Global child and adolescent health targets in jeopardy without urgent, comprehensive reform, experts warn

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Despite recent progress, the world is at risk of failing to achieve child and adolescent health goals, with more than 8.6 million deaths among children and adolescents (0-20 years) recorded in 2019. Complete, balanced care that starts from a long time ago. growth is urgently needed to reduce infant mortality and improve the health of children and young people, according to a new series published in The Lancet.

The authors of The Lancet Series on Improving Child Health, Youth and Development have called for it world leaders and policy makers to replace modern methods for children and young people healthwhich are usually distributed age groups or specific health conditions, to provide comprehensive care related to nutrition, immunization, education, economics, and community support between different ages from preconception to 20 years.

The new collection also documents how COVID-19 has damaged health and educational activities and economic and social systems, providing the latest developments to achieve the United Nations Sustainable Development Goals (SDGs) in risk and growth. childrenharm to violence, abuse, and mental health conditions.

“The challenges of responding to the needs of children and families during the COVID-19 disaster should be a public awareness campaign. the world communityemphasizes the urgent need to change the health of children and adolescents around the world, “said news correspondent and author Dr. Zulfiqar Bhutta from the World Health Organization (SickKids), Toronto (Canada) and Aga University Khan, Karachi (Pakistan).

Bhutta added, “We have less than eight years to achieve the United Nations’ sustainable development goals, and many of the child and adolescent health policies are not appropriate. A comprehensive plan that supports children and their families. from birth to adulthood we urgently need to be brought back.

Comprehensive health care for children and adolescents from the age of up to 20 years

The probability of death in the first five years of life is a common symbol used to indicate high capital and national development. However, this indicator provides a concise overview of children’s health and development.

Alternatively, the authors considered living conditions, growth, disability, and education in different regions of the world and their impact on basic life expectancy from one-third of pregnancy to 20 years. years, 8.6 million deaths were reported in 2019. Of these deaths, 1.9 million (23%) were stillborn and 2.4 million (28%) were stillborn infants. In addition, 2.75 million children (32%) died between one and five years of age. Inside out older children with youth deaths, 506,000 (6%) occurred between the ages of five to nine, 368,000 (4%) died between the ages of 10-14, and 595,000 (7%) died between the ages of 15-19- years.

“By looking at mortality and nutrition from the third trimester of pregnancy to the age of 20, we can gain a fuller understanding of the health of children and adolescents. Our research clearly shows that the first two years of life they are important health information for the future, but that for years has only been one area of ​​the game, “said study author Professor Robert Black from Johns Hopkins Bloomberg School of Public Health, Baltimore (USA).

“Activities that include nutritious nutrition during pregnancy and infants work with education and social support centers that reach children and families at all levels, from providing maternal care during pregnancy. to provide mental health and reproductive health for young people. ” says study author Tyler Vaivada from the International Center for Pediatrics, Toronto (Canada).

A strong and healthy health system must be integrated to support all children

Pregnancy, pregnancy, and infant interventions that address children’s well-being and nutrition have a profound effect on weight, height, and fitness, and are important indicators of future health, nutrition, education level, and stats attention-if they are delivered at a high level. of quality.

However, these activities must be enhanced and continued through adolescence through school-based and community-based platforms, where children and families can have equal access to immunization and screening programs to address areas where they are not often monitored for the health of children such as anemia, vision loss. , dental conditions, non-communicable diseases, neglect of tropical diseases, and mental health conditions (including anxiety and depression).

Building on this research, the authors point out that in order to improve the health of children, a strong health system needs to be integrated with improved social systems such as schools, communities, families, and digital platforms that provide enhancement, prevention, and appropriate treatment services for the child.

“While improving access to quality health care for children under the age of five will have the greatest impact on reducing child mortality, we must also work with families to promote child development and beyond hospital to schools and communities to lead to success. Adult children whose health needs are severely neglected, ”said Dr. Margaret Kruk from Harvard Chan School of Public Health, Boston (US).

The authors also point out the challenges that older children and adolescents face due to COVID-19, as well as the lack of social support and mental health effects such as feelings of loneliness, loneliness, and anxiety.

“COVID-19 has shown us the devastating effects that education care gaps can have on children. social system the best tools must be provided to work together to address the needs of children and emerging families as part of an effort to rebuild resilient and resilient jobs, ”said Professor Maureen Black from RTI International and the University of Maryland , Baltimore (US).

Long-term success of early life poverty

An analysis of data from 95 national statistics in low- and middle-income countries (LMICs) confirms that economic inequality persists within and between countries, with a strong link between poverty and health in the first place. life, nutrition, and understanding of children and young people.

Among the countries included in the study, children at the lowest end of the spectrum have at least one risk factor for health-related health problems early in life, such as. infant mortality, interference, slow progress, young mothers, and poor primary school compared to the leading children in the economic field. Furthermore, the magnitude of inequality in child mortality, nutrition, and development is related to the measure of economic inequality.

The authors also analyzed data from six long-term childbearing groups in LMICs to observe the specific impact of early childhood poverty. The most striking differences were observed in the personal data analyzed in two different groups from the Pelotas of Brazil, where children and young people at the top of the wealth scale scored 20 points when compare with children at the bottom of the scale. These differences were also observed in children under five years of age, suggesting that while general differences in school access are likely to play a role in statistical analysis, environmental factors have a associated with poverty from an early age (such as malnutrition, childhood illness, and living in poverty). conflict zone) has a great impact starting in the womb and developing throughout adolescence and adolescence.

Dr. Cesar Victora from the University of Pelotas (Brazil) says that “COVID-19 has exacerbated the effects of early childhood poverty.” “However, as disaster recovery programs are expanded, policy makers have unprecedented opportunities to strengthen existing anti-poverty policies and develop new programs for different sectors. – to work with health and nutrition to address the impact of the disease on women and children. “

Putting children and young people at the center of global policy

The full long-term effects of COVID-19 in children and families remain unknown. However, evidence suggests that conflicts caused by the disease, especially in areas where children have access to preventive and educational services, can lead to many deaths and illnesses for infants, children, and adolescents — who destroying the achievements that have been suffered in recent years.

Writing in a related commentary, Dr. Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization and Catherine Russell, Executive Director of UNICEF (who are not involved in the list), said, “This is a particularly dangerous time in history, with conflict- Confusion and weakness in the world, all countries need to give priority to children as well youth health, and customize different health programs to meet their needs and risks. This is a time when governments, donors, and institutions will come together not only to end the disease, but also to prevent future events, correcting long-standing system errors in a weak health system. including strengthening health workers, and addressing social and environmental issues. health determinants that put children at risk. It is time for unity to prevail over politics, to protect our children and the future. Failure to do so could result in almost 21 million children 5-24 years old and 43 million children under five years of age dying by 2030. This vision is unreasonable and not necessary, because as seen in this Lancet Series, stakeholders know what is needed. to be done for each childeverywhere, he can survive and thrive. “

Dr. Richard Horton, Editor-in-Chief of The Lancet, adds:[But] The shocking truth is, despite the fact that lives have been saved, millions of children are still dying because of preventable causes. The survivors were unable to reach their full potential…[We] the need for political commitment. We need heads of state, government, and civil society to stand up to the challenges posed by this list and the opportunities that lie ahead. ”

Remove the challenge to the health of the world’s children and youth

Learn more:
Promoting Child and Adolescent Health and Development, The Lancet (2022).… ld-abolisanci-health

hintWorldwide child and adolescent health professionals are at risk without immediate, complete overhaul, experts warn (2022, April 28) are back 28 April 2022 from -04-global-child-adolescent-health- riski.html

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Global child and adolescent health targets in jeopardy without urgent, comprehensive reform, experts warn Source link Global child and adolescent health targets in jeopardy without urgent, comprehensive reform, experts warn

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