SDG3: Current progress and future challenges

How is progress measured?

Sustainable Development Goal 3: Good Health and Well-Being is measured using key indicators that assess healthcare access, disease prevention, and overall well-being. These indicators include maternal mortality rates, neonatal and under-five child mortality, and the prevalence of communicable diseases such as HIV/AIDS, tuberculosis, and malaria. Monitoring also considers access to essential healthcare services, including vaccinations, skilled birth attendance, and universal health coverage. Additionally, mental health, substance abuse prevention, and road safety are tracked to evaluate broader well-being. Other metrics include air pollution exposure, healthcare workforce density, and government health expenditure. By analysing these indicators, policymakers can assess progress, identify gaps, and refine strategies to ensure equitable healthcare and improved well-being for all.

Tracking progress: a regional approach

To ensure effective tracking, progress is divided into regions, allowing for tailored strategies rather than a one-size-fits-all approach. Regional classification enables meaningful comparisons between countries with similar economic, social, and environmental conditions, making trend analysis more insightful. It also facilitates better coordination of resources, funding, and technical support, particularly for nations facing shared challenges like climate vulnerability or demographic shifts. Additionally, defining progress within regional contexts fosters cross-border collaboration and policy alignment, strengthening collective efforts on global issues such as migration and sustainability. By systematically monitoring SDG advancements at a regional level, organisations can identify gaps, prioritise interventions, and ensure inclusive development. These classifications reflect economic, political, and environmental commonalities, enabling a more nuanced understanding of global sustainability efforts.

Current progress towards SDG 3 targets

The table below presents the standardised abbreviations for the designated regions:

  • EAP: East Asia and Pacific
  • ECA: Europe and Central Asia
  • LAC: Latin America and the Caribbean
  • MENA: Middle East and North Africa
  • NA: North America
  • SAR: South Asia Region
  • SIDS: Small Island Developing States
  • SSA: Sub-Saharan Africa

The East Asia and Pacific region has made progress toward SDG 3, but challenges remain, particularly in healthcare access, disease prevention, and environmental health risks.

  • Reduce Maternal Mortality (Target 3.1): Some countries have low maternal mortality rates, but others still struggle with access to quality maternal healthcare.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have declined, but rural areas still face healthcare access barriers.
  • Fight Communicable Diseases (Target 3.3): Progress has been made in reducing infectious diseases, but tuberculosis and dengue fever remain concerns.
  • Reduce Non-Communicable Diseases (Target 3.4): Rising obesity and cardiovascular diseases pose challenges, requiring stronger prevention strategies.
  • Strengthen Mental Health and Well-Being (Target 3.5): Mental health services are expanding, but stigma and limited resources hinder progress.
  • Reduce Substance Abuse (Target 3.6): Efforts to combat drug and alcohol abuse are underway, but policy enforcement varies across countries.
  • Ensure Universal Health Coverage (Target 3.8): Some nations have strong healthcare systems, but cost barriers and rural access remain issues.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air pollution and climate-related health risks continue to impact vulnerable populations.
Overall, while some progress has been made, urgent action is needed to strengthen healthcare systems, improve disease prevention, and address environmental health risks.

Europe and Central Asia have made progress toward SDG 3, but challenges remain, particularly in healthcare access, disease prevention, and environmental health risks. According to reports, the region is on track to achieve only 21 targets (17% of the 125 measurable targets) by 2030, while progress needs to accelerate for 84 targets, and 20 targets require a complete reversal of current trends.

  • Reduce Maternal Mortality (Target 3.1): Low rates in Western Europe, but Central Asia lags behind in maternal healthcare access.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have declined, but rural areas still face healthcare access barriers.
  • Fight Communicable Diseases (Target 3.3): HIV rates are declining, but antibiotic resistance is a growing concern.
  • Reduce Non-Communicable Diseases (Target 3.4): High rates of cardiovascular disease and diabetes require stronger prevention strategies.
  • Strengthen Mental Health and Well-Being (Target 3.5): Awareness is growing, but access to care remains uneven.
  • Reduce Substance Abuse (Target 3.6): Tobacco use is falling, but alcohol abuse remains a concern.
  • Ensure Universal Health Coverage (Target 3.8): Europe is largely on track, but Central Asia faces access barriers.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air pollution affects urban areas, but regulation improvements are helping.
Overall, while Europe is largely on track, Central Asia needs stronger policy interventions and investment to meet SDG 3 targets by 2030.

Latin America and the Caribbean face significant challenges in meeting SDG 3 by 2030. According to reports, only 23% of the SDG targets in the region are expected to be achieved by 2030, while 41% are moving in the right direction but too slowly, and 36% have stalled or regressed.

  • Reduce Maternal Mortality (Target 3.1): While maternal mortality rates have declined, disparities remain, especially in rural and Indigenous communities.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have improved, but nutrition and healthcare access remain concerns.
  • Fight Communicable Diseases (Target 3.3): Dengue fever, Zika, and tuberculosis continue to pose health risks.
  • Reduce Non-Communicable Diseases (Target 3.4): Obesity, diabetes, and cardiovascular diseases are rising, requiring stronger prevention strategies.
  • Strengthen Mental Health and Well-Being (Target 3.5): Limited resources and high stigma slow progress in mental health services.
  • Reduce Substance Abuse (Target 3.6): Alcohol and drug-related disorders remain significant concerns.
  • Ensure Universal Health Coverage (Target 3.8): Healthcare expansion is underway, but cost barriers persist.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Deforestation and pollution impact health, requiring stronger responses.
Overall, while some progress has been made, urgent action is needed to accelerate healthcare improvements, strengthen disease prevention, and address environmental health risks.

The Middle East and North Africa (MENA) region faces significant challenges in meeting SDG 3 by 2030. While some countries have made progress, others struggle due to conflict, economic instability, and healthcare disparities.

  • Reduce Maternal Mortality (Target 3.1): Low rates in Gulf states, but higher in conflict-affected nations.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Progress varies, with war-torn areas seeing high rates.
  • Fight Communicable Diseases (Target 3.3): Strong disease control in wealthier nations, but gaps remain elsewhere.
  • Reduce Non-Communicable Diseases (Target 3.4): Heart disease and obesity rising, requiring stronger prevention.
  • Strengthen Mental Health and Well-Being (Target 3.5): High stigma and limited resources, despite growing awareness.
  • Reduce Substance Abuse (Target 3.6): Rising smoking rates in some areas, requiring stricter regulations.
  • Ensure Universal Health Coverage (Target 3.8): Access varies, with healthcare gaps in lower-income regions.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air pollution and water scarcity threaten public health.
Overall, while some MENA countries are on track, others require stronger policy interventions, increased investment, and conflict resolution to meet SDG 3 targets by 2030.

North America has made significant progress toward SDG 3, but challenges remain, particularly in healthcare access, disease prevention, and environmental health risks.

  • Reduce Maternal Mortality (Target 3.1): The U.S. has higher maternal mortality rates than other high-income nations, especially among marginalised communities.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates are low overall, but racial disparities persist.
  • Fight Communicable Diseases (Target 3.3): Vaccination efforts are strong, but antibiotic resistance is growing.
  • Reduce Non-Communicable Diseases (Target 3.4): Obesity, diabetes, and heart disease remain major concerns.
  • Strengthen Mental Health and Well-Being (Target 3.5): Expanding resources, but access remains uneven.
  • Reduce Substance Abuse (Target 3.6): Opioid epidemic continues, despite intervention efforts.
  • Ensure Universal Health Coverage (Target 3.8): Healthcare costs limit accessibility.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air and water pollution impact urban communities.
Overall, while North America is largely on track, addressing healthcare disparities, sustainable agriculture, and nutrition challenges will be crucial to fully achieving SDG 3 by 2030.

South Asia faces significant challenges in meeting SDG 3 by 2030. While some progress has been made, the region continues to struggle with healthcare access, disease prevention, and environmental health risks.

  • Reduce Maternal Mortality (Target 3.1): Maternal mortality rates remain high in some countries, requiring better healthcare access and investment.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have declined, but nutrition and sanitation issues persist.
  • Fight Communicable Diseases (Target 3.3): Tuberculosis and dengue fever remain prevalent, requiring stronger disease control measures.
  • Reduce Non-Communicable Diseases (Target 3.4): Diabetes and cardiovascular diseases are rising, requiring better intervention.
  • Strengthen Mental Health and Well-Being (Target 3.5): High stigma and low access to services hinder progress.
  • Reduce Substance Abuse (Target 3.6): Tobacco and alcohol-related illnesses are significant concerns.
  • Ensure Universal Health Coverage (Target 3.8): Healthcare access is improving, but rural areas remain underserved.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air pollution and water contamination pose major risks.
Overall, while some progress has been made, urgent action is needed to accelerate healthcare improvements, strengthen disease prevention, and address environmental health risks.

Small Island Developing States (SIDS) face unique challenges in meeting SDG 3 by 2030 due to their small economies, geographic isolation, and vulnerability to climate change. According to reports, global progress on the SDGs has stalled since 2020, and SIDS are particularly off-track. Here’s a breakdown of the likelihood of meeting each target:

  • Reduce Maternal Mortality (Target 3.1): Some SIDS have low maternal mortality rates, but others—especially in remote islands—struggle with access to quality maternal healthcare.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have declined, but healthcare access barriers remain in isolated communities.
  • Fight Communicable Diseases (Target 3.3): Climate-sensitive diseases like dengue and malaria remain prevalent, requiring stronger disease control measures.
  • Reduce Non-Communicable Diseases (Target 3.4): Obesity and heart disease are rising due to dietary shifts and limited healthcare infrastructure.
  • Strengthen Mental Health and Well-Being (Target 3.5): Limited resources and high stigma slow progress in mental health services.
  • Reduce Substance Abuse (Target 3.6): Alcohol-related issues are prevalent in some islands, requiring stronger intervention programs.
  • Ensure Universal Health Coverage (Target 3.8): Healthcare gaps exist, especially in remote islands, where access to specialised care is limited.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Climate change threatens public health, with rising sea levels and extreme weather events impacting healthcare infrastructure.
Overall, while some progress has been made, urgent action is needed to accelerate healthcare improvements, strengthen disease prevention, and address climate-related health risks.

Sub-Saharan Africa faces significant challenges in meeting SDG 3 by 2030. According to reports, less than 6% of the measurable SDG targets in Africa are on track to be achieved by 2030, while many require accelerated progress.

  • Reduce Maternal Mortality (Target 3.1): Maternal mortality rates remain high, requiring better healthcare access and investment.
  • End Preventable Deaths of Newborns and Children (Target 3.2): Child mortality rates have declined, but nutrition and sanitation issues persist.
  • Fight Communicable Diseases (Target 3.3): Malaria, HIV, and tuberculosis remain major challenges, requiring stronger disease control measures.
  • Reduce Non-Communicable Diseases (Target 3.4): Diabetes and cardiovascular diseases are rising, requiring better intervention.
  • Strengthen Mental Health and Well-Being (Target 3.5): High stigma and low access to services hinder progress.
  • Reduce Substance Abuse (Target 3.6): Alcohol and tobacco-related illnesses are significant concerns.
  • Ensure Universal Health Coverage (Target 3.8): Healthcare access is improving, but coverage remains low.
  • Reduce Deaths from Pollution and Environmental Risks (Target 3.9): Air pollution and poor sanitation threaten health.
Overall, while some progress has been made, major policy shifts and increased investment are needed to reverse negative trends and accelerate healthcare improvements.


Summary of main challenges to SDG 3

  • Access to Healthcare: Millions lack affordable and quality healthcare, particularly in low-income regions. Regions: Sub-Saharan Africa, South Asia, and parts of Latin America and the Caribbean
  • Communicable Diseases: Diseases like HIV/AIDS, malaria, and tuberculosis remain significant global health challenges. Regions: Sub-Saharan Africa, South Asia, and Southeast Asia
  • Non-Communicable Diseases (NCDs): The rise in NCDs such as diabetes, heart disease, and cancer poses a significant challenge, especially in developing nations. Regions: Europe and Central Asia, North America, East Asia and Pacific, Latin America and the Caribbean, and South Asia
  • Maternal and Child Health: High rates of maternal and child mortality persist in many parts of the world due to inadequate healthcare services. Regions: Sub-Saharan Africa, South Asia, and MENA
  • Healthcare Inequalities: Disparities in healthcare access exist between urban and rural areas and among marginalized groups. Regions: Sub-Saharan Africa, South Asia, MENA and Small Island Developing States
  • Funding Shortfalls: Insufficient financial resources limit healthcare infrastructure, research, and service delivery. Regions: Sub-Saharan Africa, South Asia, and Small Island Developing States
  • Pandemic Preparedness: Gaps in systems to prevent and respond to pandemics impact global health security. Regions: Sub-Saharan Africa, South Asia, and Latin America and the Caribbean

Grouping of global regions based on common challenges

Global regions are grouped below according to common challenges. For each group, the following information is provided: a summary of the common challenges and the key strategies to overcome the challenges, the main requirements for successful implementation, barriers that need to overcome, the ways in which the stakeholders can contribute, and relevant notable initiatives and case studies.

Group 1: Regions Facing High Burdens of Infectious Diseases and Maternal/Child Mortality

Regions Included: Sub-Saharan Africa, South Asia, Small Island Developing States (SIDS), Middle East and North Africa (MENA)

  • Persistent prevalence of infectious diseases such as malaria, HIV/AIDS, and tuberculosis.
  • High maternal and child mortality rates due to limited access to quality healthcare and trained healthcare professionals.
  • Weak healthcare systems, particularly in remote and rural areas, exacerbating gaps in service delivery.

  • Strengthen primary healthcare systems and increase the availability of skilled healthcare workers.
  • Scale up vaccination programs and improve access to essential medicines for infectious diseases.
  • Enhance maternal and child health services through targeted interventions like prenatal care and education.

  • International funding to support healthcare infrastructure development in low-income regions.
  • Community-based healthcare initiatives to reach underserved populations.
  • Collaboration between governments, NGOs, and international organisations for sustained health interventions.

  • Shortage of medical professionals and resources in regions with high disease burdens.
  • Resistance to vaccines and treatment in some communities due to misinformation.
  • Persistent inequalities in access to healthcare.

  • Governments: Develop policies for universal healthcare coverage and improve healthcare infrastructure.
  • Businesses: Invest in pharmaceutical development and support healthcare delivery systems.
  • Civil Society: Provide health education and advocate for equitable access to healthcare services.

Group 2: Regions Facing Non-Communicable Diseases (NCDs) and Ageing Populations

Regions Included: Europe and Central Asia, North America, East Asia and Pacific, Latin America and the Caribbean

  • Rising rates of NCDs such as cardiovascular diseases, diabetes, and cancer due to lifestyle changes.
  • Insufficient healthcare services to address the needs of ageing populations.
  • Limited public health awareness and preventive measures for NCDs.

  • Promote healthy lifestyle campaigns, including better nutrition and exercise.
  • Develop specialised healthcare services and facilities for ageing populations.
  • Integrate screening programs and early detection for NCDs into primary healthcare systems.

  • Training healthcare professionals to manage and treat NCDs.
  • Investments in geriatric care and medical technologies for ageing populations.
  • Collaboration between health systems and communities to promote preventive care.

  • Healthcare systems overwhelmed by increasing NCD cases.
  • High cost of treatment for chronic diseases, limiting accessibility for low-income groups.
  • Lack of integration between public health initiatives and healthcare delivery systems.

  • Governments: Implement policies for comprehensive NCD prevention and care.
  • Businesses: Support health education initiatives and develop affordable medicines and technologies.
  • Civil Society: Advocate for awareness and equitable access to healthcare services for ageing populations.

Group 3: Regions Facing Climate-Related Health Challenges

Regions Included: Small Island Developing States (SIDS), Sub-Saharan Africa, South Asia, East Asia and Pacific

  • Increased prevalence of vector-borne diseases like malaria and dengue due to changing climate patterns.
  • Health impacts from extreme weather events, including heat stress, respiratory diseases, and injuries.
  • Disruptions in healthcare delivery systems caused by climate-related disasters.

  • Strengthen healthcare infrastructure to withstand extreme weather events and ensure continuity of services.
  • Promote public health campaigns focusing on climate-related health risks, such as heatwave preparedness.
  • Develop early warning systems for vector-borne diseases and other climate-related health challenges.

  • International cooperation and funding to address the intersection of health and climate challenges.
  • Development of climate-resilient healthcare facilities and systems.
  • Research on the impact of climate change on health to inform policy and interventions.

  • Limited resources for climate adaptation in healthcare systems.
  • Vulnerable populations disproportionately affected by climate impacts, including women and children.
  • Lack of integration between health and environmental policies.

  • Governments: Develop climate adaptation plans for healthcare systems and allocate funding for resilient health infrastructure.
  • Businesses: Invest in innovative technologies for climate-resilient healthcare delivery.
  • Civil Society: Advocate for climate-health linkages and support vulnerable populations.



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