1. 015510201551020 Population Age Structure BritainTanzania 90 80 70 60 50 40 30 20 10 age

2. Share of the Population developing countries - blue developed countries - red World populationAnnual births 85% 15% 75% 25%

3. Share of the Population developing countries - blue developed countries - red Annual infant deathsAnnual child deaths 98% 97% 3% 2%

4. Death in children – main causes Developed countries Developing countries Accidents SIDS Congenital Infections Infections Malnutrition Accidents

5. Health for All Adequate health services Essential drugs Immunisation Maternal and child health care surveillance Nutrition Education Disease vector and reservoir control Safe water and sanitation

6. Primary Health CareHospital (Secondary Care) More accessible (rural population) More preventative Low technology Cheaper Usually in cities Treatment High Tech More expensive

7. Primary Health Care Practical Scientifically sound Socially acceptable Universally accessible Affordable – each country

8. WHO – HFA by 2000

9. Other Services Nutrition Safe water Sanitation Disease vectors/reservoirs Education adequate + supplements within 15 mins walk close to residence control appropriately > 70% adult literacy (especially females) ----------

10. 10 Global Health Targets BMJ 1999;319: 700-703 Health OutcomesYear 1.Health EquityMeasuring child growth2005 2.SurvivalMaternal and child mortality rates Life expectancy 2020 3.Reverse global pandemics TB, HIV / AIDS, Malaria Disease related to Tobacco Violence and Trauma2020 4.Eradicate and eliminate certain diseases Measles Lymphatic filariasis Chagas disease Leprosy Trachoma Vit A and Iodine defiencies202020102020

11. 10 Global Health Targets BMJ 1999;319: 700-703 Determinates of HealthYear 5.Improve access – water, sanitation, food, shelter2020 6.Measures to promote health2020

12. 10 Global Health Targets BMJ 1999;319: 700-703 Health Policies & Sustainable Health SystemsYear 7.Develop, implement and monitor national HFA policies2005 8.Improve access to comprehensive essential health care2010 9.Implement Global and national health information and surveillance and systems 2010 10.Support research for health2010

13. Main Messages Population structure Non Health Services Health Services 1. 2. 3. different more important less important but focus on: ------ PHC women / children