The Contemporary World
The Contemporary World
A major shift at the top of the rankings, however, was Beijing unseating Hong Kong from its long-
held top five position, which could prove to be a sign of further changes to come. While Beijing’s
strong economic growth and human capital investments paid off, the political chaos in Hong
Kong undoubtedly dampened its performance across all dimensions, with significant drops in
business activity, information exchange, and cultural experience.
Four out of five stay steady at the top
New York City widened its lead over other cities on the Index slightly, receiving its highest
score in human capital due to strong performance in number of international schools,
international student population, and the new medical universities metric.
London, while still in second place, has had a falling score on the Index since 2017. Though the
sharp drop-off in economic activity predicted after the Brexit vote has yet to materialize, so too
have any new rules surrounding trade, which will not become clear until at least the end of this
year.
Paris’s consistent performance in information exchange (in which it leads the ranking), cultural
experience, and political engagement ensured the city’s solid hold on the number 3 position this
year.
Tokyo continued its slow but steady improvement on the Index, demonstrating strong year-on-
year performance in the business activity dimension. What will happen in the aftermath of Prime
Minister Shinzo Abe’s exit from government remains to be seen.
Finally, Beijing’s new position reflects higher scores across most metrics. It ranked second in
the business activity dimension, partly thanks to a number 2 spot on the new unicorn
companies metric. Investments in education and the city’s rising status as a cultural center
also led to a large jump in the human capital dimension.
Having determined the year’s global leaders in the GCI, the GCO identifies cities on the rise—
those creating the right conditions for future global status (see table below). This time, London
maintained its top ranking, but from there all bets were off. Toronto jumped an impressive 9
places to the number 2 spot, driven by a large upswing in innovation and continued strong
governance. Tokyo’s consistently high scores in personal well-being took it up 2 places to
number 4, and Abu Dhabi jumped 13 places to number 7, driven by long-term investments in
economic performance and diversification. The much more dynamic results of the GCO, in
comparison to the GCI, reveal the fierce competition between global cities to advance their
future prospects.
Cities that saw a rise in their outlook performance mainly improved in the areas of innovation
and economics, where long-term investments were beginning to show results. Abu Dhabi and
Dubai topped the economics metric in infrastructure, thanks to their openness to the private
sector and robust engagement in public–private partnerships. Combined with increases in GDP
per capita, FDI inflows, and foreign investments, this took Abu Dhabi to seventh place overall,
and Dubai from 32 to 18. Others who gained ground include Chicago, thanks to increased private
investments and university-sponsored incubators; Madrid, which jumped 14 places with
improved scores in patents and FDI inflows; and Shenzhen, where patents and university-
sponsored incubators also saw an uptick.
Precarious US positions
Though several US cities were prominent in the GCI, the GCO suggests that their outlook is
uncertain, with most experiencing a drop across the dimensions related to personal well-being,
economics, and governance. San Francisco and Boston, formerly two leading cities on the
GCO, both lost grounds, going from 3 to 11 and 7 to 15 respectively. New York City dropped
out of the top 25, Washington D.C. and Houston fell from the top 30, and Los
Angeles, Philadelphia, and Miami exited the top 50. It’s perhaps no surprise that these shifts
occurred in parallel with the US’s withdrawal from international agreements such as the Paris
Climate Accord and Trans-Pacific Partnership (TPP), indicating that American city leaders will face
heightened challenges as they seek to reap the benefits of international flows of individuals,
goods, and capital. In addition, a spring and summer of urban unrest across the United States
has highlighted citizen dissatisfaction with many dimensions of city governance, and pressure on
local governments is at an all-time high.
Global Demography
Preface
Demography is the scientific study of the determinants and consequences of human population
trends. By the beginning of the 21st century, world population reached 6 billion. Most growth has
occurred in the past 200 years.
A massive increase of billions of people occurred no less than 200 years ago. This is the global
demographic transition, brought by momentous changes, reshaping the economic and
demographic life cycles of individuals and restructuring populations. Clearly, before the
transition, the growth of world population is close to stationary, depicting that life is short, births
were many, growth is slow, and the population is young.
Since 1800, global population size has already increased by a factor of six and by 2100 will have
risen by a factor of 10. There will then be 50 times as many elderlies but only five times as many
children; thus, the ratio of elders to children will have risen by a factor of 10. The length of life,
which has already more than doubled, will have tripled, while births per woman will have
dropped from six to two.
Malthusian Theory
Thomas Malthus was the first person to draw widespread attention to the two components of
natural increase-births and deaths (fertility and mortality). Malthus formulated an essay titled
“Essay on the Principle of Population”, initially published in 1789, wherein he postulated that
population tended to grow geometrically, while the means of subsistence grew only
arithmetically. Thomas Malthus also argued that the difference between geometric and
arithmetic growth created a tension between the team between the growth of population and
that of means of subsistence-this gap could not persist indefinitely.
Also, in the said essay, it was mentioned that population was held in equilibrium with the slowly
growing economy. Faster population growth would depress wages, causing mortality to rise due
to famine, war or disease-in short, misery. Depressed wages would also cause postponement of
marriage, resulting in prostitution and other vices, including contraception; this he called the
preventive check.
Since population could potentially grow more rapidly than the economy, it was always held in
check by misery and vice, which was therefore the inevitable human lot. Economic progress
could help only temporarily because population could soon grow to its new equilibrium level,
where misery and vice would again hold it in check. Only through moral restraint-that is, the
chaste postponement of marriage-did Malthus believe that humanity might avoid this fate, and
he thought this an unlikely outcome.
Population Explosion
Contrary to what Malthus predicted, mortality has not risen to curb world population growth. As
mentioned, the world population boomed up to near a billion in 1800 and reached 6 billion by the
end of the 20th century. Apparently, Malthus did not recognize the force of the Industrial
Revolution, which produced exponential growth in the means of subsistence.
During the first half of the 20th century, demographers conceived the notion of the demographic
transition. The Demographic Transition Framework illustrates population growth in terms of
discrepancies and changes in two crude vital rates-mortality and fertility.
Stripped off the essentials, demographic transition refers to the transition from high birth and
death rates to low birth and death rates as a country develops from a pre-industrial to an
industrialized economic system. The stages are as follows:
1. Pre-industrial Society: high and unstable birth and death rates, population growth rate
slow, importance of children, low life expectancy.
2. Early Industrial Society: high birth rates, falling death rate, high population growth
3. Late Industrial Society: low death rate, falling birth rate, high population growth
4. Post Industrial Society: low birth and death rates, low population growth
Reasons for the changes in birth rate:
1. Family planning
2. Good health
3. Later marriages
4. Improving status of women
Reasons for the changes in death rate:
1. Good health care
2. Reliable food supply
3. People are living much longer
The demographic transition theory is only based on Western societies (Europe, America, Japan).
It is not inevitable that there will be a fall in fertility rates in less developed countries. The length
of time that the countries will traverse the stages, if they do, is unpredictable. Times have
changed since the developed world went through demographic transition.
This theory states that fertility is declining in the less developed countries at a rate which
exceeds the rate of decline that was experienced in developed countries. It seems to be related
directly to the extent to which modern contraceptives are employed. In modern times,
information about contraceptives is widespread due to mass media.
Stripped off the major points, the fertility transition theory asserts that while economic
development can create a climate conducive to reductions in fertility, it is a change in cultural
attitude about large families and a willingness to use contraception that matters, aside from the
presence and availability of contraception itself.
Still, opposition to birth control and family planning are aplenty. The manufacture, distribution,
and education about the use of contraceptives remain expensive. Religion can block birth control
programs. Others are of societal concerns: low status of women, lack of political and economic
rights, and lack of access to education.
Since the earliest times, humanity has been on the move. Some people move in search of labor
or economic opportunities, to join family or to study. However, not all migration happens in
positive circumstances. Others move to escape conflict, persecution, terrorism, or human rights
violations. Similarly, others move in response to the adverse effects of climate change, natural
disasters, or other environmental factors.
Today, more people than ever before live in a country other than the one in which they were
born. In 2017, the number of migrants reached 258 million, compared to about 173 million in
2000. However, the proportion of international migrants in the world population is only slightly
higher than that recorded over the past decades, equaling 3.4 percent in 2017, compared to 2.8
percent in 2000 and 2.3 percent in 1980. While many individuals migrate out of choice, many
others migrate out of necessity. There are approximately 68 million forcibly displaced persons,
including over 25 million refugees, 3 million asylum seekers and over 40 million internally
displaced persons.
Migration is one of the defining features of the 21st century. It contributes significantly to all
aspects of economic and social development everywhere, and, as such, will be key to achieving
the Sustainable Development Goals (SDGs).
The 2030 Agenda is well placed to reflect and exploit the links between migration and
development for three reasons. First, the 2030 Agenda is the first international development
framework to include and recognize migration as a dimension of development. The Agenda
includes migration related targets and recognizes its important contribution to sustainable
development while acknowledging the specific vulnerabilities migrants may face.
Second, migration interacts with all dimensions of development. The multidisciplinary and cross-
sectoral nature of the 2030 Agenda is a useful platform to assess the impact of migration and
human mobility on a range of development issues. The SDGs and its relation to migration are as
follows:
Goal 3: Health
Migrants can be vulnerable to health risks. Migrants on their respective destinations may not
have access to health care. For the well-being of the migrants, it is vital that access to safe,
effective, and affordable health services shall be strengthened.
Goal 4: Education
Student mobility opens more opportunities for youth in developing countries to learn and study
abroad.
Migrant women and girls are vulnerable to human trafficking and gender-based violence.
Increasing participation and leadership of women reduces the risk of gender-based violence and
inequalities.
The importance of migrants in the global economy continues to flourish. Humane and safe
working conditions help enhance the impact of migrants in development.
Migrants enable cities to thrive and become more vibrant, successful centers of economy and
life. National and local governments are encouraged to include migration and migrants in their
urban development planning and implementation.
Preventing trafficking in persons and providing support to trafficking survivors should be done
while affording sustainable reintegration support efforts to eliminate all forms of violence against
women and girls.
Expanding of networks among countries can help increase the capacity to deliver migrant
services.
Migration brings about a conglomeration of people, ideas, knowledge, practices, and culture and
it is very integral that all countries involved avoid discrimination, inequality, and injustice due to
these differences.
Migrants
According to the International Organization for Migration (IOM), a migrant is: “any person who is
moving or has moved across an international border or within a state away from his/her habitual
place of residence, regardless of (1) the person’s legal status; (2) whether the movement is
voluntary or involuntary; (3) what the causes for the movement are; or (4) what the length of the
stay is”.
Forced migrants are those who are compelled to migrate due to adverse circumstances beyond
their control (like war, persecution, etc.).
An asylum seeker is a person who seeks safety from persecution or serious harm in a country
other than his or her own and awaits a decision on the application for refugee status relevant
international and national instruments. In case of a negative decision, the person must leave the
country and may be expelled, unless permission to stay is provided on humanitarian grounds.
A refugee is a person who, owing to a well-founded fear of persecution for reasons of race,
religion, nationality, membership of a particular social group or political opinions, is outside the
country of his/her nationality and is unable or, owing to such fear, is unwilling to avail
himself/herself of the protection of that country.
Drivers of Migration
Drivers of migration are forces which lead to the inception of migration and to the perpetuation
of movement.
Drivers of migration include economic, demographic factors and environmental factors, and
social and political dynamics. People may migrate to access better economic employment and
educational opportunities for themselves and their families. Some migrate due to lack of access
to fundamental human rights such as health, food, or basic education, and due to discrimination,
poverty, or separation from family. They may move in response to crisis-both natural and
human-made and, increasingly, in response to environmental change. How drivers interact in
different dimensions (scale, location, distance, and duration) affects how governments and the
international community can respond in order to effectively protect migrants, govern migration,
and harness its benefits.
Economic opportunities, demographics, and poverty/food insecurity are prime influencers in the
migration decision-making process and interact to greater or lesser degrees, depending on the
specific context, to drive migration.
In developing countries, lack of job opportunities, wage differentials, and aspirations propel
young people away from home in search of employment and income opportunities. The informal
economy accounts for 33-90% of total employment, which often means low pay, hazardous
working conditions, and limited access to legal and social protection and resources, and this
drives people toward opportunities abroad.
2. Environmental drivers
A great number of countries identified as climate vulnerable tend to experience high rates of
emigration, so it is critical to consider existing environment and climate-related evidence when
analyzing current migration patterns and estimating future flows.
Environmental factors, including those related to climate change and natural disasters, directly
and indirectly impact the resilience and vulnerability of individuals, households, and
communities, and may lead to migration. How climate change drives migration depends heavily
on its interaction with other factors, including the perception of risk by affected communities,
and varies among and within communities.
3. Human-made crises
Human-made crises are among the primary root causes of migration and have an important
impact on population movements more generally.
The lack of respect for international human rights and humanitarian law has compounded
growing displacement of many as a consequence of their deteriorating living conditions.
Thereafter, there were several notable movements mostly to the United States, facilitated by the
special colonial relationship between the two countries. However, it was not until the 1970s when
the number increased rapidly, coinciding with the construction boom in the Middle East as a
result of the rise in oil prices in 1973-1974. From a low of around 50,000 migrant workers in
1975, the Philippines has been deploying more than a million Filipino workers throughout the
world annually since 2005.
It then became a tradition that the Middle East, followed by the rest of Asia, has been the
destination of migrant workers. The flow of migrant workers to the rest of Asia, especially East
and Southeast Asia, in the late 1980s and early 1990s was conditioned primarily by the labor
demand of newly industrialized countries in the region which resorted to labor importation to
sustain their economic growth.
At present, the number of Overseas Filipino Workers (OFWs) who worked abroad at any time
during the period April to September 2018 was estimated at 2.3 million. One out of four OFWs
worked in Saudi Arabia, which remained to be the top destination of OFWs in April to September
2018. OFWs who worked in United Arab Emirates comprised 15.7 percent. Hong Kong, Kuwait,
Taiwan and Qatar were the other popular destinations of OFWS. Among occupation groups,
elementary occupation was the biggest group of OFWs. Other large occupation groups were the
service and sales workers, and plant and machine operators and assemblers. More than half of
the female OFWs were in elementary occupations. Among the male OFWs, the largest groups
were plant and machine operators and assembler workers.
1. Poverty
Poverty is an issue for a country like the Philippines. Its effects drive many Filipinos to find
opportunities for employment abroad. Ordinarily, if someone could not find a suitable source of
employment in his/her own country, then there will be no other choice but to seek "greener
pastures" abroad. Because of these ill conditions, Filipinos were left with no choice but to go
abroad, leaving their families the hopes of having better situations. It can also be observed by
this reality that Filipinos see hope in other countries, which kind of hope is absent in their own
country.
Unemployment and low wages are prevalent in the Philippines. This predicament is being carried
even by a college graduate in the country, more so, by those who failed to finish their education.
As a result, the Filipino worker will be compelled to search for income opportunities abroad.
In-demand jobs that normally should have a fair compensation, such as nurses, engineers,
accountants, and other professionals, are inadequately paid, as compared with the
compensation that are waiting for these professionals abroad. Even non-skilled workers, such as
housemaids and other laborers, are well compensated abroad than the professionals in the
Philippines.
New graduates face the problems of high unemployment rate and less job opportunities as well
as low average salary and benefits offered by local employers in the country. This is not to
mention that job competition increases in the country. Given these, Filipino applicants became
desperate to have jobs for lower salaries and not enjoy benefits as long as there is security of
tenure. In effect, most of the employers and businessmen exploit such situation that keeps their
businesses earn more profit at the lowest possible costs.
Filipinos also go abroad for their professional development. This is due to the reality that having
a global experience gives them a career edge among any other Filipino professionals left working
in the country.
Abroad, Filipinos deal with different people from different religions, races, and cultures, and this
gives them a unique advantage. Plus, the kinds of opportunities for professional growth abroad
are aplenty as compared to the Philippines.
This reinforces the findings of Natividad (2012) that Filipinos go abroad because of the
enhancement of career and professional marketability globally wherein it is stated that
nowadays, the world is very competitive that having international experience gives Filipinos
bigger career advantage among other professionals.
4. Curiosity
According to Natividad (2012), one of the reasons why Filipinos work abroad is to have the
experience to travel and experience abroad. Working abroad gives the perfect opportunity for
the working Filipino to travel and experience life overseas.
Filipinos’ personal ambitions or goals since childhood can be also drawn out as a reason why did
they choose to work abroad. It gives them the opportunity and the confidence to pursue and
realize their own ambitions. It may not seem to be a valid reason but the same should be
counted as in reality, working abroad gives Filipinos the edge to earn more and afford them more
possibilities of advancement than what they can find in the Philippines.
Both male and female OFWs are at risk of the possibility of violence, abuse, trafficking, and false
accusations. Further, the possibility for OFWs to be terminated because of failure to meet the
standard for proper work set by their employers is more likely to occur.
The tendency of foreigners to treat Filipinos as lowly contributes to the set of fears of the OFWs.
When OFWs suffer discrimination, the lack of motivation to complete their tasks occurs. The loss
of morale and the loss of productivity also take place. Also, the lack of protection for OFWs
contributes to the said lingering fear.
The most common work fears of Overseas Filipino Workers are the possibilities of abuse and
violence that can lead to severe physical injuries and even death.
Children who are left behind are usually not guided properly. Oftentimes, both parents are
working abroad and the children would only be left under the guidance of their grandparents and
relatives. Long separation creates a huge gap between the parents and children. The effect of
parents' departures on toddlers and pre-teens are worse.
In addition, the marital relationship between the parents is put at risk. Abroad, several extra -
marital relations can result due to the distance brought about by overseas employment. As a
result, the marital bond breaks leading to the destruction of the family, again leading to the
detriment of the children.
1. Migrant Workers and Overseas Filipinos Act of 1995 (Republic Act No. 8042)
2. Omnibus Implementing Rules of the Migrant Workers and Overseas Filipinos Act of 1995
(Republic Act No. 8042)
3. Overseas Workers' Investment (OWI) Fund Act (Republic Act No. 7111)
4. Welfare Fund for Overseas Workers (Amending Certain Provisions of Presidential Decree
1694, Creating the “Welfare Fund for Overseas Workers” Presidential Decree No.1890
5. Welfare Fund for Overseas Workers (Organization and Administration of the Welfare Fund
for Overseas Workers) Presidential Decree No. 1694
6. An Act Creating the Commission on Filipinos Overseas and for Other Purposes. (Batas
Pambansa Bilang 79)
8. POEA Rules & Regulations Governing the Recruitment and Employment of Land-Based
Overseas Workers (February 4, 2002)
9. POEA Rules & Regulations Governing the Recruitment and Employment of Seafarers (May
23, 2003)
10. Reorganizing the Philippine Overseas Employment Administration and for Other Purposes
Executive Order No. 247
11. Medical Care Program for OFWs and Dependents DOLE Department Order No. 4, Series of
2001
12. Revised Guidelines on the Training, Testing, Certification and Deployment of Overseas
Performing Artists
13. DOLE Department Order No. 10, Series of 2001, Amending the Rules Implementing Books
III and VI of The Labor Code, As Amended.
Global Health
What is Global Health?
Global health is a dynamic term which is still evolving with the changing world. At present, the
term Global health pertains to an area for study, research, and practice that places a priority on
improving health and achieving health equity for all people worldwide. Likewise, it has been
proposed to refer to a collaborative transnational research and action for promoting "health for
all peoples. Its core is founded on national public health efforts and institutions. Compared to
several countries where public health is equated primarily with population-wide interventions,
global health emphasizes in all strategies for health improvement, whether population-wide or
individually based health care actions, and across all sectors, not just the health sector.
Global health is better understood by integrating the following key concepts (as highlighted by
Koplan, et al.):
Collaborative (or collective) highlights the critical role of collaboration in addressing all health
issues and especially global issues having multiple determinants and a wide range of institutions
involved in obtaining solutions.
Research refers to the importance of developing the evidence-based policies which are
multidisciplinary focusing on the effects of transnational determinants of health.
Promoting (or improving) pertains to the importance of using a full range of public health and
health promotion strategies in improving health. This includes initiatives toward underlying
social, economic, environmental, and political determinants of health.
Health for all traces back to the Alma Ata Declaration and places global health that the frontline
of multi-stakeholder approaches to health improvement. Eventually, this leads to strengthening
primary health care at the core of all health systems.
Globalization has been regarded as a social, cultural, and economic phenomenon. It primarily
involves the evolution of common understanding of ideas, languages, foods, and popular culture.
It is perceived today as the influence of the Internet, Western and Eastern, i.e., American and
Korean respectively, particularly in media, television, films, and corporations. All these have
been considered as driving forces either impacting positively or negatively. Furthermore, the
global and rampant spread of fast-food outlets and consumption has significantly revolutionized
the lifestyle of the Filipino family and the youth.
Advantages of globalization have been beneficial or a "benign phenomenon”. In daily practice, it
had brought further developmental, sociocultural, political, and public health improvements. For
example, global networks of the Internet, worldwide web, and mobile phone communication have
been a driving force in globalization that have already had wide-ranging health impacts. These
technological developments have provided much international health knowledge and have
become more influential in dissemination of health news and information. Hence, this has
become more integral to academic and commercial research and development in health, geared
toward helping physicians guide their patients and their families into making well-informed
decisions to effective treatment options best suited to address patient needs and their resources.
On the contrary, globalization undermines local economies and cultures, replacing them with
"imported" or foreign elements in culture and society. How is it that despite the increasing
interconnectivities in both virtual via email, Internet, and telecommunications and subsequently
real connections, there still is the evident "digital divide" and disparity among nations and socio-
economically within countries? These barriers still exist regardless of being a developed country
such as China, where monitoring or censoring access to various parts of the web and mobile
phone networks persists. Similarly, countries such as Burma and North Korea has been severely
restricting Internet access for most of their populations.
Beyond virtual communications, there is a huge leap of 'real contacts brought about by
international business, travel, tourism, and long-or short-term migration. These real contacts
may often be beneficial but, of course, a side- effect of any international travel is the huge
potential for affecting human health. Immediate impact of international travel on health is the
spread of contagious and infectious diseases. This further goes beyond acute health issues but
also widespread influence of common culture and lifestyles into various parts of the world.
The sociocultural aspects of globalization have been held variously responsible for drifts toward
Western styles of life, consumption, and morals. Many alleged by-products of such globalized
lifestyles include morals, values, attitudes and behavioral change, environmental damage, global
warming/climate change. Moreover, there are direct health status outcomes such as widespread
obesity, diabetes, and heart disease. More subliminal changes involve those within societies,
such as altered family relations and social contexts for life and morality, as well as health and
welfare of individuals and their families.
The "global" in global health refers to the universal scope of problems instead of location (Koplan
et al., 2009). Global health must, therefore, address in the interlinked sociocultural, behavioral,
sociopolitical, and environmental factors related to health change which are referred to as social
determinants of health. These would further include "lifestyle factors" such as alcohol, tobacco,
and other drug consumption and control; micronutrient deficiencies, overweight, and obesity;
injury prevention, health of migrants, the migration of health workers, and the health of people
affected by political and natural disasters. These lifestyle factors have likewise greatly influenced
our local health profile in the Philippines such that the top 10 causes of illness and death in the
country are largely due to non-communicable diseases due to unhealthy lifestyle habits and
behaviors, which include cardiovascular diseases, hypertension, diabetes, cancer, and pulmonary
diseases.
In the past years, the Philippines has made significant investments and advances in health. The
rapid economic growth and strong country capacity have contributed to Filipinos living longer
and healthier. Despite this, not all the benefits of this growth have reached the most vulnerable
groups, and the health system remains fragmented affecting gravely the marginalized sector of
the Philippine society.
Despite substantial progress in improving the lives and health of people in the Philippines,
achievements have not been constant and challenges remain. There are still persistent
disparities and inequities between regions, rich and the poor, and different population groups.
Many Filipinos continue to die or suffer from illnesses that have well-proven, cost-effective
interventions, such as tuberculosis, HIV, and dengue, or diseases affecting mothers and children.
Many people lack sufficient knowledge to make informed decisions about their own health. Rapid
economic development, urbanization, escalating climate change, and widening exposure to
diseases and pathogens in an increasingly global World increase the risks associated with
disasters, environmental threats, and emerging and re-emerging infections.
Social determinants of health refer to the conditions in which people are born, grow, live, work,
and age. These circumstances are shaped by the distribution of money, power, and resources at
global, national, and local levels. These determinants are mostly responsible for health
inequities, such as the unfair and avoidable differences in health status seen within and between
countries. Poverty, social exclusion, poor housing, and poor health systems are among the main
Social causes of ill health.
The Philippine Health Agenda for 2016 to 2022 has highlighted that there are many factors that
affect the health of individuals and their communities. Much of the health of individuals is
determined by the circumstances and environment where they live. This would include social
and economic environment, physical environment, and individual characteristics and behaviors
of a human being. Structural determinants refer to those factors which lead to stratification, such
as income, education, occupation, social class, gender, and ethnicity. Intermediary determinants,
on the other hand, are factors that directly define and influence health choices of individuals.
These would include individual lifestyle and outcome affected by the former, such as finances,
psychosocial, and behavioral factors (Cabral, 2016).
World leaders committed to achieve the 17 Sustainable Development Goals (SDGs) by 2030 in
an effort to end poverty, protect the planet, and ensure prosperity for all. SDG 3 covers the
unfinished Millennium Development Goal (MDG) agenda and newer challenges such as non-
communicable diseases (NCDs), health security, tobacco, and injuries.
As stated by the World Health Organization (2019), the SDG 3 aims to "ensure healthy lives and
promote well-being for all at all ages, with the following health targets by 2030." This SDG
targets the following objectives: (1) to reduce the global maternal mortality ratio to less than 70
per 100 000 live births; (2) to end preventable deaths of newborns and children under five years
of age, i.e., reducing neonatal deaths with a minimum of 12 per 1000 live births and under-five
mortality or deaths at a minimum of 25 per 1000 live births; (3) to cease spread communicable
diseases such as, AIDS, tuberculosis, malaria, and neglected tropical diseases and combat
hepatitis, water-borne diseases; (4)to decrease by a third the premature mortality or deaths
through prevention of non-communicable diseases; (5) to further the promotion of mental health
and well-being and reinforcing the prevention and management of substance abuse, e.g.,
narcotic drug abuse and harmful use of alcohol; (6) to decrease by 50 percent the number of
global deaths and injuries from road traffic accidents; (7) to ensure universal access to sexual
and reproductive healthcare services, particularly family planning, information, and education;
and (8) to attain universal health coverage (UHC), specifically, financial risk protection, access to
quality essential healthcare services including safe, effective, quality, and affordable essential
medicines and vaccines for all individuals, and safety for individuals exposed to hazardous
chemicals and air, water, and soil pollution and contamination.
To address the SDG 3 in the Philippines, the Universal Health Care Act (UHC) or "Kalusugan
Pangkalahatan" was enacted into a law, Republic Act 11223 on February 20, 2019. This law
institutes UHC for all Filipinos and prescribes reforms in the Philippine Health Care System and
the funds relating to the implementation health care in the country. It simply provides every
Filipino the highest possible quality of health care which is accessible, efficient, equitable,
appropriately funded, and fairly financed (DOH, 2019). This law ensures that all Filipinos and
their communities is given the necessary quality services which are free from health threats and
financial suffering. This is to be measured by the country's health service coverage and financial
protection.
SUSTAINABLE DEVELOPMENT
Preface
“Sustainable development is the idea that human societies must live and meet their needs
without compromising the ability of future generations to meet their own needs.” This “official”
definition of sustainable development was developed for the first time in the Brundtland Report
in 1987.
Specifically, sustainable development is a way of organizing society so that it can exist in the
long term. This means taking into account both the imperatives present and those of the future,
such as the preservation of the environment and natural resources or social and economic
equity.
The industrial revolution is connected to the rise of the idea of sustainable development. From
the second half of the 19th century, Western societies started to discover that their economic
and industrial activities had a significant impact on the environment and the social balance.
Several ecological and social crises took place in the world and rose awareness that a more
sustainable model was needed.
Here are some examples of the economic and social crises that shook the world in the twentieth
century:
In 1968 the ecologist and philosopher Garret Hardin wrote an essay entitled the tragedy of the
commons. He argued that if individuals act independently, rationally and focused on pursuing
their individual interests, they’d end up going against the common interests of their communities
and exhaust the planet’s natural resources.
In this way, human free access and unlimited consumption of finite[1] resource would extinguish
these same resources. Hardin believed that since man is compelled to procreated unlimitedly the
Earth resources would eventually get overexploited. To his eyes, mankind needed to radically
change its way of using common resources to avoid a disaster in the future – this would be the
way to keep on a sustainable development track.
A few years after Hardin’s essay, in 1972, Meadows et al., commissioned by the Club of Rome,
ran a computer simulation that aimed to predict the consequences of what could happen in a
planet with limited resources
The strongest ending scenario was that an economic and social collapse would happen by the
end of the 21st century if man imposes no limits to growth. After more than 4 decades, these
predictions seem to be right when it comes to pollution and its consequences – threatening
sustainable development.
As the world’s knowledge of global politics evolved the first historical conferences were
organized. In 1972, it took place in Stockholm the UN Conference on the environment – the first
big world leaders meeting organized by the UN to discuss the human impact on the environment
and how it was related to economic development. One of the main goals of this gathering was to
find a common outlook and common principles to inspire and guide the world’s population to
preserve the “human environment”.
To do so, it uses dimensions such as health, education, financial flows, mobility or human
security, among others. Every year the UN Development Programme ranks countries based on
the HDI report released together with their annual report. It works as a periodic way of
monitoring the development levels of countries.
Ideally, humankind should get to a point where at least the minimum HDI is achieved and live
below the maximum ecological footprint per capita. Living above the minimum HDI would
guarantee that human needs such as education or health are satisfied.
An ecological footprint represents the maximum limit of consumption per person according to
Earth’s ecological capacity. Living below it wouldn’t compromise the future generations, as the
planet would be able to regenerate itself. If we could manage to keep above the minimum HDI
and below the maximum ecological footprint per capita (a number that is decreasing as the
human population increases) we’d be on track for a sustainable future.
But the fact is that every year the Earth overshoot day comes earlier. This day represents the
date when humankind gets in debt with the planet. Why? Because our demand for ecological
resources in a given year has been exceeding what the planet can regenerate in that same year.
We’re keeping this deficit because we’re using more ecological resources than the planet can
handle to lose. At the same time, we’re also not taking proper care of our waste. We’re dealing
with it in a linear way, in opposition to nature, where everything follows a circular approach.
Today’s consumption habits are a big threat to sustainable development.
The Brundtland report, also known as “Our Common Future”, gave the most recognized and
widely accepted definition of the term “sustainable development” in 1987. Following this report,
“the human ability to ensure that the current development meets the needs of the present
without compromising the ability of future generations to meet their own needs” was the first
widely accepted definition of sustainable development.
The World Commission on the Environment and Development also stood out that sustainable
development needed to consider that developing has limitations. According to the organization,
the “present state of technology and the social organization on environmental resources,
together with the limited ability of the biosphere to absorb the effects of human activities”
impose limitations on sustainable development.
As the consciousness about the impact that climate change could have on the planet and on
human life grew, the International Panel on Climate Change was created by the UN Development
Programme and the World Meteorological Organization. Its purpose was (and still is) to develop
and share knowledge about the impact of human activities on climate change. It also aims to
explore the causes, consequences, and ways of fighting climate change.
CO2 and methane are gases that exist to help the Earth keep its ideal temperature and
guarantee life as we know it. Nonetheless, the excessive production of these gases leads to an
increase in the planet’s temperature. This happens because part of the heat the Earth irradiates
and that’d go to space keeps trapped in the atmosphere.
The triple bottom line is an important assumption that’s part of the foundations of sustainable
development. It was first used by John Elkington, the founder of a sustainability consultancy firm.
This expression means that companies should consider 3 different bottom lines in their
businesses – and not only, as was usual at the time (and still is in many companies today), care
about the profit and loss account. This means that organizations should also measure how
socially responsible the operations across their value-chain are.
In addition, Elkington combined a third concern: that companies also needed to measure their
environmental impact on the planet. In the end, the idea is business needs to be concerned
about its impact on people and planet – and not only finance and profit.
The Millennium Ecosystem Assessment was a 4 years-long investigation that started in 2001 and
was requested by the UN. Over 1200 researchers gathered to assess the consequences that
ecosystems’ changes had on human well-being. Finding the scientific basis for action needed to
improve the conservation and sustainable use of ecosystems was another goal.
1. Humans have changed ecosystems more quickly and widely than ever before. This resulted
in a substantial and largely irreversible biodiversity loss;
2. The changes made to ecosystems improved human well-being and the economy but have
harmed the planet and society. It wasn’t only biodiversity decreasing at a high rate. Poverty was
also still affecting many communities and climate change increased the risk of nonlinear
changes;
3. The degradation of ecosystems services would probably get worse over the 21st century;
4. The changes needed to preserve the ecosystem’s degradation and meet the increasing
demand for services could still be met. Nonetheless, it would involve significant changes in
policies across the public and private sectors.
Today’s framework on sustainable development is quite strong although there is still a huge way
to go. The latest IPCC report demonstrated that big changes will need to happen quickly
regarding the reduction of CO2 emissions to keep the Earth’s temperature below 2ºC and
prevent its devastating impacts.
There are many actors working with different audiences in different areas of sustainability. They
share the same goal – to raise awareness on this topic and to create conditions for it to grow and
develop. One of the main players is the United Nations, where different teams actively work on
multiple campaigns such as #beatplasticpollution or #solvedifferent, apart from organizing
the meetings between the world leaders.
On the business side, the World Business Council for Sustainable Development (WBCSD) helps its
member companies to accelerate their businesses transition to create a sustainable world. There
are also some certifications that reward (mostly through a stamp recognition) the businesses
with the best practices for the planet, such as the B-Corp movement, the Rainforest Alliance, the
Fairtrade Foundation or the Conscious Capitalism Movement.
At the same time, entities like the Elen MacArthur Foundation are opening the way when it
comes to the circular economy and how societies and businesses can align how they use natural
resources with the way nature does it. Aligning businesses’ operations across their supply chains
is also allowing different and ecological business models to develop – such as growing
mushrooms from coffee leftovers.
The 2030 Agenda for Sustainable Development, adopted by all United Nations Member States in
2015, provides a shared blueprint for peace and prosperity for people and the planet, now and
into the future. At its heart are the 17 Sustainable Development Goals (SDGs), which are an
urgent call for action by all countries - developed and developing - in a global partnership. They
recognize that ending poverty and other deprivations must go hand-in-hand with strategies that
improve health and education, reduce inequality, and spur economic growth – all while tackling
climate change and working to preserve our oceans and forests.
The SDGs build on decades of work by countries and the UN, including the UN Department of
Economic and Social Affairs:
In June 1992, at the Earth Summit in Rio de Janeiro, Brazil, more than 178 countries
adopted Agenda 21, a comprehensive plan of action to build a global partnership for
sustainable development to improve human lives and protect the environment.
Member States unanimously adopted the Millennium Declaration at the Millennium
Summit in September 2000 at UN Headquarters in New York. The Summit led to the
elaboration of eight Millennium Development Goals (MDGs) to reduce extreme poverty by
2015.
The Johannesburg Declaration on Sustainable Development and the Plan of
Implementation, adopted at the World Summit on Sustainable Development in South
Africa in 2002, reaffirmed the global community's commitments to poverty eradication
and the environment, and built on Agenda 21 and the Millennium Declaration by including
more emphasis on multilateral partnerships.
At the United Nations Conference on Sustainable Development (Rio+20) in Rio de Janeiro,
Brazil, in June 2012, Member States adopted the outcome document "The Future We
Want" in which they decided, inter alia, to launch a process to develop a set of SDGs to
build upon the MDGs and to establish the UN High-level Political Forum on Sustainable
Development. The Rio +20 outcome also contained other measures for implementing
sustainable development, including mandates for future programmes of work in
development financing, small island developing states and more.
In 2013, the General Assembly set up a 30-member Open Working Group to develop a
proposal on the SDGs.
In January 2015, the General Assembly began the negotiation process on the post-2015
development agenda. The process culminated in the subsequent adoption of the 2030
Agenda for Sustainable Development, with 17 SDGs at its core, at the UN Sustainable
Development Summit in September 2015.
2015 was a landmark year for multilateralism and international policy shaping, with the
adoption of several major agreements:
o Sendai Framework for Disaster Risk Reduction (March 2015)
o Addis Ababa Action Agenda on Financing for Development (July 2015)
o Transforming our world: the 2030 Agenda for Sustainable Development with its 17
SDGs was adopted at the UN Sustainable Development Summit in New York in
September 2015.
o Paris Agreement on Climate Change (December 2015)
Now, the annual High-level Political Forum on Sustainable Development serves as the
central UN platform for the follow-up and review of the SDGs.