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Maternal, neonatal, child health and nutrition . Gunta Lazdane WHO Regional Office for Europe. A big challenge …. Globally every year… 7,6 million children die before their 5 th birthday 3,2 million newborn babies in the first month of life 2,4 million infants between 1 – 12 months

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Maternal neonatal child health and nutrition

Maternal, neonatal, child health and nutrition

Gunta Lazdane

WHO Regional Office for Europe


A big challenge
A big challenge …

Globally every year…

7,6 million children die before their 5th birthday

3,2 million newborn babies in the first month of life

2,4 million infants between 1 – 12 months

356 000 women die due to complications of pregnancy and childbirth

15 million women develop long-term consequences due to pregnancy and childbirth


Child nutrition and mdgs
Child nutrition and MDGs

  • In 2010, globally, an estimated 27% of children younger than 5 years were stunted

  • Undernutrition continues to be high and delays progress toward reaching Millennium Development Goals

  • Extremely poor breastfeeding and complementary feeding practices

  • Micronutrient deficiencies (iodine, iron deficiency ) still a serious problem and obesity on the rise….


The way forward
The way forward…

By 2015:

Saving 16 million lives of women and children

Preventing 33 million unwanted pregnancies

Protecting 88 million children from stunting

Protecting 120 million children from pneumonia


Targets and indicators for monitoring mdg 4 and 5
Targets and indicators for monitoring MDG 4 and 5

  • Under-five mortality rate

  • Infant mortality rate

  • Proportion of 1 year-old children immunised against measles

Goal 4: Reduce child mortality

Target 4A: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate

  • Maternal mortality ratio

  • Proportion of births attended by skilled health personnel

Goal 5: Improve maternal health

Target 5A: Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio

Target 5B: Achieve, by 2015, universal access to reproductive health

  • Contraceptive prevalence rate

  • Adolescent birth rate

  • Antenatal care coverage

  • Unmet need for family planning


Mongolian Welfare Association

… and other partners


WORLD HEALTH ORGANIZATION

WHO Constitution

Executive Board, DG

Resolutions and decisions http://apps.who.int/gb/or/

World Health Assembly

Executive Board

Regional Committees

10-13 September 2012

Malta

Standing Committee of RC - only in WHO/Europe



Good progress in achieving mdg 4 in the who european region
Good progress in achieving MDG 4 in the WHO European Region

In 2009 11 countries achieved MDG 4 target

Source: WHO European Region estimates; WHO, 2011


Probability of dying before age 5 years per 1 000 live births
Probability of dying before age 5 years per 1 000 live births

However big discrepancies between countries

70

60

50

40

30

20

10

0

Central Asian Republics

1980

1990

2000

2010

Source: WHO/Europe Health for all Database

Commonwealth of Independent States

European Region

European Union


Major causes of deaths are known
Major causes of deaths are known

Deaths among children under-five

Neonatal deaths

Source: Major causes of under five and neonatal deaths, European Region, 2008; WHO The World Health Statistics 2011


Good progress in maternal health – MDG5

WHO European Region

average annual decline of 3.8%

5.5% required to achieve MDG5

Source: Trends in Maternal Mortality: 1990 to 2008; WHO, 2010


Maternal deaths per 100000 live births
Maternal deaths per 100000 live births

70

60

50

40

30

Central Asian Republics

20

Commonwealth of Independent States

European Region

European Union

10

0

1980

1990

2000

2010


Every two years WHO secretariat develops a progress report based on the filled in questionnaires received from the WHO Member States and presents it to the World Health Assembly (2006,2008, 2010, 2012, 2014!)

Questionnaires will be sent to countries in 2013


Guidelines and tools available
Guidelines and tools available

European strategy for child and adolescent health and development (2005)

Tools for implementation


Effective interventions exist
Effective Interventions exist…

expected % of reduction in U5M

Intervention

Source: Lancet Child Survival Series 2003


Monitor

Review

Action


From recommendations to actions
From recommendations to actions

COMMISSION

RECOMMENDATIONS

1 Monitoring results & CRVS

2 11 core indicators & equity

3 Digital health & innovation

4 Financial indicators tracked

5 Comprehensive reporting

6 Capacity for NHA

7 National Accountability

mechanisms

8 Transparency

9 MNCH specific reporting

10 Expert Review Mechanism

NHA & MNCH tracking

Monitoring of results

Birth and death registration

Maternal

death surveillance & response

Country

assessment &

Roadmap

ehealth & innovation

Country review processes

Advocacy and action

Monitoring results

Global

actions

Tracking resources

Global review (iERG)


To accelerate progress
To accelerate progress …

Tackle inequities by addressing the determinants of maternal and child health through cross-sector and gender-right based approach

Strengthen health

Strengthen health information

Implement new vaccines and develop immunization service delivery strategies

Address the links between noncommunicable diseases and MDGs




Health 2020: a European policy framework supporting action across government and society for health and well-being



Continuum of care
Continuum of care months, 2005-2010


Accelerated actions to achieve mdg 4 and 5

Developing clear months, 2005-2010policies and action plans from a life-course and multi-sectorial perspective

Improved data collection, analysis and evidence-based decision making

Supported and monitored implementation of evidence based health interventions

Improving access and quality of care; trained health professionals with right skill mix

Involvement of communities and civil society

Accelerated actions to achieve MDG 4 and 5


THANK YOU! months, 2005-2010


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