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

    Rethinking the child health agenda

    Rethinking the child health agenda

    G. Dashdoorov
    Mongolian child staring at her sister's eyes.
    © Credits

    Overview

    The survival of children under 5 years of age was the principal focus of the global child health agenda over past decades. As a result, global child mortality was reduced by 60% between 1990 and 2019. Of the 5.2 million deaths that still occurred among children < 5 years of age in 2020, many were concentrated in vulnerable populations, specially in countries of sub-Saharan Africa and also South-east Asia.

    Based on evidence that the foundations for lifelong health, productivity and wellbeing are laid in childhood, the health sector has an important role to ensure that children not only survive, but thrive. The Sustainable Development Goals include specific targets to promote young children’s development, which generates human capital that is every child’s right, and essential for equitable and sustainable progress.  

    WHO in collaboration with partners is redeveloping approaches for supporting children’s health globally. Beyond the unfinished agenda of child survival,  efforts are directed at building services and systems that can support children’s optimal growth and development. Based on the principles of Universal Health Coverage, services will be strengthened so that frontline workers can identify children who are at risk of not realizing their potential, and their families and communities supported to address the barriers. The new agenda is inclusive of children aged 5 to 9 years, and the communicable and noncommunicable conditions that affect their lifelong health and wellbeing.

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