※ これは9月20日現在の予定であり、予告なく変更されることがあります。
L4 特別講演: Achieving MDG4 in Bangladesh: A review of strategies for further reducing childhood mortality
日時: | 2006年10月12日(木)11:00-12:00 |
---|---|
場所: | 第1会場(大ホール) |
座長: | 我妻 堯(財団法人国際協力医学研究振興財団) |
Achieving MDG4 in Bangladesh: A review of strategies for further reducing childhood mortality
1ICDDR,B: Centre for Health and Population Research
The childhood mortality rates have dropped considerably in Bangladesh over the last 20 years because of vaccines, provision of vitamin A and oral rehydration for diarrhoea, improving basic health care and improving nutrition. However the trend for childhood mortality has stagnated in recent years, and there has not been a major improvement. Recent analysis of demographic and cause of death data suggest that changes in interventions are needed if we are to achieve MDG4 by 2015. Most infant deaths are now occurring during the first month of life and these deaths will not be prevented with the usual child survival strategies of vaccines and ORS. Furthermore, among the older children, drowning is now becoming a much more important cause of death.
While maintaining the gains of the past through vaccines, ORS and vitamin A, new strategies will be needed to reduce neonatal deaths, provide zinc to children with diarrhoea (consistent with the WHO/UNICEF recommendations), provide the newer vaccines for rotavirus, pneumonia and cholera, and find ways to prevent drowning. Additional improvements in nutritional programmes, especially to integrate these into primary health care will also be needed.
Identifications of MDGs have assisted the ICDDR,B in focusing research toward new development of new knowledge which will truly make a difference in the lives of poor children in Bangladesh and other countries.
While maintaining the gains of the past through vaccines, ORS and vitamin A, new strategies will be needed to reduce neonatal deaths, provide zinc to children with diarrhoea (consistent with the WHO/UNICEF recommendations), provide the newer vaccines for rotavirus, pneumonia and cholera, and find ways to prevent drowning. Additional improvements in nutritional programmes, especially to integrate these into primary health care will also be needed.
Identifications of MDGs have assisted the ICDDR,B in focusing research toward new development of new knowledge which will truly make a difference in the lives of poor children in Bangladesh and other countries.