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Some 35 million more children under five at risk if child mortality goal not met

Around 150,000 children died in Indonesia in 2012

NEW YORK, JAKARTA, 13 September 2013 - A new UNICEF report shows that if current trends continue, the world will not meet Millennium Development Goal 4 – to cut the rate of under-five mortality by two-thirds by 2015.  Worse, if current trends continue, the goal will not be reached until 2028.   

The cost of inaction is alarmingly high: as many as 35 million more children could die mostly from preventable causes between 2015 and 2028, if the global community does not take immediate action to accelerate progress.  
 
That is the bad news.  But the report provides many points of good news as well. It demonstrates that dramatic reductions in child survival are possible. Globally, the annual number of under-five deaths fell from an estimated 12.6 million in 1990 to approximately 6.6 million in 2012.  Over the past 22 years, the world saved around ninety million lives that might otherwise have been lost.

According to the report, in Indonesia the number of deaths among children under the age of five has been reduced from 385,000 in 1990 to 152,000 in 2012. “This is definitely great news,” said Angela Kearney, UNICEF Representative in Indonesia. “However, let’s not forget that we are failing the more than 400 children who still die every day in Indonesia. Typically, these are the poorest and most marginalized children, and many of them fall victim to easily preventable and treatable diseases like pneumonia and diarrhoea. We need to make sure that prevention and treatment services are available to all children in the country.”

“Yes, we should celebrate the progress,” said Anthony Lake, UNICEF Executive Director. “But how can we celebrate when there is so much more to do before we reach the goal?  And we can speed up the progress - we know how, but we need to act with a renewed sense of urgency,” he said.  
 
Just over a year ago, the Governments of Ethiopia, India and the United States, together with UNICEF, launched Committing to Child Survival: A Promise Renewed, a global effort to stop children from dying of causes that are easily prevented.
 
So far, 176 governments, including Indonesia, have signed a pledge, vowing to accelerate progress on child survival. Hundreds of civil society, religious groups and private individuals have also pledged support for the shared goal of giving every last child the best possible start in life.
 
The 2013 Progress Report on Committing to Child Survival: A Promise Renewed examines trends in child mortality since 1990, analyses the main causes of under-five deaths, and highlights national and global efforts to save children’s lives. The progress made to date is due to the collective efforts of governments, civil society and the private sector, as well as the increase in affordable, evidence-based interventions, such as insecticide-treated mosquito nets, medicines, vaccines, proper breastfeeding, nutritional supplements and therapeutic food and rehydration treatment for diarrhoea.

In Indonesia, these interventions in the areas of health and nutrition are increasingly linked to various poverty reduction schemes such as PKH Prestasi and PNPM Generasi.
 
The report shows sharp reductions in preventable child deaths across all regions of the world, and at all levels of national income, including low-income countries. In fact, some of the world’s poorest countries have made the strongest gains in child survival since 1990.  A few low-income countries with high child mortality rates, such as Bangladesh, Ethiopia, Liberia, Malawi, Nepal and United Republic of Tanzania, have already reduced their under-five death rates by two-thirds or more since 1990, reaching Millennium Development Goal 4 for the reduction of child deaths ahead of the 2015 deadline.

Globally, the pace of decline has accelerated with the annual rate of decline tripling since the 1990s.  Sub-Saharan Africa has also accelerated its rate of decline, with its annual rate of reduction increased more than more than fivefold since the early 1990s.  In the past seven years, Eastern and Southern Africa has been among the best performing regions in the world, reducing under-five mortality at an annual rate of 5.3 per cent in 2005-2012.
  
In Indonesia, despite much progress in reducing child deaths compared to 1990 levels, there is concern with the rate of decline slowing over the past 5 to 10 years. At the current rate of reduction, the achievement of MDG4 in Indonesia remains at risk.


 
Pneumonia, diarrhoea, and malaria remain leading causes of child deaths globally, claiming the lives of around 6,000 children under five each day. Undernutrition contributes to almost half of these deaths. 
 
The first month of life is the most precarious for a young child. In 2012, close to three million babies died during the first month of life, mostly from easily preventable causes.   
 
Reversing these devastating trends requires immediate action on multiple fronts, as outlined in the Millennium Development Goals - reducing poverty, decreasing maternal mortality, boosting education and gender equality, and promoting environmental sustainability.
 
 “Progress can and must be made,” said Mr. Lake. “When concerted action, sound strategies, adequate resources and strong political will are harnessed in support of child and maternal survival, dramatic reductions in child mortality aren’t just feasible, they are morally imperative.”

 

Note for Editors:

Country progress examples:

  • In Indonesia, the under-five mortality rate decreased by 63 per cent between 1990 and 2012, mainly thanks to the expansion of immunization services and use of oral rehydration therapy to treat diarrhea. The establishment of more than 250,000 community health posts (Posyandu) at village level and in rural areas in the past 25 years which provide specific health care for mothers and young children as well as the implementation of basic health programmes including family planning, nutrition, and immunization also contributed to the decrease of the number of infant and child mortality.

  •  In Bangladesh, under-five mortality rate decreased by 72 per cent from 1990 to 2012, mainly thanks to expanding immunization for children, delivering oral rehydration therapy to treat diarrhoea, and providing Vitamin A supplementation. Expanding a network of community health workers also improved the quality of healthcare and led to an increased use of health facilities. Women’s empowerment, education for mothers, improving mothers’ health, and implementing strategies to reduce poverty also contributed to reducing child deaths.

About Committing to Child Survival: A Promise Renewed
A Promise Renewed is a global movement that seeks to advance Every Woman Every Child – a strategy launched by United Nations Secretary-General Ban Ki-moon to mobilize and intensify global action to improve the health of women and children around – through action and advocacy to accelerate reductions in preventable maternal, newborn and child deaths.

The movement emerged from the Child Survival Call to Action, a high-level forum convened in June 2012 by the Governments of Ethiopia, India and the United States, in collaboration with UNICEF, to examine ways to spur progress on child survival. Partners from government, civil society and the private sector emerged from the Call to Action forum with a revitalized commitment to child survival.


Attention broadcasters:  Recent video news stories and b-roll from Bangladesh, Brazil, Ethiopia and Uganda will be available at http://weshare.unicef.org/mediaresources

About UNICEF
UNICEF works in 190 countries and territories to help children survive and thrive, from early childhood through adolescence. The world’s largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments. For more information about UNICEF and its work visit: www.unicef.org

For further information, please contact:
Kate Donovan, UNICEF Media, 1 212 326 7452 kdonovan@unicef.orgIman
Morooka, UNICEF Strategic Communications, 1 212 326 7211 e-mail:  imorooka@unicef.org
Nuraini Razak, UNICEF Indonesia, 62 811 920 1654, nrazak@unicef.org

 

 
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