Programs and Progress

 

Current coverage with effective child survival interventions

Table 1 shows estimates of global coverage for the preventive and therapeutic interventions with sufficient or limited evidence of effect on child mortality. These estimates were derived from UNICEF child health data sets 2 and other sources (details are available at http://www.childinfo.org/bellagio.htm ). 53 Coverage rates are fairly high for a few interventions (breastfeeding, measles vaccine), but for most countries and most interventions coverage is low or very low. Haemophilus influenzae type b (Hib) vaccine coverage was universally low and, with few exceptions, insecticide-treated net coverage rates in malarious areas were well below 5%.

	Mean estimated coverage of target population (range among countries * )
Preventive interventions
Breastfeeding (6-11 months)	90% (42-100)
Measles vaccine	68% (39-99)
Vitamin A	55% (11-99)
Clean delivery (skilled attendant at birth)	54% (6-89)
Tetanus toxoid	49% (13-90)
Water, sanitation, hygiene	47% (8-98)
Exclusive breastfeeding (<6 months)	39% (1-84)
Newborn temperature management	20%
Antibiotics for premature rupture of	10%
membranes
Antenatal steroids	5%
Nevirapine and replacement feeding	5%
Insecticide-treated materials	2% (0-16)
Hib vaccine	1%
Antimalarial intermittent preventive	1%
treatment in pregnancy
Zinc	0%
Complementary feeding	†
Treatment interventions
Vitamin A	55% (11-99)
Antibiotics for pneumonia	40%
Antibiotics for dysentery	30%
Antimalarials	29% (3-66)
Oral rehydration therapy	20% (4-50)
Antibiotics for sepsis	10%
Newborn resuscitation	3%
Zinc	0%
Data source: State of the World's Children 2003. 2 *Where available. For interventions with no country-level coverage data a single estimate was used for all countries. †The mean weight for age z score was used (see text).
Table 1: Coverage estimates for child survival interventions for the 42 countries with 90% of worldwide child deaths in 2000

 

Targets for World Bank Millennium Goals: 

Eradicate extreme poverty and hunger

• Target 1 Halve, between 1990 and 2015, the proportion of people whose income is less than one dollar a day.
• Target 2 Halve, between 1990 and 2015, the proportion of people who suffer from hunger.

Achieve universal primary education

• Target 3 Ensure that, by 2015, children everywhere, boys and girls alike, will be able to complete a full course of primary schooling.
• Promote gender equality and empower women
• Target 4 Eliminate gender disparity in primary and secondary education, preferably by 2005, and to all levels of education no later than 2015.

Reduce child mortality

• Target 5 Reduce by two thirds, between 1990 and 2015, the under-five mortality rate

Improve maternal health

• Target 6 Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio.

Combat HIV/AIDS, malaria, and other diseases

• Target 7 Have halted by 2015 and begun to reverse the spread of HIV/AIDS.
• Target 8 Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases.

Ensure environmental sustainability

• Target 9 Integrate the principles of sustainable development into country policies and programmes and reverse the losses of environmental resources.
• Target 10 Halve by 2015 the proportion of people without sustainable access to safe drinking water and basic sanitation.
• Target 11   Have achieved by 2020 a significant improvement in the lives of at least 100 million slum dwellers.

Develop global partnership for development

• Target 12 Develop further an open, rule-based, predictable, non-discriminatory trading and financial system. It Includes a commitment to good governance, development, and poverty reduction - both nationally and internationally
• Target 13 Address the special needs of the least developed countries.
  Includes: tariff and quota-free access for least-developed countries' exports; enhanced programme of debt relief for HIPCs and cancellation of official bilateral debt; and more generous ODA for countries committed to poverty reduction
• Target 14 Address the special needs of landlocked countries and small island developing States (through the Programme of Action for the Sustainable Development of Small Island Developing States and the outcome of the twenty-second special session of the General Assembly)
• Target 15 Deal comprehensively with the debt problems of developing countries through national and international measures in order to make debt sustainable in the long term
• Target 16 In cooperation with developing countries, develop and implement strategies for decent and productive work for youth
• Target 17 In cooperation with pharmaceutical companies, provide access to affordable essential drugs in developing countries
• Target 18 In cooperation with the private sector, make available the benefits of new technologies, especially information and communications

last updated 25 May 2006