Peru's commitment in child survival

PERU COMMITTING TO CHILD SURVIVAL PROGRESS PERU IS AN UPPER-MIDDLE-INCOME COUNTRY THREE QUARTERS THE POPULATION.VE IN URBAN AREAS. THE UNDER-FIVE MORTALITY RATE HAS DROPPED BY 76 PER CENT IN WHICH A LITTLE MORE THAN OF SINCE 1990, - THE HIGHEST RATE OF DECLINE IN THE ENTIRE LATIN AMERICA AND CARIBBEAN REGION FOR THAT PERIOD. THIS REDUCTION HAS BEEN PRIMARILY DUE TO IMPROVEMENTS IN HEALTH SERVICES FOR THOSE LIVING IN RURAL AREAS. THESE IMPROVEMENTS HAVE SUBSTANTIALLY REDUCED THE LONGSTANDING GAP IN CHILD HEALTH INDICATORS BETWEEN URBAN AND RURAL AREAS. ++*++ UNDER-FIVE MORTALITY RATE* BETWEEN 1990 AND 2011, UNDER-FIVE MORTALITY DROPPED BY MORE THAN THREE QUARTERS, BEATING THE MDG TARGET OF 25 DEATHS PER 1,000 LIVE BIRTHS. : 1990 75 DEATHS 2015 (MDG TARGET) 2011 18 25 DEATHS DEATHS DEATHS PER 1,000 LIVE BIRTHS CAUSES OF UNDER-FIVE DEATHS, 2010 46% 39% 40% 30% 20% 10% 10% 4% 1% 0% NEONATAL* PNEUMONIA DIARRHOEA AIDS OTHER CHALLENGE MATERNAL AND NEONATAL MORTALITY IN 2010, PERU'S MATERNAL MORTALITY RATIO WAS ESTIMATED AT 67 PER 100,000 LIVE BIRTHS. THE ESTIMATED LIFETIME RISK OF MATERNAL DEATH STOOD AT 1 IN 570. ++++ DISPARITIES PERU'S GREATEST CHALLENGE IN EFFORTS TO IMPROVE MATERNAL AND NEWBORN HEALTH - AND ITS GREATEST POTENTIAL FOR PROGRESS - LIES IN ADDRESSING DISPARITIES DUE TO ETHNICITY, GEOGRAPHY AND EXTREME POVERTY. BIRTHS ATTENDED BY SKILLED HEALTH PERSONNEL NATIONAL URBAN RURAL WEALTHIEST 20% POOREST 20% 85% 96% 64% 100% 56% IMPACT Enormous progress has been made in reducing child mortality and adapting maternity services to eliminate barriers between staff at health facilities and mothers who adhere to deeply rooted cultural traditions related to childbirth. ADAPTING HEALTH SERVICES TO THE CUSTOMS OF COMMUNITIES THAT ARE UNDERSERVED BY THE HEALTH SYSTEM REQUIRES INVESTMENTS TO IMPROVE THE QUALITY AND EXTEND THE COVERAGE OF HEALTH FACILITIES. SKILLED ATTENDANT AT DELIVERY ++++ OVERALL, THE PERCEN TAGE OF BIRTHS ATTENDED BY SKILLED HEALTH PERSONNEL IN PERU HAS INCREASED SIGNIFICANTLY SINCE 2000. FURTHER PROGRESS DEPENDS ON EFFORTS TO ELIMINATE DISPARITIES BASED ON ETHNICITY, GEOGRAPHY AND WEALTH. 100% 83% 85% 80% 71% 59% 60% 40% 20% 0% 2000 2004 2009 DHS 2011 DHS DHS DHS #Promise4Children COMMITTING TO CHILD SURVIVAL Updated: 6 November 2012. A PROMISE RENEWED