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Judita Reichenberg UNICEF Area Representative for Serbia and for Croatia 21 April 2008. CHILD RIGHT TO HEALTH. Contents . Child right to health care Realisation of rights Who does not realise his/her rights and why? Recommendations. Child rights and health. Child rights to health .
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Judita Reichenberg UNICEF Area Representative for Serbia and for Croatia 21 April 2008 CHILD RIGHT TO HEALTH
Contents • Child right to health care • Realisation of rights • Who does not realise his/her rights and why? • Recommendations Child rights and health
Child rights to health • Child has a right to the highest attainable standard of health and health care (Convention on the Rights of the Child, Article 24) • In Serbia: • Free health care for all children up to 15 years of age • Principle of accessibility • Principle of non-discrimination Child rights and health
Realisation of rights Source: Vital Statistics (Devinfo data base) i Health Statistics Child rights and health
Source: Institute of Public Health of Serbia (Devinfo data base) Child rights and health
EXISTING DISPARITIES • No gender or area (urban/rural) based disparities • Small disparities based on education of mother and economic status of the family • Significant disparities in geographical areas • The most significant – disparities based on ethnicity Child rights and health
Proportion of 1 year-old children immunized against diphtheria, tetanus and pertussis (2006) Missing data Source: Institute of Public Health of Serbia (Devinfo data base)
Source: MICS 2005, Serbia Child rights and health
CHALLENGES • Systemic: • Gap between the law and the implementation • Insufficient investment in marginalised population groups • Immunization services: • Planning • Passive approach • Parents: • “Wall” of administrative obstacles • Discrimination • No information Child rights and health
RECOMMENDATIONS • Systemic: • Sufficient budgetary allocation to reach marginalised groups • Mandate and accountability of health service providers • Connecting immunization service with registration services, centres for social work, local NGOs • Systemic monitoring of new regulations and evaluation • Immunization services: • Inclusive planning • Accurate and up-dated data system • Connecting services with local communities • Active involvement of local community • Parents: • Strengthening personal accountability of parents (information, mediation) • Support to parents organisations Child rights and health