child mortality handouts

8/18/2019 Child Mortality Handouts

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CHILD MORTALITY WHERE AND WHY ARE 10 MILLION CHIDREN DRYING

EVERY YEAR?


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Year Percentage

Year Percentage

1990-2001

1.1% peryear

1960-1990

2.5% peryear

Late 20th century, a decrease inchild mortality occurred

ut more than 10! still die e"ery year#$5yrs #&'(, 2002

)u*-)aharan +rica highest child mortality#190-19/ and sloest all in rate. hild mortality "aries among orld regions andthese are large and increasing


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apa*ilities o the countries health

system +ppropriate pu*lic health

inter"entions nderstand the

determinants o child mortality

3eterminants4 socioeconomic

actors, en"ironmental and *eha"ioral

ris actors

1990

7he &orld )ummit or hildren 18reduction

2002

!illennium 3e"elopment:oals or health

28reduction


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&';


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S"i#u$a"%& aus% !f &%a"h' (&is%as% !r in)ur*+hih ini"ia"%& "h% "rain !f ,!rbi& %%n"s$%a&in. &ir%"$* "! &%a"h/

0-23 !f ,%as$%s as%s +%r% f!$$!+%& b*

#n%u,!nia !r &iarrh%a 45hi$s6 an& 7.an&a8Sus%#"ibi$i"* "! &iarrh%a9 #n%u,!nia9"ub%ru$!sis9 : !"h%r inf%"i!nsCA7SES O; DECREASED IMM7NE AND NON-

IMM7NE DE;ENCES

• ndereight• !icronutrient deFciency• !easles

A3;


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lassiFcation• +ll countries need sound epidemiological inormation to prioritiHe,

plan and implement pu*lic health inter"ention.

IE#i&%,i!$!.* is the study o the distri*ution and determinants o

health-related states or e"ents #including disease, and the applicationo this study to the control o diseases and other health pro*lems.

• Vi"a$ %%n" r%.is"ra"i!n that includes cause-o-death data is usedto esta*lish the cause structure o mortality in high-income and somemiddle income countries, *ut these are generally not a"aila*le or the

countries here 90% o child deaths tae place. #7he poorersegments o the population, hich ha"e higher mortality and mightha"e diKerent causes o death, are oten misrepresented.

• +lternati"es to the reporting o "ital e"ents are use of data fromnationally-representative surveys and special study populations.

L=A=+L +);) (D 3;+7'


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L=A=+L +);) (D 3;+7'

• ( the 10.? million deaths orldide ochildren younger than 5 years, .9 million

occur in the Frst 2? days o lie- i.e. theneonatal period.

•auses o neonatal deaths in lo-incomecommunities4 se"ere inections, *irthasphyia, complications o prematurity,and *y tetanus.

Aeonatal disorders


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0

5

1015

20

25

0

5

Caus% !f D%a"h

5r!#!r"i!n !f hi$& &%a"hs 438

3=)7


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(!P+


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COMOR


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o-occurrence o inectious diseases

7o diseases occur together *ecause theyha"e the same en"ironmental or *eha"ioural

ris actors increased eposure to inections.SYNERGISM =ncreased ris o death

o-occurrence as *eteen 2M and /M2#median ?M times greater than that epected

i synergy and ris actors ere not present!ultiple-cause classiFcations such as diarrhoea

plus pneumonia in the causes o death oyoung children in lo-income countries


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(AL)=(A

hild health epidemiology =normationuseul or

pu*lic health planning, monitoring ande"aluation.

+"aila*ility an important determinant orchild sur"i"al

=mportant causes o child death arepneumonia, diarrhea

and neonatal disorders ith a littlecontri*ution o

malaria and +=3)

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