child right to health judita reichenberg unicef area representative for serbia and for croatia 21...
TRANSCRIPT
CHILD RIGHT TO HEALTH
Judita Reichenberg UNICEF Area Representative for Serbia and for Croatia
21 April 2008
Contents
Child right to health care Realisation of rights Who does not realise his/her rights and why? Recommendations
Child rights and health
Child rights to health
Child has a right to the highest attainable standard of health and health care (Convention on the Rights of the Child, Article 24)In Serbia:
Free health care for all children up to 15 years of age
Principle of accessibility Principle of non-discrimination
Child rights and health
Realisation of rights Under-five mortality rate in Serbia, 1990–2015
0
2
4
6
8
10
12
14
16
18
20
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Under-f ive mortality rate - no interventions
Infectuous diseases
National goal
MDG goal
Source: Vital Statistics (Devinfo data base) i Health Statistics
Child rights and health
DPT and MMR immunization coverage in Serbia, 1991-2006
80
82
84
86
88
90
92
94
96
98
100
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
DTP immunization coverage
MMR immunization coverage
Benchmark 99 %
Source: Institute of Public Health of Serbia (Devinfo data base)
Child rights and health
EXISTING DISPARITIES
No gender or area (urban/rural) based disparities Small disparities based on education of mother and economic status of the family Significant disparities in geographical areas The most significant – disparities based on ethnicity
Child rights and health
Proportion of 1 year-old children immunized against diphtheria, tetanus and pertussis (2006)
Source: Institute of Public Health of Serbia (Devinfo data base)
Проценат
0 - 85
85 - 95
95.1 - 100
Nedostaju podaciMissing data
Percentage of children aged 18-29 months immunized against BCG, DPT, OPV & MMR, Serbia, 2006
05
101520253035404550556065707580859095
100105
BCG (0 months) DPT1 (6 w eeks) DPT2 (6 days) DPT3 (1 year) MMR (18 months) All vaccines (anytime)
Total for Serbia (withoutRoma in Romasettlements)Roma in Roma settlements
Linear (Total for Serbia(without Roma in Romasettlements))Linear (Roma in Romasettlements)
Source: MICS 2005, Serbia
Child rights and health
CHALLENGES
Systemic: Gap between the law and the implementation Insufficient investment in marginalised population groups
Immunization services: Planning Passive approach
Parents: “Wall” of administrative obstacles Discrimination No information
Child rights and health
RECOMMENDATIONS Systemic:
Sufficient budgetary allocation to reach marginalised groups Mandate and accountability of health service providers Connecting immunization service with registration services, centres for social
work, local NGOs Systemic monitoring of new regulations and evaluation
Immunization services: Inclusive planning Accurate and up-dated data system Connecting services with local communities Active involvement of local community
Parents: Strengthening personal accountability of parents (information, mediation) Support to parents organisations
Child rights and health