Millennium Development Goals  & Child Survival
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Millennium Development Goals & Child Survival






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Millennium Development Goals  & Child Survival Millennium Development Goals & Child Survival Presentation Transcript

  • Millennium Development Goals & Child Survival Dr.P.Nalini Rao, Lecturer(SG) and R.Sakthi Prabha, Lecturer , Madras School of Social Work, Chennai -8
    • Goal 4 : Reduce child mortality
    • Child Mortality and Protection:
    • Extreme exploitation, violence or abuse can lead to child deaths, both under the age of five and throughout various phases of childhood.
  • Economist
    • According to Amartya Sen in his book
    • “ Development as Freedom” (1999) - Ability to survive is considered a primary freedom; the ability of individuals to avoid premature mortality and persistent morbidity should be one of the most fundamental goals of development. Sound health care policies are therefore crucial in the process of development.
  • 11 th Five year Plan
    • Towards Faster and More
    • Inclusive Growth
  • India
    • Live in villages- 72.00% (2001 census)
    • Access to health care is tentative, safe water and adequate sanitation is almost luxury but they do influence health outcomes
    • Surviving first five years of life is difficult
  • India
    • Infant mortality rate is 62 per 1000 for Rural children and 42 per 1000 for the Urban children (NFHS-3,2007)
    • Common causes of death Diarrhea diseases, Malaria, Measles, Congenital Anomalies, Malnutrition etc.
  • CMR and IMR in MEDIUM DEVELOPING COUNTRIES (Based on HDI Ranking) We have analyzed the IMR and CMR of 86 countries – ranking from 71 st to 155 th rank ( Dominica to Gambia ) with select variables to throw some light on interesting data
  • Independent variables
    • Adult literacy level
    • Public and Private expenditure on health
    • Birth attended by skilled health personnel
    • Improved sanitation
    • Infants with low birth weight
    • Improved water resource
            • Contd..
  • Independent variables
    • Undernourished Population
    • Human Development index value
    • GDP per capita
    • Population below poverty ($2 a day)
    • Gender Related Development index
  • Inference
    • There is no association between IMR/CMR and adult literacy level, public expenditure on health, improved sanitation, undernourished population, human development index value, GDP per capita and Population below poverty line.
  • Inference
    • There is a association between IMR and Private expenditure on health
    • There is association between GDI and IMR
    • There is a significant relation between CMR and Birth attended by skilled health Personnel
  • Inference
    • There is negative correlation between IMR and Birth attended by Skilled personnel
    • There is negative correlation between CMR and Improved water resources.
  • Indian scenario
    • 80% of extremely poor live in rural areas (Purao 2000)
    • Health of rural population takes a serious setbacks.
    • Under nutrition more among children
  • TAMILNADU Sex Ratio in the state is 987 females per 1000 males Infant mortality rate is 35% ( SRS 2001 - 03 ) (India-55%)
  • Tamilnadu
    • 15% of women live in village with PHC
    • 55% of household use Private hospitals
    • 38% only use the public medical sector
    • IMR is 37.0 per 1000 live births (2005)
    • Higher mortality among girls (48%)
  • Tamilnadu
    • Antenatal care is almost universal
    • 9 out of every 10 births take place in health facility
    • 89% of children were vaccinated
    • 97% of children under age of six years are covered by aganwadi centers
  • Tamilnadu
    • Upgrading PHCs- Strengthening the health delivery system
    • Public private partnership model involving NGOs - satyam foundation (EMRI)- creating helpline service 108
    • Vazhvoli thittam and varumun kappom thittam – a preventive model
  • Tamilnadu
    • 1421 PHC- 24 hours
    • 246 Mobile units
    • 1607 Patient welfare societies at all levels
    • Village health and Sanitation Committees – 13,000 villages and 540 town Panchayat
    • Janani Suraksha Yojana
    • Muthulakshmi Reddy Maternity Benefit Scheme
  • Tamilnadu
    • Rural water supply
    • Universal Immunization programme
    • 0.5 % of Population is yet to be covered for drinking water
    • Empowerment of women – SHG
    • NREG- Sustainable employment
  • Conclusion
    • a self sustained economy with healthy population
    • A holistic approach as suggested by MDGs is surer way to bring all into the mainstream of development by providing equal opportunity to all.
  • Conclusion
    • Create a level playing field for all to
    • Grow
    • Live
    • And
    • Celebrate life
  • Thank You