Gaffikin Lynne, Ashley Jeffrey, Blumenthal Paul D
Evaluation and Research Technologies for Health (EARTH), Inc., Portola Valley, California, USA.
MedGenMed. 2007 Oct 23;9(4):17.
The Millennium Development Goals (MDGs), committed to by all 191 United Nations member states, are rooted in the concept of sustainable development. Although 2007 (midway) reports indicated that programs are under way, unfortunately many countries are unlikely to reach their goals by 2015 due to high levels of poverty. Madagascar is one such example, although some gains are being made. Attempts of this island nation to achieve its MDGs, expressed most recently in the form of a Madagascar Action Plan, are notable in their emphasis on (1) conserving the country's natural resource base, (2) the effect of demographic trends on development, and (3) the importance of health as a prerequisite for development. Leadership in the country's struggle for economic growth comes from the president of the Republic, in part, through his "Madagascar Naturally" vision as well as his commitment to universal access to family planning, among other health and development interventions. However, for resource-limited countries, such as Madagascar, to get or stay "on track" to achieving the MDGs will require support from many sides. "Madagascar cannot do it alone and should not do it alone." This position is inherent in the eighth MDG: "Develop a global partnership for development." Apparently, it takes a village after all - a global one.
联合国191个成员国共同致力于实现千年发展目标（MDGs），这些目标植根于可持续发展的理念。尽管2007年（中期）报告显示各项计划正在实施，但不幸的是，由于贫困程度高，许多国家不太可能在2015年实现其目标。马达加斯加就是这样一个例子，尽管也取得了一些进展。这个岛国为实现千年发展目标所做的努力，最近以《马达加斯加行动计划》的形式体现出来，其显著特点是强调：（1）保护该国的自然资源基础；（2）人口趋势对发展的影响；（3）健康作为发展前提条件的重要性。该国在经济增长斗争中的领导作用部分来自共和国总统，体现在他的“自然马达加斯加”愿景以及他对普及计划生育的承诺，以及其他健康和发展干预措施。然而，对于像马达加斯加这样资源有限的国家来说，要实现或保持在实现千年发展目标的“正轨”上，将需要多方面的支持。“马达加斯加不能独自做到这一点，也不应该独自去做。”这一立场体现在千年发展目标的第八项目标中：“建立全球发展伙伴关系。”显然，毕竟需要一个村庄——一个全球性的村庄。
