School of Population Health, The University of Queensland, Herston Road Herston, 4006 Brisbane, Australia.
Global Health. 2014 Apr 3;10:18. doi: 10.1186/1744-8603-10-18.
In two years, the uncompleted tasks of the Millennium Development Goals will be merged with the agenda articulated in the 2012 United Nations Conference on Sustainable Development. This process will seek to integrate economic development (including the elimination of extreme poverty), social inclusion, environmental sustainability, and good governance into a combined sustainable development agenda. The first phase of consultation for the post-2015 Sustainable Development Goals reached completion in the May 2013 report to the Secretary-General of the High-Level Panel of Eminent Persons on the Post-2015 Development Agenda. Health did well out of the Millennium Development Goal (MDG) process, but the global context and framing of the new agenda is substantially different, and health advocates cannot automatically assume the same prominence. This paper argues that to remain central to continuing negotiations and the future implementation, four strategic shifts are urgently required. Advocates need to reframe health from the poverty reduction focus of the MDGs to embrace the social sustainability paradigm that underpins the new goals. Second, health advocates need to speak--and listen--to the whole sustainable development agenda, and assert health in every theme and every relevant policy, something that is not yet happening in current thematic debates. Third, we need to construct goals that will be truly "universal", that will engage every nation--a significant re-orientation from the focus on low-income countries of the MDGs. And finally, health advocates need to overtly explore what global governance structures will be needed to finance and implement these universal Sustainable Development Goals.
在两年内，千年发展目标的未完成任务将与 2012 年联合国可持续发展大会提出的议程合并。这一过程将寻求把经济发展（包括消除极端贫困）、社会包容、环境可持续性和良好治理纳入一个综合的可持续发展议程。高级别知名人士小组关于 2015 年后发展议程的协商第一阶段于 2013 年 5 月向秘书长提交报告后完成。千年发展目标（MDG）进程使卫生领域受益匪浅，但新议程的全球背景和框架大不相同，卫生倡导者不能自动假定具有同样的突出地位。本文认为，要继续参与谈判和未来的实施，迫切需要进行四项战略转变。倡导者需要重新调整卫生视角，从 MDG 的减贫重点转向新目标所依据的社会可持续性模式。其次，卫生倡导者需要在整个可持续发展议程中发言——并倾听——并在每个主题和每个相关政策中强调卫生，而目前的专题辩论中尚未这样做。第三，我们需要构建真正“普遍”的目标，使每个国家都参与其中——这与 MDG 对低收入国家的关注有重大转变。最后，卫生倡导者需要公开探讨需要什么样的全球治理结构来为这些普遍的可持续发展目标提供资金和实施。
