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Progress towards achieving the MDGs Dr Mickey Chopra, Chief of Health, UNICEF. The progress towards MDG 4 is insufficient globally. Sub-Saharan Africa, Southern Asia and Oceania is not on track. Under-five mortality rate by region, 1990 and 2009. Source: IGME 2010.
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Progress towards achieving the MDGs • Dr Mickey Chopra, • Chief of Health, • UNICEF
The progress towards MDG 4 is insufficient globally Sub-Saharan Africa, Southern Asia and Oceania is not on track
Under-five mortality rate by region, 1990 and 2009 Source: IGME 2010
U5MR reduction - Progress has not been evenly distributed among regions
Total aid to MNCH (constant 2008 USD) Non-Countdown countries 68 Countdown countries ODA to MNH per birth ODA to MNH
68 priority countries:Levels of ODA to CH per child, 2008 Population-weighted Average: $6 per child Unweighted Average: $16 per child
68 priority countries:Levels of ODA to MNH per birth, 2008 Unweighted Average: $31 per birth Population-weighted Average: $11 per birth
Funding gap still large Global Strategy for Women and Children 2010
Unequal Progress to MDG’s Under Five Mortality 2/3 countries that have made progress in reducing U5MR have shown worsening inequalities (i.e gaps between better off and worse off have increased) Indicates : delivery and financing of health and nutrition services as well as demand / use of these favor the better off UNICEF Progress for Children 2010
In South Asia, the richest 20% are 23 times more likely to use improved sanitation than poorest 20%
Ukraine Cuba Rural Bolivia Urban Indonesia Honduras Urban Cameroon Bangladesh Rural Chad C. A. R. Education marginalization – inequalities within countries The case of Nigeria 14 12 10.3 years 10 years Rich, rural boys 9.7 years Rich, urban boys 10 Richest 20% Rich, rural girls Boys 8 Girls Average number of years of schooling Nigeria Poor, urban boys 6.4 years 6.7 years 6 4 Education poverty Poorest 20% 3.5 years 3.3 years Poor, rural girls 2.6 years 2 Extreme education poverty Rural Hausa Poor, rural Hausa girls 0 0.3 years 0.5 years
Targeting CH aid Equatorial Guinea Afghanistan Chad Niger
Targeting MNH aid Equatorial Guinea Afghanistan Niger Chad
Equity-driven programming can deliver better results, more equitably, at a lower cost per life saved in Pakistan Locally-developed strategy can obtain similar or better results at a lower cost