tailieunhanh - WITH FINANCIAL SUPPORT FROM: Annie E. Casey Foundation North Carolina Department of Health and Human Services

On World Malaria Day in 2009, just over 600 days remain until 31 December 2010, UN Secretary- General Ban Ki-moon’s deadline for all endemic countries to achieve universal coverage with essential malaria control interventions. 1 Data presented here highlight major signs of progress across Africa toward this goal. The World Health Organization (WHO) has esti- mated that between 190 and 330 million malaria episodes occurred in 2006, resulting in nearly 1 million deaths. About 90 per cent of all malaria deaths occur in sub-Saharan Africa, most among children under age ive (igure 1). 2 Some 50 million pregnant women are exposed to malaria each year, with. | Action for Children íÀlMí ĩí ìẰ ĩ North Carolina Institute of Medicine 11 dv lVA shaping policy for a healthier state North Carolina WITH FINANCIAL SUPPORT FROM Annie E. Casey Foundation North Carolina Department of Health and Human Services ỊỊỊ1 kids count BlueCross BlueShield of North Carolina Foundation Ar H OTd nl tanw It Rw Cm wd s w AwwUfcr Access to Care and Preventive Health Access to preventive and primary care is critical to assuring the health of our children. The data indicate that enrollment in public insurance programs has grown dramatically and that enrolled children are receiving preventive care. However it is alarming to note that the uninsured rate for children increased by percent between 2002 and 2007 largely because North Carolina has experienced one of the largest decreases of employer-based coverage in the nation. The North Carolina General Assembly has approved an expansion of children s health insurance called . Kids Care but this program cannot be implemented without an increase in federal matching funds which the current federal administration has not made available. Providing more children with health insurance coverage will serve to further improve the health outcomes of children and in turn the health of their communities. North Carolina s investments in prevention and early intervention have been exemplary. Public insurance enrollment is high immunization rates are encouraging the early intervention system for young children with special needs has received national acclaim exposure to lead continues to diminish and serious chronic illnesses such as asthma are being identified earlier and managed more successfully. Access to dental care has improved somewhat but continues to be a major problem that warrants serious attention. Health Indicator Current Year Benchmark Year Change Grade Trend Insurance Coverage 2007 2002 of all children age 0-17 uninsured D Worse Number of children age 0-18 covered by public health .

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