WHO/Yoshi Shimizu
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Child health

    Overview

    Protecting and improving the health of children is of fundamental importance. Over the past several decades, we have seen dramatic progress in improving the health and reducing the mortality rate of young children. Among other encouraging statistics, the number of children dying before the age of 5 was halved from 2000 to 2017, and more mothers and children are surviving today than ever before.

    However, a great deal of work remains to further improve the health outcomes for children. The world is facing a double mandate. More than half of child deaths are due to conditions that could be easily prevented or treated given access to health care and improvements to their quality of life.

    At the same time, children must also be given a stable environment in which to thrive, including good health and nutrition, protection from threats and access to opportunities to learn and grow. Investing in children is one of the most important things a society can do to build a better future.

    Causes

    Vast disparities exist around the world in a child’s chances of survival, with low- and middle-income countries disproportionately affected. Sub-Saharan Africa has the highest child mortality rate in the world, in some places 15 times higher than in high-income countries. The leading causes of death among children include respiratory infections, diarrhoeal diseases, measles, malaria, malnutrition and newborn conditions. Many child deaths are preventable through vaccination, adequate home care, access to health care services, improved rates of breastfeeding and better nutrition. However, many of the life-saving interventions are beyond the reach of the world’s poorest people.

    Survival is just one of many issues relevant to children’s health. Child health, growth and development are inseparable. In 2016, at least 250 million children were not able to reach their full physical or psychological development. This represents the staggering figure of 43%. Violence against children is also rampant. In 2019, abuse or neglect affected as many as 1 billion children.

    WHO Response

    WHO works with partners and Member States to improve the lives of all children and meet the targets of Sustainable Development Goal 3, which aims to end preventable deaths of newborns and children under 5 by 2030. If all countries reach this goal, 11 million lives will be saved, more than half of them in sub-Saharan Africa.

    WHO advocates for health equity through universal health coverage (UHC) and the global availability of vaccines to prevent some of the deadliest childhood diseases. WHO also promotes infant and young child feeding, with a focus on exclusive breastfeeding for infants. It has developed and promotes an integrated approach to managing childhood illness that considers all aspects of a child’s health, and a continuum of care throughout the early years to safeguard their developmental outcomes, including the reduction of risk factors for diseases that can arise later in life.

    These goals are a collaboration between many WHO departments and coordinated through the Department of Maternal, Newborn, Child and Adolescent Health, and Ageing.

    Our work

    Promoting healthy growth and development

    Promoting healthy growth and development

    GPE/Kelley Lynch
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    Overview

    The way mothers, fathers and other caregivers nurture and support children in the early years is among the most decisive factors for healthy growth and development, with lifelong and intergenerational benefits for health, productivity and social cohesion.

    To grow and develop optimally, children need to receive nurturing care. This means that they enjoy adequate nutrition and good health, feel safe and secure, and have opportunities for learning starting from birth. Exclusive breastfeeding, immunization and timely care during illness all contribute to a child’s healthy growth and development. Clean air, water and sanitation, and safe places for play and recreation are likewise important for young children to explore and learn.

    Caregivers benefit when they are supported in their caregiving practices, within the family, the community and in health services. They need to be feeling well themselves in order to care for others and therefore, addressing caregiver mental health is an important aspect of services that support children’s healthy growth and development. 

    To support children’s healthy growth and development, WHO in collaboration with partners developed the Nurturing Care Framework. This framework provides an evidence-based roadmap for action.  It emphasizes the importance of early interventions, starting from before conception.  The health sector has an important role to play.  Not only does it provide many of the essential interventions, it also has frequent contact with caregivers and young children, starting from pregnancy. 

    Policies, services and information are needed to build the enabling environments in which children can thrive.  By focusing on nurturing care and assisting governments and stakeholders to implement the Nurturing Care Framework, WHO contributes to the Sustainable Development Goals and the specific targets related to healthy growth and optimal development in childhood.

     

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