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The UN-led discussion about the post-2015 sustainable development agenda provides an opportunity to develop indicators and targets that show the importance of health as a precondition for and an outcome of policies to promote sustainable development. Health as a precondition for development has received considerable attention in terms of achievement of health-related Millennium Development Goals (MDGs), addressing growing challenges of non-communicable diseases, and ensuring universal health coverage. Much less attention has been devoted to health as an outcome of sustainable development and to indicators that show both changes in exposure to health-related risks and progress towards environmental sustainability. We present a rationale and methods for the selection of health-related indicators to measure progress of post-2015 development goals in non-health sectors. The proposed indicators show the ancillary benefits to health and health equity (co-benefits) of sustainable development policies, particularly those to reduce greenhouse gas emissions and increase resilience to environmental change. We use illustrative examples from four thematic areas: cities, food and agriculture, energy, and water and sanitation. Embedding of a range of health-related indicators in the post-2015 goals can help to raise awareness of the probable health gains from sustainable development policies, thus making them more attractive to decision makers and more likely to be implemented than before.

Synergies are required to ensure coordination between UN agencies (on norms and indicators), Member States (on coherence of policy instruments) and consumers (on perceptions of safety and affordability of services) to advance the achievement of Sustainable Development Goal (SDG) target 6.3 which focusses on reuse of wastewater. In this paper we employ theoretical insights derived from an agent-based modelling approach to undertake a critical examination of the recent UN-WATER directive on SDG target 6.3 and advocate for an improved understanding of factors that determine whether and how effective wastewater reuse will be possible while accommodating for regional variation and institutional change. We demonstrate that by applying the Nexus approach it is feasible to overcome siloes by forging concepts of trade-offs and synergies to draw out coupled perspectives of bio-physical and institutional dimensions of water-energy-food interactions. By employing this proposition, the paper advocates for place-based observatories as a mechanism that can support valorisation of data and methodological assumptions as a precursor to robust monitoring of the SDG’s. The systematic use of literature reviews and expert opinion to develop and pilot-test composite indices via place-based observatories raises the prospect of a data light approach to monitoring SDGs; specifically, what are the merits of relying on extensive survey data compared to composite indices that while being amenable to supporting benchmarking and scenario analysis can provide the insight needed to inform decision- making and robust monitoring of global goals?

Access to adequate housing is a fundamental human right, essential to human security, nutrition and health, and a core objective of the United Nations Sustainable Development Goals 1 , 2 . Globally, the housing need is most acute in Africa, where the population will more than double by 2050. However, existing data on housing quality across Africa are limited primarily to urban areas and are mostly recorded at the national level. Here we quantify changes in housing in sub-Saharan Africa from 2000 to 2015 by combining national survey data within a geostatistical framework. We show a marked transformation of housing in urban and rural sub-Saharan Africa between 2000 and 2015, with the prevalence of improved housing (with improved water and sanitation, sufficient living area and durable construction) doubling from 11% (95% confidence interval, 10–12%) to 23% (21–25%). However, 53 (50–57) million urban Africans (47% (44–50%) of the urban population analysed) were living in unimproved housing in 2015. We provide high-resolution, standardized estimates of housing conditions across sub-Saharan Africa. Our maps provide a baseline for measuring change and a mechanism to guide interventions during the era of the Sustainable Development Goals. The prevalence of improved housing (with improved drinking water and sanitation, sufficient living area and durable construction) in urban and rural sub-Saharan Africa doubled between 2000 and 2015.

In sub-Saharan Africa, most transmission of mosquito-transmitted diseases, such as malaria or dengue, occurs within or around houses. Preventing mosquito house entry and reducing mosquito production around the home would help reduce the transmission of these diseases. Based on recent research, we make key recommendations for reducing the threat of mosquito-transmitted diseases through changes to the built environment. The mnemonic, DELIVER , recommends the following best practices: (i) D oors should be screened, self-closing and without surrounding gaps; (ii) E aves, the space between the wall and roof, should be closed or screened; (iii) houses should be L ifted above the ground; (iv) I nsecticide-treated nets should be used when sleeping in houses at night; (v) houses should be V entilated, with at least two large-screened windows to facilitate airflow; (vi) E nvironmental management should be conducted regularly inside and around the home; and (vii) R oofs should be solid, rather than thatch. DELIVER is a package of interventions to be used in combination for maximum impact. Simple changes to the built environment will reduce exposure to mosquito-transmitted diseases and help keep regions free from these diseases after elimination. This article is part of the theme issue ‘Novel control strategies for mosquito-borne diseases'.

In sub-Saharan Africa, most transmission of mosquito-transmitted diseases, such as malaria or dengue, occurs within or around houses. Preventing mosquito house entry and reducing mosquito production around the home would help reduce the transmission of these diseases. Based on recent research, we make key recommendations for reducing the threat of mosquito-transmitted diseases through changes to the built environment. The mnemonic, DELIVER, recommends the following best practices: (i) Doors should be screened, self-closing and without surrounding gaps; (ii) Eaves, the space between the wall and roof, should be closed or screened; (iii) houses should be Lifted above the ground; (iv) Insecticide-treated nets should be used when sleeping in houses at night; (v) houses should be Ventilated, with at least two large-screened windows to facilitate airflow; (vi) Environmental management should be conducted regularly inside and around the home; and (vii) Roofs should be solid, rather than thatch. DELIVER is a package of interventions to be used in combination for maximum impact. Simple changes to the built environment will reduce exposure to mosquito-transmitted diseases and help keep regions free from these diseases after elimination. This article is part of the theme issue 'Novel control strategies for mosquito-borne diseases'.

To achieve the Millennium Development Goals for urban water supply and sanitation ∼300,000 and ∼400,000 people will have to be provided with an adequate water supply and adequate sanitation, respectively, every day during 2001–2015. The provision of urban water supply and sanitation services for these numbers of people necessitates action not only on an unprecedented scale, but also in a radically new way as “more of the same” is unlikely to achieve these goals. A “new paradigm” is proposed for low-cost urban water supply and sanitation, as follows: water supply and sanitation provision in urban areas and large villages should be to groups of households, not to individual households. Groups of households would form (even be required to form, or pay more if they do not) water and sanitation cooperatives. There would be standpipe and yard-tap cooperatives served by community-managed sanitation blocks, on-site sanitation systems or condominial sewerage, depending on space availability and costs and, for non-poor households, in-house multiple-tap cooperatives served by condominial sewerage or, in low-density areas, by septic tanks with on-site effluent disposal. Very poor households (those unable to afford to form standpipe cooperatives) would be served by community-managed standpipes and sanitation blocks.