1. CHILD RIGHT TO HEALTH Judita Reichenberg UNICEF Area Representative for Serbia and for Croatia 21 April 2008

2. Contents Child right to health care Realisation of rights Who does not realise his/her rights and why? Recommendations Child rights and health

3. Child rights to health Child has a right to the highest attainable standard of health and health care (Convention on the Rights of the Child, Article 24) In Serbia: Free health care for all children up to 15 years of age Principle of accessibility Principle of non-discrimination Child rights and health

4. Realisation of rights Source: Vital Statistics (Devinfo data base) i Health Statistics Child rights and health

5. Source: Institute of Public Health of Serbia (Devinfo data base) Child rights and health

6. EXISTING DISPARITIES No gender or area (urban/rural) based disparities Small disparities based on education of mother and economic status of the family Significant disparities in geographical areas The most significant – disparities based on ethnicity Child rights and health

7. Proportion of 1 year-old children immunized against diphtheria, tetanus and pertussis (2006) Source: Institute of Public Health of Serbia (Devinfo data base) Missing data

8. Source: MICS 2005, Serbia Child rights and health

9. CHALLENGES Systemic: Gap between the law and the implementation Insufficient investment in marginalised population groups Immunization services: Planning Passive approach Parents: Wall of administrative obstacles Discrimination No information Child rights and health

10. RECOMMENDATIONS Systemic: Sufficient budgetary allocation to reach marginalised groups Mandate and accountability of health service providers Connecting immunization service with registration services, centres for social work, local NGOs Systemic monitoring of new regulations and evaluation Immunization services: Inclusive planning Accurate and up-dated data system Connecting services with local communities Active involvement of local community Parents: Strengthening personal accountability of parents (information, mediation) Support to parents organisations Child rights and health