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Challenges of meeting MDG4 and MDG 5 in Bangladesh

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Challenges of meeting MDG4 and MDG 5 in Bangladesh

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    1. Challenges of meeting MDG4 and MDG 5 in Bangladesh Prof. Kishwar Azad Project Director DAB-Perinatal Care Project

    4. Trends in Newborn Infant and Under-5 Mortality Rates by Year, Bangladesh 1993 - 2007 Data from community-based registers Data from community-based registers

    5. Challenges of meeting MDG4 and MDG5 in Bangladesh Causes of Under-5 mortality

    6. Challenges of meeting MDG4 and MDG5 in Bangladesh Interventions to achieve MDG-4

    7. Causes of Neonatal Deaths

    9. Interventions to achieve MDG-5

    12. Challenges of meeting MDG4 and MDG5 in Bangladesh Existing neonatal and child health programmes Essential newborn care Special care for LBW babies Exclusive and breastfeeding Management of birth asphyxia and neonatal sepsis in the facility and community Immunization IMNCI/Community-IMNCI Routine Vitamin-A supplementation Infant and young child feeding (National Nutrition Programme) National Neonatal Health Strategy (under development)

    13. Opportunities to overcome challenges-1 STRENGTHEN and EXPAND EXISTING PROGRAMMES Political commitment is critical - Strong government commitment present Governments, donors, partners, professionals and civil society need to work in concert Strategic focus for mother and child Care during delivery is the priority All women should ideally be able to deliver in health centres, with skilled birth attendants/midwives working in teams Target the women in greatest need: e.g., poor rural women Breastfeeding, EPI, NNP, IMNCI at facility and community

    14. Greater financial resources Protect poorest from catastrophic payments, ensure equitable coverage by demand side financing eg voucher scheme More investment Continued Investment in family planning and safe menstrual regulation Strengthening of emergency obstetric care in hospitals Additional policies, such as those that bring about expansion of female education, reduction of maternal malnutrition, better financial access for the poor, and poverty reduction, are essential

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