reducing child mortality: focusing on equity kim mulholland
TRANSCRIPT
Reducing Child Mortality: Focusing on Equity
Kim Mulholland
Outline
1. Focus on child survival before the MDGs2. MDG43. Progress of MDG44. Eritrea- case study5. Why equity?6. Gaps in coverage7. Problems with data8. Policy recommendations
Child mortality as an indicator of socio-economic development
• In 1980, according to UNICEF:– 12% of all children in the world died before
their 5th birthday– 20% of all children in sub-Saharan Africa died
before their 5th birthday
Trends in under 5 mortality, 1955-1999
0
50
100
150
200
250
300
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90-94
95-99
AfricaM EastS AsiaAsia/PacificAmericasEurope
Bull WHO, 2000;78:1182
MDG4
Goal 4: Reduce Child MortalityReduce by two-thirds between 1990 and 2015,
the under five mortality rate.Health Indicators:• Under five mortality rate• Infant mortality rate• Proportion of one year old children
immunised against measles
Progress towards MDG4
• 68 priority countries (Countdown)• 16 on track (26 insufficient progress, 26 no
progress)- 50% increase since 2005.• Only one country on track from Africa (Eritrea)• 84% of the countries which are making no
progress are from the African region.