interventions that indicated an improvement in those cognitive functions worked with low SES children. The cognitive domains that most worked were executive functions, followed by social cognition and language. After reviewing the available literature, a clear scarcity of interventions carried out in Spain was observed. Variables such as age, cognitive functions or personal vulnerability were identified as factors to be taken into account in future lines of research due to their influence on minors. These findings indicate the relevance of this review to help decision-making in relation to the actions to be carried out by the competent bodies in Spain.