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“ Investing in Children: the UNICEF Contribution to Poverty Reduction and the Millennium Summit Agenda ’’ Medium Term Strategic Plan 2006-2009 focus on reducing child mortality. Focus Areas: 2006-2009. Young Child Survival and Development Basic Education and Gender Equality

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Focus areas 2006 2009

“Investing in Children: the UNICEF Contribution to Poverty Reduction and the Millennium Summit Agenda’’Medium Term Strategic Plan 2006-2009focus on reducing child mortality


Focus areas 2006 2009

Medium Term Strategic Plan 2006-2009


Focus areas 2006 2009

Focus Areas: 2006-2009

  • Young Child Survival and Development

  • Basic Education and Gender Equality

  • HIV/AIDS and Children

  • Child Protection : Preventing and responding to Violence, Exploitation & Abuse

  • Policy Advocacy and Partnerships for Children’s Rights

Medium Term Strategic Plan 2006-2009


Young child survival development

Young Child Survival & Development

  • UNICEF’s work in the 2006-2009 period and beyond in support of MDG 4 on reducing child mortality. But this focus area also encompasses several other MDGs, including

  • MDG 1 on reducing poverty and malnutrition;

  • MDG 7 on the environment, through UNICEF support for safe water and sanitation;

  • MDG 6 on Prevention and Control of Malaria; and

  • MDG 5 on reducing maternal mortality, which UNICEF will support through joint programming initiatives with UNFPA and WHO.

Medium Term Strategic Plan 2006-2009


Young child survival and development

Young Child Survival and Development

  • The 12 organizational targets in this focus area are:

  • Increase and sustain vaccination coverage to at least 90% at national level and 80% in all districts or equivalent administrative units, with particular focus on reaching population groups with low coverage levels;

  • Interrupt polio transmission in all remaining endemic countries and achieve certification of global polio eradication;

  • In all countries with high child mortality rates that are malaria endemic, increase and sustain to at least 60% the percentage of young children and pregnant women sleeping under an ITN in all malaria-endemic districts.

  • In 60 countries with high child mortality rates and/or with large numbers of child deaths, increase and sustain to at least 60% the effective coverage of high impact health and nutrition intervention packages with emphasis on families in poverty.

  • All high U5MR countries have country owned and led PRS – or equivalent national development strategies – that set medium term targets for scaling up high impact and synergistic maternal, newborn and health and nutrition child survival intervention packages and define equity based plans for achieving these targets, linked to medium term expenditure frameworks.

Medium Term Strategic Plan 2006-2009


Young child survival and development1

Young Child Survival and Development

  • The 12 organizational targets in this focus area are:

  • Increase by at least 50% the number of families utilizing appropriate care and feeding practices for child survival, growth and development

  • Increase by at least 50% the number of families with access to services and essential resources that contribute to young child survival, growth and development

  • All programme countries have an enabling policy environment for improved family and community care practices for survival, growth and development

  • Support the development and implementation of community-based hygiene improvement and water safety plans that lead to reduction in childhood diarrheoa and other water-related diseases.

  • Support progress towards Target 10 of the MDGs, through support to scaling up of adequately financed, decentralized, locally determined programmes consisting of a balanced mix of hygiene, sanitation and water supply interventions, focusing on poor rural and urban families;

  • Provide leadership with other key agencies on working with governments to strengthen sector plans, policies and budgets for hygiene, sanitation and water supply, and incorporate these into national Poverty Reduction Strategies, Sector Wide Approaches (SWAPs) and UNDAFs

  • Implement the CCCs for young child health, nutrition and water, sanitation and hygiene in declared emergency situations

Medium Term Strategic Plan 2006-2009


Focus areas 2006 2009

Medium Term Strategic Plan 2006-2009


Focus areas 2006 2009

Medium Term Strategic Plan 2006-2009


Focus areas 2006 2009

Medium Term Strategic Plan 2006-2009


Highest 5 mr ranked countries

Highest <5 MR Ranked Countries

  • 1) Sierra Leone

  • 2) Angola

  • 3) Afghanistan

  • 4) Niger

  • 5) Liberia

  • 6) Somalia

  • 7) Mali

  • 8) Chad

  • 9) Equatorial Guinea

  • 10) DRC

  • 11) Rwanda

  • 12) Guinea

  • 13) Cote D’ Ivoire

  • 14) Nigeria

  • 15) CAR

  • 16) Burkina Faso

  • 17) Burundi

  • 18) Zambia

  • 19) Ethiopia

  • 20) Swaziland

*Source: SOWC 2007

Medium Term Strategic Plan 2006-2009


Evidence based interventions in africa

% deaths preventable with single prevention intervention

Bednets: 12%

Breastfeeding: 9%

Zinc: 7%

Complementary feeding: 7%

PMTCT: 6%

HiB vaccine: 4%

Clean delivery: 4%

Vitamin A: 3%

Wat/San: 3%

% deaths preventable with single treatment intervention

Oral rehydration: 14%

Antimalarials: 8%

Antibiotics: 6% (pneumonia)

Zinc: 4%

Antibiotics: 4% (sepsis)

Antibiotics: 3% (dysentery)

Newborn resuscitation: 3%

Vitamin A: 0.5%

Evidence-Based Interventions in Africa

Medium Term Strategic Plan 2006-2009


Focus areas 2006 2009

Reported DPT3 Coverage in AFR

Jan-Aug 2005 & Jan-Aug 2006

EMRO

>= 80%

>= 90%

50 - 79%

<50%

2005

2006

ND

ND

25%

59%

74%

70%

71%

75%

63%

52%

ND: No data

Source: 2006 EPI Monthly report

12

Medium Term Strategic Plan 2006-2009


Givs goal 90 reduction in global measles deaths by 2010 vs 2000

GIVS Goal: 90% Reduction in Global Measles Deaths by 2010 (vs. 2000)

2010 90% measles mortality reduction goal

2005 50% measles mortality reduction goal achieved!

90%

Source: WHO/IVB measles deaths estimates, November 2006

Medium Term Strategic Plan 2006-2009


Child health days are a routine strategy in many african countries

Frequency:

Once

Twice

3

# of interventions:

2

>=4

Child Health Days Are a Routine Strategy in Many African Countries

Data Source: 24 Jan 2007 revision of the Vitamin A Coverage database

Medium Term Strategic Plan 2006-2009


Missed opportunities must be seized

Missed opportunities must be seized..

Africa has relatively high coverage of at least one ANC visit – yet many missed opportunities for high impact interventions and for birth preparedness

Medium Term Strategic Plan 2006-2009

Source: Opportunities for Africa’s Newborns


Focus areas 2006 2009

ARV coverage for PMTCT is

still very low

Medium Term Strategic Plan 2006-2009


Core child survival indicators

Core Child Survival Indicators

Child Health

  • Immunization

    • Measles Coverage

    • Hib coverage

    • DPT3 coverage

  • Malaria

    • ITN use

    • Number of ITNs distributed

    • Anitmalarial treatment

  • Pneumonia

    • Careseeking for pneumonia

    • Antibiotic treatment for pneumonia

  • Diarrheal diseases

    • ORS & continued feeding for diarrhea

  • Water & Sanitation

    • Population using improved water sources

    • Population using improved sanitation facilities

  • HIV/AIDS

    • HIV prevalence among pregnant women 15-24

    • Orphan school attendance ratio

    • % of children receiving ART

    • % HIV-positive pregnant women receiving ARVs

Child Mortality

  • Under-five mortality

    • Under-five mortality rate

      Nutrition

  • Vitamin A

    • Vitamin A supplementation rate

  • Malnutrition

    • Underweight prevalence

    • Stunting prevalence

    • Wasting prevalence

  • Low birth weight

    • Low birth weight incidence

  • Breastfeeding

    • Exclusive breastfeeding rate

    • Complementary feeding rate (6-9 mos.)

    • Continued breastfeeding rate (20-23 mos.)

      Maternal Health

  • Antenatal Care

    • Antenatal care coverage

  • Delivery care

    • Births attended by skilled health personnel

Medium Term Strategic Plan 2006-2009


Thank you

thank you


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