Gillian mellsop representative unicef china office unicef 2012 11
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Gillian Mellsop Representative, UNICEF China office 麦吉莲, UNICEF 驻华代表 2012 年 11 月 PowerPoint PPT Presentation


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Gillian Mellsop Representative, UNICEF China office 麦吉莲, UNICEF 驻华代表 2012 年 11 月. CALL to ACTION 吹响行动的号角 Ending Preventable Child Deaths 消除可预防的儿童死亡 Global roadmap for neonatal, child and maternal survival 改善全球新生儿、儿童、孕产妇生存状况路线图. Overall goal End preventable child deaths

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Gillian Mellsop Representative, UNICEF China office 麦吉莲, UNICEF 驻华代表 2012 年 11 月

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Gillian mellsop representative unicef china office unicef 2012 11

Gillian MellsopRepresentative, UNICEF China officeUNICEF201211

CALL to ACTION

Ending Preventable Child Deaths

Global roadmap for neonatal, child and maternal survival


Gillian mellsop representative unicef china office unicef 2012 11

  • Overall goal End preventable child deaths

  • Interim goals Reach MDGs 4 and 5 by 2015

    In countries with an under-five mortality rate above 20 under-five deaths per 1,000, reduce the mortality rate to 20 deaths or fewer by 2035

  • 2015MDG

    202035

    20


Ending preventable child deaths a vision we share

Ending preventable child deaths- A vision we share

  • Its the right thing to do-every child deserves a fifth birthday

    • It is within our reach

    • 6.9 million children die each year before their fifth birthday760

  • Nearly all these deaths are preventable with know cost-effective solutions

  • It makes economic sense

    • Improving child survival brings a demographic dividend through fertility declines, reduced mortality and increased economic productivity

    • Reduction in child mortality can result in billions of dollars in direct economic savings-life-saving vaccines along could save 6.4 million lives and $231 billion in productivity by 202020206402310

  • It is an indicator of good governance-child survival reflects national policy promoting investment in equitable social and economic progress


Good progress has been made u5mr trends china 1990 2010 1990 2010

Good progress has been made!U5MR trends, China 1990-201019902010

Source: Level & trends in CM, UN Estimates;


Despite overall progress china is reducing u5m in an inequitable way

Despite overall progress,China is reducing U5M in an inequitable way

U5MR in provinces in China, 2011

Highest U5MR is 8x more than lowest U5MR:

268,000 children can be saved yearly

should the whole country have the lowest U5MR

268000

2015 target

2015

Source: MCMSS, 2011


Arr by province

ARR by province

ARR (%)


Distribution of causes of u5 mortality not all problems receive attention due

Distribution of causes of U5 mortality:Not all problems receive attention due

Number 3

Birth asphyxia

Neonatal causes: 55%

Number 1

Preterm/LBW

/

Malnutrition

Number 2

Pneumonia

Diarrhoea

Infection: 22%

Source: MCMSS, 2009


Gillian mellsop representative unicef china office unicef 2012 11

2035

2035

2035

2035


Gillian mellsop representative unicef china office unicef 2012 11

?

Source: Feng XL,Guo S,Yang Q,Xu L,Zhu J,Guo Y. Regional disparities in child mortality within China 1996-2004: epidemiological profile and health care coverage. Environ Health Prev Med.2011 Jul;16(4):209-16.


Mmr decrease with hospital delivery rate increase

MMR decrease with hospital delivery rate increase


Gillian mellsop representative unicef china office unicef 2012 11

  • 1:

  • 2.

  • 3. 1 23

  • 4.1234

  • 5.:1)234


Geographic focus 10 provinces contribute 60 of all child death 60

Geographic focus: 10 provinces contribute 60% of all child death60%

  • Accelerating progress in these province can have significant impact on under- five mortality

  • It needs to collaborate more closely with the high burden provinces to overcome barriers to successful, sustainable child health programs


Gillian mellsop representative unicef china office unicef 2012 11

  • The child mortality burden is disproportionately concentrated in poor and marginalized communities

  • Equity-based approaches focusing on expanding services and reducing disparities in essential services and out-of-pocket expenditures for the poor have the potential to achieve a 50% reduction in U5MR among the most excluded populations50%

  • Effectively increasing health outcomes for the poor requires:

    • Enacting policies to expand health care coverage, e.g., enacting free health care as a constitutional right or enacting task-shifting regulations

    • Community-based delivery platforms providing packages of essential health services

    • Minimizing barriers to use, e.g., eliminating user fees or reducing transport costs

    • Significant barriers exist e.g. populations hard to locate, hard to reach, little political voice, may have special needs and therefore solutions need to be adapted


Gillian mellsop representative unicef china office unicef 2012 11

50%

2015

2010 2015 2015


Gillian mellsop representative unicef china office unicef 2012 11

  • Five causes account for over 80% of child deaths: Prematurity/low birth weight, birth asphyxia, congenital birth defects, pneumonia and injury. 80%/

  • Provinces must systematically prioritize the top causes of mortality and the interventions that have the largest potential for sustained

  • Provinces must address neonatal conditions to reach their U5MR targets Underlying factors such as nutrition


Gillian mellsop representative unicef china office unicef 2012 11

4.

/

GDP

HIV


Gillian mellsop representative unicef china office unicef 2012 11

  • MDG45


Gillian mellsop representative unicef china office unicef 2012 11

WHO

2015

MDG45

GF


Gillian mellsop representative unicef china office unicef 2012 11


China s health minister signed the pledge starting point for china s child survival strategy

Chinas Health Minister signed the Pledge:starting point for Chinas child survival strategy

  • 1. Encourage government to sign the Pledge

  • 2. Support government-led efforts to develop evidence-based action plans and milestones for accelerating declines in preventable child deaths

  • Implementation of LiST

  • LiST

  • 3. Reinforce government-led efforts to monitor national and sub-national progress on maternal, newborn and child survival

  • Development of standard indicator list

  • 4. Build cross-sectoral child survival strategies

  • Implementation of ECD pilot project

  • 5. Strengthen coordination and scale up action

  • Rally partners around child survival strategy


Gillian mellsop representative unicef china office unicef 2012 11


Thanks

Thanks


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