Sustainable Development Goal 3

Ensure healthy lives and promote well-being for all at all ages

SDG 3 - Good Health and Well-Being

Ensure healthy lives and promote well-being for all at all ages

The Government of the FSM has prioritised fourteen indicators to ensure healthy lives and promote well being for all at all ages (SDG Goal 3). The indicators for this goal are monitored and collected by the Department of Health and Social Affairs (DHSA) whose mission is to promote and protect the health status and social welfare of citizens and residents in the FSM and to monitor and assist the efforts of each state in providing health care. The Department of Health Services in each State has the primary responsibility for curative, preventive and public health services. Under the leadership of DHSA, the indicators were reviewed and aligned to the Healthy Islands Framework (52 indicators), and the Framework for Sustainable Health Development in the FSM 2014-2024.

Target 3.1

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births

Indicator 3.1.1: Maternal mortality ratio

Metadata for indicator 3.1.1 can be downloaded here

Indicator 3.1.2: Proportion of births attended by skilled health personnel

Metadata for indicator 3.1.2 can be downloaded here

Target 3.2

By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births  

Indicator 3.2.1 : Under-five mortality rate

Metadata for indicator 3.2.1 can be downloaded here

Indicator 3.2.2: Neonatal mortality rate

Metadata for indicator 3.2.2 can be downloaded here

Target 3.3

By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

Indicator 3.3.1: Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

Metadata for indicator 1.3.1 can be downloaded here

Indicator 3.3.2: Tuberculosis incidence per 100,000 population

Metadata for indicator 3.3.2 can be downloaded here

Indicator 3.3.3: Malaria incidence per 1,000 population

Metadata for indicator 3.3.3 can be downloaded here

Indicator 3.3.4: Hepatitis B incidence per 100,000 population

Metadata for indicator 3.3.4 can be downloaded here

Indicator 3.3.5: Number of people requiring interventions against neglected tropical diseases

Metadata for indicator 3.3.5 can be downloaded here

Target 3.4

By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being

Indicator 3.4.1: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

Metadata for indicator 3.4.1 can be downloaded here

Indicator 3.4.2: Suicide mortality rate

Metadata for indicator 3.4.2 can be downloaded here

Target 3.5

Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

Indicator 3.5.1: Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

Indicator 3.5.2: Harmful use of alcohol, defined according to the national context as alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

Metadata for indicator 3.5.2 can be downloaded here

Target 3.6

By 2020, halve the number of global deaths and injuries from road traffic accidents

Indicator 3.6.1: Death rate due to road traffic injuries

Metadata for indicator 3.6.1 can be downloaded here

Target 3.7

By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

Indicator 3.7.1: Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

Metadata for indicator 3.7.1 can be downloaded here

Indicator 3.7.2: Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

Metadata for indicator 3.7.2 can be downloaded here

Target 3.8

Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

Indicator 3.8.1: Coverage of essential health services (defined as the average coverage of essential services based on tracer interventions that include reproductive, maternal, newborn and child health, infectious diseases, non-communicable diseases and service capacity and access, among the general and the most disadvantaged population)

Metadata for indicator 3.8.1 can be downloaded here

Indicator 3.8.2: Proportion of population with large household expenditures on health as a share of total household expenditure or income

Metadata for indicator 3.8.2 can be downloaded here

Target 3.9

By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination

Indicator 3.9.1: Mortality rate attributed to household and ambient air pollution

Metadata for indicator 3.9.1 can be downloaded here

Indicator 3.9.2: Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

Metadata for indicator 3.9.2 can be downloaded here

Indicator 3.9.3: Mortality rate attributed to unintentional poisoning

Metadata for indicator 3.9.3 can be downloaded here

Target 3.A

Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate

Indicator 3.A.1: Age-standardized prevalence of current tobacco use among persons aged 15 years and older

Metadata for indicator 3.A.1 can be downloaded here

Target 3.B

Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

Indicator 3.B.1: Proportion of the target population covered by all vaccines included in their national programme

Metadata for indicator 3.B.1 can be downloaded here

Indicator 3.B.2: Total net official development assistance to medical research and basic health sectors

Metadata for indicator 3.B.2 can be downloaded here

Indicator 3.B.3: Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

Metadata for indicator 3.B.3 can be downloaded here

Target 3.C

Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States

Indicator 3.C.1: Health worker density and distribution

Metadata for indicator 3.C.1 can be downloaded here

Target 3.D

Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

Indicator 3.D.1: International Health Regulations (IHR) capacity and health emergency preparedness

Metadata for indicator 3.D.1 can be downloaded here

Goal 3 Assessment

The Government of the FSM has prioritised fourteen indicators to ensure healthy lives and promote well being for all at all ages (SDG Goal 3). The indicators for this goal are monitored and collected by the Department of Health and Social Affairs (DHSA) whose mission is to promote and protect the health status and social welfare of citizens and residents in the FSM and to monitor and assist the efforts of each state in providing health care. The Department of Health Services in each State has the primary responsibility for curative, preventive and public health services. Under the leadership of DHSA, the indicators were reviewed and aligned to the Healthy Islands Framework (52 indicators), and the Framework for Sustainable Health Development in the FSM 2014-2024.

  • 3.1.1: Maternal mortality ratio Maternal deaths 2, ratio 94
  • 3.1.2: Proportion of births attended by skilled health personnel
  • 3.2.1: Under-five mortality rate is 9.8
  • 3.2.2: Neonatal mortality rate
  • 3.3.1: Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations FSM is still a low HIV prevalence country HIV program is persistent in their contact investigation and placing people living with HIV on Anti-Retroviral treatment within a month of diagnosis so HIV transmission can be reverted but with high rates of Chlamydia in country.
  • 3.3.2: Tuberculosis incidence per 10,000 population The incident rate of TB in FSM was has been fluctuating between 16.9/10,000 population in 2012 to 9.8/10,000 in 2018. The highest rates are seen in the states of Chuuk and Pohnpei, and then followed by Yap State. MDR-TB has been declining in country and is now contained with almost no cases for this reporting. TB incidence Rate is declining very slowly and this is due to people seeking medical consultation in the late stage of the disease spectrum, this is most likely due to disease discrimination in the communities. Awareness of the disease is a continuous part of program activities.
  • 3.3.4: Hepatitis B incidence per 100,000 population Incidence for Hepatitis B in 2017. All these cases are obtained from the quarterly reports submitted to National by the State STD/HIV Programs.

    wdt_ID 2017 Total Male Female
    1 10-14 5 1 4
    2 15-19 5 1 4
    3 20-24 13 3 10
    4 25-29 5 0 5
    5 3-34 14 5 9
    6 35+ 27 14 13
    7 Total 72 27 45
    3 cases unknown age.

    wdt_ID 2018 Total Male Female
    1 14-Oct 3 0 3
    2 15-19 6 6 0
    3 20-24 7 2 5
    4 25-29 4 1 3
    5 30-34 10 1 9
    6 35+ 51 26 25
    7 Total 82 37 45
    1 case unknown age

    Source: FSM DH&SA   Positivity Rate for Hepatitis B testing in FSM is only 2% among all those people screened.

  • 3.3.5: Number of people requiring interventions against neglected tropical diseases FSM’s latest/complete report is in 2017, the New Case Detection Rate (NCDR) was 137/100,000 population. The country is considered to be one of 3 countries in the Pacific Islands how have not reached WHO goal of elimination: PR of < 1/10,000 population. In 2017, FSM PR is 13.7/10,000 population. Despite continuous contact investigation for family contacts, people are not seeking medical consultation in the early stage of the disease.
  • 3.4.1: Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease 2015 rates for NCD; Cardiovascular 243, diabetes 169, cancer 162, lung cancer 33
  • 3.4.2: Suicide mortality rate In 2015 its 5.8
  • 3.6.1: Death rate due to road traffic injuries (per 100,000 populations) 3 road traffic deaths in Kosrae
  • 3.7.2: Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group
  • 3.8.2: Number of people covered by health insurance or a public health system per 1,000 populations
  • 3.c.1: Health worker density and distribution.
GOAL 3BaselineTrend201620172018201920202021202220232024202520262027202820292030
TARGETSINDICATORS2005-20092010-2015
3.13.1.1 Maternal mortality ratio (per 100,000 births) FSM161.032
n.a.n.a.n.a.
YAPn.a.32-n.a.n.a.n.a.
CHUUK98.049 n.a.n.a.n.a.
POHNPEI108.015 n.a.n.a.n.a.
KOSRAEn.a.0-n.a.n.a.n.a.
3.13.1.2 Proportion of births attended by skilled health personnel FSM9081 n.a.n.a.n.a.
YAP085 n.a.n.a.n.a.
CHUUK87.361 n.a.n.a.n.a.
POHNPEI9696 n.a.n.a.n.a.
KOSRAE4492 n.a.n.a.n.a.
3.23.2.1 Under-five mortality rate (per 1,000 births) FSM4214 n.a.n.a.n.a.
YAPn.a.24-n.a.n.a.n.a.
CHUUKn.a.20-n.a.n.a.n.a.
POHNPEIn.a.4-n.a.n.a.n.a.
KOSRAEn.a.24-n.a.n.a.n.a.
3.23.2.2 Neonatal mortality rateFSM4214 n.a.n.a.n.a.
YAPn.a.n.a.-n.a.n.a.n.a.
CHUUKn.a.n.a.-n.a.n.a.n.a.
POHNPEIn.a.n.a.-n.a.n.a.n.a.
KOSRAEn.a.n.a.-n.a.n.a.n.a.
3.33.3.1 Number of new HIV infections per 100,000 uninfected population, by sex, age and key populations FSMn.a.2
-n.a.n.a.n.a.
YAPn.a.0-n.a.n.a.n.a.
CHUUKn.a.0-n.a.n.a.n.a.
POHNPEIn.a.5-n.a.n.a.n.a.
KOSRAEn.a.0-n.a.n.a.n.a.
3.33.3.2 Tuberculosis incidence per 10,000 population FSM1710 n.a.n.a.n.a.
YAP00 n.a.n.a.n.a.
CHUUK2315 n.a.n.a.n.a.
POHNPEI128 n.a.n.a.n.a.
KOSRAE122 n.a.n.a.n.a.
3.33.3.4 Hepatitis B incidence per 100,000 population FSM12 n.a.n.a.n.a.
YAPn.a.n.a.-n.a.n.a.n.a.
CHUUKn.a.n.a.-n.a.n.a.n.a.
POHNPEIn.a.n.a.-n.a.n.a.n.a.
KOSRAEn.a.n.a.-n.a.n.a.n.a.
3.33.3.5 Number of people requiring interventions against neglectedFSMn.a.n.a.-n.a.n.a.n.a.
YAPn.a.n.a.-n.a.n.a.n.a.
CHUUKn.a.n.a.-n.a.n.a.n.a.
POHNPEIn.a.n.a.-n.a.n.a.n.a.
KOSRAEn.a.n.a.-n.a.n.a.n.a.
3.43.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (per 100,000) on CardivascularFSMn.a.259-n.a.n.a.n.a.
YAPn.a.177-n.a.n.a.n.a.
CHUUKn.a.284-n.a.n.a.n.a.
POHNPEIn.a.312-n.a.n.a.n.a.
KOSRAEn.a.361-n.a.n.a.n.a.
3.43.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (per 100,000) on CancerFSMn.a.166-n.a.n.a.n.a.
YAPn.a.378-n.a.n.a.n.a.
CHUUKn.a.237-n.a.n.a.n.a.
POHNPEIn.a.149-n.a.n.a.n.a.
KOSRAEn.a.165-n.a.n.a.n.a.
3.43.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (per 100,000) on Diabetes FSMn.a.177-n.a.n.a.n.a.
YAPn.a.106-n.a.n.a.n.a.
CHUUKn.a.197-n.a.n.a.n.a.
POHNPEIn.a.180-n.a.n.a.n.a.
KOSRAEn.a.375-n.a.n.a.n.a.
3.43.4.1 Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease (per 100,000) on Chronic lung disease FSMn.a.37-n.a.n.a.n.a.
YAPn.a.25-n.a.n.a.n.a.
CHUUKn.a.29-n.a.n.a.n.a.
POHNPEIn.a.62-n.a.n.a.n.a.
KOSRAEn.a.60-n.a.n.a.n.a.
3.43.4.2 Suicide mortality rate (per 100,000) FSMn.a.22-n.a.n.a.n.a.
YAPn.a.71-n.a.n.a.n.a.
CHUUKn.a.9-n.a.n.a.n.a.
POHNPEIn.a.16-n.a.n.a.n.a.
KOSRAEn.a.66-n.a.n.a.n.a.
3.63.6.1 Death rate due to road traffic injuriesFSMn.a.15-n.a.n.a.n.a.
YAPn.a.18-n.a.n.a.n.a.
CHUUKn.a.7-n.a.n.a.n.a.
POHNPEIn.a.21-n.a.n.a.n.a.
KOSRAEn.a.63-n.a.n.a.n.a.
3.73.7.2 Adolescent birth rate (aged 15-19 years) per 1,000 women in that age group FSM41.524 n.a.n.a.n.a.
YAPn.a.39-n.a.n.a.n.a.
CHUUKn.a.21-n.a.n.a.n.a.
POHNPEIn.a.49-n.a.n.a.n.a.
KOSRAEn.a.24-n.a.n.a.n.a.
3.83.8.2 Total official flows (official development assistance plus other official flows) to the agriculture sector FSMn.a.17-n.a.n.a.n.a.
YAPn.a.17-n.a.n.a.n.a.
CHUUKn.a.29-n.a.n.a.n.a.
POHNPEIn.a.35-n.a.n.a.n.a.
KOSRAEn.a.42-n.a.n.a.n.a.
3.C3.C.1 Health worker density and distribution FSM2.73568 n.a.n.a.n.a.
YAPn.a.364-n.a.n.a.n.a.
CHUUKn.a.881-n.a.n.a.n.a.
POHNPEIn.a.499-n.a.n.a.n.a.
KOSRAEn.a.299-n.a.n.a.n.a.