Global child survival initiatives and their relevance to the Latin American and Caribbean Region.
We review two series of papers published by The Lancet: the Child Survival Series (2003) and the Neonatal Survival Series (2005). Both series drew attention to the nearly 11 million annual deaths of children under the age of five years, and to the fact that almost 4 million of these deaths occur in the first month of life. We show that two thirds of these deaths could be prevented through universal coverage with existing, low-cost interventions that are failing to reach most children in the world. The series also highlighted the importance of reducing inequities both between and within countries. The relevance of these series to Latin America and the Caribbean is examined. Although substantial progress has been made in reducing mortality and improving coverage, two major challenges remain: how to improve the quality of health interventions, and how to reach the most disadvantaged children in the Latin American and Caribbean Region.
Victora
Cesar G
CG
Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brazil. cvictoria@terra.com.br
Barros
Fernando C
FC
D017691:Caribbean Region / Q000453:epidemiology; D002423:Cause of Death; D046688:Child Mortality / Q000639:trends; D002669:Child Welfare; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D014943:Global Health; D006292:Health Priorities; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007226:Infant Mortality / Q000639:trends; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000401:mortality; D007239:Infections / Q000401:mortality; D007843:Latin America / Q000453:epidemiology; D008297:Male; D011203:Poverty; D012935:Social Justice; D012959:Socioeconomic Factors; D014480:United Nations