Anda di halaman 1dari 9

Goal 4: Reduce child

mortality
Existing Target 5
Reduce by two thirds between 1990
and 2015 the Under Five Mortality Rate
Proposed Target 5
Reduce by two thirds between 1990
and 2015, the Under Five Mortality
Rate for Girls & Boys
Under-five mortality rate
Infant mortality rate
Proportion of fully immunised
children 12-23 months
Proportion of under 1 year
children immunised against
measles
Prevalence of under weight
children (under 5 years of age)
Proportion of children under
five who suffered from
diarrhoea in the last 30 days and
received ORT
Lady Health Worker coverage
of target population
Under five mortality rate for boys
and girls divided by income
quintile
Infant mortality rate for girls and
boys divided by income quintile
Proportion of 1-year-old children
(girls and boys) immunized
against all preventable diseases
including measles.
Proportion of women in the
reproductive age (15-45) with
access to quality, affordable and
comprehensive SRHR services,
including contraceptive, safe
delivery, safe abortion, and safe
motherhood services at the
primary health care level divided
by income quintile.
Existing indicators
approved by GOP
Proposed additional
Indicators
Rationale for inclusion of
Indicators
Gender and income quintile disaggregated data
help in understanding health seeking behaviours
at the household and community levels.

The already existing system of government
measures gender disaggregated data these
systems should be further strengthened and
maintained.
Early And Late Childhood Mortality Rates

Rate Overall Male Female
Neonatal Mortality Rate
(1997 2000) / 1000 live births
54 68 40
Infant Mortality Rate
(1997 2000) / 1000 live births
85 95 71
Under 5 Mortality Rate
(1997 2000) / 1000 live births
103 112 93
Child Mortality Rate
(1997 2000) / 1000 live births
20 15 24
Neonatal Mortality: probability of dying within the first month of life
Infant Mortality: probability of dying before the first birthday
Under Five Mortality: probability of dying before the fifth birthday
Child Mortality: probability of dying between the first and the fifth birthday, having survived the first
year
Source: Pakistan Population Assessment Report 2003 and NIPS 2000-01
Regarding Immunization
Since measles is not the only preventable disease that
threatens Pakistans population and TB, hepatitis,
diphtheria, pertusis (whooping cough), tetanus etc have
a higher incidence in our population it is recommended
that the indicator measuring proportion of children
immunised against measles must be modified to
measure proportion of children immunised against
all preventable diseases, including measles.

Other diseases such as diarrhoea and Acute Respiratory
infections (ARI), which account for two-thirds of child and
infant mortality rates, must also be considered and
measured. This is already part of the Pakistan
Governments plans and should be included as part of
the MDG framework.


Source of data:
UNICEF State of the World Children - 2005
Name of disease % immunized (2003) 1 year old
children
TB 82
Diphtheria

67

Polio 69
Measles (MMR) 61
Hepatitis No data
Diarrhea N/A
ARI N/A
Pneumonia N/A
Access to Quality Health Services
One of the pressing challenges towards achieving the
child health goal has been mentioned in the MDG
progress report as


Access to high quality essential health services,
especially reproductive and emergency obstetric care


Since access to quality SRHR services is directly linked
to child health, it is proposed that the MDG framework
include an indicator that measures the proportion of
quality, affordable and comprehensive SRHR services,
including contraceptive, safe delivery, safe abortion, and
safe motherhood services at the primary health care
level.