Child and Adolescent Health and Development

 

Millennium Development Goals (MDGs)

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At the United Nations Special Session (UNGASS) for Children on 10 May 2002, the Declaration “A world fit for children” was prepared, reaffirming the commitment to complete the unfinished agenda of the World Summit for Children and to the Millennium Development Goals (A/S-27/19/Rev.1).

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UNGASS "A world fit for children" 
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The Declaration included a plan of action with goals, strategies and actions to be undertaken relevant to children to achieve targets for the decade 2000-2010 as an intermediate step to attaining the MDGs set for the 2015. In both the Health Assembly resolution and the UNGASS Declaration, providing access to high-quality health care services and conducting interventions to help families and communities care for their children were seen as key approaches to pursue.

Relevant to the work of WHO in the Region, especially the implementation of the strategy on Integrated Management of Child Health (IMCI), are the following UNGASS quantified targets: 

  • Reduction of infant and under-five mortality rate by at least one-third by 2010, as a step towards achieving the MDG of reducing it by two-thirds by 2015;

  • Reduction of deaths due to acute respiratory infection in children under 5 years of age by one-third and deaths due to diarrhoea by one-half;

  • Reduction of child malnutrition among children under 5 years of age (defined as underweight below minus 2 SD from median weight for age of reference population) by at least one-third—with special attention to children under 2 years of age—and reduction in the rate of low birth weight by at least one-third by 2010; achieving sustainable elimination of vitamin A deficiency by 2010; reduction of the prevalence of anaemia, including iron deficiency, by one-third by 2010;

  • Ensuring full immunization of children under 1 year of age at 90% nationally, with at least 80% coverage in every district or equivalent administrative unit; reduction of deaths due to measles by half by 2005; elimination of maternal and neonatal tetanus by 2005;

  • Reduction of the burden of disease associated with malaria by one-half and ensuring that 60% of all people at risk of malaria, especially children and women, sleep under insecticide-treated bednets.