Transcript India-based Zinc assessment for ANE

Diarrhoea: Why children are still
dying and what can be done
A 2009 UNICEF/ WHO Report, presented by:
Camille Saadé, AED/ POUZN Director
[email protected]
Reconvening Bangkok: 2007 to 2010 – Progress Made
and Lessons Learned in Scaling-Up FP-MNCH Best
Practices in the AME Region
7 – 11 March 2010
Asia and Africa account for more than ¾ of
childhood diarrhoea
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Diarrhoea is the second most common cause
of child deaths worldwide
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More than 80% of child deaths due to
diarrhoea occur in Africa and South Asia
Child deaths from diarrhoea in top five
Asian countries
India
Afghanistan
Pakistan
Bangladesh
China
386,600
82,100
53,300
50,800
40,000
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A 7 -point plan for comprehensive
diarrhoea control
Treatment package:
1 - ORT
2 - Zinc treatment
Prevention package:
3 - Rotavirus (4/09) and measles vaccination
4 - Exclusive BF and vit. A supplementation
5 - Handwashing with soap
6 - Safe drinking water at POU
7 - Community-wide sanitation
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Little or no progress in the use of
ORS to treat diarrhoea
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Countries with national guidelines
including zinc treatment
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UNICEF procurement of zinc
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New delivery strategies to
improve uptake
Possible solutions:
• Products need to be made more attractive
to users (i.e. zinc and ORS taste)
• Products need to be packaged for more
effective use (i.e. smaller ORS sachets)
• Products need to be delivered in
innovative ways that maximize access
(hygiene and sanitation promotion in
schools, marketing of soap, latrines, POU)
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It is possible!
• Political momentum to address leading
causes of death: pneumonia and diarrhea
• 2008 = 30th anniversary of Alma-Ata
declaration -> focus on primary health care
• Essential to achieve MDG 4: reduce child
mortality
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