Each year, over 1.6 million people worldwide die as a result of violence. Violence is among the leading causes of death for people aged 15-44 years, accounting for 14% of deaths among men and 7% of deaths among women worldwide. For every person who dies, many more are injured and suffer from a range of physical, sexual, reproductive and mental health problems. Violence can be prevented. Through the Global Campaign for Violence Prevention, WHO and its many partners are contributing to a new way of thinking about violence prevention.
Equity in Health
Changing the future of obesity: science, policy, and action
Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT et al: The Lancet, 378(9793): 838-847, 27 August 2011
The global obesity epidemic has been escalating for four decades, yet sustained prevention efforts have barely begun. Forecasts suggest that high rates of obesity will affect future population health and economics. The authors of this study identify several cost-effective policies that governments should prioritise for implementation. Systems science provides a framework for organising the complexity of forces driving the obesity epidemic and has important implications for policy makers. Many parties (such as governments, international organisations, the private sector, and civil society) need to contribute complementary actions in a coordinated approach. Priority actions include policies to improve the food and built environments, cross-cutting actions (such as leadership, healthy public policies, and monitoring), and much greater funding for prevention programmes. Increased investment in population obesity monitoring would improve the accuracy of forecasts and evaluations. The integration of actions within existing systems into both health and non-health sectors (trade, agriculture, transport, urban planning, and development) can greatly increase the influence and sustainability of policies. The authors call for a sustained worldwide effort to monitor, prevent, and control obesity.
Cheaper Medicines for AIDS Welcomed
A leading development group has welcomed EU proposals to allow export of cheap medicines to poor countries fighting HIV/AIDS and other killer diseases. Under a system to be known as 'compulsory licensing', poor countries facing public health crises will be able to override patents on expensive drugs and order cheaper copies from generic manufacturers in other countries.
Chemists round on malaria
A molecular loop is looking like a promising candidate for the much-needed malaria vaccine. Developed by scientists in Colombia and Switzerland, the protein-like molecule primes a monkey's immune system, at least, to defend itself against the malaria parasite Plasmodium falciparum.
Child health inequities in developing countries: differences across urban and rural areas
Fotso J-C: International Journal for Equity in Health 5 (9), 11 July 2006
Using the most recent data sets available from the Demographic and Health Surveys (DHS) of 15 countries in sub-Saharan Africa (SSA), this paper concludes that to successfully monitor the gaps between urban poor and non-poor, existing data collection programs such as the DHS and other nationally representative surveys should be re-designed to capture the changing patterns of the spatial distribution of population.
Child health inequities in developing countries: Differences across urban and rural areas
Fotso JC: International Journal for Equity in Health 5:9, 11 July 2006
Across countries in sub-Saharan Africa, though socioeconomic inequalities in stunting do exist in both urban and rural areas, they are significantly larger in urban areas. Intra-urban differences in child malnutrition are larger than overall urban-rural differentials in child malnutrition, and there seem to be no visible relationships between within-urban inequities in child health on the one hand, and urban population growth, urban malnutrition, or overall rural-urban differentials in malnutrition, on the other
Child survival and development strategy, 2008-2015
Kenyan Ministry of Public Health and Sanitation and Ministry of Medical Services: January 2009
The child survival and development strategy in Kenya is guided by the National Health Sector Strategic Plan II: 2005–2010 (NHSSP II), the targets anticipated in achieving the Millennium Development Goals (MDGs) and Vision 2030 goals. The health sector has laid down policy and plans to facilitate the implementation of accelerated child survival and development within this strategy. The health sector currently faces several challenges and needs to focus on improving access to health services, as utilisation remains low, with more than 47% of the population travelling more than five kilometres to reach a health facility. Yet several notable achievements have been made in efforts to reduce the causes of childhood morbidity and mortality, especially with regards to malaria, vaccine preventable diseases, diarrhoea and in improving water and sanitation. There still needs to be a significant scaling up of activities related to specific targets both in terms of programme delivery and financing. Despite recent improvements, Kenya still needs to reduce infant mortality from 77 to 26 deaths per 1,000 live births and under five mortality from 115 to 33 deaths per 1,000 live births to achieve MDGs on child survival and development by 2015.
Child survival gains in Tanzania: Analysis of data from demographic and health surveys
Masanja H, de Savigny D and Smithson P: The Lancet, 2008
This report investigates the cause of a 24% drop in mortality in children under 5 years in Tanzania between 2000 and 2004. It investigated contextual factors that could have affected child mortality, in order to understand the likelihood of meeting the Millennium Development Goal for child survival (MDG 4). The observed reduction coincided with important improvements in Tanzania's health system, including a doubling of public expenditure on health, decentralisation and sector-wide basket funding, and increased coverage of key child-survival interventions, such as integrated management of childhood illness, insecticide-treated nets, vitamin A supplementation, immunisation and exclusive breastfeeding. The authors conclude that Tanzania could attain MDG 4 if this trend in improved child survival were to be sustained through increased investment.
Child survival strongly linked to maternal survival in Uganda
Child mortality goals are unlikely to be met in societies which fail to pay attention to the survival of HIV-positive mothers, according to findings from the Uganda General Population cohort published this month in AIDS. The authors note that "the very high mortality of mothers who die within a few years of giving birth suggests that simply reducing vertical transmission might not proportionately reduce the mortality risks in children of infected mothers."
Further details: /newsletter/id/29931
Children Affected by HIV/AIDS: Rights and responses in the developing world
Save the Children Working Paper 23
13 million the of world's children under the age of 15 have lost one or both parents to AIDS. The majority of people infected with HIV are young people in their reproductive years and most of them are parents. The size of this crisis is eroding the hard-won social development successes of the past few decades - as well as threatening child development. This Working Paper from Save the Children examines the situation of children affected by HIV/AIDS living in resource poor countries.