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Guidelines set out by the Department of Health (2011) call for interventions to increase children’s physical activity levels, starting from birth. Early years children should be given ample opportunities for unrestricted movement (such as crawling and water-based play) to increase their physiological development and encourage bonding with others. Drawing on robust research, the report argued that levels of physical activity required in childhood to help achieve healthy weight, bone and cardiometabolic health and psychological well-being are higher than previously estimated. Unstructured play is perceived as vital to achieving this, as young children ‘need the freedom to create their own opportunities. | I JI COMMITTING TO CHILD SURVIVAL jiz A PROMISE RENEWED Committing to Child Survival A Promise Renewed Progress Report 2012 Renewing the Promise in every country for every child Acknowledgements This report was prepared by UNICEF s Division of Policy and Strategy. Report team STATISTICAL TABLES FIGURES PLANNING AND RESEARCH Tessa Wardlaw Associate Director Statistics and Monitoring Section Division of Policy and Strategy David Brown Claudia Cappa Archana Dwivedi Priscilla Idele Claes Johansson Rolf Luyendijk Colleen Murray Jin Rou New Holly Newby Khin Wityee Oo Nicholas Rees Andrew Thompson Danzhen You. EDITORS David Anthony Eric Mullerbeck. DESIGN AND LAYOUT Upasana Young. BRANDING Boris De Luca Michelle Siegel. COPY EDITING AND PROOFREADING Lois Jensen Louise Moreira Daniels. WEBSITE Stephen Cassidy Dennis Yuen. UNICEF Country Offices contributed to the review of country example text. Policy and communications advice and support were provided by Geeta Rao Gupta Deputy Executive Director Yoka Brandt Deputy Executive Director Robert Jenkins Deputy Director Division of Policy and Strategy Mickey Chopra Associate Director Health Programme Division Katja Iversen Ian Pett Katherine Rogers Francois Servranckx Peter Smerdon. United Nations Children s Fund UNICEF September 2012 Permission is required to reproduce any part of this publication. Permission will be freely granted to educational or non-profit organizations. Please contact Division of Policy and Strategy UNICEF 3 United Nations Plaza New York NY 10017 USA Cover photo credit UNICEF NYHQ2012-0176 Asselin This report additional online content and corrigenda are available at www.apromiserenewed.org For latest data please visit www.childinfo.org. ISBN 978-92-806-4655-9 lift I COMMITTING TO CHILD SURVIVAL A PROMISE RENEWED Contents Foreword.4 Overview.5 Chapter 1 Levels and trends in child mortality.6 Under-five mortality rate league table 2011.12 Chapter 2 Leading causes of child deaths.14 Pneumonia.17 Diarrhoea.18