PHA-Exchange> Child Health: Reaching the Poor

Claudio claudio at hcmc.netnam.vn
Fri May 28 19:34:23 PDT 2004


From: Ruggiero, Mrs. Ana Lucia (WDC) 
PAHO.ORG 


Child Health: Reaching the Poor 


Adam Wagstaff, Flavia Bustreo, and Mariam Claeson, Health, Nutrition and Population, World Bank, Washington, DC. 
Flavia Bustreo, Jennifer Bryce, the Department of Child and Adolescent Health and Development, World Health Organization Geneva, Switzerland.

May 2004, Vol 94, No. 5 - American Journal of Public Health 726-736



Abstract free online at: http://www.ajph.org/cgi/content/abstract/94/5/726 



"....In most countries, rates of mortality and malnutrition among children continue to decline, but large inequalities between poor and better-off children exist, both between and within countries. These inequalities, which appear to be WIDENING, call into question the strategies for child mortality reduction relied upon to date. 



We review (1) what is known about the causes of socioeconomic inequalities in child health and where programs aimed at reducing inequalities may be most effectively focused and (2) what is known about the success of actual programs in narrowing these inequalities. 



We end with lessons learned: the need for better evidence, but most of all for a new approach to improving the health of all children that is evidence based, broad, and multifaceted. ...."





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