Child Survival

of older children, adults, and the family unit as a whole. These moral evaluations are, in turn, influenced by such external contingencies as popula tion demography, social and economic factors, subsistence strategies, house hold composition, and by cultural ideas concerning the nature of infancy and childhood, definitions of personhood, and beliefs about the soul and its immortality. MOTHER LOVE AND CHILD DEATH Of all the many factors that endanger the lives of young children, by far the most difficult to examine with any degree of dispassionate objectivity is the quality of parenting. Historians and social scientists, no less than the public at large, are influenced by old cultural myths about childhood inno cence and mother love as well as their opposites. The terrible power and significance attributed to maternal behavior (in particular) is a commonsense perception based on the observation that the human infant (specialized as it is for prematurity and prolonged dependency) simply cannot survive for very long without considerable maternal love and care. The infant's life depends, to a very great extent, on the good will of others, but most especially, of course, that of the mother. Consequently, it has been the fate of mothers throughout history to appear in strange and distorted forms. They may appear as larger than life or as invisible; as all-powerful and destructive; or as helpless and angelic. Myths of the maternal instinct compete, historically, witli -myths of a universal infanticidal impulse.

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Assessing Child Survival Programs in Developing Countries provides local health system managers with basic principles for rapid precise program monitoring and evaluation in difficult tropical conditions.

The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.

Straightforward advice on what to do under threat of a dangerous situation.

The joint WHO/UNICEF Regional Child Survival Strategy offers a unified direction and a description of the actions necessary to successfully implement life-saving interventions. It can be used to guide countries and areas in the Region in their efforts to improve child survival. The Strategy focuses on children from birth to 5 years of age and advocates approaches that give every child the same chance for survival. This document includes key background information, the rationale for accelerated and sustained action for child survival, and a brief description of interventions included in the essential package for child survival. In addition, it includes action that will strengthen the essential package, a description of strategic approaches for child survival, a section about the diversity of countries and areas, and key points on monitoring and evaluation. It concludes with a brief description of the way forward.

of older children, adults, and the family unit as a whole. These moral evaluations are, in turn, influenced by such external contingencies as popula tion demography, social and economic factors, subsistence strategies, house hold composition, and by cultural ideas concerning the nature of infancy and childhood, definitions of personhood, and beliefs about the soul and its immortality. MOTHER LOVE AND CHILD DEATH Of all the many factors that endanger the lives of young children, by far the most difficult to examine with any degree of dispassionate objectivity is the quality of parenting. Historians and social scientists, no less than the public at large, are influenced by old cultural myths about childhood inno cence and mother love as well as their opposites. The terrible power and significance attributed to maternal behavior (in particular) is a commonsense perception based on the observation that the human infant (specialized as it is for prematurity and prolonged dependency) simply cannot survive for very long without considerable maternal love and care. The infant's life depends, to a very great extent, on the good will of others, but most especially, of course, that of the mother. Consequently, it has been the fate of mothers throughout history to appear in strange and distorted forms. They may appear as larger than life or as invisible; as all-powerful and destructive; or as helpless and angelic. Myths of the maternal instinct compete, historically, witli -myths of a universal infanticidal impulse.