0 155 10 2015 51020

Population Age Structure

Britain Tanzania

90

80

70

60

50

40

30

20

10

age

Share of the Population

developing countries - bluedeveloped countries - red

World population Annual births

85%

15%

75%

25%

Share of the Population

developing countries - bluedeveloped countries - red

Annual infant deaths Annual child deaths

98%97%

3% 2%

Death in children – main causes

Developed countries

Developing countries

Accidents

SIDS

Congenital

Infections

Infections

Malnutrition

Accidents

Health for All

•Adequate health services•Essential drugs• Immunisation•Maternal and child health care surveillance•Nutrition•Education•Disease vector and reservoir control•Safe water and sanitation

Primary Health Care Hospital (Secondary Care)

More accessible (rural population)

More preventative

Low technology

Cheaper

Usually in cities

Treatment

High Tech

More expensive

Primary Health Care

•Practical

•Scientifically sound

•Socially acceptable

•Universally accessible

•Affordable – each country

WHO – HFA by 2000

Health Services

Standard

Adequate provision - Essential drugs - Immunisation - Maternal & child - - health surveillance

1 hour by foot appropriate transport 20 most important cover all children trained workers >50% newborn 2.5kg >90% children normal growth Infant mortality < 50/1000 breast feeding family spacing – 2yrs between

Other Services

Nutrition

Safe water

Sanitation

Disease vectors/reservoirs

Education

adequate + supplements

within 15 mins walk

close to residence

control appropriately

> 70% adult literacy(especially females)

-

-

-

-

-

10 Global Health Targets BMJ 1999;319: 700-703

Health Outcomes Year

1. Health Equity Measuring child growth 2005

2. Survival Maternal and child mortality ratesLife expectancy

2020

3. Reverse global pandemics

TB, HIV / AIDS, MalariaDisease related to TobaccoViolence and Trauma

20202020

4. Eradicate and eliminate certain diseases

MeaslesLymphatic filariasisChagas diseaseLeprosyTrachomaVit A and Iodine defiencies

20202020

20102010

20202020

10 Global Health Targets BMJ 1999;319: 700-703

Determinates of Health Year

5. Improve access – water, sanitation, food, shelter 2020

6. Measures to promote health 2020

10 Global Health Targets BMJ 1999;319: 700-703

Health Policies & Sustainable Health Systems Year

7. Develop, implement and monitor national HFA policies 2005

8. Improve access to comprehensive essential health care 2010

9. Implement Global and national health information and surveillance and systems

2010

10. Support research for health 2010

Main Messages

Population structure

Non Health Services

Health Services

1.

2.

3.

different

more important

less important but focus on:

-

-

-• PHC• women / children