1978 WHO primary health care 2000

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1 2008 Vol. 20 No WHO primary health care Key wordsmdg

2 HIV 7 HIV HIV DOTS

3 2008 Vol. 20 No Millennium Development Goals MDGs MDGs HIV HIV DOTS HIV AIDS ,000 5, BRICs 3 HIV AIDS 1 5, ORT 25 5,000 7, A HIV AIDS HIV 90 1, ,000 3,10

4 India 2 Nigeria 3 China 4 Pakistan 5 D. R. Congo 6 Ethiopia 7 Bangladesh 8 Afghanistan 9 Tanzania 10 Indonesia 11 Angola 12 Niger 13 Mozambique 14 Uganda 15 Myanmar 16 Mali 17 Brazil 18 Kenya 19 Sudan 20 Burkina Faso 6 2,402, , , , , , , , , , , , , , , , , , , ,000 7,933,000 5,541,000 U5MR Sierra Leone 2 Niger 3 Angola 4 Afghanistan 5 Liberia 6 Mali 7 Somalia 8 Gunea Bissau 9 D. R. Congo 10 Zambia 11 Chad 12 Mozambique 13 Burkina Faso 14 Brundi 15 Malawi 16 Rwanda 17 Nigeria 18 Mauritania 19 Central African Republic 20 Guinea U5MR U5MR 5 5 1, ,11 12 Hib A UNICEF A , WHO

5 2008 Vol. 20 No HIV Preventive interventions Breat feeding 6 11months Measles vaccine Vitamin A Clean dlivery skilled attendant at birth Tetanus toxoid Water, sanitation, hygiene Exclusive breastfeeding6 months Newborn temperature management Antibiotics for premature rapture of membranes Antenatal steroids Nevirapine and replacement feeding Insectiside treated materials Hib vaccine Antimalarial intermittent preventive treatment in pregnancy Zinc Treatment interventions Vitamin A Antibiotics for pneumonia Antibiotics for dysentery Antimalarials Oral rehydration therapy Antibiotics for sepsis Newborn resuscitation Zinc Mean estimated coverage of target population range among countries

6 JICA 3 CIPACs KEMRI ACIPAC ESACIPAC WACIPAC 3 infantile mortality rate IMR IMR 200 IMR 100 ORS ,24,25 Central prov-

7 2008 Vol. 20 No Health Service ince Kerinyaga district Mwea FRESH environments health education health & nutrition services 3 3 WHO Albendazole Praziquantel

8 ownership district 36 Leaky Tin 4 STH community Leaky Tin PTA

9 2008 Vol. 20 No district WHO 1986 Global School Health Initiative Health Promoting School 28 WFP UNICEF WHO HIV AIDS micronutrient supplementation school garden Essential Package MDGs Cook GC History of Disease and Warm Climates. Manson s Tropical Diseases Cook GC ed. Saunders, London, 1996, Bryce J, et al Getting it right for children a review of UNICEF joint health and nutrition strategy for Lancet , Black RE, et al Where and why 10 million children dying every year? Lancet , child_adolescent_health data child en index.html features factfiles child_ health2 en Arifeen SE, et al Determinants of infant growth in the slums of Dhaka size and maturity at birth, breastfeeding and morbidity. Eur J Clin Nutr , Almroth S, et al Rational home management of diarrhea. Lancet , 1995

10 child_adolescent_health data media under_nutrition_neonatal_under5_deaths. pdf 11 WHO The optimal duration of exclusive breastfeeding. A systematic review. Geneva, Caufield LE, et al Interventions to improve intake of complementary foods by infants 6 to 12 months of age in developing countries impact on growth and on the prevalence of malnutrition and potential contribution to child survival. Food Nutr Bull , West KP Jr Extent of vitamin A deficiency among preschool children and women of reproductive age. J Nutr Suppl2857S 2866S, Jones G, et al How many child deaths can we prevent this year? Lancet , UNICEF State of the World s Children New York, Gwatkin DR The need for equity oriented health sector reforms. Int J Epidemiol , Schellenberg JA, et al Inequities among the very poor health care for children in rural southern Tanzania. Lancet , Montresor A, et al Guidelines for the evaluation of soil transmitted helminthiasis and schistosomiasis at community level World Health Organization, Geneva WHO CTD SIP Muennoo C, et al The impact of primary health care intervention on reinfection of soil transmitted helminths in the community. Southeast Asian J Trop Med Public Health , Global School Feeding Report World Food Programme, Hawes H, et al edschildren for Health. The Child to Child Trust, JICHA J002 S0028 meeting028.html Tomono N, et al Risk factors of helminthiases among schoolchildren in southern Thailand. Southeast Asian J Trop Med Public Health , Prevention and control of Schistosomiasis and Soil transmitted Helminthiasis Report of WHO Expert Committee. World Health Organization, Geneva, Jongsuksuntigul P, et al Prevalence and intensity of hookworm in Thailand Division of Helminth, Department of Communicable Disease Control, Del Rosso JM, et al Class action Improving School Performance in the Developing World through Better Health and Nutrition. World Bank, eb docs 2005 wfp pdf mofaj gaiko oda doukou mdgs.html

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