Target 4.A Reduce by two thirds, between 1990 and 2015, the under-five mortality rate:
Good progress has been made towards reducing child mortality. According to MOH data the under-five mortality has declined from 120 per 1,000 live births in 1991 to 17 per 1000 live birth in 2008; it means that the MDG target was achieved by 2008. No new official data is available to confirm if child mortality continues to decrease. The official MCH report for 2011 uses the data stated above.
Remaining Challenges and Post 2015 strategic Action
For the country to keep on track to achieve the MDG 4 and keep reducing child mortality it should:
- Improve the skills of service providers at neonatal care such as neonatal resuscitation services, infection control activities in service at all levels where this service is being provided.
- Keep the vaccination coverage over 95% and increase those that are under this average like measles, rotavirus and pneumococcal vaccines, focus on hinterland regions.
- Intensify or improve PHC renewal to ensure integrated child care at primary care level to intensify early detection of Diarrheas and Acute Respiratory Infection among other diseases.
- Ensure retention of skilled human resources –
- Ensure partnership