tailieunhanh - The evolution of child health programmes in developing countries: from targeting diseases to targeting people

Develop initiatives to increase understanding of early social and emotional development. Developing initiatives to increase public understanding of the important developmental needs and milestones for children, as well as information on supporting those milestones, is a critical way to promote social, emotional and behavioral health. Information about early childhood mental health, early indicators of risk and mental health disorders and ways that parents can best support their child’s early social and emotional development can be shared through a variety of means. State agencies can launch outreach and educational efforts, state legislators can declare an “early childhood mental health. | Special Theme Child Mortality The evolution of child health programmes in developing countries from targeting diseases to targeting people Mariam Claeson1 Ronald J. Waldman2 Mortality rates among children and the absolute number of children dying annually in developing countries have declined considerably over the past few decades. However the gains made have not been distributed evenly childhood mortality remains higher among poorer people and the gap between rich and poor has grown. Several poor countries and some poorer regions within countries have experienced a levelling off of or even an increase in childhood mortality over the past few years. Until now two types of programmes short-term disease-specific initiatives and more general programmes of primary health care have contributed to the decline in mortality. Both types of programme can contribute substantially to the strengthening of health systems and in enabling households and communities to improve their health care. In order for them to do so and in order to complete the unfinished agenda of improving child health globally new strategies are needed. On the one hand greater emphasis should be placed on promoting those household behaviours that are not dependent on the performance of health systems. On the other hand more attention should be paid to interventions that affect health at other stages of the life cycle while efforts that have been made to develop interventions that can be used during childhood continue. Keywords child welfare child health services trends communicable diseases prevention and control delivery of health care infant mortality trends models theoretical. Bulletin of the World Health Organization 2000 78 1234-1245. Voir page 1243 le résumé en franpais. En la página 1244 figura un resumen en espanol. Introduction For the past 35 years the steep decline in deaths among infants and children has provided evidence of an important success story in international development. Mortality has

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