GARANTISADONG

PAMBATA
Under-5 Deaths in the Philippines

total under-5 deaths

42 / 1,000 live births
◦ before the child’s first birthday
30 / 1,000 live births
◦ before 28 days upon birth
17 / 1,000 live births
1 – 4 years old
12 / 1,000 live births

(The combined number of neonatal and

post-neonatal deaths is almost thrice the
number of deaths among 1 – 4 years old)
 Causes of Under-5 Deaths, Philippines

mainly by
NEONATAL-RELATED FACTORS
PNEUMONIA
DIARRHEA

some by
INJURIES
MEASLES

but
UNDERNUTRITION
accounts for more than half of all child deaths
Other Predisposing Factors

 POOR NOURISHMENT OF MOTHERS

 HIGH FERTILITY
(leading to unwanted pregnancies, among
others)
 SHORT BIRTH INTERVALS
 INADEQUATE PRENATAL SERVICES
 UNSAFE DELIVERIES
 INSUFFICIENT NEWBORN CARE
 INAPPROPRIATE INFANT AND CHILD FEEDING
 POOR ACCESS TO SAFE WATER /
SANITATION
 Overarching Cause

“The root cause of ill health among

children continues to be POVERTY and
the resulting INEQUITY OF ACCESS to
the means for better health.”

“Making the Philippine Child Survival

Strategy Work”

©WHO-DOH-UNICEF Publication
 Other Fundamental Causes
Low government spending for health
(both national and local levels)
Poor Enforcement of laws and policies that
support child health
(e.g. Rooming-In and Breastfeeding Act, Milk
Code, Philippine Food Fortification Law,
Newborn Screening Act)
Diminishing health human resources
Localhealth delivery system that is
fragmented
 The Need

Strengthen CHILD SURVIVAL

in the Philippines
Guided by the principles of
UPHOLDING THE RIGHTS OF CHILDREN
BUILDING ON EXISTING PROGRAMS
FOR UNIFIED RESPONSE
MULTI-SECTORAL COLLABORATION
INTEGRATION
SUSTAINABILITY
LOCALIZATION
EQUITY
OPTIMIZING LINKAGE WITH MATERNAL
CARE
Goal #1
Reduce the under-5 mortality rate
by two-thirds from 80 / 1000 live
births in 1993 to 26.7 live births by
2015

(Millennium Development Goal 4)

Goal #2
Institutionalize the 8 Child Survival
Interventions in all local
government units
by 2015
 The 8 Child Survival Interventions

1. Skilled attendance during pregnancy,

delivery
and immediate postpartum
2. Care of the newborn
3. Breastfeeding and complementary feeding
4. Micronutrient supplementation and
deworming
5. Immunization of children and mothers
6. Integrated management of sick children
7. Child injury prevention and control
8. Birth Spacing
 The Entry Point

GARANTISADONG PAMBATA

(an institutionalized Preschoolers

Health Campaign nationwide
where a package of health
services and relevant health
information is delivered twice a
year to under-5 year old children)
GP Objectives
 To promote the 8 Child Survival Interventions
to local government executives for their
continued and sustained delivery of under-5
child health services.
 To provide Vitamin A and deworming drugs to
under-5 year old children nationwide in the
scheduled Garantisadong Pambata week in
April and October.
 To provide an “Information Checklist of the 8
Child Survival Interventions” as a child care
reference to mothers of under-5 children.
(Translate into Tagalog, Cebuano and Ilocano.)
KIDS CAN’T WAIT
THANK YOU