Around the world, pneumonia and diarrhea led to almost one of four deaths in children under the age of five in 2016. Report on pneumonia and diarrhea from 2018 – published before the 10th annual World Pneumonia Day, 12 November, International Center for Access to Vaccines (IVAC) at the School of Public Health Johns Hopkins Bloomberg – describes efforts to fight pneumonia and diarrhea in 15 countries with the highest number of deaths due to these diseases.
This report examines how effectively countries provide or ensure the use of 10 key interventions, including exclusive breastfeeding, vaccination, access to care and use of antibiotics, oral rehydration solution and zinc supplementation to help prevent and treat pneumonia and diarrhea. These measures are known to help protect children from death due to these diseases and can help achieve the UN goal of sustainable development by reducing the mortality of people under five to at least 25 per 1000 live births by 2030.
A report on pneumonia and diarrhea, issued annually by IVAC for almost a decade, states that although countries are making progress in improving vaccination coverage, they are seriously endeavoring to treat childhood-related diseases – especially among remote, impoverished or otherwise left.
"Progress in stopping the death of children is hampered by persistent inequalities in countries around the world," said Kate O & # 39; Brien, MD, MPH, professor of the International Health Department at Bloomberg School and Executive Director of IVAC. "The solution to these inequalities will require a greater level of funding, strong political commitment, greater accountability and a coordinated global effort that prioritises the most vulnerable."
Eight out of the fifteen countries assessed did not meet the targets for any of the 10 interventions to protect against and treat pneumonia and diarrhea, in line with the World Health Organization and the UNICEF Integrated Global Action Plan for the Prevention of Disease and Diarrhea (GAPPD). Two of the countries have met the 90% target coverage ratio for at least four vaccines. In the case of remedies, none of the 15 countries was able to achieve 90% of the target level of protection.
For the first time, the annual report analyzed stratified national data, revealing inequalities in the extent to which countries provided children with life-saving interventions based on gender, place of residence (eg Urban or rural), maternal education and wealth.
The authors conclude that in order to accelerate progress, governments need to regularly collect better data. The global community must give priority to improving access to preventive and therapeutic interventions for children, which are currently not being achieved. Funders must continue or increase support for proven solutions – or risk that progress will disappear. Finally, the integration of policies related to healthcare systems, poverty and education can bring opportunities to improve equality in many countries.