Countries signing up to the goals are trying to achieve them by a 2015 deadline.
They include reducing extreme poverty, decreasing child deaths and fighting disease epidemics such as AIDS.
Civil society leader and activist Dr John Roughan, a long-term resident of Solomon Islands, says the country is failing to meet key targets on education and the environment.
But he told Radio Australia's Pacific Beat the country has done well on other Millennium Development Goals, including reducing infant mortality.
"In the (United) States, and probably Australia, 12 (deaths) per 1,000 is considered pretty high," the doctor said.
"Ours, I think is 37 per 1,000. Well, only a few years ago it was in the 100s."
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