These articles remind us on why there is the need to revisit strategies being implemented continuously. Our assessments of ongoing or completed processes should not rest with the providers alone but the consumers of the services we provide.
Framing an agenda for children thriving in the SDG era: WHO–UNICEF–Lancet
Commission on Child Health and Wellbeing.
Awa Coll-Seck, Helen Clark, Rajiv Bahl, Stefan Peterson, Anthony Costello, Tamara Lucas
The Millennium Development Goal (MDG) era witnessed an unprecedented drop in mortality among children younger than 5 years and in undernutrition across all regions. However, the poorest children remain 1·9 times more likely than others to die before reaching the age of 5 years.
If these child mortality trends persist, the Sustainable Development Goal (SDG) child mortality targets (reducing neonatal mortality to at least as low as 12 per 1000 livebirths and under-5 mortality to at least as low as 25 per 1000 livebirths in all countries by 2030) will not be met in 47 countries, 34 of which are in sub-Saharan Africa. Additionally, undernutrition is prevalent in some regions, with an estimated 151 million children affected by stunting worldwide.
This situation is further complicated by burgeoning overnutrition together with vitamin and mineral deficiency in early childhood and their links to adult non-communicable diseases. Reversing current trajectories requires not only applying lessons learned from the MDG era but also addressing all the determinants of child health and wellbeing that will impact whether today's children achieve their maximum potential in every situation. Indeed, evidence shows that about 50% of the reduction in child mortality in low-income and middle-income countries (LMICs) between 1990 and 2010 was due to indirect influences beyond the health sector.
Released: November 02nd, 2018 09:56 AM Author: Awa Coll-Seck Helen Clark Rajiv Bahl Stefan Peterson Anthony Costello Tamara Lucas Website: The Lancet Journal