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Special Reports

Public health and medicine has

long been a developmental focus

of international aid. Among the

eight MDGs announced by the

UN in 2000, three relate to public

health and medicine: reducing child

mortality; improving maternal health;

and combating HIV/AIDS, malaria

and other diseases. According to the

UN’s 2014 Millennium Development

Goals Report, these three goals have

shown a high degree of success; by

May 2012, for instance, the mortality

rate for children aged five and under

was reduced by approximately

half from its 1990 baseline; in 2013

the mortality rate among pregnant

women had fallen from 380 to 210

per 100,000; and the use of anti-

malarial drugs had saved 3 million

lives between 2000 and 2012.

As for the prevention of HIV/AIDS,

World Bank indicators reveal that

sub-Saharan Africa remains a center

of the epidemic, and that although

the proportion of adult HIV/AIDS

sufferers has started to fall, about 58

percent of adult HIV/AIDS sufferers

in Africa are female, increasing

the risk of direct mother-to-baby

transmission.

The UN’s post-2015 Sustainable

Development Goals (SDGs) cover

17 major items, including ending

hunger; achieving food security and

improved nutrition and promoting

sustainable agriculture; ensuring

healthy lives and promoting well-

being for all at all ages; and

ensuring the availability and

sustainable management of water

and sanitation for all. With such

content and indicators, the SDGs

are more diverse than the MDGs,

and more inclusive, and can be

pursued through strategies of a more

interdisciplinary nature.

The development of health care

in Taiwan has yielded a range of

specializations, including public

policy formulation, public health

advocacy, the development of

community healthcare systems, and

the monitoring and management

of epidemics, all of which have

borne successful experiences that

can serve as a reference to partner

countries. Thus, in terms of medium-

and long-term public health and

medical development strategies,

besides focusing on Taiwan’s priority

areas and the needs of partner

countries, we are also well placed

to respond to international trends in

development assistance, promoting

programs to help pregnant women

and supporting the prevention of

chronic diseases as we continue to

pursue the MDGs and SDGs.

To take our Capacity Building

Project for the Prevention and Control

of Chronic Renal Failure in Belize as

one example, this project relies upon

Taiwan’s own efforts in the prevention

of chronic diseases, and especially

its expertise and experience of

preventing renal diseases. Through

the integration of the resources

present among Taiwanese medical

organizations, the TaiwanICDF is

assisting Belize to build a basic

system to prevent chronic renal

diseases and metabolic syndrome,

including by strengthening public

health promotion and education

capabilities, building capacity in the

care of chronic diseases, and by

establishing case management and

tracking systems. Our Healthcare

Personnel Training Program and

the dispatch of experts will also

help us to build the capacity of

partner countries, strengthening

public health financing systems,

basic equipment, health information

systems, health personnel and

research capacity, and thereby

generating a more positive impact

among such partners.

Public Health and Medicine

1 As part of the Healthcare Personnel Training

Program, Mishella Moveni Tutua, a dentistry

manager from the Solomon Islands,

observes students simulating operations at

Kaohsiung Medical University's College of

Dental Medicine.

2 To improve maternal health and child

mortality rates, an identification mission

visits Swaziland for the Maternal and Child

Health Improvement Project.

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