TAILIEUCHUNG - Global Child Health Donna Denno

Approximately 4 million children will still be left uninsured even after the ACA provisions are implemented. There are various reasons why a child may be left without insurance including: legal status (the new law prohibits any benefits to non-legal residents), insurance costs that may still be too expensive for parents to afford, or parents may expect health care costs for them and their child are to be relatively low in respect to the premium required for coverage or any applicable penalty. Some parents may choose to simply forgo coverage for their children even though it may be in their best interest and they have access to. | Pediatrics inReview Global Child Health Donna Denno Pediatr. Rev. 2011 32 e25-e38 DOI The online version of this article along with updated information and services is located on the World Wide Web at http cgi content full 32 2 e25 Downloaded from http by Luann Zanzola on April 22 2011 Article preventive pediatrics Global Child Health Donna Denno MD MPH Author Disclosure Dr Denno has disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved investigative use of a commercial product device. Objectives After completing this article readers should be able to 1. State the current annual number of child deaths globally and percentage of these deaths occurring in developing countries. 2. List the seven leading causes of childhood deaths worldwide and the interventions recommended by international guidelines to prevent these deaths. 3. Be aware of the percentage of childhood deaths that could be prevented through widespread implementation of these interventions. 4. Describe Millennium Development Goal 4 and progress toward its achievement. 5. Discuss the socio-political-economic factors and policies that affect child health. 6. Identify specific ways in which child health professionals in the United States can affect child health globally. Introduction Each year millions of children die the vast majority in poor countries. Tragically most of these deaths are preventable with technologies that are currently available and recommended for universal implementation. Progress is being made million children younger than the age of 5 years died in 2009 down from million in 1990. Unfortunately rates of reduction in child mortality are much less than what can be accomplished realistically with available technology. Furthermore progress lags far behind what was expected when 189 nations committed to reduce poverty and .

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