The rate at which young children perish has worsened most disastrously over the past 15 years in Iraq, hard hit by both sanctions and war, and in Botswana, Zimbabwe and Swaziland, devastated by AIDS, according to a report released yesterday by Save the Children. But researchers also found against-the-odds progress in some of the world’s poorest nations.
Bangladesh has profoundly improved the chances that a child would survive by promoting family planning, a strategy that has enabled women to have fewer children, space births and strengthen their own health and that of their babies.
Nepal, despite a decade-long Maoist insurgency, has halved the death rate of children under age 5. It has enlisted the help of 50,000 mothers, most of them illiterate, who have squeezed vitamin A drops into the mouths of every child, hauled laggards in for vaccinations and even diagnosed pneumonia and dispensed medicines to combat it.
And Malawi, with an extreme shortage of doctors and nurses, has made surprising gains by taking simple steps that require no professional skills, for example distributing nets that protect children from malarial mosquitoes.
“In 2007, when we know what to do and how little it costs, that 28,000 kids are still dying each day is just plain wrong,” said David Oot, a public health expert on the team that produced the Save the Children report, “State of the World’s Mothers: Saving the Lives of Children Under 5.”
Despite many hopeful stories, broad progress against infant and child mortality has flagged since international health agencies began a campaign to reduce deaths 25 years ago, the researchers concluded. By the end of the 1980’s, global rates of child mortality had fallen 20 percent, and the lives of 12 million children were saved.
“Much of the momentum behind the child survival revolution has now been lost, and gains achieved in the 1980s and early 1990s have slowed or reversed,” the report says. “Under-5 mortality declined by only 10 percent from the early 1990s to 2000.”
Among the 60 developing countries where 94 percent of the child deaths occurred, 20 have either made no progress or have regressed, while 24 have cut death rates of children under 5 by at least 20 percent.
Iraq experienced the most staggering rise in under-age-5 mortality — 150 percent over 15 years. Since the war began in 2003, deteriorating health services, rising inflation and electricity shortages have worsened living conditions, the report said. In 2005, about 122,000 Iraqi children died before their fifth birthdays.
In countries that progressed, a focus on family planning was central to progress, the report said. In the five countries that made the greatest strides in reducing child deaths — Egypt, Indonesia, Bangladesh, Nepal and the Philippines — women’s use of contraceptives rose and fertility rates declined. In those countries, mothers were less likely to be physically depleted by having too many babies in too short a time. With fewer children, families were also able to invest more in the care of each child.
Political will was also an essential ingredient of success — and in Malawi, Tanzania, Nepal and Bangladesh was even more important than national wealth, the report found. Egypt, which has cut the death rate of children under age 5 by 68 percent since 1990, more than any other country, has shown a particular commitment to children’s health, said the researchers at Save the Children, a nonprofit group, and other experts.
“In words and deed, Egypt has put children more at the center of their social agenda than most other countries,” said Ruth Levine, author of “Millions Saved: Proven Successes in Global Health (Center for Global Development, 2004).
Egypt has carried out a comprehensive effort to improve the health of mothers and children. It invested in clean water and public health campaigns to teach the importance of hand-washing in disease prevention. It built roads that sped access to hospitals. It renovated dilapidated clinics. It made sure most mothers had midwives or other skilled workers to attend births. It strove to perfect immunization campaign strategies.
“There is a way to do a blanket of public health interventions that is very effective,” said Dr. Ayman El-Mohandes, a pediatrician and chairman of the Department of Prevention and Community Health at George Washington University’s School of Public Health, who served as a consultant on a United States-financed maternal and child health program in Egypt.
Showing posts with label Poor Countries. Show all posts
Showing posts with label Poor Countries. Show all posts
Thursday, 17 May 2007
Wednesday, 9 May 2007
Report on Child Deaths Finds Some Hope in Poorest Nations
The rate at which young children perish has worsened most disastrously over the past 15 years in Iraq, hard hit by both sanctions and war, and in Botswana, Zimbabwe and Swaziland, devastated by AIDS, according to a report released yesterday by Save the Children. But researchers also found against-the-odds progress in some of the world’s poorest nations.
Bangladesh has profoundly improved the chances that a child would survive by promoting family planning, a strategy that has enabled women to have fewer children, space births and strengthen their own health and that of their babies.
Nepal, despite a decade-long Maoist insurgency, has halved the death rate of children under age 5. It has enlisted the help of 50,000 mothers, most of them illiterate, who have squeezed vitamin A drops into the mouths of every child, hauled laggards in for vaccinations and even diagnosed pneumonia and dispensed medicines to combat it.
And Malawi, with an extreme shortage of doctors and nurses, has made surprising gains by taking simple steps that require no professional skills, for example distributing nets that protect children from malarial mosquitoes.
“In 2007, when we know what to do and how little it costs, that 28,000 kids are still dying each day is just plain wrong,” said David Oot, a public health expert on the team that produced the Save the Children report, “State of the World’s Mothers: Saving the Lives of Children Under 5.”
Despite many hopeful stories, broad progress against infant and child mortality has flagged since international health agencies began a campaign to reduce deaths 25 years ago, the researchers concluded. By the end of the 1980’s, global rates of child mortality had fallen 20 percent, and the lives of 12 million children were saved.
“Much of the momentum behind the child survival revolution has now been lost, and gains achieved in the 1980s and early 1990s have slowed or reversed,” the report says. “Under-5 mortality declined by only 10 percent from the early 1990s to 2000.”
Among the 60 developing countries where 94 percent of the child deaths occurred, 20 have either made no progress or have regressed, while 24 have cut death rates of children under 5 by at least 20 percent.
Iraq experienced the most staggering rise in under-age-5 mortality — 150 percent over 15 years. Since the war began in 2003, deteriorating health services, rising inflation and electricity shortages have worsened living conditions, the report said. In 2005, about 122,000 Iraqi children died before their fifth birthdays.
In countries that progressed, a focus on family planning was central to progress, the report said. In the five countries that made the greatest strides in reducing child deaths — Egypt, Indonesia, Bangladesh, Nepal and the Philippines — women’s use of contraceptives rose and fertility rates declined. In those countries, mothers were less likely to be physically depleted by having too many babies in too short a time. With fewer children, families were also able to invest more in the care of each child.
Political will was also an essential ingredient of success — and in Malawi, Tanzania, Nepal and Bangladesh was even more important than national wealth, the report found. Egypt, which has cut the death rate of children under age 5 by 68 percent since 1990, more than any other country, has shown a particular commitment to children’s health, said the researchers at Save the Children, a nonprofit group, and other experts.
“In words and deed, Egypt has put children more at the center of their social agenda than most other countries,” said Ruth Levine, author of “Millions Saved: Proven Successes in Global Health (Center for Global Development, 2004).
Egypt has carried out a comprehensive effort to improve the health of mothers and children. It invested in clean water and public health campaigns to teach the importance of hand-washing in disease prevention. It built roads that sped access to hospitals. It renovated dilapidated clinics. It made sure most mothers had midwives or other skilled workers to attend births. It strove to perfect immunization campaign strategies.
“There is a way to do a blanket of public health interventions that is very effective,” said Dr. Ayman El-Mohandes, a pediatrician and chairman of the Department of Prevention and Community Health at George Washington University’s School of Public Health, who served as a consultant on a United States-financed maternal and child health program in Egypt.
Bangladesh has profoundly improved the chances that a child would survive by promoting family planning, a strategy that has enabled women to have fewer children, space births and strengthen their own health and that of their babies.
Nepal, despite a decade-long Maoist insurgency, has halved the death rate of children under age 5. It has enlisted the help of 50,000 mothers, most of them illiterate, who have squeezed vitamin A drops into the mouths of every child, hauled laggards in for vaccinations and even diagnosed pneumonia and dispensed medicines to combat it.
And Malawi, with an extreme shortage of doctors and nurses, has made surprising gains by taking simple steps that require no professional skills, for example distributing nets that protect children from malarial mosquitoes.
“In 2007, when we know what to do and how little it costs, that 28,000 kids are still dying each day is just plain wrong,” said David Oot, a public health expert on the team that produced the Save the Children report, “State of the World’s Mothers: Saving the Lives of Children Under 5.”
Despite many hopeful stories, broad progress against infant and child mortality has flagged since international health agencies began a campaign to reduce deaths 25 years ago, the researchers concluded. By the end of the 1980’s, global rates of child mortality had fallen 20 percent, and the lives of 12 million children were saved.
“Much of the momentum behind the child survival revolution has now been lost, and gains achieved in the 1980s and early 1990s have slowed or reversed,” the report says. “Under-5 mortality declined by only 10 percent from the early 1990s to 2000.”
Among the 60 developing countries where 94 percent of the child deaths occurred, 20 have either made no progress or have regressed, while 24 have cut death rates of children under 5 by at least 20 percent.
Iraq experienced the most staggering rise in under-age-5 mortality — 150 percent over 15 years. Since the war began in 2003, deteriorating health services, rising inflation and electricity shortages have worsened living conditions, the report said. In 2005, about 122,000 Iraqi children died before their fifth birthdays.
In countries that progressed, a focus on family planning was central to progress, the report said. In the five countries that made the greatest strides in reducing child deaths — Egypt, Indonesia, Bangladesh, Nepal and the Philippines — women’s use of contraceptives rose and fertility rates declined. In those countries, mothers were less likely to be physically depleted by having too many babies in too short a time. With fewer children, families were also able to invest more in the care of each child.
Political will was also an essential ingredient of success — and in Malawi, Tanzania, Nepal and Bangladesh was even more important than national wealth, the report found. Egypt, which has cut the death rate of children under age 5 by 68 percent since 1990, more than any other country, has shown a particular commitment to children’s health, said the researchers at Save the Children, a nonprofit group, and other experts.
“In words and deed, Egypt has put children more at the center of their social agenda than most other countries,” said Ruth Levine, author of “Millions Saved: Proven Successes in Global Health (Center for Global Development, 2004).
Egypt has carried out a comprehensive effort to improve the health of mothers and children. It invested in clean water and public health campaigns to teach the importance of hand-washing in disease prevention. It built roads that sped access to hospitals. It renovated dilapidated clinics. It made sure most mothers had midwives or other skilled workers to attend births. It strove to perfect immunization campaign strategies.
“There is a way to do a blanket of public health interventions that is very effective,” said Dr. Ayman El-Mohandes, a pediatrician and chairman of the Department of Prevention and Community Health at George Washington University’s School of Public Health, who served as a consultant on a United States-financed maternal and child health program in Egypt.
Friday, 4 May 2007
IMF and World Bank Face Declining Authority as Venezuela Announces Withdrawal
Venezuela's decision this week to pull out of the IMF and the World Bank will be seen in the United States as just another example of the ongoing feud between Venezuelan President Hugo Chavez and the Bush Administration. But it is likely to be viewed differently in the rest of the world, and could have an impact on both institutions, whose power and legitimacy in developing countries has been waning steadily in recent years.
Other countries may follow. President Rafael Correa of Ecuador announced last week that it was kicking the World Bank's representative out of the country. It was an unprecedented action, which President Correa punctuated by stating that "we will not stand for extortion by this international bureaucracy." In 2005, the World Bank withheld a previously approved $100 million loan to Ecuador to try to force the government to use windfall oil revenues for debt repayment, rather than the government's choice of social spending.
This is the way these two institutions have operated for decades. With the IMF as leader, and the U.S. Treasury department holding veto power, they have run a "creditors' cartel" that has been able to exert enormous pressure on governments over a wide variety of economic issues. This pressure has not only generated widespread resentment, but has also often led to economic failure in the countries and regions where the IMF and World Bank have had the most influence. Over the last 25 years Latin America has had its worst long-term economic growth performance in more than a century.
Venezuela also has specific grievances against the IMF, which are likely to generate sympathy in other developing countries with democratic, left-of-center governments. On April 12, 2002, just hours after Venezuela's democratically elected government was overthrown in a military coup, the IMF stated publicly that it was "ready to assist the new administration [of Pedro Carmona] in whatever manner they find suitable."
This instantaneous show of financial support for a newly installed dictatorship - one which immediately dissolved the country's constitution, general assembly, and Supreme Court - was unprecedented in the IMF's history. Typically the IMF does not react so quickly, even to an elected government. It is no wonder that this move was seen in Venezuela and elsewhere as an attempt by the IMF to support the coup itself. Washington, which dominates the Fund, had advance knowledge of the coup, supported it, and funded some of its leaders - according to U.S. government documents.
In additions, Venezuela has not been happy with the IMF's consistently under-projecting its economic growth in recent years, as the Fund has also done with Argentina. The IMF's forecasts are widely used and can therefore influence investors.
But the resentment against the IMF and World Bank, and demands for change, are worldwide. The scandal over Paul Wolfowitz's leadership at the World Bank, which is about to topple the Bank's most unwanted president ever, is just the tip of the iceberg. Last month the IMF's Independent Evaluation Office stated that since 1999, nearly three-quarters of aid to the poor countries of Sub-Saharan Africa are not being spent. Rather, at the IMF's request, it is being used to pay off debt and accumulate reserves. This is a terrible thing to do to some of the poorest countries in the world, who desperately need to spend this money on such pressing needs as the HIV/AIDS pandemic.
Venezuela's decision is likely to strengthen the hand of developing nations within the IMF and World Bank who are demanding serious reforms. Right now the United States, with less than 5 percent of the world's population, has more votes in the IMF than countries representing the majority of the planet. The world's developing countries, which bear the brunt of these institutions' mistakes, have little or no voice in their decision-making. Venezuela's move - and any other countries that follow - will show the IMF and World Bank that the option of quitting these institutions altogether is a real one.
Whether this will spur reform that can actually change the colonial relationship that these institutions maintain with their borrowers remains to be seen. More likely, they will simply continue to become less relevant to the developing world, as has happened drastically over the last decade.
Other countries may follow. President Rafael Correa of Ecuador announced last week that it was kicking the World Bank's representative out of the country. It was an unprecedented action, which President Correa punctuated by stating that "we will not stand for extortion by this international bureaucracy." In 2005, the World Bank withheld a previously approved $100 million loan to Ecuador to try to force the government to use windfall oil revenues for debt repayment, rather than the government's choice of social spending.
This is the way these two institutions have operated for decades. With the IMF as leader, and the U.S. Treasury department holding veto power, they have run a "creditors' cartel" that has been able to exert enormous pressure on governments over a wide variety of economic issues. This pressure has not only generated widespread resentment, but has also often led to economic failure in the countries and regions where the IMF and World Bank have had the most influence. Over the last 25 years Latin America has had its worst long-term economic growth performance in more than a century.
Venezuela also has specific grievances against the IMF, which are likely to generate sympathy in other developing countries with democratic, left-of-center governments. On April 12, 2002, just hours after Venezuela's democratically elected government was overthrown in a military coup, the IMF stated publicly that it was "ready to assist the new administration [of Pedro Carmona] in whatever manner they find suitable."
This instantaneous show of financial support for a newly installed dictatorship - one which immediately dissolved the country's constitution, general assembly, and Supreme Court - was unprecedented in the IMF's history. Typically the IMF does not react so quickly, even to an elected government. It is no wonder that this move was seen in Venezuela and elsewhere as an attempt by the IMF to support the coup itself. Washington, which dominates the Fund, had advance knowledge of the coup, supported it, and funded some of its leaders - according to U.S. government documents.
In additions, Venezuela has not been happy with the IMF's consistently under-projecting its economic growth in recent years, as the Fund has also done with Argentina. The IMF's forecasts are widely used and can therefore influence investors.
But the resentment against the IMF and World Bank, and demands for change, are worldwide. The scandal over Paul Wolfowitz's leadership at the World Bank, which is about to topple the Bank's most unwanted president ever, is just the tip of the iceberg. Last month the IMF's Independent Evaluation Office stated that since 1999, nearly three-quarters of aid to the poor countries of Sub-Saharan Africa are not being spent. Rather, at the IMF's request, it is being used to pay off debt and accumulate reserves. This is a terrible thing to do to some of the poorest countries in the world, who desperately need to spend this money on such pressing needs as the HIV/AIDS pandemic.
Venezuela's decision is likely to strengthen the hand of developing nations within the IMF and World Bank who are demanding serious reforms. Right now the United States, with less than 5 percent of the world's population, has more votes in the IMF than countries representing the majority of the planet. The world's developing countries, which bear the brunt of these institutions' mistakes, have little or no voice in their decision-making. Venezuela's move - and any other countries that follow - will show the IMF and World Bank that the option of quitting these institutions altogether is a real one.
Whether this will spur reform that can actually change the colonial relationship that these institutions maintain with their borrowers remains to be seen. More likely, they will simply continue to become less relevant to the developing world, as has happened drastically over the last decade.
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