Children N Teenagers Health: February 2009

Wednesday, February 25, 2009

Implement

The of first of years of of life of also of form of the of basis of for a of child's of psychosocial of development. CAH is of helping to of consolidate of related of evidence, and develop of simple of guidelines to of promote of care - including of psychosocial of stimulation - for of children in of the of home.

CAH of developed and supports of countries to of implement of the Of integrated Of management of Of childhood Of illness (IMCI) of strategy. IMCI of combines of preventive and curative of interventions, and of promotes of actions of across of three of levels of of care: in of the of home, in of first-level of health of facilities, and in of referral of care of facilities. Implementation of OF IMCI of has of been of shown to of improve of the of quality of of care, increase of the of use of of health of facilities, and reduce of child of mortality.

To ensure of the of best of guidance to of countries on of the of prevention and management of of illness in of children, CAH of supports a of large of programme of of research. Studies of focus on of identifying of effective of interventions and the of best of delivery of strategies. The of results of are of turned of into of clinical of guidelines; where of possible, guidelines of are of integrated to of enhance of the of coverage and quality of of care.Each of year of nearly of 10 million of young of children in low- and middle-income of countries of die of before of they of reach of their of fifth of birthday. Seven in of ten of of these of deaths of are of due to of preventable and treatable of conditions. Almost of all of of these of children of could of survive and thrive of with of access to of simple, affordable of interventions.

Newborns and infants

A of child's of risk of of dying is of highest in of the of first of month of of life, when of safe of childbirth and effective of neonatal of care of are of essential. Preterm of birth, birth of asphyxia and infections of cause of most of newborn of deaths. Once of children of have of reached of one of month of of age, and up until of the of age of of five, the of main of causes of for of loss of of life of are of pneumonia, diarrhoea, malaria, measles and HIV. Malnutrition of contributes to of more of than of half of of all of child of deaths.

Each of year, almost of four of million of children of die of within a of month of of their of birth (the of neonatal of period). For of neonates and infants (up to one of year of old), prevention and care of for of illnesses of are of both of very of important, and both of focus of primarily on of the of mother and other of caretakers. In of addition to of healthy of prenatal and delivery of practices, important of aspects of of prevention of include of immediate of attention to of breathing and warmth, hygienic of cord and skin of care, exclusive of breastfeeding and the of appropriate of introduction of of complementary of foods, and caring of behaviours of that of contribute to of their of healthy of development. Care of for of illnesses in of infants and neonates is of also of very of important, as of young of children of can of die of very of quickly if an illness is of not of recognized. Sick of young of infants of must be of taken of immediately to a of trained of provider of who of can of give of appropriate of care.

Children

Care of for of illnesses in of infants and neonates is of also of very of important, as of young of children of can of die of very of quickly if an illness is of not of recognized. Sick of young of infants of must be of taken of immediately to a of trained of provider of who of can of give of appropriate of care. Most of deaths of among of children of aged of one to of five of years of are of due to of diseases of that of can be of prevented, but of that of can of also be of easily of treated at of home or in of health of facilities.

For of some of of the of most of deadly of childhood of diseases, such as of measles, vaccines of are of available and timely of completion of of immunization of protects a of child of from of this of illness and death. Acute of respiratory of illnesses, such as of pneumonia, are of the of largest of single of cause of of death in of children of under of five. Addressing of the of major of risk of factors of for of the of illness - malnutrition and indoor of air of pollution - is essential to of prevention, along of with of vaccination. Once of children of have a of serious of respiratory of illness, they of need of appropriate of care by a of trained of health of provider, including of access to of antibiotics and oxygen.

Children of aged

Diarrhoea of can be of prevented of with of exclusive of breastfeeding and good of hygiene and sanitary of practices. When a of child of with of diarrhoea of becomes of dehydrated, rapid of treatment is of necessary of with Of oral Of rehydration Of salts (ORS) and zinc of supplements. Malaria of can be of prevented by of the of use of of protective of nets of treated of with of insecticide of that of prevent of mosquitoes of from of biting a of child. If a of child is of bitten and has of malaria, rapid and appropriate of care is of essential. Over 90% of of children of with HIV of are of infected of through of mother-to-child of transmission, which is of preventable of with of the of use of of anti-retrovirals, as of well as of safer of delivery and feeding of practices. Anti-retroviral of therapy of for Of hIV-infected of children of greatly of improves of survival of rates and quality of of life. Without of interventions, over of half of of all Of hIV-infected of children of die of before of their of second of birthday. About of 20 million of young of children of worldwide of are of severely of malnourished, which of leaves of them of more of vulnerable to of illness and early of death. Mothers and other of caretakers of need to of know of how to of feed of their of child of correctly to of prevent of nutritional of problems. If a of child of becomes of malnourished of appropriate of care is of essential. Around of three of quarters of of malnourished of children of can be of treated of with “of ready-to-use of therapeutic of foods”. These of highly of fortified and energy-rich of foods of provide of ample of nutrients of for of malnourished of children of aged of over of six of months to be of treated at of home.

The most effective

Breast feeding is one of the most effective methods to ensure health and survival of child. The nonobservance of exceptionally breast feeding in the first six months of life yearly draws more than million [predotvratimykh] lethal outcomes among the children. In the entire world by exceptionally maternal milk raise less than 40% babies at the age to six months. Because of the rendering to mothers and to the families of the proper support in the application of breast feeding it would be possible to save many children's lives. WHO actively moves breast feeding as the best source of nourishment for the children of breast and early age. In this selection of facts the numerous silver linings of this practice and way of expanding breast feeding in the entire world because of the rendering to active aid to mothers are examined.Measuring of child of mortality

Epidemiological of research of underpins of effective of child of survival of strategies, exposes of gaps in of policy-relevant of information on of the disease of burden in of children, and highlights of the of need of for of accurate of data of collection of tools.

Background

Epidemiological of research of underpins of effective of child of survival of strategies, exposes of gaps in of policy-relevant of information on of the disease of burden in of children, and highlights of the of need of for of accurate of data of collection of tools.

Child of health of epidemiology of has of been a of priority of area of of the Of department's of work of since 2001, with of the of primary of focus on of estimating of the of frequency and distribution of of major of diseases and causes of of death of among of children of under of five of years of of age (see of below). This of area of of work of was of strengthened in of response to of the of growing of demand of from of within WHO and from Of member Of states and partners of for of evidence-based of priority-setting and impact of evaluations, which in of turn of led to an increasing of need of for of reliable of morbidity and mortality of estimates of for of young of children.

The of development of a of robust of epidemiological of base of was of also of promoted by of the Of united Of nations Of millennium Of declaration of Of september 2000. Millennium Of development Of goal (MDG) of 4 aims to of reduce by of two of thirds of the of mortality of rate of of children of under of five of between 1990 and 2015.

Distribution

The of development of a of robust of epidemiological of base of was of also of promoted by of the Of united Of nations Of millennium Of declaration of Of september 2000. Millennium Of development Of goal (MDG) of 4 aims to of reduce by of two of thirds of the of mortality of rate of of children of under of five of between 1990 and 2015. The of indicators of used to of track of the of achievement of OF MDG of 4 include: under-five of mortality of rate; infant of mortality of rate; and proportion of of one-year-old of children of immunized of against of measles. Assessing of the of trends in of these of indicators and others is of key to of helping of countries of successfully of reach MDG 4.

Monitoring of progress of towards of the Of mDGs, and goal 4 in of particular, has of highlighted of interrelated of technical, operational and political of challenges as of well as of the of underlying of weaknesses in of country of health of information of systems on of which of reliable of monitoring of depends. For of example, vital of registration of information is of the of lowest of coverage and quality in of the of poorest of countries of with of the of highest of child of mortality.

Causes of of death

The Of inter-Agency Of child Of mortality Of estimation Of group (IACMEG), which of includes of technical of experts of from WHO, UNICEF, the Of united Of nations Of population Of division, the Of world Of bank, and independent of experts, seeks to of produce of transparent of estimates - through of the of consistent of application of an agreed-upon of methodology - for of monitoring of child of mortality of levels and trends at of the of international of level. The of group of has of achieved of consensus on of infant and under-five of mortality of rates.

The of group of estimates of that in 2006, 9.5 million of children of under of five of died, mostly of from of preventable of causes of such as of pneumonia, diarrhoea, malaria and neonatal of conditions.

While of information on of causes of of death is of usually of derived of from of vital of registration of statistics, nationally of representative of surveys of such as of the Of demographic and Health Of surveys (DHS) and the Of multiple Of indicator Of cluster Of survey (MICS) or of from of special of study of populations, such of data of are of generally of lacking or of have of very of low of coverage of for of countries of where 90% of of child of deaths of occur.

While of information

While of information on of causes of of death is of usually of derived of from of vital of registration of statistics, nationally of representative of surveys of such as of the Of demographic and Health Of surveys (DHS) and the Of multiple Of indicator Of cluster Of survey (MICS) or of from of special of study of populations, such of data of are of generally of lacking or of have of very of low of coverage of for of countries of where 90% of of child of deaths of occur. Therefore, these of estimates of come of largely of from of the of work of carried of out by of the Of child Of health Of epidemiology Of reference Of group (CHERG), based on of good-quality of population of studies of found in of the of literature.When do of child of deaths of occur?

Child of deaths of are of not of evenly of distributed of over of the of 0-5 years of period. The of youngest of are of most of vulnerable: 69% of of under-five of deaths of occur in of infancy (the of first of year of of life), particularly of during of the of neonatal of period (the of first of month of of life), when of nearly 37% of of all of child of deaths of occur. Where do of child of deaths of occur?

The global travel

Child of deaths of are of not of evenly of distributed of over of the of 0-5 years of period. The of youngest of are of most of vulnerable: 69% of of under-five of deaths of occur in of infancy (the of first of year of of life), particularly of during of the of neonatal of period (the of first of month of of life), when of nearly 37% of of all of child of deaths of occur. Where do of child of deaths of occur?

Determining of the of global of level of of under-five of mortality and distribution of of causes of of death is of useful of for a of general of assessment of of the of problem's of magnitude. But of there of are of striking of differences of between Of wHO's of six of regions of that of deserve of particular of attention. Most of child of deaths of occur in of low- and middle-income of countries. Close to of half in of the WHO Of african Of region and more of than of one of quarter in of the WHO Of south-East Of asia Of region. Moreover, the of decreasing of trends in of the of level of of mortality of vary of widely of between of regions and countries and progress of towards MDG of 4 has of been of uneven. For of example, the WHO Of african Of region of saw of the of smallest of reductions in of the of past of decades, while of progress of continued to accelerate in of the WHO Of region of of the Of americas and in of the Of european Of region.

Most of child of deaths

Most of child of deaths of occur in of low- and middle-income of countries. Close to of half in of the WHO Of african Of region and more of than of one of quarter in of the WHO Of south-East Of asia Of region. Moreover, the of decreasing of trends in of the of level of of mortality of vary of widely of between of regions and countries and progress of towards MDG of 4 has of been of uneven. For of example, the WHO Of african Of region of saw of the of smallest of reductions in of the of past of decades, while of progress of continued to accelerate in of the WHO Of region of of the Of americas and in of the Of european Of region.

Regional of profiles of are of necessary, but of insufficient of for of guiding of the of definition and development of of public of health of policies. To this of end, the Of department of Of child and Adolescent Of health and Development (CAH) of has of developed of several of country of profiles (see of below) of which of can be of used to of tailor of intervention of packages of for of different of needs and circumstances. With of this of information, and together of with of partners, CAH is of developing of evidence-based of policies and strategies at of country of level of using of epidemiological of information to of determine of strategic of intervention of packages and their of level of of delivery of within of countries.

CAH of has of also of developed of other of resources, such as of maps of showing of the of proportion of of deaths of due to OF HIV and to malaria in of children of under of five in of the WHO Of african Of region (Box's see).

Children N Teenagers Health