CHILD RIGHT TO HEALTH

Judita Reichenberg UNICEF Area Representative for Serbia and for Croatia

21 April 2008

Contents

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

Child rights and health

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

Realisation of rights Under-five mortality rate in Serbia, 1990–2015

0

2

4

6

8

10

12

14

16

18

20

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Under-f ive mortality rate - no interventions

Infectuous diseases

National goal

MDG goal

Source: Vital Statistics (Devinfo data base) i Health Statistics

Child rights and health

DPT and MMR immunization coverage in Serbia, 1991-2006

80

82

84

86

88

90

92

94

96

98

100

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

DTP immunization coverage

MMR immunization coverage

Benchmark 99 %

Source: Institute of Public Health of Serbia (Devinfo data base)

Child rights and health

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

Proportion of 1 year-old children immunized against diphtheria, tetanus and pertussis (2006)

Source: Institute of Public Health of Serbia (Devinfo data base)

Проценат

0 - 85

85 - 95

95.1 - 100

Nedostaju podaciMissing data

Percentage of children aged 18-29 months immunized against BCG, DPT, OPV & MMR, Serbia, 2006

05

101520253035404550556065707580859095

100105

BCG (0 months) DPT1 (6 w eeks) DPT2 (6 days) DPT3 (1 year) MMR (18 months) All vaccines (anytime)

Total for Serbia (withoutRoma in Romasettlements)Roma in Roma settlements

Linear (Total for Serbia(without Roma in Romasettlements))Linear (Roma in Romasettlements)

Source: MICS 2005, Serbia

Child rights and health

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

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