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The purpose of this indicator is to measure the mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease to assess progress towards achieving SDG 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’. This indicator provides essential data on the burden of non-communicable diseases (NCDs), which is critical for understanding the impact of NCDs on population health, assessing the effectiveness of prevention and treatment strategies, and informing public health policies and programs aimed at reducing NCD-related mortality and morbidity. By monitoring this indicator, policymakers, stakeholders, and organizations can make informed decisions to promote sustainable development and address challenges such as reducing the burden of NCDs, improving access to preventive healthcare services, implementing effective strategies for NCD prevention and control, and addressing social determinants of health that contribute to NCDs. This indicator helps to ensure that all populations, especially those at higher risk of NCDs such as cardiovascular disease, cancer, diabetes, and chronic respiratory diseases, are included in efforts to achieve Sustainable Development Goal 3 (SDG 3), thereby contributing to the overall objective of sustainable, inclusive, and equitable growth.

This indicator measures the mortality rate attributed to cardiovascular disease, cancer, diabetes, or chronic respiratory disease to monitor progress towards SDG 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’. It is defined as the mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease. The relevance of this indicator lies in its ability to provide critical data on the burden of non-communicable diseases (NCDs), which is essential for understanding the impact of NCDs on population health, evaluating the effectiveness of NCD prevention and control programs, and informing health policies and interventions aimed at reducing the prevalence and impact of NCDs. The data for this indicator is collected through administrative reports, and it is calculated based on the type of data available from countries (Key Statistical Concepts). By tracking this indicator, stakeholders can gain valuable insights into the impact of NCDs on population health, assessing the effectiveness of prevention and treatment strategies, and informing public health policies and programs aimed at reducing NCD-related mortality and morbidity, enabling them to make informed decisions to promote sustainable development and address challenges such as reducing the burden of NCDs.

Ministry of Health and Wellness (MoHW)

Annual

Probability

Indicator definition - Mortality rate attributed to cardiovascular disease, cancer, diabetes, or chronic respiratory disease. Probability of dying between the ages of 30 and 70 years from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases, defined as the per cent of 30-year-old-people who would die before their 70th birthday from cardiovascular disease, cancer, diabetes, or chronic respiratory disease, assuming that s/he would experience current mortality rates at every age and s/he would not die from any other cause of death (e.g., injuries or HIV/AIDS).

Geographical coverage: National

Data collection method: Administrative reports.

Data availability: data available from 2010 to 2016.

The four noncommunicable causes of death are defined in terms of the International Classification of Diseases, Tenth Revision (ICD-10) (See 2.a)

National

The methods used for the analysis of causes of death depend on the type of data available from countries:

For countries with a high-quality vital registration system including information on cause of death, the vital registration that member states submit to the WHO Mortality Database were used, with adjustments where necessary, e.g. for under-reporting of deaths, unknown age and sex, and ill-defined causes of deaths.

For countries without high-quality death registration data, cause of death estimates are calculated using other data, including household surveys with verbal autopsy, sample or sentinel registration systems, special studies and surveillance systems. In most cases, these data sources are combined in a modelling framework.

The probability of dying between ages 30 and 70 years from the four main NCDs was estimated using age-specific death rates of the combined four main NCD categories. Using the life table method, the risk of death between the exact ages of 30 and 70, from any of the four causes and in the absence of other causes of death, was calculated using the equation provided in the document below. The ICD codes used are: Cardiovascular disease: I00-I99, Cancer: C00-C97, Diabetes: E10-E14, and Chronic respiratory disease: J30-J98

Formulas to (1) calculate age-specific mortality rate for each five-year age group between 30 and 70, (2) translate the 5-year death rate into the probability of death in each 5-year age range, and (3) calculate the probability of death from age 30 to age 70, independent of other causes of death, can be found on page 6 of this document:

NCD Global Monitoring Framework: Indicator Definitions and Specifications. Geneva: World Health Organization, 2014 (http://www.who.int/nmh/ncdtools/indicators/GMF_Indicator_Definitions_FinalNOV2014.pdf?ua=1)

Policy Development: Use the data to inform and shape policies aimed at improving the prevention, early detection, and management of non-communicable diseases (NCDs), ensuring that resources are allocated effectively to address the growing burden of NCDs and promote healthier lifestyles.

Program Planning and Implementation: Design and implement programs to improve access to comprehensive healthcare services for the prevention, early detection, and management of non-communicable diseases (NCDs)

Monitoring and Evaluation: Track progress towards SDG Target 3.4 and evaluate the effectiveness of non-communicable disease (NCD) prevention and control programs, using the data to measure outcomes, identify gaps, and guide adjustments for strategies to reduce the burden of NCDs and achieve the SDG target.

International Comparisons: Compare progress in reducing the mortality rate attributed to cardiovascular disease, cancer, diabetes, or chronic respiratory disease across different countries, identifying best practices and strategies that can be shared to improve NCD prevention and control globally.

Reporting and Accountability: Report progress to stakeholders, including governments and international organizations, to ensure accountability and transparency in achieving SDG Target 3.4.

All the metadata shown in this document was gathered from United Nation Statistics Division. The metadata was extracted from https://unstats.un.org/sdgs/metadata/.