Relationships between SDG 3 and SDGs 1, 2, 4, 5, 6 and 12 for VCE Health and Human Development Unit 4 AoS 2
“The relationships between SDG 3 ('Ensure healthy lives and promote wellbeing for all at all ages') and SDGs 1, 2, 4, 5, 6 and 12, and how progress on one supports the others”
The SDGs are integrated: progress on one goal drives progress on others. The 2025 study design asks you to analyse the relationships between SDG 3 ('Ensure healthy lives and promote wellbeing for all at all ages') and SDGs 1, 2, 4, 5, 6 and 12. A full-mark answer names an accurate key feature of the other goal, traces a cause-and-effect chain to a named key feature of SDG 3, and where asked shows the link running both ways. VCAA examined these relationships in 2022 (SDG 1), 2023 (any SDG and HIV/AIDS), 2024 (SDG 4) and 2025 (SDG 6), and averages were low because students named goals without describing them.
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What this dot point is asking
The key knowledge is "relationships between SDG 3 and SDGs 1, 2, 4, 5, 6 and 12" and the key skill is to "analyse the relationships between SDG 3 and other SDGs in promoting health and human development globally". The VCAA FAQ (updated February 2026) explains that students "will explore how the actions and achievements of goals 1, 2, 4, 5, 6 and 12 assist in contributing to Goal 3", and that "the change from SDG 13 to SDG 12 aligns with the cross study focus on sustainability". The broader SDG context (rationale, objectives, SDG 3's key features) is on the Sustainable Development Goals.
Why the goals are interconnected
The 17 SDGs were adopted by all UN member states in 2015 as part of the 2030 Agenda for Sustainable Development. The UN describes them as "integrated and indivisible": health depends on income, food, education, equality, water and a healthy environment, so SDG 3 cannot be achieved by health services alone. Good health, in turn, lets people work, learn, farm and take part in their communities, which supports the other goals. That two-way dependence is what examiners mean by a "relationship" or "interrelated".
SDG 3 key features you will link to
Relationship answers finish on a named SDG 3 feature. The most useful targets (UN, 2030 Agenda) are:
- reduce the global maternal mortality ratio to less than 70 per 100,000 live births;
- end preventable deaths of newborns and children under 5;
- end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases, and combat hepatitis, water-borne diseases and other communicable diseases;
- reduce by one third premature mortality from non-communicable diseases through prevention and treatment, and promote mental health and wellbeing;
- ensure universal access to sexual and reproductive health-care services;
- achieve universal health coverage, including financial risk protection and access to essential medicines and vaccines;
- substantially reduce deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.
The six relationships
For each goal: its key features, how it supports SDG 3, and how SDG 3 supports it.
SDG 1 'No poverty'
- Key features
- eradicate extreme poverty (the World Bank line is now US$3.00 a day, June 2025, the only value the VCAA FAQ says to use in 2026); reduce the proportion of people living in poverty in all its dimensions; implement social protection systems; equal rights to economic resources and access to basic services.
- SDG 1 to SDG 3
- Income and social protection let families afford nutritious food, safe housing, clean water and health care, reducing undernutrition, communicable disease and child deaths.
- SDG 3 to SDG 1
- Healthy people can work and earn; universal health coverage prevents families being pushed into poverty by medical costs.
SDG 2 'Zero hunger'
- Key features
- end hunger and ensure access to safe, nutritious and sufficient food all year round; end all forms of malnutrition, including stunting and wasting in children under 5; double the agricultural productivity and incomes of small-scale food producers; ensure sustainable food production systems.
- SDG 2 to SDG 3
- Adequate nutrition strengthens the immune system, so children are less likely to die from diarrhoea and pneumonia (preventable under-5 deaths), and well-nourished mothers have safer pregnancies (maternal mortality).
- SDG 3 to SDG 2
- Farmers free of malaria and other diseases can plant and harvest, raising productivity; children free of intestinal infections absorb nutrients from food.
SDG 4 'Quality education'
- Key features
- all girls and boys complete free, equitable and quality primary and secondary education; access to quality early childhood development and pre-primary education; eliminate gender disparities in education; all youth and most adults achieve literacy and numeracy; build and upgrade education facilities that are child, disability and gender sensitive.
- SDG 4 to SDG 3
- Literacy and numeracy build health literacy, so people understand health information, use services and take up prevention such as safe sex and vaccination (ending epidemics of communicable diseases). Girls who stay in school marry and have children later, reducing maternal mortality.
- SDG 3 to SDG 4
- Healthy children attend school regularly and concentrate better, so they complete their education.
SDG 5 'Gender equality'
- Key features
- end all forms of discrimination against women and girls; eliminate all forms of violence against women and girls; eliminate harmful practices such as child, early and forced marriage and female genital mutilation; ensure women's full participation and equal opportunities for leadership; ensure universal access to sexual and reproductive health and reproductive rights.
- SDG 5 to SDG 3
- Reproductive rights and access to contraception allow women to space births and avoid adolescent pregnancy, reducing maternal and newborn deaths; ending violence reduces injury, HIV transmission and mental ill health.
- SDG 3 to SDG 5
- Universal access to sexual and reproductive health care gives women control over fertility, so they can stay in education and work, advancing equality.
SDG 6 'Clean water and sanitation'
- Key features
- universal and equitable access to safe and affordable drinking water; adequate and equitable sanitation and hygiene for all and an end to open defecation; improve water quality by reducing pollution; increase water-use efficiency; support the participation of local communities in water and sanitation management.
- SDG 6 to SDG 3
- Safe water and sanitation prevent diarrhoea, cholera and typhoid, helping end preventable deaths of children under 5 and combat water-borne diseases. The VCAA FAQ gives this as its example: water infrastructure "contributes to achieving targets related to reducing deaths and illnesses caused by water pollution and contamination".
- SDG 3 to SDG 6
- Healthy communities have the workforce and capacity to build and maintain water systems; health education promotes hygiene.
- Data
- In 2024, 2.1 billion people lacked safely managed drinking water and 3.4 billion lacked safely managed sanitation, including 354 million people who still practised open defecation (WHO/UNICEF Joint Monitoring Programme, 2025).
SDG 12 'Responsible consumption and production'
- Key features
- sustainable management and efficient use of natural resources; halve per capita global food waste at the retail and consumer levels and reduce food losses along production and supply chains; environmentally sound management of chemicals and all wastes and significantly reduce their release to air, water and soil; substantially reduce waste generation through prevention, reduction, recycling and reuse; ensure people everywhere have information and awareness for sustainable lifestyles.
- SDG 12 to SDG 3
- Less chemical and waste pollution directly serves SDG 3's target of reducing deaths and illnesses from hazardous chemicals and air, water and soil pollution (respiratory disease, poisoning, some cancers). Reducing food loss and waste increases the food available, supporting food security and nutrition.
- SDG 3 to SDG 12
- Safe disposal of medical waste by health services is itself an SDG 12 practice.
- Data
- Households, food service and retail wasted about 1.05 billion tonnes of food in 2022, about 132 kg per person, while 783 million people were affected by hunger (UNEP Food Waste Index Report 2024).
The study design from 2025 names SDGs 1, 2, 4, 5, 6 and 12. The previous design used SDG 13 'Climate action'. The VCAA FAQ says the change "aligns with the cross study focus on sustainability". Climate change remains examinable as a global trend in Unit 4 AoS 1 (global trends), but relationship questions now use SDG 12.
How to write a relationship answer
- Name both goals in full, not just by number. Learn two accurate features for each linked goal and four SDG 3 features to finish on.
- State an accurate key feature of the other goal (a target, not the goal's title reworded).
- Trace the mechanism with "which means", "so", "therefore".
- Finish on a named SDG 3 key feature, such as maternal mortality or under-5 deaths.
- For "interrelated" or "analyse", run the link both ways and use an example or stimulus detail.
Step 1: Features of both goals
SDG 6 'Clean water and sanitation' aims for universal access to safe and affordable drinking water and adequate sanitation, ending open defecation. SDG 3 'Good health and wellbeing' includes ending preventable deaths of children under 5 and combating water-borne diseases.
Step 2: SDG 6 to SDG 3
When a village gains a protected borehole and household latrines, children no longer drink water contaminated with faeces, so fewer develop diarrhoea and cholera. This reduces dehydration deaths in young children, helping end preventable deaths of children under 5 (SDG 3).
Step 3: SDG 3 to SDG 6
When people are healthy and not caring for sick children, they have time and energy to build, maintain and manage water systems; health workers also promote handwashing, which keeps sanitation facilities effective.
Step 4: Conclude
The goals reinforce each other, so investment in water and sanitation is also an investment in health, an example of the SDGs being integrated and indivisible.
Marker's note: the 2023 and 2024 examiners withheld marks when a goal was named but not described. Every link above starts from an accurate feature.
Feature 1: communicable disease. Achieving SDG 4 means all children gain literacy and numeracy. Children who stay in school after floods can read information about boiling water and handwashing, so they are less likely to drink unsafe water, helping to end epidemics of water-borne and other communicable diseases (SDG 3).
Feature 2: maternal mortality. SDG 4 also means girls have equal access to free primary and secondary education. Girls who stay in school are less likely to be married as children and to become pregnant before their bodies are ready, reducing maternal mortality (SDG 3).
Marker's note: each paragraph uses a named SDG 4 feature, a stimulus-linked mechanism and a named SDG 3 feature: that is the full 2-mark pattern, twice.
"SDG 4 Quality education helps people learn about health" restates the goal. Write a feature: "SDG 4 aims for all youth to achieve literacy and numeracy, so ...".
The 2022 examiners required both directions: how SDG 3 influences SDG 1 and how SDG 1 influences SDG 3.
Use SDG 12, not SDG 13, for relationship questions. For extreme poverty, use the World Bank line of US$3.00 a day; the older 1.90 and 2.15 dollar lines are out of date.
The SDGs work like a set of gears: turn one and the others turn too. If a village gets clean water, fewer children get sick. Healthy children go to school, and educated adults earn more and look after their families' health. So when a question asks how two goals are related, show how one gear turns the other, and then how it turns back.
Exam-style questions
Questions in the style of VCAA exam questions on this dot point, each with a worked answer. They are written by ExamExplained unless tagged "Past paper"; the year shows the paper a question is modelled on.
2022 VCAA Q13aPast paper6 marksUsing examples, analyse how the achievement of SDG 3, 'Good health and wellbeing', and SDG 1, 'No poverty', are interrelated. (6 marks)Show worked answer →
Average 1.8 out of 6; 26 per cent scored zero.
- What the marks needed
- The report said many students "only displayed a basic understanding of SDG 3 and SDG 1 without showing meaningful links between them". Full marks required examples showing how achieving SDG 3 can influence SDG 1 and how achieving SDG 1 can influence SDG 3.
- SDG 1 concepts to use (report)
- Social protection / welfare payments / government assistance; access to resources (food, shelter, water, clothing); ending extreme poverty; reducing the number of families living in poverty; reducing relative poverty; being able to afford health care and education.
- High-scoring response (report, summarised)
- Good health and wellbeing means universal access to health care such as vaccinations. People free from illness can work and earn an income, which increases the tax revenue governments can invest in social protection such as welfare payments, promoting no poverty (SDG 1). Eradicating extreme poverty (SDG 1) means people can afford health-promoting resources such as nutritious food like vegetables, strengthening the immune system and reducing the risk of communicable diseases such as malaria, promoting good health and wellbeing (SDG 3).
- For 2026
- The 2022 response quoted the old 1.90 dollar a day line. The VCAA FAQ says the World Bank's US$3.00 a day line (June 2025) is the only value to use in 2026.
Source: 2022 VCE Health and Human Development examination, Question 13a, and the 2022 examiners' report.
2023 VCAA Q12aPast paper2 marks[Stimulus: WHO World AIDS Day 2022 message 'Focus on equality': inequalities still persist for the most basic services like testing and treatment; everyone, everywhere should have equal access to HIV prevention, testing, treatment and care; health services should be adapted to reach and meet the needs of populations most at risk and affected, including a 'zero tolerance' policy to stigma and discrimination in all health services.] Describe one Sustainable Development Goal (SDG), other than SDG 3, that could contribute to the reduction of HIV/AIDS. (2 marks)Show worked answer →
Average 0.7 out of 2; 56 per cent scored zero. Part b (a WHO strategic priority) is on WHO priorities and work.
What the marks needed. Most students could identify an SDG, but many did not describe it accurately: "Simply restating the name of the goal did not provide enough detail to receive a mark." The report singled out SDG 4: writing that "children can be educated about HIV prevention" does not reflect specific features of the goal. Give the SDG's name, not just its number.
High-scoring response (report, summarised). Quality education, which focuses on ensuring all youth and adults have adequate literacy and numeracy skills, can reduce HIV/AIDS because people who are educated and have higher health literacy are more likely to have safe sex and protect themselves against HIV/AIDS.
Other goals work if you describe a feature of the goal, for example SDG 5 'Gender equality', which includes universal access to sexual and reproductive health and reproductive rights, so women can access HIV prevention and testing; or SDG 1 'No poverty', which includes social protection and access to basic services, so people can afford HIV testing and treatment.
Source: 2023 VCE Health and Human Development examination, Question 12a, and the 2023 examiners' report.
2024 VCAA Q10dPast paper4 marks[Stimulus: an adapted 2023 ABC News report, 'Pakistan's children are feeling the human toll of climate change: stunted growth and school dropouts', describing a three-year-old malnourished by food shortages, a World Bank report that about 40 per cent of children under five in Pakistan have stunted growth, floods in 2022 that submerged a third of the country, a severe heatwave, and flooding and heatwave events that have impacted children's access to education and the spread of disease.] Using information from the stimulus material on page 14, explain how the achievement of SDG 4, 'Quality education', contributes to achieving two key features of SDG 3, 'Good health and wellbeing'. (4 marks)Show worked answer →
Average 1.5 out of 4; 34 per cent scored zero.
- What the marks needed (report)
- Examples from the case study showing how SDG 4 contributes to SDG 3, with an understanding of both goals and two key features of SDG 3. Most students linked to SDG 3 features, but "many did not demonstrate understanding of SDG 4".
- SDG 4 features the report accepted
- Free primary and secondary education (all children complete free, equitable and quality primary and secondary education); equal access to quality pre-primary education; universal literacy and numeracy; building and upgrading inclusive and safe schools and education facilities.
- SDG 3 features the report listed
- End preventable deaths under 5; reduce mortality from NCDs and/or promote mental health; fight communicable diseases / end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases; universal health coverage; research and access to affordable vaccines and medicines; universal access to sexual and reproductive care, family planning and education; reduce maternal mortality.
- High-scoring response (report, summarised)
- Achieving SDG 4 means all children gain basic literacy and numeracy. Reducing school dropouts in Pakistan means children can read health information about protecting themselves from infectious diseases such as waterborne diseases, so they are less likely to drink unsafe water, helping to end epidemics of communicable diseases (SDG 3). Achieving SDG 4 also means girls have equal access to education, so girls in Pakistan who stay in school despite floods are less likely to be forced into child marriage and early pregnancy, reducing maternal mortality (SDG 3).
Source: 2024 VCE Health and Human Development examination, Question 10d, and the 2024 examiners' report.
Original4 marksExplain how the achievement of SDG 6 'Clean water and sanitation' could contribute to the achievement of two key features of SDG 3 'Ensure healthy lives and promote wellbeing for all at all ages'. (4 marks)Show worked answer →
Marks guide (Original, modelled on the 2025 examiners' report). About 2 marks per key feature: an aspect of SDG 6 described accurately, linked by cause and effect to a named key feature of SDG 3.
This mirrors the third bullet of the 10-mark 2025 VCAA Section B question (average 3.7 out of 10), set out verbatim on Factors affecting global health. The report's guidance for that bullet:
- SDG 6 aspects (report)
- WASH (water, sanitation and hygiene); access to safe and affordable water; ending open defecation; access to sanitation; improving water quality/treatment; expanding water and sanitation facilities in low-income countries; participation of local communities in water and sanitation management.
- SDG 3 key features (report)
- Reduce maternal mortality; end preventable deaths of newborns and children under 5; end water-borne disease and other communicable diseases; reduce illness and death from hazardous chemicals and pollution; reduce non-communicable diseases (musculoskeletal problems due to carrying water).
- Model answer (drawn from the report's high-scoring response)
- Achieving access to safe and affordable drinking water (SDG 6) means fewer people drink contaminated water and fall ill with water-borne diseases such as cholera, helping to end the epidemics of communicable diseases (SDG 3). Ensuring access to sanitation such as flushing toilets reduces open defecation and diarrhoeal disease, especially in children, helping to end preventable deaths of children under 5 (SDG 3).
Practice questions
Original practice questions graded from foundation to exam level, each with a full worked solution. Try them before revealing the solution.
foundation2 marksOutline one key feature of SDG 6 'Clean water and sanitation'.
Show worked solution →
Model answer. SDG 6 aims to achieve universal and equitable access to safe and affordable drinking water for all by 2030 (1 mark), so that people no longer rely on contaminated sources such as rivers and unprotected wells (1 mark for the outline).
Marking: 1 mark for an accurate feature, 1 mark for outlining what it involves. Naming the goal alone earns nothing.
foundation2 marksIdentify two key features of SDG 3 'Ensure healthy lives and promote wellbeing for all at all ages'.
Show worked solution →
Any two, each 1 mark: reduce the global maternal mortality ratio to less than 70 per 100,000 live births; end preventable deaths of newborns and children under 5; end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat water-borne diseases; reduce premature mortality from non-communicable diseases by one third; achieve universal health coverage; substantially reduce deaths and illnesses from hazardous chemicals and air, water and soil pollution.
foundation3 marksDescribe how achieving SDG 2 'Zero hunger' could contribute to one key feature of SDG 3.
Show worked solution →
- SDG 2 feature (1 mark)
- ending all forms of malnutrition, including stunting and wasting in children under 5.
- Link (1 mark)
- well-nourished children have stronger immune systems, so they are less likely to become seriously ill from diarrhoea, pneumonia or measles.
- SDG 3 feature (1 mark)
- this helps end preventable deaths of children under 5.
core4 marksExplain how achieving SDG 5 'Gender equality' can contribute to two key features of SDG 3.
Show worked solution →
First link (2 marks). SDG 5 includes universal access to sexual and reproductive health and reproductive rights. Women who can access contraception and decide when to have children can space pregnancies and avoid pregnancy at a very young age, so fewer die from complications of pregnancy and childbirth, reducing maternal mortality (SDG 3).
Second link (2 marks). SDG 5 includes eliminating all forms of violence against women and girls. Less intimate partner and sexual violence means fewer injuries, less depression and anxiety, and lower risk of HIV transmission, helping end the AIDS epidemic and promoting mental health (SDG 3).
Marking: for each link, 1 mark for an accurate SDG 5 feature and 1 mark for a clear cause-and-effect chain to a named SDG 3 feature.
core4 marksExplain how improved health (SDG 3) can contribute to achieving SDG 1 'No poverty' and SDG 4 'Quality education'.
Show worked solution →
SDG 3 to SDG 1 (2 marks). Achieving universal health coverage means people can use health services without financial hardship, so families are not pushed into poverty by out-of-pocket costs, and healthy adults can work and earn an income, reducing the number of people living below the international poverty line of US$3.00 a day.
SDG 3 to SDG 4 (2 marks). Children protected from malaria and diarrhoeal disease miss fewer school days and can concentrate in class, so they are more likely to complete primary and secondary education and achieve literacy and numeracy.
core3 marksExplain one way that achieving SDG 12 'Responsible consumption and production' contributes to SDG 3.
Show worked solution →
- SDG 12 feature (1 mark)
- achieving the environmentally sound management of chemicals and all wastes and significantly reducing their release to air, water and soil.
- Mechanism (1 mark)
- fewer toxic emissions and less contaminated water and soil mean people breathe cleaner air and drink and eat less contaminated water and food.
- SDG 3 feature (1 mark)
- this reduces deaths and illnesses from hazardous chemicals and air, water and soil pollution, such as respiratory disease, poisoning and some cancers.
exam6 marksUsing examples, analyse how the achievement of SDG 3 and SDG 2 'Zero hunger' are interrelated.
Show worked solution →
Marks guide (Original, modelled on the 2022 examiners' advice for the SDG 1 version). Full marks need examples showing how achieving SDG 2 influences SDG 3 and how achieving SDG 3 influences SDG 2, with accurate features of both goals.
- SDG 2 to SDG 3
- Ending malnutrition, including stunting and wasting in children under 5, strengthens children's immune systems, so they are less likely to die from diarrhoea or pneumonia: this helps end preventable deaths of children under 5. Ensuring access to safe, nutritious and sufficient food all year also reduces anaemia in pregnant women, which lowers the risk of haemorrhage in childbirth and reduces maternal mortality.
- SDG 3 to SDG 2
- Ending epidemics of communicable diseases such as malaria means small-scale farmers are not too sick to plant and harvest, increasing agricultural productivity and incomes (an SDG 2 target), so households can buy and grow enough food. Healthy children absorb nutrients better when they are free of intestinal infections, reducing undernutrition.
- Conclusion
- Because each goal's progress feeds the other, investment in nutrition is also investment in health, and vice versa.
Practise this
Sources & how we know this
- Transforming our world: the 2030 Agenda for Sustainable Development - the 17 goals and targets — United Nations Department of Economic and Social Affairs (2015)
- VCE Health and Human Development from 2025: Frequently asked questions (updated February 2026) — VCAA (2026)
- 2024 VCE Health and Human Development external assessment report — VCAA (2025)
- 2023 VCE Health and Human Development external assessment report — VCAA (2024)
- 2022 VCE Health and Human Development external assessment report — VCAA (2023)
- Progress on household drinking water, sanitation and hygiene 2000-2024: special focus on inequalities — WHO/UNICEF Joint Monitoring Programme (2025)
- Food Waste Index Report 2024 — United Nations Environment Programme (2024)
- VCE Health and Human Development Study Design (from 2025) — VCAA
- VCE Health and Human Development: examination specifications, past examinations and reports — VCAA