• Children of the first five years of life: the dynamics of the components in the context of achievement of the Millennium Development Goals. Part 2

Children of the first five years of life: the dynamics of the components in the context of achievement of the Millennium Development Goals. Part 2

PERINATOLOGIYA I PEDIATRIYA. 2016.4(68):73-80 
 

Children of the first five years of life: the dynamics of the components in the context of achievement of the Millennium Development Goals. Part 2


Kvashnina L. V., Shun'ko E. E., Matvienko I. N.

SI «Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine», Kyiv

Shupyk National Academy of Postgraduate Education, Kiev, Ukraine

Published: Pedyatriya. Vostochnaya Evropa № 3, 2016. Part 1 Published «Perinatologiya i pediatriya» № 4, 2015; С. 69-73.


From 2000 the Ukraine dramatically declines the main data (early neonatal, neonatal and under five mortality rates). But from the other side there are lots of problems 
at the primary medical care level exist: there is regressive trend of complete vaccination coverage from 2008th. F.e. in 2014th the coverage of BCG was 43.8%, the coverage of vaccination against measles, diphtheria, tetanus declined till 60.1%; against polio — till 64.3%, against hepatitis B — till 48.5% with subsequent worsening of this situation at the beginning of 2016th. For the period 2000–2014th there have been changes in medical personnel: the number of district pediatricians decreased from 10.200 in 2010th till 4.900 in 2014th with simultaneous increasing of number of family doctors from 8.367 in 2009th till 8.367 in 2014th, but only 69.14% out of family doctors can take medical care for children from neonatal age. Lack of modern clinical guidelines, «ageing» and lack of pediatricians, lack of real social protection of child population dictate the need for the widespread implementation of simple but at the same time effective technologies the one of the which is WHO/UNICEF strategy Integrated Management of Childhood Illness.


Key words: children of the first five years of life, the achievement of the Millennium Goals.


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