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Accelerating Progress on the MDGs Informal Meeting on the Preparation of the 2010 HLPM on the MDGs 8 March 2010 New York.

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Presentation on theme: "Accelerating Progress on the MDGs Informal Meeting on the Preparation of the 2010 HLPM on the MDGs 8 March 2010 New York."— Presentation transcript:

1 Accelerating Progress on the MDGs Informal Meeting on the Preparation of the 2010 HLPM on the MDGs 8 March 2010 New York

2 MDG 4. Under 5 Mortality has fallen below 9 million, but achieving MDG4 is still far off

3 Progress has not been evenly distributed among regions

4 Figure 6. Equity gaps in underfive mortality, by region of the world. Source: DHS analyzed by World Bank PovertyNet Equity gaps in under-five mortality, by region of the world

5 Overall progress in reducing under-5 mortality BUT little progress in reducing newborn deaths Source: Lawn JE et al, Lancet 2005

6 Pneumonia and Diarrhoea together account for more than one third of child deaths (including during the neonatal period) Source: World Health Organization, 2008 Globally, more than one third of child deaths are attributable to undernutrition Source: World Health Organization, 2008.

7 Measles-related deaths among children decreased from 733,000 in 2000 to 164,000 in 2008 Number of Measles Deaths , by MDG region Source: WHO, 2009

8 Global Immunization , DPT3 immunization coverage Source: WHO/UNICEF estimates of immunization coverage, July 2009

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10 Rapid progress in scaling up insecticide-treated net use Source: UNICEF Global malaria databases 2009, based on 22 countries with trend data for around 2000 and 2006, covering 53 % of children under age five.

11 Global production of mosquito nets has more than tripled since 2004 Source: UNICEF Supply Division data 2009, based on estimates from insecticide-treated net manufacturers. Global Production of long-lasting insecticidal nets, (millions) Note: Data for 2007 and 2008 are estimated production capacity.

12 Pneumonia: a killer for lack of treatment Care seeking for pneumonia (% of children under five with suspected pneumonia being taken to an appropriate care provider) * Excludes China Source: UNICEF global databases, 2009.

13 Continuum of feeding practices Developing world averages of key indicators (%) *: Excluding China due to lack of data Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys

14 MDG 5 - Maternal Mortality Half a million women continue to die annually from childbirth-related causes Another 10 million are left with lifelong debilitating effects Source: UNICEF: Progress for Children 2008

15 In the developing world, thirty-five per cent of women aged years entered into marriage/union by the age of 18 Percentage of women aged years who were married/in union by the age of 18, by region ( ). Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys

16 GAP 2 GAP 4 Whilst we know what works, there are important coverage gaps Source: Lancet Countdown Coverage writing group, Lancet Countdown special issue, 2008 GAP 3 GAP 1

17 Although ANC coverage is high, less than half of women in developing world receive recommended minimum of four visits

18 Source: UNICEF Global Database, Nov 2008 Caesarean section rates in urban and rural areas, selected countries in Africa, DHS Rural Africa lacks proper access to emergency obstetric care

19 Skilled attendant at delivery coverage has increased in all regions since 1990

20 Skilled health workers are in short supply

21 MDG 1: Reduction in underweight prevalence by half (1990 – 2015) 63 countries are on track to meet the MDG 1 target Progress is insufficient in 34 countries and 20 countries have made no progress Source: UNICEF Global Database, Nov 2009 Compiled from MICS, DHS and other national surveys

22 195 Million under-fives in the developing world are stunted

23 MDG 7: DRINKING WATER (2008 status) World ON TRACK for MDG target Progress towards the MDG drinking water target, 2008 Not on track Progress but insufficient On track Source: WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation, 2010

24 Urban/Rural disparities, 2008 Drinking water coverage, 2008 Less than 50% 50 – 75% % % Urban drinking water Rural drinking water Source: WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation, 2010

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26 MDG 7. Sanitation World not on track for MDG target On track Not on track Progress but insufficient Progress towards the MDG sanitation target, 2006 Source: WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation, 2010

27 1.1 billion people still practise open defecation, 2008 Countries where more than 10 million people practise open defecation, 2008 Source: WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation, 2010

28 Hygiene: Hand washing with soap….. can reduce diarrhoea rates by 42-47% can reduce Acute Respiratory Infections by up to 23% by mothers and birth attendants can reduce neonatal mortality rates by 44% Cost-effectiveness of hygiene promotion as a health intervention: US $ 3.35/ Disability Adjusted Life Year

29 Source: UNAIDS and WHO, AIDS Epidemic Update, Children (<15 years) estimated to be living with HIV, 2008 Total: 2.1 million (Range: 1.2 million million) 2.1 million children under 15 years are living with HIV globally

30 Percentage of pregnant women with HIV receiving antiretrovirals for preventing mother-to-child transmission of HIV in low- and middle-income countries, 2004– 2008

31 Percentage of children receiving antiretroviral therapy in low- and middle-income countries, 2005–2008 Source: Towards Universal Access: Scaling up priority HIV/AIDS interventions in the health sector, 2009, UNICEF, WHO, UNAIDS

32 Percentage of women aged with comprehensive correct knowledge of HIV, Percentage Less than 30 per cent per cent 50 per cent or more Data not available Comprehensive correct knowledge of HIV among young women aged remains low in most countries Source: UNICEF global databases, 2010 Compiled from MICS, DHS and other national surveys

33 Action for acceleration Focus on the main killers of children Scale up essential live-saving interventions Services and care through the life cycle Expand community-based approaches Strengthen health systems Significantly increase the investments (both national and external) in health systems Strengthen partnerships (private, CSO, professional associations, research institutions)

34 Essential interventions Skilled attendants at birth and emergency obstetric care Immunization Early and exclusive breastfeeding during the first six months of life Complementary feeding Micronutrient supplementation Insecticide-treated mosquito nets, effective medicines to prevent and treat malaria

35 Essential interventions Antibiotics to fight pneumonia Oral rehydration therapy and zinc to combat diarrhoeal diseases Treatment of severe acute malnutrition Prevention of mother-to-child transmission of HIV and paediatric treatment of AIDS Hand washing with soap Sanitation

36 Source: UNICEF global databases, 2009, and UNESCO Institute for Statistics Date Centre, March 2009 Progress towards MDG 2: Achieve universal primary education In more than 60 developing countries, at least 90 per cent of primary-school-age children are in school Primary school net enrolment rate or net attendance rate (2003–

37 Source: UNICEF Global Database, Nov per cent of primary-school-age children attend school Primary school enrolment/attendance rate, Net (%, )

38 Source: UNICEF global databases, 2009 MDG 3: Eliminate gender disparity in education Many countries have reached gender parity in primary education Gender parity index (GPI) in primary education (2003–2008)

39 Source: UNICEF global databases, 2009 Progress towards MDG 3: Eliminate gender disparity in education Fewer countries are near parity in secondary education Gender parity index (GPI) in secondary education (2003–2008)

40 Acceleration agenda Education main tool to break cycle of inter-generational poverty Investing in data Adequate, equitable and sustainable financing Exploiting IT to reach the unreached Engaging non-traditional partners – private sector, foundations, NGOs – to increase and enhance funding of basic education Focus on systems strengthening Revitalization of community-based approaches and social mobilization Concerted support to fragile contexts


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