Global Landscape of Child Health Programming in...

Global Landscape of Child Health

Programming in SDGs Era

Dr Wilson Were Medical Officer, Child Health Services

Department of Maternal, newborn,

Child And Adolescent Services

Child Health Routine Data Workshop, Johannesburg, South Africa

19-22nd September, 2017

Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 2 |

Outline of this presentation

Overview of child health from MDGs to SDGs.

Child health in SDGs

Implications for child health & nutrition programing.


Child health in MDG Period


Success but significant unfinished agenda

Estimated and projected 1990-30 U5 and newborn deaths

5.6 million

deaths in 2015

12.7 million

deaths in 1990

9.7 million

deaths in 2000

6.3 million

deaths in 2013

Mo

rta

lity

rate

(p

er

1,0

00

liv

e b

irth

s)

Global U5MR

Global NMR •

5.9 million deaths

2015

62 countries achieved MDG4

53% reduction in U5MR

47% reduction in NMR

5.9 Million still died in 2015


Pneumonia 13%

Pneumonia 3%

Tetanus 1%

Prematurity 16%

Birth asphyxia/trauma

11%

Sepsis & other infections

7% Congenital anomalies

5%

Other neonatal 3%

Diarrhoea 9%

Measles 1%

Malaria 5%

HIV/AIDS 1%

Injuries 6%

Other (Group I) Conditions

12%

Congenital anomalies & other

NCDs 8%

Global causes of Child Mortality- 2015

45% of global under-five deaths are associated with

nutrition-related factors*

More than 50% are

preventable deaths

U5 children in sub-

Saharan Africa are more

than 14 times more likely

to die than children in

developed regions.


Unfinished Child Survival Agenda

Sources: Trends in Maternal Mortality, 1990-2013; Levels and Trends in Child Mortality, Report 2015


Epidemiological Transition

Children’s health priorities : BMJ 2015;351:h4300


Epidemiological Transition Changes likely to

occur in the 68 countries where current U5M > 35/1000 live births.

Relative increase in contribution of injuries, NCDs & congenital anomalies from 12% to 34%.

Relative decline in contribution of infectious diseases from 53% to 24%.


Emerging Priorities for Children’s Health

Injuries

– road traffic injuries, drowning, burns, and falls

Congenital anomalies

– estimated 1 in 33 infants,

Non-communicable diseases

– chronic respiratory diseases, acquired heart diseases, childhood cancers, diabetes, and obesity

Child health in SDGs


Moving to Sustainable Development Goals

CHILD HEALTH IN

CHILD

HEALTH

ENSURE SURVIVAL

AND PROMOTE WELL

BEING OF ALL

CHILDREN


Global Strategy for Women’s, Children’s,

and Adolescents' Health

2. THRIVE

Ensure health and well-being

3. TRANSFORM

Expand enabling

environments

1. SURVIVE End preventable deaths


Targets—aligned with the SDGs

SURVIVE End preventable deaths

• Reduce global maternal mortality to less than 70 per 100,000 live births

• Reduce newborn mortality to at least as low as 12 per 1000 live births in every country

• Reduce under-5 mortality to at least as low as 25 per 1000 live births in every country

• End epidemics of HIV, tuberculosis, malaria , neglected tropical diseases and other communicable diseases

• Reduce by 1/3 premature mortality from NCDs and promote mental health and well-being

TRANSFORM Expand enabling environments

• Eradicate extreme poverty

• Ensure that all girls and boys complete free, equitable and good quality secondary education

• Eliminate all harmful practices and all discrimination and violence against women and girls

• Achieve universal and equitable access to safe and affordable drinking water and to adequate sanitation and hygiene

• Enhance scientific research, upgrade technological capabilities and encourage innovation

• Provide legal identity for all, including birth registration

• Enhance the global partnership for sustainable development

THRIVE Ensure health and well-being

• End all forms of malnutrition, and address the nutritional needs of adolescent girls, pregnant and lactating women and children

• Ensure universal access to sexual and reproductive health-care services (including for family planning) and rights

• Ensure that all girls and boys have access to good quality early childhood development

• Substantially reduce pollution-related deaths and illnesses

• Achieve universal health coverage, including financial risk protection, and access to quality essential services, medicines and vaccines


What are the implications?

Universality: For all children, those marginalized, hard to reach and in humanitarian settings

Life-course approach: Health and well-being are interconnected at every stage of life, and across generations

Equity: Focus on reaching the most vulnerable and leaving no one behind

Multi-sectoral approach: interventions across core sectors address health determinants e.g. nutrition, education, WASH, environment, infrastructure


Conclusion

Strategic plans should be inclusive of all children and

as defined by the UN convention of rights of the child.

Overall goal should be to ensure that all children reach

their full potential.

Programs should go beyond survival and main stream

thrive while creating a favourable environment.

Leverage all the other SDGs.

Programing should include multisectoral approach

Global Landscape of Child Health Programming in...

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