Brazil's achievement in child survival

BRAZIL COMMITTING TO CHILD SURVIVAL PROGRESS BRAZIL HAS BEEN MAKING TREMENDOUS PROGRESS, AND HAS SEEN ITS UNDER-FIVE MORTALITY RATE DECLINE BY 73 PER CENT BETWEEN 1990 AND 2011. THE REASONS FOR THE DECLINE IN CHILD DEATHS IN BRAZIL INCLUDE: EXPANSION OF INCREASED COVERAGE REDUCTION OF VACCINATION OF PRENATAL CARE FERTILITY RATES CAMPAIGNS IMPROVEMENT OF THE HIGHER LEVELS OF NATIONAL HEALTH C5 PROGRAMMES FOR CHILDREN UNDER AGE 2 PRIMARY HEALTH EDUCATION AMONG MOTHERS CARE MODEL UNDER-FIVE MORTALITY RATE THE UNDER-FIVE MORTALITY RATE HAS DECLINED DRAMATICALLY OVER THE PAST DECADE, WITH A 73 PER CENT DECREASE FROM 1990 TO 2011. BRAZIL HAS ALREADY SURPASSED THE MDG TARGET OF 19 DEATHS PER 1,000 LIVE BIRTHS BY 2015. 1990 2011 2015 (MDG TARGET) 58 DEATHS 16 DEATHS 19 DEATHS *DEATHS PER 1,000 LIVE BIRTHS CAUSES OF UNDER-FIVE DEATHS 64% 60% 50% 40% 30% 26% 20% 7% 10% 3% 0% NEONATAL* PNEUMONIA DIARRHOEA OTHER * Includes all neonatal causes except neonatal pneumonia and diarrhoea. CHALLENGE 2х In the past 20 years, Brazil has made strong and steady progress in reducing mortality rates for children under 5. Across regions, there are still geographical and ethnic disparities in death rates among infants. According to 2008 data, the aggregate infant mortality rate for the northeast region was twice as high as rates in south and southeast provinces. THE CHALLENGE FACING BRAZIL IS TO MAINTAIN THE DOWNWARD TREND IN OVERALL CHILD MORTALITY WHILE SIMULTANEOUSLY ADOPTING A STRONG FOCUS ON QUALITY HEALTH CARE PROVISION FOR ALL REGIONS AND ETHNIC GROUPS. APPROACH & INTERVENTIONS A COMMUNITY HEALTH WORKER NETWORK WAS CREATED WITH UNICEF SUPPORT AS PART OF A COMPREHENSIVE PRIMARY HEALTH CARE INITIATIVE. EACH COMMUNITY HEALTH WORKER IS RESPONSIBLE FOR: PROVIDING UP-TO-DATE PROVIDING VISITING FAMILIES IN CE INFORMATION ON INFORMATION ON \THE COMMUNITY HEALTH HYGIENE AND CHILD CARE MONITORING THE GROWTH MONITORING PREGNANT AND HEALTH OF CHILDREN WOMEN UNDER AGE 5 IMPACT THE PUSH FOR MOBILE HEALTH WORKERS WAS PART OF A 2005 UNICEF INITIATIVE THAT REWARDED COMMUNITIES THAT MET TOUGH STANDARDS FOR IMPROVING THE LIVES OF CHILDREN. UNICEF equips health workers with Family Information Kits that include flip charts about issues related to the rights of pregnant women and children, health care, protection and early child development. EZ22Z22222 By 2008, more than 204,000 The network is integrated within the national system. Federal, state and municipal governments are fully responsible for funding and administering the programme throughout Brazil. community health workers covered nearly 110 MILLION people across Brazil, making this network one of the largest in the world. SKILLED ATTENDANT AT DELIVERY THE PRESENCE OF A SKILLED ATTENDANT AT DELIVERY REDUCES DEATH RATES AMONG BOTH MOTHERS AND NEWBORNS. 97% 100% %88 70% 80% 60% PERCENTAGE OF LIVE BIRTHS ATTENDED BY SKILLED HEALTH PERSONNEL 40% 20% 0% 1991 1996 2006 COMMITTING TO CHILD SURVIVAL #Promise4Children A PROMISE RENEWED Updated: 6 Nơvember 2012. *PERCENTAGE OF DEATHS IN 2010 +