Presentation on theme: "Inter-Agency Working Group on Community IMCI, Geneva, 3 September 2002"— Presentation transcript:
1Inter-Agency Working Group on Community IMCI, Geneva, 3 September 2002 Contributing to reaching the Millennium Development Goals and the Goals of the World Fit for Children: Health and Nutrition in UNICEF's Mid-Term Strategic PlanInter-Agency Working Group on Community IMCI,Geneva, 3 September 2002
2Under-five mortality rate, change over period 1990-2000 181128805853451751006444373896204060120140160180200Sub-SaharanAfricaSouth AsiaMiddle East &North AfricaEast Asia andPacificLatin America& CaribbeanCEE/CIS andBalticsIndustrializedcountriesU5MR (deaths per 1000 births)19902000Leastreduction3%Greatest32%UNICEF has very recently reviewed the progress made on achieving the World Summit for Children goals. The results of this review have been included in an update to the UN Secretary General’s 2001 reportThe present slide is taken from this update and shows progress in the reduction of the under-five mortality rate (U5MR) during the 1990s. The region with the smallest reduction is where U5MR is highest, in sub-Saharan Africa, and the largest reduction is where U5MR is lowest, in the industrialized countries.Source: UNICEF, 2001
8LOW BIRTHWEIGHT RATE One quarter of births in South Asia weigh less than 2500 grams Source: UNICEF, 2001
91 in 13 RISK OF DEATH A woman born in Sub-Saharan Africa faces a 1 in 13 chance of dying in childbirth. The risk for women born in industrialized countries is 1 in 4085.Source: Maternal mortality in 1995: Estimates developed by WHO, UNICEF and UNFPA, Geneva, 2001.
11The ultimate challenge: HIV HIV - the worst pandemic in human history - risks reversing the progress of decades of development ...
12Botswana U5MRAn example of a country with increasing U5MR, primarily a result of HIV/AIDS.
13Estimated impact of AIDS on under-5 child mortality rates - selected African countries, 2010 with AIDSper 1000 live births25020015010050without AIDSBotswanaKenyaMalawiTanzaniaZambiaZimbabweSource: US Bureau of the Census98036-E-25 – 1 December 1999
14There are eight Millennium Development Goals (MDGs), divided into 18 targets. Social development is primarily represented by the first seven goals. These are listed in this and the following two slides.
17Main Goals of A World Fit for Children (2000-2010) Reduce infant and under-five mortality by at least one third by 2010 (and by 2/3 from 1990 to 2015)Reduce maternal mortality ratio by at least one third by 2010 (and by 3/4 from 1990 to 2015)
18Main Goals of A World Fit for Children (2000-2010)... Reduce under-five child malnutrition by at least one third by 2010, with special attention to children under two and reduce the rate of low-birth weight by at least one third by 2010Reduce proportion of households without access to hygienic sanitation facilities and affordable and safe water by at least one third by 2010
19Main Goals of A World Fit for Children (2000-2010) ... Develop and implement national early childhood development policies and programmes (children’s physical, social, emotional, spiritual and cognitive development)Develop and implement national health policies and programmes for adolescents, including goals and indicators, to promote their physical and mental health
20Main Goals of A World Fit for Children (2000-2010) ... Access through the primary health-care system to reproductive health for all individuals of appropriate ages as soon as possible and no later than 2015
21Main Goals of A World Fit for Children (2000-2010)... Reduce by 2005 HIV prevalence among young men and women age 15 to 24 in the most affected countries by 25 per cent and by 25 percent globally by 2010By 2005, reduce the proportion of infants infected by HIV by 20%, and by 50% by 2010
22Organizational Priorities 2002-2005: UNICEF’s Mid-Term Strategic Plan Immunisation+Integrated Early Childhood Development (Health, Nutrition, Water & Sanitation, Psychosocial Care and Early Learning, Child Protection)HIV/AIDSGirl’s EducationChild Protection
23Immunization +By 2010, ensure full immunization at least 90% of children nationally with at least 80% coverage in every districtCertify by 2005 the global eradication of polioReduce deaths due to measles by half by 2005Eliminate maternal and neonatal tetanus by 2005
24Immunization + ...Extension of the benefits of new and improved vaccines and other preventive health interventions to children in all countries, especially vitamin A where appropriate
25Integrated Early Childhood Development (IECD) Health:Major childhood killers (diarrhea, pneumonia, malaria)Maternal and newborn healthNutritionExclusive breastfeeding, complementary feeding, infant-feeding informed choicesMicronutrients (supplementation and fortification: iodine, vitamin A, anemia and iron, folic acid, others?)Water and environmental sanitationPsychosocial care and early learning
26HIV/AIDSPMTCTPrevention among young peopleCare and SupportOrphans
27With business as usual, we will not reach the MDGs or those of the World Fit for Children Need to redouble our efforts to support countries to reach these goalsHow can we support countries to provide high coverage of a limited number of the most cost-effective interventions (the essential package) and support the development of sustainable national health systems?
28Principles of good development Seek maximal impact on human development (eg. health and education) and on poverty reductionEvidence-based decision-makingHigh impact, low-cost interventionsUniversal coverage, reaching the unreached, especially the poorHome- and community-based strategiesEssential knowledge and commodities (vaccines, treated bednets against malaria, etc.)
29Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Challenge11 million children die each yearMost of these deaths are preventable: they are from a limited number of conditions for which we have high impact, low cost interventionsThe challenge is to go to scale, to reach every child
30Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Way ForwardPolitical commitment and national ownership by government, civil society and familiesClear time-bound goals: Reduce Under-five and Maternal Mortality by one-third during this decade (focus on outcomes and not just process)High impact, low cost, focused programs with specific targets, standardised and taken to scale to reach every child (examples: immunisation, oral rehydration for diarrhea, treated bednets for malaria)
31Consensus from the Global Consultation on Child and Adolescent Health in Stockholm, March 2002: the Way Forward ...Strong and well-coordinated partnerships supporting these programs: developing countries, civil society and NGOs, multilateral agencies (WHO, UNICEF, World Bank)Both developing country and donor resourcesStrong monitoring and evaluation systems tracking progress towards targetsReaching the Child and Maternal Survival Goals is possible if we commit our energy and our resources to it
32Progress - SummaryThe UN Special Session on Children: A World Fit for Children goalsUNICEF’s Mid-term Strategic PlanGlobal Consultation on Child and Adolescent Health, Stockholm, March 2002Launch at Special Session on New Low-Osmolarity ORS Solution
33Progress - Summary...Consultation on the Community Management of Pneumonia, Stockholm, June 2002Major effort on Roll Back MalariaMajor Measles results in AfricaA Secretariat for the C-IMCI IAWGIncrease child survival funding and staffing at UNICEF
34The challenge…reaching global child survival, growth and development goals