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 19-22 nd September, 2017
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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 Data for Programme Management, Johannesburg, South Africa | 21 September 2017 3 |
Child health in MDG Period
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 4 |
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
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 5 |
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.
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 6 |
Unfinished Child Survival Agenda
Sources: Trends in Maternal Mortality, 1990-2013; Levels and Trends in Child Mortality, Report 2015
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 7 |
Epidemiological Transition
Children’s health priorities : BMJ 2015;351:h4300
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 8 |
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%.
Child Health Data for Programme Management, Johannesburg, South Africa | 21 September 2017 9 |
Emerging Priorities for Children’s Health
Injuries
– road traffic injuries, drowning, burns, and falls