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The Millennium Development Goals have become the principal global scorecard for development. In September 2005 the United Nations World Summit reaffirmed the principles in the 2000 Millennium Declaration and recognized the need for ambitious national development strategies backed by increased international support.
 
Financing the needed investments. Financing the investments needed to achieve the Goals remains a challenge for the domestic resources of developing countries and the aid budgets of developed countries. Developing countries need to pursue good governance and sound macroeconomic policies, and rich countries need to increase their support for developing countries with good policies. Some developed countries have adopted timetables to increase official development assistance to 0.7 percent of gross national income by 2015 and to reach at least 0.5 percent by 2010, while ensuring that at least 0.2 percent goes to the least developed countries. The World Summit also called for increased debt relief or restructuring for countries with unsustainable debt burdens that are not part of the Heavily Indebted Poor Countries Initiative.
 
The challenge of measurement. Many of these strengthened goals and targets are not easily measured. Reliable, direct measures of the incidence or prevalence of many diseases are unavailable. And because models and data sources are still evolving, estimates may not be comparable over time or across countries. Gaps remain even for the well established measures of poverty, education, mortality, and health care, and major investments in statistical systems will be needed to fill them, by developing countries themselves and international agencies.
 
Expanding targets to support the goals. The World Summit resolution draws attention to four issues that should receive greater prominence over the next five years:
 
Reproductive health, integrating reproductive health into strategies for achieving the goals of improving maternal health, reducing child mortality, promoting gender equality, combating HIV/AIDS, and eradicating poverty.

Combating disease, intensifying the fight against HIV/AIDS by “providing sufficient health workers, infrastructure, management systems, and supplies to achieve the health-related [goals] by 2015” and calling for renewed efforts to come “as close as possible to the goal of universal access to HIV treatment by 2010.”

Employment, strengthening the focus of the goals on employment by making it “a central objective of our relevant national and international policies as well as our national development strategies. . . .”

Environment, extending the areas of concern in at least three dimensions: biodiversity, development of indigenous people, and protection from natural and human-caused hazards. The resolution calls on all states to “significantly reduce the loss of biodiversity by 2010.”   
 
The next five years. When the Millennium Development Goals were promulgated in 2000, the international community reached back a decade to establish a baseline. Nothing could be done to alter the course of those preceding 10 years. In the succeeding five years the world took stock of its commitments and took the first steps to accelerate progress toward the goals. But without measures that accelerate change, many countries may fall short of the targets set for 2015. That is why the next five years are so important. By 2010 we will know whether the goals can be achieved. If by then we have not committed the necessary resources, adopted reforms, and implemented effective new programs, it will be difficult to make further course corrections.
 

                   

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