International cooperation in children health care (Second part). Strategies in developing countries
Reference of this article: de Aranzabal Agudo M. International cooperation in children health care (Second part). Strategies in developing countries. Rev Pediatr Aten Primaria. 2004;6:475-491.
Published in Internet: 30-09-2004 - Visits: 4005
Each year ten million children die in the world.
Many Agencies, Authorities and Organisations such as the European Union, the Spanish
Agency for International Co-operation (AECI), the Governments of the autonomous communities
and the majority of town councils and NGOs have no specific action policies to prevent
child morbidity and mortality. Others, such as the WHO, UNICEF or children?s NGOs do have
such a policy.
The first part of this work assessed the health situation, the causes and the current figures
for child mortality in the world. It then set out the ambitious objectives put forward by the
world forums, directed at reducing the number of deaths among children under five by two
thirds by the year 2015.
This second part studies the different strategies (selective, integrated and social) designed
to improve these terrible figures and sets out the requirements to be met by any strategy adopted.
It gives the results of the actions implemented to date and their effectiveness.
It emphasises the fact that children in the Third World do not have access to an Integrated
Health System with good preventive and curative Primary Care.
It concludes by stressing the need for donors to support the receiving nations in order to
develop a public health program at a district level.
Keywords● Health strategies ● Infant mortality ● Integrated management ● International Co-operation ● Specific management