TAILIEUCHUNG - PAPUA NEW GUINEA CHILD HEALTH PLAN 2008-2015

The use of contraception increases with increasing education. Sixty percent of women with at least some secondary education use a contraceptive method, in contrast to 43 percent of women with no education. In general, women do not begin to use contraception until they have had at least one child. Fifty-two percent of women currently in union with three or four children are currently using a modern method of contraception. The use of modern methods among women currently in union peaks between age 25-39 (50-52 percent). There is a small variation in the use of modern methods between urban and rural areas. | PAPUA NEW GUINEA CHILD HEALTH PLAN 2008-2015 Contents FOREWORD 3 EXECUTIVE SUMMARY 4 INTRODUCTION 6 Child health in PNG recent progress and future challenges 6 Child mortality 7 Common causes of childhood illness and death 7 Health facility network 8 Human resources in child health 8 PROGRAM AREAS 9 Expanded Program of Immunization 9 Integrated Management of Childhood Illness IMCI 11 Standard Treatment 14 Neonatal Care 15 Breast Feeding Nutrition and Micronutrients 17 Improving quality of hospital care 20 Malaria 23 Tuberculosis 25 HIV and AIDS 27 Paediatricians training 29 Continuing Professional Development 30 Child Health Nurses 31 Adolescent Health 32 Special Areas Heart Disease Childhood Cancer Paediatric Surgery 34 Advocacy for children 36 CHILD HEALTH ADVISORY COMMITTEE 37 Appendix 1. Projection of paediatrician training 2008-15 38 Appendix 2. Projection of paediatrician sub-specialty training 2012-2020 39 Appendix 2. Projection of paediatrician sub-specialty training 2012-2020 39 Core indicators and potential mechanism for monitoring 40 Acknowledgements 43 2 FOREWORD It is with great pleasure that I introduce this PNG Child Health Plan. Improving child health and education are vital for the future of Papua New Guinea. Sadly in the last 30 years child death rates in PNG have been among the highest in the Asia and Pacific regions. The encouraging news is that in recent years child death rates have reduced and this is because of a comprehensive approach that is outlined in this plan. However there is still a very long way to go to achieve acceptable child survival health and development. Improvements in child health have not been shared by all. The poor have missed out. Also child survival gains are not evenly distributed throughout the country. Some districts have child mortality rates that are 3-4 times higher than the better performing districts. The challenges are many including difficult geographical access weak health systems and limited human resources.

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