add presenter name date event/location countdown to 2015: china
TRANSCRIPT
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Add presenter nameDateEvent/location
Countdown to 2015: China
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Notes for the presenter on adapting this presentation
• Personalise with photos, charts • Data presented are based on best available data up
to mid-2014. When presenting, mention more recent studies or data. (2013 mortality on slide #18 added)
• Select which slides are appropriate for the audience. For example: Slides are provided for each figure presented in the country profile; select from these (choosing all or a few depending on needs)
• Sub-national data can be substituted as appropriate and available
• Review the Speaker Notes, adapt according to your audience and purpose
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Purpose of this presentation • To stimulate discussion about China country data,
especially about progress, where we lag behind, and where there are opportunities to scale up
• To provide some background about Countdown to 2015 for MNCH, the indicators, and data sources in the country profiles
• To showcase the country profile as a tool for monitoring progress, sharing information and improving accountability
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Outline
1. Countdown to 2015: Background
2. China Countdown profile
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Part I
Countdown to 2015: Background
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What is Countdown?
A global movement initiated in 2003 that tracks progress in maternal, newborn & child health in the 75 highest burden countries to promote action and accountability
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• To disseminate the best and most recent information on country-level progress
• To take stock of progress and propose new actions
• To hold governments, partners and donors accountable wherever progress is lacking
Countdown aims
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What does Countdown do?• Analyze country-level coverage and trends for
interventions proven to reduce maternal, newborn and child mortality
• Track indicators for determinants of coverage (policies and health system strength; financial flows; equity)
• Identify knowledge and data gaps across the RMNCH continuum of care
• Conduct research and analysis
• Support country-level Countdowns
• Produce materials, organize global conferences and develop web site to share findings
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Where is Countdown?
75 countries that together account for > 95% of maternal and child deaths worldwide
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Who is Countdown?• Individuals:
scientists/academics, policymakers, public health workers, communications experts, teachers…
• Governments: RMNCH policymakers, members of Parliament…
• Organizations: NGOs, UN agencies, health care professional associations, donors, medical journals…
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Countdown moving forward
Four streams of work to promote accountability, 2011-2015
• Responsive to global accountability frameworks -Annual reporting on 11 indicators for the Commission on
Information and Accountability for Women’s and Children’s Health (COIA)
-Contribute to follow-up of A Promise Renewed/Call to Action
• Production of country profiles/report and global event(s)
• Cross-cutting analyses• Country-level engagement
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Part 2
China Countdown country profileMain findings
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What does Countdown monitor?
• Progress in coverage for critical interventions across reproductive, maternal, newborn & child health continuum of care
• Health Systems and Policies – important context for assessing coverage gains
• Financial flows to reproductive, maternal, newborn and child health
• Equity in intervention coverage
Range of data on the profile
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The national-level profile uses data from global databases: • Population-based household surveys
• UNICEF-supported MICS • USAID-supported DHS • Other national-level household surveys (MIS, RHS and
others)• Provide disaggregated data - by household wealth, urban-
rural residence, gender, educational attainment and geographic location
• Interagency adjusted estimates U5MR, MMR, immunization, water/sanitation
• Other data sources (e.g. administrative data, country reports on policy and systems indicators, country health accounts, and global reporting on external resource flows etc.)
Sources of data
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Mortality
Mortality data through 2010:
2011 child mortality data was released in late 2012:Under-five mortality rate (U5MR)= 15 deaths per 1000 live births
Infant mortality rate (IMR) = 13 deaths per 1000 live birthsNeonatal mortality rate (NMR) = 9 deaths per 1000 live births
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Leading direct causes:Haemorrhage – 34%Unsafe abortion – 12%Embolism – 12%Hypertension – 10%
Understanding the cause of death distribution is important for program development and monitoring
Cause of death
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Leading causes:Neonatal – 58%Pneumonia – 15% Injuries – 8%Meningitis – 2%Diarrhoea – 2%
Undernutrition is a major underlying cause of child deaths
Cause of death
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Countdown to 2015 Report. 2012.
Demographics
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Variable coverage along the continuum of care
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Maternal and newborn health
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Maternal and newborn health
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Maternal and newborn health
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Countdown to 2015 Report. 2012.
Other maternal and newborn health indicators
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Child health
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Child health
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Child health
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Child health
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Child health
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Child health
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Water and sanitation
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Water and sanitation
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MNCH policies
• NO - Maternity protection in accordance with Convention 183• YES - Specific notifications of maternal deaths • PARTIAL - Midwifery personnel authorized to administer core
set of life saving interventions • PARTIAL - International Code of Marketing of Breastmilk
Substitutes• YES - Postnatal home visits in first week of life • PARTIAL - Community treatment of pneumonia with
antibiotics• YES - Low osmolarity ORS and zinc for diarrhoea management • - Rotavirus vaccine• - Pneumococcal vaccine
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• Costed national implementation plans for MNCH: Yes• Density of doctors, nurses and midwives (per 10,000
population): 28 (2009)• National availability of EmOC services: --
(% of recommended minimum)• Per capita total expenditure on health (Int$): $379 (2010)• Government spending on health: 12% (2010)
(as % of total govt spending)• Out-of-pocket spending on health: 37% (2010)
(as % of total health spending)• Official development assistance to child health per child
(US$): $1 (2009)• Official development assistance to maternal and newborn
health per live birth (US$): $1 (2009)
Systems and financing for MNCH
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Who is left behind?
China
There was not sufficient information to show coverage rates according to wealth groups.
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Thank you!