“Investing in Children: the UNICEF Contribution to Poverty Reduction and the Millennium Summit Agenda’’ Medium Term Strategic Plan 2006-2009 focus on reducing.

“Investing in Children: the UNICEF Contribution to Poverty Reduction

and the Millennium Summit Agenda’’

Medium Term Strategic Plan 2006-2009

focus on reducing child mortality


2

Goal 1: Eradicate extreme Poverty and Hunger

Goal 2: Achieve Universal Primary Education

Goal 3: Promote Gender Equality/ empower women

Goal 4: Reduce Child Mortality

Young Child Survival and DevelopmentPolicy Advocacy & Partnerships for Children’s Rights

Basic Education andGender Equality

Basic Education and Gender Equality

Young Child Survival and DevelopmentHIV/AIDS and Children

Goal 5: Improve Maternal Health

Goal 6: Combat HIV/AIDS, Malaria and other diseases

Goal 7: Ensure Environmental sustainability

Goal 8: Partnerships for Development

Young Child Survival and Development

HIV/AIDS and ChildrenYoung Child Survival and Development

Young Child Survival and Development

Policy Advocacy and Partnerships for Children’s Rights

Millennium Declaration (esp. Section VI)

Child Protection: Preventing and Responding to Violence, Exploitation and Abuse


3

Focus Areas: 2006-2009

1. Young Child Survival and Development

2. Basic Education and Gender Equality

3. HIV/AIDS and Children

4. Child Protection : Preventing and responding to Violence, Exploitation & Abuse

5. Policy Advocacy and Partnerships for Children’s Rights


4

Young Child Survival & Development

UNICEF’s work in the 2006-2009 period and beyond in support of MDG 4 on reducing child mortality. But this focus area also encompasses several other MDGs, including

MDG 1 on reducing poverty and malnutrition;

MDG 7 on the environment, through UNICEF support for safe water and sanitation;

MDG 6 on Prevention and Control of Malaria; and

MDG 5 on reducing maternal mortality, which UNICEF will support through joint programming initiatives with UNFPA and WHO.


5

Young Child Survival and DevelopmentThe 12 organizational targets in this focus area are:

1. Increase and sustain vaccination coverage to at least 90% at national level and 80% in all districts or equivalent administrative units, with particular focus on reaching population groups with low coverage levels;

2. Interrupt polio transmission in all remaining endemic countries and achieve certification of global polio eradication;

3. In all countries with high child mortality rates that are malaria endemic, increase and sustain to at least 60% the percentage of young children and pregnant women sleeping under an ITN in all malaria-endemic districts.

4. In 60 countries with high child mortality rates and/or with large numbers of child deaths, increase and sustain to at least 60% the effective coverage of high impact health and nutrition intervention packages with emphasis on families in poverty.

5. All high U5MR countries have country owned and led PRS – or equivalent national development strategies – that set medium term targets for scaling up high impact and synergistic maternal, newborn and health and nutrition child survival intervention packages and define equity based plans for achieving these targets, linked to medium term expenditure frameworks.


6

Young Child Survival and DevelopmentThe 12 organizational targets in this focus area are:

6. Increase by at least 50% the number of families utilizing appropriate care and feeding practices for child survival, growth and development

7. Increase by at least 50% the number of families with access to services and essential resources that contribute to young child survival, growth and development

8. All programme countries have an enabling policy environment for improved family and community care practices for survival, growth and development

9. Support the development and implementation of community-based hygiene improvement and water safety plans that lead to reduction in childhood diarrheoa and other water-related diseases.

10. Support progress towards Target 10 of the MDGs, through support to scaling up of adequately financed, decentralized, locally determined programmes consisting of a balanced mix of hygiene, sanitation and water supply interventions, focusing on poor rural and urban families;

11. Provide leadership with other key agencies on working with governments to strengthen sector plans, policies and budgets for hygiene, sanitation and water supply, and incorporate these into national Poverty Reduction Strategies, Sector Wide Approaches (SWAPs) and UNDAFs

12. Implement the CCCs for young child health, nutrition and water, sanitation and hygiene in declared emergency situations


7

0

50

100

150

200

250

300

350

1960 1970 1980 1990 1995 2000 2005

Western and Central Africa

Sub-Saharan Africa

Eastern and SouthernAfrica

South Asia

Middle East and NorthAfrica

Central and EasternEurope, Commonwealth ofIndependent StatesEast Asia and Pacific

Latin America andCaribbean

Industrialized countries


8

HIV/AIDS 3% Diarrhoeal

diseases17%

Measles 4%

Malaria 8%

Pneumonia19%

Neonatal causes36%

Othe diseases and injuries

13%

50% attributable to undernutrition


9

0 20 40 60 80 100 120 140 160 180 200

Developing regions

Latin America and the Caribbean

East Asia and the Pacif ic

CEE/CIS

Middle East and North Africa

Oceania

South Asia

Sub-Saharan Africa

Deaths per 1,000 live births

1990

2005

2015 target


10

Highest <5 MR Ranked Countries

1) Sierra Leone

2) Angola

3) Afghanistan

4) Niger

5) Liberia

6) Somalia

7) Mali

8) Chad

9) Equatorial Guinea

10) DRC

11) Rwanda

12) Guinea

13) Cote D’ Ivoire

14) Nigeria

15) CAR

16) Burkina Faso

17) Burundi

18) Zambia

19) Ethiopia

20) Swaziland

*Source: SOWC 2007


11

Evidence-Based Interventions in Africa

% deaths preventable with single prevention interventionBednets: 12%

Breastfeeding: 9%

Zinc: 7%

Complementary feeding: 7%

PMTCT: 6%

HiB vaccine: 4%

Clean delivery: 4%

Vitamin A: 3%

Wat/San: 3%

% deaths preventable with single treatment interventionOral rehydration: 14%

Antimalarials: 8%

Antibiotics: 6% (pneumonia)

Zinc: 4%

Antibiotics: 4% (sepsis)

Antibiotics: 3% (dysentery)

Newborn resuscitation: 3%

Vitamin A: 0.5%


12

12

2005

Reported DPT3 Coverage in AFR

Jan-Aug 2005 & Jan-Aug 2006

2006

ND: No data

Source: 2006 EPI Monthly report

NDND

<50%

50 - 79%

>= 80%

EMRO

>= 90%

59% 74%

75%

52%

25%

63%

71%

70%


13

GIVS Goal: 90% Reduction in Global Measles

Deaths by 2010 (vs. 2000)

0

100000

200000

300000

400000

500000

600000

700000

800000

900000

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

90%

Source: WHO/IVB measles deaths estimates, November 2006

2005 50% measles mortality reduction

goal achieved!

2010 90% measles mortality reduction

goal


14

Child Health Days Are a Routine Strategy in Many African Countries

Sudan

Algeria

Libya

Mali

Chad

Niger

Congo, DRC

Egypt

Angola

EthiopiaNigeria

South Africa

Namibia

Tanzania

Mauritania

Zambia

Kenya

Somalia

Botswana

Morocco

Gabon

Guinea

Mozambique

Madagascar

Congo

Cameroon

Zimbabwe

Ghana

Uganda

Cote d'Ivory Central African Republic

Senegal

Tunisia

Burkina Faso

Benin

Western Sahara

Eritrea

Malawi

Liberia

TogoSierra Leone

Lesotho

BurundiRwanda

DjiboutiGuinea-Bissau

Swaziland

Equatorial Guinea

Reunion

ComorosMayotte

Sao Tome & Principe

Seychelles

St. Helena

Glorioso Is.

Juan De Nova I.

Sudan

Algeria

Libya

Mali

Chad

Niger

Congo, DRC

Egypt

Angola

EthiopiaNigeria

South Africa

Namibia

Tanzania

Mauritania

Zambia

Kenya

Somalia

Botswana

Morocco

Gabon

Guinea

Mozambique

Madagascar

Congo

Cameroon

Zimbabwe

Ghana

Uganda

Cote d'Ivory Central African Republic

Senegal

Tunisia

Burkina Faso

Benin

Western Sahara

Eritrea

Malawi

Liberia

TogoSierra Leone

Lesotho

BurundiRwanda

DjiboutiGuinea-Bissau

Swaziland

Equatorial Guinea

Reunion

ComorosMayotte

Sao Tome & Principe

Seychelles

St. Helena

Glorioso Is.

Juan De Nova I.

Data Source: 24 Jan 2007 revision of the Vitamin A Coverage database

Once TwiceFrequency: 2 >=4# of interventions: 3


15

Missed opportunities must be seized..

Africa has relatively high coverage of at least one ANC visit – yet many missed opportunities for high impact interventions and for birth preparedness

Source: Opportunities for Africa’s Newborns

69% 54% 59% 10% 1.0% 1.0%0%

25%

50%

75%

100%

ANC (Any) ANC (4+) TT2+ IPT (malaria)

PMTCT(mother)

PMTCT(baby)

Co

ve

rag

e

missed opportunity


16

92%

45%

17%11%

3%

78%

27%

7%1%

9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Central andEastern Europe

Latin America East andSouthern Africa

Asia West andcentral Africa

HIV-positive women identified HIV-positive women given ARVs

ARV coverage for PMTCT is still very low


17

Core Child Survival IndicatorsCore Child Survival IndicatorsChild MortalityChild Mortality

Under-five mortality Under-five mortality rate

NutritionNutritionVitamin A

Vitamin A supplementation rate

MalnutritionUnderweight prevalenceStunting prevalenceWasting prevalence

Low birth weightLow birth weight incidence

BreastfeedingExclusive breastfeeding rateComplementary feeding rate (6-9 mos.)Continued breastfeeding rate (20-23 mos.)

Maternal HealthMaternal HealthAntenatal Care

Antenatal care coverage

Delivery careBirths attended by skilled health personnel

Child HealthChild Health Immunization

Measles Coverage Hib coverage DPT3 coverage

Malaria ITN use Number of ITNs distributed Anitmalarial treatment

Pneumonia Careseeking for pneumonia Antibiotic treatment for pneumonia

Diarrheal diseases ORS & continued feeding for diarrhea

Water & Sanitation Population using improved water sources Population using improved sanitation facilities

HIV/AIDS HIV prevalence among pregnant women 15-24 Orphan school attendance ratio % of children receiving ART % HIV-positive pregnant women receiving ARVs

thank you

“Investing in Children: the UNICEF Contribution to Poverty Reduction and the Millennium Summit Agenda’’ Medium Term Strategic Plan 2006-2009 focus on reducing.

Documents

medium term targets

development increase

support of mdg

unicef support

large numbers of child

high u5mr countries

particular focus

focus areas