Inter agency working group on community imci geneva 3 september 2002
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Contributing to reaching the Millennium Development Goals and the Goals of the World Fit for Children: Health and Nutrition in UNICEF's Mid-Term Strategic Plan 2002-2005. Inter-Agency Working Group on Community IMCI, Geneva, 3 September 2002. 200. 1990. 181. 175. 180. 2000. Least.

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Inter-Agency Working Group on Community IMCI, Geneva, 3 September 2002

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Inter agency working group on community imci geneva 3 september 2002

Contributing to reaching the Millennium Development Goals and the Goals of the World Fit for Children: Health and Nutrition in UNICEF's Mid-Term Strategic Plan 2002-2005

Inter-Agency Working Group on Community IMCI,

Geneva, 3 September 2002


Inter agency working group on community imci geneva 3 september 2002

200

1990

181

175

180

2000

Least

reduction

160

3%

140

128

120

U5MR (deaths per 1000 births)

100

100

Greatest

reduction

80

80

32%

64

58

60

53

45

44

38

37

40

20

9

6

0

Sub-Saharan

South Asia

Middle East &

East Asia and

Latin America

CEE/CIS and

Industrialized

Africa

North Africa

Pacific

& Caribbean

Baltics

countries

Under-five mortality rate, change over period 1990-2000

Source: UNICEF, 2001


Inter agency working group on community imci geneva 3 september 2002

U5MR disparity by asset quintile


Most deaths occur at home before reaching health facilities implications for programming

Most deaths occur at home,before reaching health facilities … Implications for programming?


Inter agency working group on community imci geneva 3 september 2002

Bangladesh U5MR


Inter agency working group on community imci geneva 3 september 2002

Immunization 1980-1999, DPT3 coverage


Low birthweight rate one quarter of births in south asia weigh less than 2500 grams

LOW BIRTHWEIGHT RATEOne quarter of births in South Asia weigh less than 2500 grams

Source: UNICEF, 2001


Inter agency working group on community imci geneva 3 september 2002

1 in 13 RISK OF DEATHA woman born in Sub-Saharan Africa faces a 1 in 13 chance of dying in childbirth. The risk for women born in industrialized countries is 1 in 4085.

Source: Maternal mortality in 1995: Estimates developed by WHO, UNICEF and UNFPA, Geneva, 2001.


Inter agency working group on community imci geneva 3 september 2002

Skilled attendants at delivery, 1995-20


The ultimate challenge hiv

The ultimate challenge: HIV

  • HIV - the worst pandemic in human history - risks reversing the progress of decades of development ...


Inter agency working group on community imci geneva 3 september 2002

Botswana U5MR


Estimated impact of aids on under 5 child mortality rates selected african countries 2010

Estimated impact of AIDS on under-5 child mortality rates - selected African countries, 2010

with AIDS

per 1000 live births

250

200

150

100

50

0

without AIDS

Botswana

Kenya

Malawi

Tanzania

Zambia

Zimbabwe

Source: US Bureau of the Census

98036-E-25 – 1 December 1999


Main goals of a world fit for children 2000 2010

Main Goals of A World Fit for Children (2000-2010)

  • Reduce infant and under-five mortality by at least one third by 2010 (and by 2/3 from 1990 to 2015)

  • Reduce maternal mortality ratio by at least one third by 2010 (and by 3/4 from 1990 to 2015)


Main goals of a world fit for children 2000 20101

Main Goals of A World Fit for Children (2000-2010)...

  • Reduce under-five child malnutrition by at least one third by 2010, with special attention to children under two and reduce the rate of low-birth weight by at least one third by 2010

  • Reduce proportion of households without access to hygienic sanitation facilities and affordable and safe water by at least one third by 2010


Main goals of a world fit for children 2000 20102

Main Goals of A World Fit for Children (2000-2010) ...

  • Develop and implement national early childhood development policies and programmes (children’s physical, social, emotional, spiritual and cognitive development)

  • Develop and implement national health policies and programmes for adolescents, including goals and indicators, to promote their physical and mental health


Main goals of a world fit for children 2000 20103

Main Goals of A World Fit for Children (2000-2010) ...

  • Access through the primary health-care system to reproductive health for all individuals of appropriate ages as soon as possible and no later than 2015


Main goals of a world fit for children 2000 20104

Main Goals of A World Fit for Children (2000-2010)...

  • Reduce by 2005 HIV prevalence among young men and women age 15 to 24 in the most affected countries by 25 per cent and by 25 percent globally by 2010

  • By 2005, reduce the proportion of infants infected by HIV by 20%, and by 50% by 2010


Organizational priorities 2002 2005 unicef s mid term strategic plan

Organizational Priorities 2002-2005: UNICEF’s Mid-Term Strategic Plan

  • Immunisation+

  • Integrated Early Childhood Development (Health, Nutrition, Water & Sanitation, Psychosocial Care and Early Learning, Child Protection)

  • HIV/AIDS

  • Girl’s Education

  • Child Protection


Immunization

Immunization +

  • By 2010, ensure full immunization at least 90% of children nationally with at least 80% coverage in every district

  • Certify by 2005 the global eradication of polio

  • Reduce deaths due to measles by half by 2005

  • Eliminate maternal and neonatal tetanus by 2005


Immunization1

Immunization + ...

  • Extension of the benefits of new and improved vaccines and other preventive health interventions to children in all countries, especially vitamin A where appropriate


Integrated early childhood development iecd

Integrated Early Childhood Development (IECD)

  • Health:

    • Major childhood killers (diarrhea, pneumonia, malaria)

    • Maternal and newborn health

  • Nutrition

    • Exclusive breastfeeding, complementary feeding, infant-feeding informed choices

    • Micronutrients (supplementation and fortification: iodine, vitamin A, anemia and iron, folic acid, others?)

  • Water and environmental sanitation

  • Psychosocial care and early learning


Hiv aids

HIV/AIDS

  • PMTCT

  • Prevention among young people

  • Care and Support

  • Orphans


With business as usual we will not reach the mdgs or those of the world fit for children

With business as usual, we will not reach the MDGs or those of the World Fit for Children

  • Need to redouble our efforts to support countries to reach these goals

  • How can we support countries to provide high coverage of a limited number of the most cost-effective interventions (the essential package) and support the development of sustainable national health systems?


Principles of good development

Principles of good development

  • Seek maximal impact on human development (eg. health and education) and on poverty reduction

  • Evidence-based decision-making

  • High impact, low-cost interventions

  • Universal coverage, reaching the unreached, especially the poor

  • Home- and community-based strategies

  • Essential knowledge and commodities (vaccines, treated bednets against malaria, etc.)


Inter agency working group on community imci geneva 3 september 2002

Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Challenge

  • 11 million children die each year

  • Most of these deaths are preventable: they are from a limited number of conditions for which we have high impact, low cost interventions

  • The challenge is to go to scale, to reach every child


Inter agency working group on community imci geneva 3 september 2002

Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Way Forward

  • Political commitment and national ownership by government, civil society and families

  • Clear time-bound goals: Reduce Under-five and Maternal Mortality by one-third during this decade (focus on outcomes and not just process)

  • High impact, low cost, focused programs with specific targets, standardised and taken to scale to reach every child (examples: immunisation, oral rehydration for diarrhea, treated bednets for malaria)


Inter agency working group on community imci geneva 3 september 2002

Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Way Forward ...

  • Strong and well-coordinated partnerships supporting these programs: developing countries, civil society and NGOs, multilateral agencies (WHO, UNICEF, World Bank)

  • Both developing country and donor resources

  • Strong monitoring and evaluation systems tracking progress towards targets

  • Reaching the Child and Maternal Survival Goals is possible if we commit our energy and our resources to it


Progress summary

Progress - Summary

  • The UN Special Session on Children: A World Fit for Children goals

  • UNICEF’s Mid-term Strategic Plan

  • Global Consultation on Child and Adolescent Health, Stockholm, March 2002

  • Launch at Special Session on New Low-Osmolarity ORS Solution


Progress summary1

Progress - Summary...

  • Consultation on the Community Management of Pneumonia, Stockholm, June 2002

  • Major effort on Roll Back Malaria

  • Major Measles results in Africa

  • A Secretariat for the C-IMCI IAWG

  • Increase child survival funding and staffing at UNICEF


The challenge reaching global child survival growth and development goals

The challenge…reaching global child survival, growth and development goals


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