TAILIEUCHUNG - The Porritt Lecture, Whanganui, 3 November 2010

Taking experiences of low resource setting into account, upgrading the quality and coverage of safe motherhood services (including neonatal care) will have the largest payoff in averting deaths and reducing disability among women and children in Bangladesh. For scaling up of these tasks, building a functioning primary healthcare system from community level to the first referral-level facilities is essential. Particular emphasis should be placed on developing human resources for health (HRH) in this sector, ., the trained TBAs/midwives for skilled assistance during delivery at home and community health volunteers/ workers for raising awareness, motivation, neonatal and IMCI care, etc. Coverage of essential obstetric care should be made universal and functional. | The Porritt Lecture Whanganui 3 November 2010 Professor Innes Asher Department of Paediatrics Child and Youth Health The University of Auckland The annual lecture is named after Baron Lord Arthur Porritt the Wanganui-born surgeon soldier Olympic athlete and former Governor General who delivered the first Porritt Lecture in 1965. 1. Title Improving the Poor Health Outcomes for Children in New Zealand - What Can Be Done The Porritt Lecture Professor Innes Asher Head of Department of Paediatrics Child and Youth Health The University of Auckland Respiratory Paediatrician Starship Children s Health 2. Acknowledgements Ehara taku toa i te toa takitahi engari he toa takimano e. My strength is not mine alone but that of many. I started training in paediatrics in 1974 and have been a paediatrician for 30 years. I would especially like to thank the children and their families with whom it has been a real privilege to work and from whom I have learnt so much. I would also like to thank the Child Poverty Action Group from whom I have learned a great deal Ehara taku toa i te toa takitahi engari he toa takimano e My strength is not mine alone but that of many CHiLD POVERTY ACTION GROUP about the broader issues affecting child health and The Paediatric Society of New Zealand who are great experts and advocates for our children. Their slogan is Health of our Children Wealth of our Nation. This is the theme of my lecture tonight. MI Asher Porritt Lecture 3 November 2010 1 3. This Lecture In this lecture I will be talking firstly about child health outcomes in New Zealand - international comparisons and inequalities within New Zealand secondly determinants of health - a triple jeopardy thirdly child rights and finally working together. In This Lecture 1. Child health outcomes in NZ - international comparisons inequalities within NZ. 2. Determinants of health - a triple jeopardy. 3. Child rights. 4. Working together. 4. International Comparisons International

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