Reducing Child Mortality: Focusing on Equity Kim Mulholland.

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Presentation transcript:

Reducing Child Mortality: Focusing on Equity Kim Mulholland

Outline 1.Focus on child survival before the MDGs 2.MDG4 3.Progress of MDG4 4.Eritrea- case study 5.Why equity? 6.Gaps in coverage 7.Problems with data 8.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, Bull WHO, 2000;78:1182

MDG4 Goal 4: Reduce Child Mortality Reduce 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 Only one country on track from Africa (Eritrea) 84% of the countries which are making no progress are from the African region.