West Africa has the highest proportion of married adolescents, and the highest adolescent childbearing rate and maternal death rate in sub-Saharan Africa. Using data from 19 211 women across 13 west African countries, this survey-based study reports that while many adolescents use some antenatal care for their first birth, they seek care later, make fewer visits during pregnancy, and receive less comprehensive care than older first-time mothers.
Maternal mortality remains a major health challenge facing developing countries, with pre-eclampsia accounting for up to 17% of maternal deaths. Diagnosis requires skilled health providers and devices that are appropriate for low-resource settings. This study presents the first cost-effectiveness analysis of multiple medical devices used to diagnose pre-eclampsia in low- and middle-income countries (LMICs).

Vaccine, Volume 35, Issue 23, 2017, Pages 3135-3142

Thermostable vaccines can relieve bottlenecks in vaccine supply chains and therefore contribute to SDG 3 target 8 and 3B. The question remains whether benefits would outweigh the additional costs. Computational modeling quantified economic impact of making vaccines thermostable. Thermostable formulations were highly cost-effective or cost-effective in most scenarios explored. Medical costs and productivity savings outweighed significant price premiums.

The Lancet Diabetes & Endocrinology, 22 May 2017

In certain gender non-conforming minors (aged under 18 years), the World Professional Association for Transgender Health and the Endocrine Society recommend suspending puberty to minimise the discordance between assigned sex at birth and gender identity, thereby maximising the timeframe for gender clarification. This review explores the historical basis for this recommendation together with the cognitive, physical, and surgical implications for gender-incongruent children and adolescents. Transgender health and care falls within the remit of SDG 3.
This collection of articles from the Editors of Environment International Journal explore the impact of climate change on health. The collection demonstrates the interconnectedness of SDG 13 and SDG 3. Understanding the changes and associated impact allows us to develop appropriate adaptive policies and practices to respond to climate-sensitive health risks.
Field trial visit to the Center of Excellence for Rice in Malaysia, left to right: Shahrizal Abdul, Rob van Daalen, Raudhah Talib, Dr. Suzana Yusup, Noor Hafizah Ramli and Abu Bakar Ahmad.
The winner of the first ever Green and Sustainable Chemistry Challenge, Dr Suzana Yusup, invited Rob van Daalen (publisher Chemistry and initiator of the Challenge) to make a site visit to see the progress of her project "Biopesticide for Improvement of Paddy Yield". The visit made clear that the Elsevier sustainability program and specifically this challenge have a positive impact on health, environment and society in local communities in Malaysia, enhancing efforts to advance SDGs 1, 6, 12 and 15.

Journal of Obstetric, Gynecologic & Neonatal Nursing, Volume 46, Issue 3, May–June 2017, Pages e56-e64

SDG 3 includes the target 3.1: is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. In this article, the authors describe the global factors that contribute to maternal mortality rates, outcomes of the implementation of the Millennium Development Goals, and the new, related Sustainable Development Goals. Implications for clinical practice, health care systems, research, and health policy are provided.

The Lancet Planetary Health, Volume 1, Issue 2, May 2017, Pages e48-e49

This brief article presents a renewed and strengthened version of Kate Raworth’s well-known Doughnut model, which describes the social and ecological boundaries to human wellbeing. The model shows twelve dimensions and their illustrative indicators are derived from internationally agreed minimum standards for human wellbeing, and it relates to nearly all of the SDGs.
With so many adults living with a serious mental health impairment, it is important to create a good mental health work environment for employees. These eight steps can be used to create a good mental health work environment for employees, while at the same time maintaining compliant policies and practices. The goal of SDG target 3.4 is to reduce premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.
Open defecation is a major global health problem. The number of open defecators in India dwarfs that of other states and most live in rural places. Attempts to end rural open defecation by targeting individuals, like social marketing or behaviour change approaches, often ignore the structural inequalities that shape rural residents’ everyday lives. Our study explores the role of remoteness in sustaining open defecation in rural India, advancing knowledge on SDG 6. We deploy the concept of remoteness as an analytical tool that can capture everyday practices of open defecation as a function of physical and social distance.