1 / 23

Target-Setting Ending preventable newborn deaths

Lily Kak, USAID Ghazaleh Samandari , KMS On behalf of the ENAP Core Team Asia Regional Meeting Kathmandu, Sept 1, 2013. Target-Setting Ending preventable newborn deaths. Outline.

tadhg
Download Presentation

Target-Setting Ending preventable newborn deaths

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Lily Kak, USAID GhazalehSamandari, KMS On behalf of the ENAP Core Team Asia Regional Meeting Kathmandu, Sept 1, 2013 Target-Setting Ending preventable newborn deaths

  2. Outline Recall global consensus on Millennium Development Goal and A Promise Renewed to end preventable child deaths Consider options to recommend targets for the Every NewbornAction Plan to end preventable newborn deaths

  3. Millennium Development Goal 4 Reduce under-five mortality by two-thirds Relative Target: 66% reduction

  4. Accelerating progress on child survival – what can the world achieve if countries increase their annual rate of reduction? Under-5 deaths millions 13 Under-five deaths 1990-2070 (actual and projected) 12 9.6 mm deaths in 2000 11 10 7.6 mm deaths in 2010 9 8 • Current trajectory: ARR 2.5% • MDG 4 achieved in 2035 • 4 million deaths annually in 2035 7 • ARR 5.2% • 2 million deaths annually by 2035 • Every country reaches 20/1000 by 2035 • Many countries below 15/1000 by then • ARR 12.6% • Achieve MDG 4 • Reach 2 million child deaths annually in 2020 • Achieve average of U5MR 15/1000 by 2020 6 5 4 3 Achieve MDG 4 2 1 0 Source: UNICEF State of the World’s Children 2012; The UN Inter-agency Group for Child Mortality Estimation, Levels and Trends in Child Mortality: Report 2011, 2011; Team analysis from 2035 onward based on straight-line ARR reduction from UNICEF numbers 1990-2035

  5. Target-Setting “Every Newborn” Action Plan

  6. A Promise Renewed Target for U5MAbsolute target of 20 by 2035 Mortality rate (per 1,000 live births) • U5M current trajectory: ARR 2.5% • MDG 4 achieved in 2035 • 4 million deaths annually in 2035 9.6 mm deaths in 2000 • U5M ARR 5.2% • 2 million deaths by 2035 • Every country reaches 20/1000 • Many countries below 15/1000 6 m deaths in 2011 MDG 4 U5M 20 NMR current trajectory of ARR 2.2% Absolute target : U5MR 20 by 2035 Source: UNICEF State of the World’s Children 2012; The UN Inter-agency Group for Child Mortality Estimation, Levels and Trends in Child Mortality: Report 2011, 2011; Team analysis from 2035 onward based on straight-line ARR reduction from UNICEF numbers 1990-2035

  7. Option1: Absolute Target Source: The UN Inter-agency Group for Child Mortality Estimation

  8. Every Newborn target by 2035 Option 1: Absolutetarget NMR 5? 9? 10?

  9. Example: Absolute target of NMR 5? some regions will have to work much harder than others Africa & S. Asia require an ARR of over 7% Newborn mortality rate (per 1,000 live births) OECD Upper Limit (Turkey) : NMR 9 Source: The UN Inter-agency Group for Child Mortality Estimation

  10. Example: Absolute target of NMR 9? some regions will have to work much harder than others Africa & S. Asia require an ARR of over 5% Sub-Saharan Africa South Asia Newborn mortality rate (per 1,000 live births) Middle East/ North Africa CEE/CIS East Asia/ Pacifica Latin America/ Caribbean 9 Source: The UN Inter-agency Group for Child Mortality Estimation

  11. Option 2: Relative Target

  12. Every Newborn target by 2035 Every Newborn target by 2035 Option 2: Relative Reductionof NMR by 66% or 75% Option 2: Relative target 66% reduction? 75% reduction? NMR

  13. Example: Relative target of 66% reduction from 2011 All regions require an ARR of 4.4% Sub-Saharan Africa South Asia Inequity across regions Middle East/ North Africa CEE/CIS East Asia/ Pacifica NMR Latin America/ Caribbean Africa 13.5 12.1 Asia 2.9 LAC

  14. Example: Relative target of 75% reduction from 2011 All regions require an ARR of 5.6% Sub-Saharan Africa South Asia Inequity across regions Middle East/ North Africa CEE/CIS East Asia/ Pacifica Latin America/ Caribbean NMR Africa 8.6 Asia 8.1 2.8 LAC

  15. Target-Setting: What do you recommend? • 1. What is the most important issue for you: • A global target that aims at achieving equity across all countries, even if some countries have to work harder (absolute)? • A global target that aims at feasibility based on country’s capacity, but resulting in inequity across regions (relative)? • 2. Would you recommend additional targets: • Intermediate mortality targets (every five years)? • Coverage targets for high impact interventions?

  16. Example: Absolute target of NMR 5? Newborn mortality rate (per 1,000 live births) OECD Upper Limit (Turkey) : NMR 9 Source: The UN Inter-agency Group for Child Mortality Estimation

  17. Example: Absolute target of NMR 9? Newborn mortality rate (per 1,000 live births)

  18. Example: Relative target of 66% reduction from 2011 All countries require an ARR of 4.4% Newborn mortality rate (per 1,000 live births)

  19. Example: Relative target of 75% reduction from 2011 All regions require an ARR of 5.6% Newborn mortality rate (per 1,000 live births)

  20. Relative Target

  21. Absolute Target

More Related