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Progress towards achieving the MDGs Dr Mickey Chopra, Chief of Health, UNICEF. The progress towards MDG 4 is insufficient globally. Sub-Saharan Africa, Southern Asia and Oceania is not on track. Under-five mortality rate by region, 1990 and 2009. Source: IGME 2010.

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The progress towards mdg 4 is insufficient globally
The progress towards MDG 4 is insufficient globally

Sub-Saharan Africa, Southern Asia and Oceania is not on track





Total aid to mnch constant 2008 usd
Total aid to MNCH among regions(constant 2008 USD)

Non-Countdown

countries

68

Countdown

countries

ODA to MNH per birth

ODA to MNH


68 priority countries levels of oda to ch per child 2008
68 priority countries: among regionsLevels of ODA to CH per child, 2008

Population-weighted

Average:

$6 per child

Unweighted

Average:

$16 per child


68 priority countries levels of oda to mnh per birth 2008
68 priority countries: among regionsLevels of ODA to MNH per birth, 2008

Unweighted

Average:

$31 per birth

Population-weighted

Average:

$11 per birth


Funding gap still large
Funding gap still large among regions

Global Strategy for Women and Children 2010


Unequal progress to mdg s
Unequal Progress to MDG’s among regions

Under Five Mortality

2/3 countries that have made progress in reducing U5MR have shown worsening inequalities

(i.e gaps between better off and worse off have increased)

Indicates : delivery and financing of health and nutrition services as well as demand / use of these favor the better off

UNICEF Progress for Children 2010


In South Asia, the richest 20% are 23 times more likely to use improved sanitation than poorest 20%


Ukraine use improved sanitation than poorest 20%

Cuba

Rural

Bolivia

Urban

Indonesia

Honduras

Urban

Cameroon

Bangladesh

Rural

Chad

C. A. R.

Education marginalization – inequalities within countries

The case of Nigeria

14

12

10.3 years

10 years

Rich, rural boys

9.7 years

Rich, urban boys

10

Richest 20%

Rich, rural girls

Boys

8

Girls

Average number of years of schooling

Nigeria

Poor, urban boys

6.4 years

6.7 years

6

4

Education poverty

Poorest 20%

3.5 years

3.3 years

Poor, rural girls

2.6 years

2

Extreme education poverty

Rural Hausa

Poor, rural Hausa girls

0

0.3 years

0.5 years


Targeting ch aid
Targeting CH aid use improved sanitation than poorest 20%

Equatorial Guinea

Afghanistan

Chad

Niger


Targeting mnh aid
Targeting MNH aid use improved sanitation than poorest 20%

Equatorial Guinea

Afghanistan

Niger

Chad


Equity-driven programming can deliver better results, more equitably, at a lower cost per life saved in Pakistan

Locally-developed strategy can obtain similar or better results at a lower cost


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