one big file - Social Watch

More documents

Recommendations

Info

Missing Targets: An alternative MDG midterm report Lack of progress The Philippines has the worst health performance in the Asia, with infant mortality rate (IMR) and maternal mortality rate (MMR) being among the highest in the region. The state of maternal health is alarming, with MMR barely moving in the last five years and worsening in many poor provinces. The maternal mortality target cannot be achieved by 2015. If we are to achieve our MDG target for maternal health, we need to reduce the maternal mortality rate (MMR) at a faster pace than our historical performance (based on actual rate of reduction between 1993 and 1998). Efforts to significantly reduce maternal mortality should be doubled in order to hit the target of reducing maternal deaths to 52 deaths by 2015 from 162 deaths per 100,000 births (2006 Family Planning Survey). Maternal death and the slow decline in MMR are consequences of wide disparities in access to essential social services. Acute disparities, which tended to be hidden in national averages, manifest across regions. ARMM, Mimaropa, Eastern Visayas, Bicol and the Zamboanga islands have very high maternal and child mortality rates and the highest malnutrition rate in the country. Rich areas pull up national averages, failing to capture the reality of poverty and poor health conditions in these areas. Goal 4: Reduce child mortality The Philippines is reportedly on track to meeting the goal of reducing under-five mortality, claiming a high likelihood of meeting the target of 26.7 deaths per 1,000 live births by 2015. Under-five mortality rate (U5MR) was 80 deaths per 1,000 live births in 1990, declining to 48 in 1998, 42 in 2003 and falling further to 32 deaths per 1,000 live births in 2006. Infant mortality has also been decreasing from 57 deaths per 1,000 in 1990, to 35 in 1998, to 30 in 2003 and 24 in 2006. Year Under 5 Mortality Rate (per 1,000 live births) Although there has been a decrease in both underfive and infant mortality rate, it is still high compared to other countries in the region. A recent survey by the National Statistics Office revealed that in 2003, “a child born in the Philippines is at greater risk of dying than children born in other Southeastern Asian countries”. Gains in under-five mortality at risk Infant Mortality Rate (per 1,000 live births) 1990 80 57 1991 77 55 1992 74 54 1993 72 52 1994 69 50 1995 67 49 1998 48 35 2003 42 30 2006 (FPS) 32 24 Source: National Statistics Office – 1998 & 2003 data: National Demographic and Health Survey; 1990 to 1995 data: TWG on Maternal and Child Mortality- National Statistical Coordination Board Neonatal and Postneonatal Trend Neonatal and postneonatal death, which makes up 71.4 percent of under-five mortality, registered the barest improvements over the past two decades. The combined number of deaths during the neonatal and post neonatal periods is almost thrice the number of deaths among 1-4 years old (12/1000 LB). Neonatal Deaths. Of the total under-five deaths (42/1000 LB), more than two-thirds (29/1000 LB) occur before the children turn <strong>one</strong> year old. Of these, majority (17/1000 LB) die within 28 days upon birth, occurring mostly within the first week. Further breakdown of the neonatal deaths by day of life shows that half of the neonatal deaths occur 30 S O C I A L W A T C H P H I L I P P I N E S
Infant and Child Mortality Rate in the Philippines & Other Countries,1990 & 2003 Missing Targets: An alternative MDG midterm report Country Infant Mortality Rate (per 1000 live births) 1990 Infant Mortality Rate (per 1000 live births) 2003 Under 5 mortality rate (per 1000 live births) 1990 Under 5 mortality rate (per 1000 live births) 2003 Vietnam 36 19 51 23 Singapore 7 3 8 3 Thailand 34 23 40 26 Malaysia 16 7 21 7 Brunei 10 5 11 6 Philippines 34 29 66 40 Source: NSO, DHS 2003 during the first two days of life. This emphasizes how crucial is the quality of care that must be provided to newborns at this earliest stage of life outside their mother’s womb. Perinatal Deaths. The Philippines also suffers from a substantial number of perinatal deaths at 24 per 1000 pregnancies as reported in 2003 (NDHS). Declining Proportion of Fully Immunized Children The improvement in the national averages of child health outcomes—in terms of lower infant and child mortality rates—has been attributed to the immunization program of the government since the 1990s, when a 90-percent coverage of fully immunized children (FIC) was achieved. However, the proportion of fully-immunized children dipped from 71.5 percent in 1993, to 72.8 percent in 1998 to 69.8 percent in 2003 (NDHS). Also, while the proportion of the fully-immunized children as per the FHSIS reached 84.8 percent in 2004, that figure is still lower than the 95-percent target for the year (National Objectives for Health (NOH), DOH 1999). Moreover, the actual number of reported measles cases S O C I A L W A T C H P H I L I P P I N E S 31
Page 3 and 4: Missing Targets An alternative MDG
Page 5 and 6: C O N T E N T S Key to Acronyms....
Page 7 and 8: FIES FIVIMS FLEMMS FNRI FP FPIC FRM
Page 9: F O R E W O R D The end is near. It
Page 12 and 13: Missing Targets: An alternative MDG
Page 90 and 91:
Missing Targets: An alternative MDG
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Table A2.1: Annual Per Capita Pover
Page 131 and 132:
Table A2.3: Annual Per Capita Food
Page 133 and 134:
Table A3.1: Table A3.1. Annual Per
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Table A3.3: Annual Per Capita Food
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Table A3.5: Poverty Incidence of Fa
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Table A4: Annual Per Capita Poverty
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Table A6.3: Environmental Health Re
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Table A6.9: Percent of Families wit
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Table B.3: Health Indicators: Liveb
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Table B4.3: Health and Nutrition In
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Table B6.1: Health Indicators: Mate
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
Table B9.2: Education Indicators: S
Page 251 and 252:
Page 253 and 254:
Page 255 and 256:
Page 257 and 258:
Table B10.2 Reconstructed Cohort Su
Page 259 and 260:
Page 261 and 262:
Table B11.1: National Elementary Ac
Page 263 and 264:
Page 265 and 266:
Table B11.2: National Secondary Ach
Page 267 and 268:
Page 269 and 270:
Page 271 and 272:
Page 273 and 274:
Page 275 and 276:
Page 277 and 278:
Page 279 and 280:
Table C3.2: Labor Productivity, by
Page 281 and 282:
Page 283 and 284:
Page 285 and 286:
Page 287 and 288:
Page 289 and 290:
Page 291 and 292:
Page 293 and 294:
Page 295 and 296:
Page 297 and 298:
Page 299:
Social Watch Philippines E-mail: in
show all

one big file - Social Watch

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?