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MDG4: Reduce child mortality

Child Mortality Estimation Pending Issues Workshop on MDG monitoring (SADC/ECA) Kampala, Uganda, 5-8 May 2008. MDG4: Reduce child mortality. Target 5 : Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate  13. Under-five mortality rate (U5MR)

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MDG4: Reduce child mortality

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  1. ChildMortality EstimationPending IssuesWorkshop on MDG monitoring(SADC/ECA) Kampala, Uganda, 5-8 May 2008

  2. MDG4: Reduce child mortality Target 5: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate  13. Under-five mortality rate (U5MR) 14. Infant mortality rate (IMR) 15. Proportion of 1 year-old children immunised against measles

  3. Summary of pending issues • Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce globally? • The inter agency group for child mortality estimation • The child mortality data base • Regional workshops for coordination and capacity building

  4. Summary of pending issues • Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce globally? Yes and very often! The question is Why? • The inter agency group for child mortality estimation • The child mortality data base • Regional workshops for coordination and capacity building

  5. Reasons for the differences • Different data sources: vital registration, population census, household surveys, sample registration systems or a combination of them • Different methods of calculation for IMR and U5MR • Different methods of estimation when combining data sources and methods • Reference year to which the estimates correspond and when the estimates are produced (usually in June for UNICEF but published in November)

  6. The reality of child mortality estimates • The majority of child mortality occurs in countries without adequate vital registration systems - hence use has to be made of alternative sources, primarily household surveys and censuses. • What do these source data look like graphically, and what might be the derived mortality estimates? Example: Uganda

  7. Uganda U5MR 1

  8. UgandaU5MR 2

  9. Uganda U5MR 3

  10. Uganda U5MR 4

  11. Estimates

  12. Levels and Trends of Child Mortality in 2006[Working Paper] Estimates developed by the Inter-agency Group for Child Mortality Estimation http://www.childinfo.org/areas/childmortality/methodology.php

  13. Summary of pending issues • Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? • The inter agency group for child mortality estimation: IGME! • The child mortality data base • Regional workshops for coordination and capacity building

  14. IGME? • The Inter Agency Group for Child Mortality Estimation – IGME includes UNICEF, WHO, The World bank and the UN Population Division. Invites other agencies. • Aims to produce yearly estimation of child mortality indicators (IMR and U5MR) • In the process of developing and maintaining the CM Data Base • Aims to create capacity at the country level to increase the use of the CM data base • Meets at least once a year. Most recent meeting in March 2008.

  15. Summary of pending issues • Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? • The inter agency group for child mortality estimation • The child mortality data base • Regional workshops for coordination and capacity building

  16. The child mortality data base • A DevInfo application • I will demonstrate the features and uses • The idea is for countries to become users for data entry, assessment, estimation and dissemination • Training to be implemented via regional workshops

  17. Summary of pending issues • Are there differences between child mortality estimates (IMR and U5MR) produced at the country level and those produce in New York? • The inter agency group for child mortality estimation • The child mortality data base • Regional workshops for coordination and capacity building

  18. Regional workshops for coordination and capacity building • One week training for Maternal Mortality and Child Mortality • Starting in September 2008 in Bangkok • Second workshop in Africa (end of 2008 beginning of 2009) • Representatives of MOH and NSOs + UNICEF (if needed) • Review of data sources, methodologies, and estimation procedures • Hands-on training

  19. Focal point for CM estimation in New York Edilberto Loaiza eloaiza@unicef.org. Tel. 212-326 7243 QUESTIONS?

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