New estimates in levels and trends in child mortality report for 2015 ; released by the UN Inter agency group for child mortality estimation UN /GME indicate that although the global progress has been substantial (16,000) children under five still die every day , and the 53% drop is not enough to meet the Millennium Development Goals which call for two thirds reduction in under five mortality rates (You & Hug,2015) between 1990 and 2015 . The remarkable decline in under five mortality rates from the year 2000 onward remained at the same level as in the year 2000. Most child deaths are caused by disease or USHD Usual Childhood Diseases , that are readily preventable and treatable with proven cost effective and quality delivered interventions . Infectious disease and neonatal complications are responsible for the vast majority of under five deaths globally As accelerations of the pace of progress is urgently required to achieve the sustainable development goals (SDG) targets on child survival ; particularly in high mortality countries like Sub Saharan Africa trends in child death should be revisited , analyzed and presented to gain a more accelerated step in preventable child death . As stated in the three pillars for SDG some of the following child death causality are highlighted in this piece to continue on the path which meets goals , therefor this will concentrate on social , behavioral issues that serve to hinder progress in said SDG for 2030 . Current causes of under five child deaths are the six conditions presented and account for approximately 70% of all deaths , the first is acute lower respiratory conditions , the second is pneumonia at 19% , the third is diarrhea at 18% ,the fourth cause of child death is malaria ; at 8% and the fifth cause is measles at 4% , the sixth cause is HIV at 3% and the combined lower respiratory infections , asphyxia at birth and other infections constitute 37% which combined total 89% of all child deaths respectively . Trending issues related to these deaths, when appraised are pertaining to one of the pillars in SDG goals (Social and Behavioral Progress) . Among the trending issues are (1) child abuse , (2) poverty , (3) Sanitation ,(4) Medical Insufficiency (5) Medical Insufficiency (6) Malnutrition (7) Housing and Psychological abuse (CDC.gov, 2018). When the child death rates presented by the Centers for Disease Control are matched to Sustainable Development Goals and Global Child Mortality Rates the following data can be analyzed . First we can plainly see that the causes for child death are distinct when we compare CDC data and SDG UN data CDC causes are psycho social in nature and SDG UN causes are physical in nature . CDC data can be appraised as " the psycho social leading to the physical death of the child under five , where as SDG UN data can be appraised as the physical leading to the psychological death or integral death of the child under five . So why does this occur , further more why are children under five at highest risk particularly and placing emphasis on CDC data ? . One of the overarching reasons is because of the neurological system , in children the brain is not fully developed until the age of five ; meaning that when you receive your neonate he or she is in the Raw what is placed or encoded into his brain up until the age five is really what you will get , see after the age of five the growth is physical . Some of the repercussions of error messages in children under five can be attributed to exposure (environmental ) such as low concept , erroneous reward , abuse both physical and emotional , and immorality . These psychosocial tasks are part of the child under fives development right along with gross and fine motor skills , there for in order to meet SDG 2030 goals we should concentrate on providing regional interventions in public health and consider integration of SDG in family court systems as well as providing genographs in clinical health from birth to early adulthood . Community health are a big portion in the survival of the child as well . As stated in the paper entitled The Sandwich Generation Cruz ,L 2014 one of the over arching reasons for violence in child hood is child rearing . The majority of the factors that lead to under five child death stated in CDC data are Depraved Indifference which should be a focal point for accomplishing SDG 2030 goals .
References
CDC (2018) Violence Prevention . Retrieved fromhttp://www.cdc.gov/violenceprevention/childabuseneglect/Abuse-Head-Trauma.html
You ,D & Hug, L (2015) Levels and Trends in Child Mortality . Report 2015,Estimates Developed by the UN Inter agency Group for Child Mortality Estimation UNICEF New York
Cruz ,L (2014) The Sandwich Generation . An Evidence Based Toolin Public Health . Capella University Minniapolis MN USA
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