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Changing patterns of global healthFive broad findings from GBD 2010 explain why patterns of health have changed in different partsof the world, and highlight the ongoing challenges for public health.1. Health systems and training of health personnel struggle to keep pacewith demographic changeChanges in populations are creating new challenges for health systems and health-care workers. Forexample, improvements in public health and medical care and lower birth rates mean that the averageage at death is increasing in most of Latin America, North Africa and the Middle-East, South-east Asiaand East Asia. In Brazil, the mean age of death has more than doubled in the last 40 years, from 30.5in 1970 to 63.1 in 2010.These demographic changes are happening so fast that health system organization and the training ofhealth-care workers often cannot keep pace. People trained to deal with the dominant health problemsof 20 years ago may face a completely different set of challenges today, and ministries of health in somecountries are still organized around the leading health challenges of a generation ago. Figure 1 showsthe change from 1990 to 2010 in the mean age of death by country; highlighting where demographicchange is most rapid.Figure 1. Change in mean age at death, 1990-201036Accelerating progress in saving the lives of Women and ChildrenTo Contents
2. Noncommunicable causes increase as communicable diseasesdecreaseNoncommunicable causes of death and sickness are rapidly becoming dominant (outside of sub-Saharan Africa, South Asia and a few other regions) – as communicable diseases and maternal andneonatal deaths decline. The underlying reason is the faster progress made by the global communityin combating communicable, neonatal and maternal causes compared with death and disability fromnoncommunicable causes.GBD 2010 analyses the extent to which disease and injury cause individuals to lose years of healthyand productive life (measured as Disability Adjusted Life Years: DALYs). Figure 2 shows thepercentage of DALYs due to noncommunicable diseases for each country in 2010, reflecting asubstantial increase compared with 1990, the baseline year for the MDGs.Figure 2. Percent of national DALYs due to noncommunicable diseases, 2010➞To ContentsThe Global Campaign for the Health Millennium Development Goals – Report 2013 37
Page 1 and 2: The Global Campaign for the HealthM
Page 3 and 4: ContentsMessage from the Secretary-
Page 5 and 6: U N I T E D N A T I O N SN A T I O
Page 7 and 8: and comprehensive scaling up of acc
Page 9 and 10: Federal Democratic Republic of Ethi
Page 11 and 12: The way forward on family planning;
Page 13 and 14: Expanding access to affordable cont
Page 15 and 16: Country reportsRepublic of MalawiPr
Page 17 and 18: We commit to:• Undertake a review
Page 19: Regional and inter-parliamentary co
Page 22 and 23: Civil society has many roles to pla
Page 24 and 25: Joining forces for family planning
Page 26 and 27: Getting more health for the moneyGA
Page 28 and 29: UNITAIDShaping markets for women an
Page 30 and 31: 5. Regulatory efficiency: By 2015,
Page 32 and 33: Accountability, information and res
Page 34 and 35: The independent Expert Review Group
Page 38 and 39: 3. More people are living with chro
Page 40 and 41: Specific findings for MDGs 4 and 5M
Page 42 and 43: ResourcesEvery Woman Every Childwww
Page 44: Surviving childbirth andgrowing up

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