TAILIEUCHUNG - National Child and Adolescent Health Policy 2009 - 2013

The result is that nearly 200,000 children and infants are dying each year in Afghanistan. Most of the causes of these deaths are preventable: the four highest causes of death in children, and the percentage of total of under 5 child deaths expected in 2009, are neonatal causes (41%), pneumonia (21%), and diarrhea (14%) and measles (4%). These four account for 80% of child deaths each year. The issue of general and micro-nutrient malnutrition underlies all the causes of death because children are much more vulnerable if they are malnourished: as much as half of child deaths would not occur. | Islamic Republic of Afghanistan Ministry of Public Health National Child and Adolescent Health Policy 2009 - 2013 July 2009 In line with the Convention on the Rights of the Child the MOPH Child and Adolescent Health Policy addresses health issues related to children defined as persons between the ages of 0 and 18 years. Afghanistan has one of the world s highest levels of infant and young child mortality. Two of the stated national objectives for the Health and Nutrition Sector for 2008 to 2013 in the Afghan National Development Strategy ANDS are to reduce newborn mortality and to reduce under 5s mortality. Furthermore Afghanistan has adopted the Millennium Development Goals MDGs which call for a halving of infant and under 5 mortality by 2015 and a further reduction with 30 by 2020. Since late 2001 the country has made impressive strides in reducing infant and under 5s mortality by nearly 25 . While these accomplishments are remarkable much remains to be done to address the most prevalent causes of death among infants and children under 5 through the widespread implementation of proven effective health measures. This policy establishes the guidelines for the refocusing of the MOPH and its partners on the task of reducing infant and under 5 s mortality rates for the period 2009-2013. 1. The Need for improving child and adolescent health The most recent estimated mortality rates of infants and children are Infant mortality of 129 deaths per 1000 live births Under 5 mortality rate children dying before the age of 5 of 191 per 1000 live births. The result is that nearly 200 000 children and infants are dying each year in Afghanistan. Most of the causes of these deaths are preventable the four highest causes of death in children and the percentage of total of under 5 child deaths expected in 2009 are neonatal causes 41 pneumonia 21 and diarrhea 14 and measles 4 . These four account for 80 of child deaths each year. The issue of general and micro-nutrient malnutrition .

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