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Child survival: a message of hope but a call for renewed commitment in UNICEF report

A recent UNICEF report Committing to Child Survival: A Promise Renewed Progress Report 2013 presents a comprehensive analysis of levels and trends in child mortality and progress towards MDG 4. The global under-five mortality rate has been cut nearly in half (47%) since 1990. However, during this sa...

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Autores principales: Wardlaw, Tessa, You, Danzhen, Newby, Holly, Anthony, David, Chopra, Mickey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866945/
https://www.ncbi.nlm.nih.gov/pubmed/24325885
http://dx.doi.org/10.1186/1742-4755-10-64
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author Wardlaw, Tessa
You, Danzhen
Newby, Holly
Anthony, David
Chopra, Mickey
author_facet Wardlaw, Tessa
You, Danzhen
Newby, Holly
Anthony, David
Chopra, Mickey
author_sort Wardlaw, Tessa
collection PubMed
description A recent UNICEF report Committing to Child Survival: A Promise Renewed Progress Report 2013 presents a comprehensive analysis of levels and trends in child mortality and progress towards MDG 4. The global under-five mortality rate has been cut nearly in half (47%) since 1990. However, during this same period, 216 million children are estimated to have died before their fifth birthday. Most of these deaths were from leading infectious diseases such as pneumonia, diarrhoea or malaria, or were caused by preventable neonatal causes such as those related to intra-partum complications. The highest mortality rates in the world are observed in low-income countries in sub-Saharan Africa and South Asia. Sub-Saharan Africa faces a particular challenge in that it not only has the highest under-five mortality in the world but it also has the fastest population growth. Progress is possible, however, and sharp reductions in child mortality have been observed at all levels of national income and in all regions. Some of the world’s poorest countries in terms of national income have made the strongest gains in child survival. Within countries, new analysis suggests that disparities in under-five mortality between the richest and the poorest households have declined in most regions of the world, with the exception of Sub-Saharan Africa. Furthermore, under-five mortality rates have fallen even among the poorest households in all regions. The report highlights the growing importance of neonatal deaths; roughly 44% of global under-five deaths — now 2.9 million a year — occur during the neonatal period, with up to 50% dying during their first day of life and yet over two-thirds of these deaths are preventable without intensive care. The report stresses how a continuum of care approach across the whole life cycle is the most powerful way of understanding and accelerating further progress.
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spelling pubmed-38669452013-12-19 Child survival: a message of hope but a call for renewed commitment in UNICEF report Wardlaw, Tessa You, Danzhen Newby, Holly Anthony, David Chopra, Mickey Reprod Health Commentary A recent UNICEF report Committing to Child Survival: A Promise Renewed Progress Report 2013 presents a comprehensive analysis of levels and trends in child mortality and progress towards MDG 4. The global under-five mortality rate has been cut nearly in half (47%) since 1990. However, during this same period, 216 million children are estimated to have died before their fifth birthday. Most of these deaths were from leading infectious diseases such as pneumonia, diarrhoea or malaria, or were caused by preventable neonatal causes such as those related to intra-partum complications. The highest mortality rates in the world are observed in low-income countries in sub-Saharan Africa and South Asia. Sub-Saharan Africa faces a particular challenge in that it not only has the highest under-five mortality in the world but it also has the fastest population growth. Progress is possible, however, and sharp reductions in child mortality have been observed at all levels of national income and in all regions. Some of the world’s poorest countries in terms of national income have made the strongest gains in child survival. Within countries, new analysis suggests that disparities in under-five mortality between the richest and the poorest households have declined in most regions of the world, with the exception of Sub-Saharan Africa. Furthermore, under-five mortality rates have fallen even among the poorest households in all regions. The report highlights the growing importance of neonatal deaths; roughly 44% of global under-five deaths — now 2.9 million a year — occur during the neonatal period, with up to 50% dying during their first day of life and yet over two-thirds of these deaths are preventable without intensive care. The report stresses how a continuum of care approach across the whole life cycle is the most powerful way of understanding and accelerating further progress. BioMed Central 2013-12-11 /pmc/articles/PMC3866945/ /pubmed/24325885 http://dx.doi.org/10.1186/1742-4755-10-64 Text en Copyright © 2013 Wardlaw et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Commentary
Wardlaw, Tessa
You, Danzhen
Newby, Holly
Anthony, David
Chopra, Mickey
Child survival: a message of hope but a call for renewed commitment in UNICEF report
title Child survival: a message of hope but a call for renewed commitment in UNICEF report
title_full Child survival: a message of hope but a call for renewed commitment in UNICEF report
title_fullStr Child survival: a message of hope but a call for renewed commitment in UNICEF report
title_full_unstemmed Child survival: a message of hope but a call for renewed commitment in UNICEF report
title_short Child survival: a message of hope but a call for renewed commitment in UNICEF report
title_sort child survival: a message of hope but a call for renewed commitment in unicef report
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3866945/
https://www.ncbi.nlm.nih.gov/pubmed/24325885
http://dx.doi.org/10.1186/1742-4755-10-64
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