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Child Health - Global Status
Districts where we have shared videos on other sites are shared below in bold with due links in read more.

Districts
Adilabad
Agra
Ahmedabad
Ahmednagar

Aizawal
Ajmer
Akola
Alappuzha
Aligarh
Alirajpur
Allahabad
Almora
Alwar
Ambala
Ambedkar Nagar
Amethi
Amravati
Amreli
Amroha
Amritsar
Anand
Anantapur

Anantnag
Andaman
Angul
Anjaw
Anuppur
Araria
Aravali
Ariyalur
Arwal
Ashoknagar
Auraiya
Aurangabad_BH
Aurangabad_MH
Azamgarh
Bagalkot

Bageshwar
Bagpat
Bahraich
Baksa
Balaghat
Balangir
Baleswar
Ballia
Balrampur
Banas Kantha
Banda
Bandipora
Bandra
Bangalore
Bangalore Rural
Banka
Bankura
Banswara
Barabanki
Baramulla
Baran
Bardhaman
Bareilly
Bargarh
Barmer
Barnala
Barpeta
Barwani
Bastar
Basti
Bathinda
Beed
Begusarai
Belgaum
Behjoi
Bellary
Betul
Bhadrak
Bhagalpur
Bhandara
Bharatpur
Bharuch
Bhavnagar
Bhilwara
Bhind
Bhiwani
Bhojpur
Bhopal
Bidar
Bijapur
Bijnor
Bikaner
Bilaspur_CH
Bilaspur_HP
Birbhum
Bishnupur
Bokaro
Bongaigaon
Boudh
Budaun (Badaun)
Budgam
Bulandshahr
Buldhana
Bundi
Burhanpur
Buxar
Cachar
Central Delhi
Chamba
Chamoli
Champawat
Champhai
Chamrajnagar
Chandauli
Chandel
Chandigarh
Chandrapur
Changlang
Chatra
Chennai
Chhatarpur
Chhindwara
Chickmagalur
Chikkaballapura
Chirang
Chitradurga
Chitrakoot
Chittoor
Chittorgarh
Churachandpur
Churu
Coimbatore
Cooch Behar
Cuddalore
Cuddapah
Cuttack
Dadra
Dahod
Daman
Damoh
Dantewada
Darbhanga
Darjiling

Darrang
Datia
Dausa
Davangere
Dehradun
Delhi
Deogarh
Deoghar
Deoria
Dewas
Dhalai
Dhamtari
Dhanbad
Dhar
Dharmapuri

Dharwad
Dhemaji
Dhenkanal
Dholpur
Dhubri
Dhule
Dibang Valley
Dibrugarh
Dimapur
Dima Hasao
Dindigul
Dindori
Diu
Doda
Dumka
Dungarpur
Durg
East Champaran
East Delhi
East Garo Hills
East Godavari
East Kameng
East Khasi Hills
East Midnapore
East Siang
East Sikkim
E. Singhbhum
Ernakulam
Erode
Etah
Etawah
Faizabad
Faridabad
Faridkot
Farrukhabad
Fatehabad
Fatehgarh Sahib
Fatehpur
Fazilka
Firozabad
Firozpur
Gadag
Gadchiroli
Gajapati
Ganderwal
Gandhinagar
Ganganagar
Ganjam
Garhwa
G B Nagar
Gaya
Ghaziabad

Ghazipur
Giridih
Goalpara
Godda
Golaghat
Gomati
Gonda
Gondia
Gopalganj
Gorakhpur
Gulbarga
Gumla
Guna
Guntur
Gurdaspur
Gurgaon
Gwalior
Hailakandi
Hamirpur_HP
Hamirpur_UP
Hanumangarh
Hapur
Harda
Hardoi
Haridwar
Hassan
Hathras
Haveri
Hazaribag
Hingoli
Hisar
Hooghly
Hoshangabad
Hoshiarpur
Howrah
Hyderabad
Idukki
Imphal East
Imphal West
Indore
Jabalpur
Jagatsinghapur
Jaintia Hills
Jaipur
Jaisalmer
Jajpur
Jalandhar
Jalaun
Jalgaon
Jalna
Jalor
Jalpaiguri
Jammu
Jamnagar
Jamtara
Jamui
Janjgir-Champa
Jashpur
Jaunpur
Jehanabad
Jhabua
Jhajjar
Jhalawar
Jhansi
Jharsuguda
Jhunjhunu
Jind
Jodhpur
Jorhat
Junagadh
J Phule Nagar
Kabirdham (Kawardha)
Kaimur
Kaithal
Kalahandi
Kamrup
Kamrup (metro)
Kanchipuram
Kandhamal
Kangra
Kanker
Kannauj
Kannur
Kanpur Dehat
Kanpur Nagar
Kanyakumari
Kapurthala
Karaikal
Karauli
Karbi Anglong
Kargil
Karimganj
Karimnagar
Karnal
Karur
Kasargod
Kasganj
Kathua
Katihar
Katni
Kaushambi
Kendrapara
Keonjhar
Khagaria
Khammam
Khandwa
Khargone
Kheda
Khordha
Khowai
Khunti
Kinnaur
Kiphrie
Kishanganj
Kishtwar
Kodagu
Koderma
Kohima
Kokrajhar
Kolar
Kolasib
Kolhapur
Kolkata
Kollam
Kondagaon
Koppal
Koraput
Korba
Koriya
Kota
Kottayam
Kozhikode
Krishna
Krishnagiri
Kulgam
Kullu
Kupwara
Kurnool
Kurukshetra
Kurungkumey
Kushinagar
Kutch
Lahaul & Spiti
Lakhimpur
Lakhimpurkheri
Lakhisarai
Lakshadweep
Lalitpur
Latehar
Latur
Lawngtlai
Leh (Ladakh)
Lohardaga
Lohit
Longding
Longleng
L Dibang Valley
Lower Siang
Lower Subansiri
Lucknow
Ludhiana
Lunglei
Madhepura
Madhubani
Madurai
Maharajganj
Mahasamund
Mahbubnagar
Mahe
Mahendragarh
Mahesana
Mahoba
Mainpuri
Malappuram
Malda
Malkangiri
Mamit
Mandi
Mandla
Mandsour
Mandya
Mansa
Marigaon
Mathura
Mau
Mayurbhanj
Medak
Meerut
Mewat
Mirzapur
Moga
Mohali
Mokokchung
Mon *
Moradabad
Morena
Muktsar (Sri Muktsar Sahib)
Mumbai
Munger
Murshidabad
Muzaffarnagar
Muzaffarpur
Mysore
Nabarangapur
Nadia
Nagaon
Nagapattinam
Nagar Haveli
Nagaur
Nagpur
Nainital
Nalanda
Nalbari
Nalgonda
Namakkal
Nanded
Nandurbar
Narayanpur
Narmada
Narsinghpur
Nashik
Navsari
Nawada
Nawanshahr
Nayagarh
Neemuch
Nellore
New Delhi
Nicobar
Nilgiris
Nizamabad
Nt & M Andaman
Nt 24 Parganas
Nt Delhi
Nt Dinajpur
Nt East Delhi
North Goa
Nt Kannada
Nt Sikkim
Nt Tripura
Nt West Delhi
Nuapada
Osmanabad
Pakur
Palakkad
Palamu
Pali
Palghar
Palwal
Panch Mahals
Panchkula
Panipat
Panna
Papum Pare
Parbhani
Patan
Pathanamthitta
Pathankot
Patiala
Patna
Pauri Garhwal
Perambalur
Peren
Phek
Pilibhit
Pithoragarh
Pondicherry
Poonch
Porbandar
Prakasam
Pratapgarh_Rajasthan
Pratapgarh_UP
Pudukkottai
Pulwama
Pune
Puri
Purnia
Puruliya
Rae Bareli
Raichur
Raigad
Raigarh_CH
Raipur
Raisen
Rajouri
Rajgarh
Rajkot
Rajnandgaon
Rajsamand
Ramanagara
Ramanathapuram
Ramban
Ramgarh
Rampur
Ranchi
Rangareddy
Ratlam
Ratnagiri
Rayagada
Reasi
Rewa
Rewari
Ri Bhoi
Rohtak
Rohtas
Rudraprayag
Rupnagar
Sabar Kantha
Sagar
Saharanpur
Saharsa
Sahibganj
Saiha
Salem
Samastipur
Samba
Sambalpur
Sambhal
Sangli
Sangrur
Sant Kabir Nagar
Sant Ravidas Nagar
Saran
Satara
Satna
Sawai Madhopur
Sehore
Senapati
Seoni
Sepahijala
Seraikela Kharsawan
Serchhip
Shahdol
Shahid Bhagat Singh Nagar
Shahjahanpur
Shajapur
Shamli
Sheikhpura
Sheohar
Sheopur
Shimla
Shimoga
Shivpuri
Shopian
Shrawasti
Siddharthnagar
Sidhi
Sikar
Simdega
Sindhudurg
Singrauli
Sirmaur
Sirohi
Sirsa
Sitamarhi
Sitapur
Sivaganga
Sivasagar
Siwan
Solan
Solapur
Sonbhadra
Sonepur (Subarnapur)
Sonipat
Sonitpur
South 24 Parganas
South Andaman    
South Delhi
South Dinajpur
South Garo Hills
South Goa
South Kannada
South Sikkim
South Tripura
South West Delhi
Srikakulam
Srinagar
Sultanpur
Sundergarh
Supaul
Surajpur(Ch)
Surat
Surendranagar
Surguja
Tamenglong
Tapi
Tarn Taran
Tawang
Tehri Garhwal
Thane
Thanjavur
The Dangs
Theni
Thiruvananthapuram
Thoothukudi
Thoubal
Thrissur
Tikamgarh
Tinsukia
Tirap
Tiruchirappalli
Tirunelveli
Tirupur
Tiruvallur
Tiruvannamalai
Tiruvarur
Tonk
Tuensang
Tumkur
Udaipur
Udalguri
Udham Singh Nagar
Udhampur
Udupi
Ujjain
Ukhrul
Umaria
Una
Unakoti
Unnao
Upper Siang
Upper Subansiri
Uttarkashi
Vadodara
Vaishali
Valsad
Varanasi
Vellore
Vidisha
Viluppuram
Virudhunagar
Visakhapatnam
Vizianagaram
Warangal

Wardha
Washim
Wayanad
West Champaran
West Delhi
West Garo Hills
West Godavari
West Kameng
West Khasi Hills
West Midnapore
West Siang
West Sikkim
West Singhbhum
West Tripura
Wokha
Yamunanagar
Yanam
Yavatmal
Zunheboto

 

Key facts
5.9 million children under the age of 5 died in 2015.
http://www.who.int/mediacentre/factsheets/fs178/en/
More than half of these early child deaths are due to conditions that could be prevented or treated with access to simple, affordable interventions.
Leading causes of death in under-5 children are preterm birth complications, pneumonia, birth asphyxia, diarrhoea and malaria. About 45% of all child deaths are linked to malnutrition.

Children in sub-Saharan Africa are more than 14 times more likely to die before the age of 5 than children in developed regions.
A child's risk of dying is highest in the neonatal period, the first 28 days of life. Safe childbirth and effective neonatal care are essential to prevent these deaths. 45% of child deaths under the age of 5 take place during the neonatal period.

Preterm birth, intrapartum-related complications (birth asphyxia or lack of breathing at birth), and infections cause most neonatal deaths. From the end of the neonatal period and through the first 5 years of life, the main causes of death are pneumonia, diarrhoea and malaria. Malnutrition is the underlying contributing factor in about 45% of all child deaths, making children more vulnerable to severe diseases.

Overall, substantial progress has been made towards achieving Millennium Development Goal (MDG) 4. Since 1990 the global under-5 mortality rate has dropped from 91 deaths per 1000 live births in 1990 to 43 in 2015. But the rate of this reduction in under-5 mortality was insufficient to reach the MDG target of a two-thirds reduction of 1990 mortality levels by the year 2015.

Who is most at risk?
Newborns
2.7 million babies die every year in their first month of life and a similar number are stillborn. Within the first month, up to one half of all deaths occur within the first 24 hours of life, and 75% occur in the first week. The 48 hours immediately following birth is the most crucial period for newborn survival. This is when the mother and child should receive follow-up care to prevent and treat illness.

Globally, the number of neonatal deaths declined from 5.1 (4.9, 5.3) million in 1990 to 2.7 (2.5, 2.9) million in 2015. However, the decline in neonatal mortality from 1990 to 2015 has been slower than that of post-neonatal under-5 mortality: 47% compared with 58% globally. This pattern applies to most low- and middle-income countries. If current trends continue, around half of the 69 million child deaths between 2016 and 2030 will occur during the neonatal period. The share of neonatal deaths is projected to increase from 45% of under-5 deaths in 2015 to 52% in 2030. Moreover, 63 countries need to accelerate progress to reach the Sustainable Development Goal (SDG) target of a neonatal mortality rate of 12 deaths per 1000 live births by 2030.

Prior to birth, a mother can increase her child's chance of survival and good health by attending antenatal care consultations, being immunized against tetanus, and avoiding smoking and use of alcohol.

At the time of birth, a baby's chance of survival increases significantly with delivery in a health facility in the presence of a skilled birth attendant. After birth, essential care of a newborn should include:
ensuring that the baby is breathing;
starting the newborn on exclusive breastfeeding right away;
keeping the baby warm; and
washing hands before touching the baby.
Identifying and caring for illnesses in a newborn is very important, as a baby can become very ill and die quickly if an illness is not recognized and treated appropriately. Sick babies must be taken immediately to a trained health care provider.

Children under the age of 5
Substantial global progress has been made in reducing child deaths since 1990. The number of under-5 deaths worldwide has declined from 12.7 (12.6, 13.0) million in 1990 to 5.9 (5.7, 6.4) million in 2015 – 16 000 every day compared with 35 000 in 1990. Since 1990, the global under-5 mortality rate has dropped 53%, from 91 (89, 92) deaths per 1,000 live births in 1990 to 43 (41, 46) in 2015.

The world as a whole has been accelerating progress in reducing the under-5 mortality rate. Promisingly, sub-Saharan Africa, the region with the highest under-5 mortality rate in the world, has also registered a substantive acceleration. Its annual rate of reduction increased from 1.6 percent in 1990s to 4.1 percent in 2000–2015. The remarkable decline in under-5 mortality since 2000 has saved the lives of 48 million children under age 5.

Between 1990 and 2015, 62 of the 195 countries with available estimates met the Millennium Development Goal (MDG) 4 target of a two-thirds reduction in the under-5 mortality rate. Among them, 24 are low- and lower-middle income countries. Despite these gains, progress was insufficient to reach MDG 4 globally and in many regions. Currently, 79 countries have an under 5 mortality rate above 25, and 47 of them will not meet the proposed SDG target of 25 deaths per 1000 live births by 2030 if they continue their current trends in reducing under-5 mortality. Among these 47 countries, 34 are in sub-Saharan Africa. The acceleration needed to reach the goals in those 47 countries is substantial – 30 countries must at least double their current rate of reduction, and 11 of those 30 countries must at least triple their current rate of reduction.

Wide gaps in child mortality across sub-groups or areas within countries have been documented, warranting a call for an equity-focused approach to reducing child mortality. Children are at greater risk of dying before age 5 if they are born in rural areas, poor households, or to a mother denied basic education.

More than half of under-5 child deaths are due to diseases that are preventable and treatable through simple, affordable interventions. Strengthening health systems to provide such interventions to all children will save many young lives.

Malnourished children, particularly those with severe acute malnutrition, have a higher risk of death from common childhood illness such as diarrhoea, pneumonia, and malaria. Nutrition-related factors contribute to about 45% of deaths in children under 5 years of age.

Prevention with vaccines
For some of the most deadly childhood diseases, such as measles, polio, diphtheria, tetanus, pertussis, pneumonia due to Haemophilius influenzae type B and Streptococcus pneumoniae and diarrhoea due to rotavirus, vaccines are available and can protect children from illness and death.

Emerging priorities for children’s health
Congenital anomalies, injuries, and non-communicable diseases (chronic respiratory diseases, acquired heart diseases, childhood cancers, diabetes, and obesity) are the emerging priorities in the global child health agenda. Congenital anomalies affect an estimated 1 in 33 infants, resulting in 3.2 million children with disabilities related to birth defects every year. The global disease burden due to non-communicable diseases affecting children in childhood and later in life is rapidly increasing, even though many of the risk factors can be prevented.

Injuries (road traffic injuries, drowning, burns, and falls) rank among the top 3 causes of death and lifelong disability among children aged 5-15 years. In 2012 violence and unintentional injuries killed an estimated 740 000 children under the age of 15, with the latter accounting for 90% of these deaths.

Similarly, the worldwide number of overweight children increased from an estimated 32 million in 2000 to 42 million in 2013, including in countries with a high prevalence of childhood undernutrition. If these trends continue, by 2025 the prevalence of overweight in children under 5 years of age will rise to an estimated 11% from 7% worldwide.

Global response: Sustainable Development Goal 3
The Sustainable Development Goals (SDGs) adopted by the United Nations in 2015 aim to ensure healthy lives and promote well-being for all children. The SDG goal 3 target 3.2 is to end preventable deaths of newborns and under-5 children by 2030.

Target 3.2 is closely linked with target 3.1, to reduce the global maternal mortality ratio to less than 70 per 100 000 live births, and target 2.2 on ending all forms of malnutrition, as malnutrition is a frequent cause of death for under-5 children. These have been translated into the new Global Strategy for Women’s, Children’s and Adolescent’s Health (Global Strategy), which calls for ending preventable child deaths while addressing a the emerging child health priorities.

To achieve the SDG targets, the global community has set goals and targets for tackling the unfinished child survival agenda to achieve under 5 mortality of 25 or less per 1000 live births by 2030. This has been translated into several global initiatives:
“ending preventable maternal mortality” and “every newborn action plan” to promote universal coverage of high quality maternal and newborn care;
the “global action plan for the prevention and treatment of pneumonia and diarrhoea";
a “comprehensive implementation plan on maternal, and infant and young child nutrition” to reduce under nutrition and obesity;
the Global Technical Strategy for Malaria to reduce global malaria case incidence and mortality by 2030; and
the Global Vaccine Action Plan to prevent childhood diseases through vaccination.
Member States need to set targets and develop specific strategies to reduce child mortality and monitor progress.

WHO response
WHO is committed to achieving the vision and objectives of the Global Strategy and the SDGs. In this context, to assist Member States in strengthening health services and furnishing appropriate technical assistance.

WHO calls on Member States to address health equity through universal health coverage so that all children are able to access essential health services without undue financial hardship. Strategic directions are proposed to move from “business as usual” to innovative, multiple, and tailored approaches to increase access, coverage, and quality of child health services through an optimal mix of community (including home) and facility (health centre and hospital) based care. Health sector and multisectoral efforts are also needed to overcome the inequalities and the social determinants of health.
Source for all the information above

5.9 million : Death toll of children under the age of 5 in the year 2015 alone (Global Health Observatory Data by WHO)
16,000 children die per day before reaching their fifth birthday
(Integrated Management of Childhood Illness by WHO)
45% of deaths in children under 5 years of age are related to malnutrition
Glenmark Foundation Focus
We believe that healthy children are the foundation of a healthier world. Our commitment towards child health is to reduce infant mortality by focusing on reducing malnutrition, ensuring complete immunisation for children and promoting good sanitation and hygiene practices among pregnant women and mothers with infants, and caregivers.
What is the Purpose of Child Health Forum
The purpose of child forum is to share the issues children under 5 face on health issues as well as the mothers face during pregnancy and the first year. The problems may be same but are treated differently not just in different countries but even within our sample country India (because India has population which is about 1/7th of the world, has 36 states / union territories and 677 odd districts plus India has different religions and different economy classes.

The forum will share programmes stakeholders like governments, NGOs /NPOs, corporates ... as well as celebrities who support the issue through campaigns.... some programmes can be solutions which can be replicated, scaled up or modified.

We know that societies in all countries face various issues which are an integral part of other issues (e.g. child health is dierct outcome of the income generation of parents).

What will the forum cover
Current scenario of subissues (status statistics and challenges)
Interventions of stakeholders like governments, NGOs/NPOs, corporates, funding agencies, philanthropists, celebrities, media coverage
Interviews of experts in different States / UTs / districts of India
Interviews of experts around the world.
The forum will also share the key areas where child health needs to critically improve.