| 4
|
Reduce
Child Mortality |
TARGET
5: Reduce mortality rate of children under
five by two-thirds by 2015 |
STATUS |
*
The Under-Five mortality Rate (U5MR) has been successful between
1960 and 1990.
* Infant mortality rate has also been reduced from 1960 to
1990.
*
The measles immunization coverage increased from 57.7% in
1991 to 71.6% in 2002. |
*
Under-five mortality rate among children was significantly
reduced from 80 per 1,000 live births in 1990 to 48 in 1998.
*
In 2000, 65% of all children aged 12-23 months were fully
immunized before turning a year old. |
*
Steady progress in improving infant and child health. Between
1989 and 1996, the infant mortality rate declined from 38.8%
to 26 per 1,000 live births.
* The U5MR dropped as a result of better health care and improving
socio-economic situations.
*
Most deaths during the neonatal period, or the first month
of life, were related to pregnancy, childbirth, congenital
diseases and chromosome irregularities.
*
Measles is no longer a threat to most Thai children. Measles
incidences decreased from 94 per 100,000 in 1984 to only 7
per 100,000 in 2000.
* Infants are born smaller and the IMR is higher in the highland
areas in the north.In the 3 southernmost provinces, the problem
is complex with gender, culture, religion and language impacting
on the provision of and access to primary health care services. |
| CHALLENGES |
*
Decreasing child mortality rate and to lessen the 3 main causes
of infant mortality, namely, acute respiratory infections
(ARIs), perinatal complications, and diarrhea.
* Improving maternal and neonatal health.
* Improving family and community health-seeking behavior.
* Reducing urban-rural gaps and regional disparities between
provinces and districts.
* Involvement and support of the different sectors to be able
to synchronize and coordinate programs.
* Improving health protection and services for poor families.
* Improving the district health planning of the country. |
*
Maintaining gains in full immunization, vaccination drives.
* Strengthening public health programs.
* Supporting local health systems development.
*
Increasing investments for child health.
*
Ensuring quality of health care. |
*
Greater investment in training for health personnel.
* Proactively involve families and their communities.
*
Improving monitoring capacity. |
