worldbank_2005_China's Progress towards the health MDGS

worldbank_2005_China's Progress towards the health MDGS -...

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Briefing Note No.2 1 March 2005 Rural Health in China: Briefing Notes Series The Millennium Development Goals * (MDGs) have been enthusiastically endorsed by China. Nearly half concern health, directly or indirectly. The goals call for specific reductions over the period 1990-2015 in a relatively small set of key indicators, such as child malnutrition, child mortality and maternal mortality, and for progress in combating communicable diseases such as HIV/AIDS, malaria and tuberculosis (TB) (see Box 1). China’s record on many of these indicators before 1990 is legendary. In 1960, China’s under-five mortality rate stood at 225‰. By 1980, the figure had been reduced to 64‰, an annual rate of reduction of 6.3%. This spectacular achievement occurred despite the slow economic growth over the period 1960-79 (China’s per capita income grew at just 4% per year between 1960 and 1979). On maternal mortality China also achieved a remarkable reduction in a very short space of time: in 1950, its MMR is estimated to have been around 1500; by 1980, this had been reduced to just 100. 2 How has China fared on these indicators since 1990? And what challenges lie ahead, especially for the health sector? These are the questions addressed by this Briefing Note. It concludes that China is off-track for the majority of the * The goals derive from the UN Millennium Declaration, endorsed on September 8th 2000, at the UN Millennium Summit. China’s then president Jiang Zemin was one of 147 heads of state who endorsed the Declaration. See Assistant Minister Shen Guofang’s preface to the UN China team’s report on the MDGs 1 . This briefing note was prepared by World Bank staff. The findings, interpretations, and conclusions expressed herein are those of the authors, and do not necessarily reflect the views of the World Bank or those of its Executive Directors or the governments they represent, or the Government of China. The note forms part of the World Bank’s ongoing study on China's rural health sector. The study—referred to as the China Rural Health AAA (Analytical and Advisory Activities)—is being undertaken in collaboration with the Ministry of Health (MOH) and other government agencies, as well as with selected international partners. For further information, contact L. Richard Meyers ( lmeyers@worldbank.org ). health MDGs, and that this is largely due to shortcomings in its health system. Box 1: The Health MDGs Goal 1 is to eradicate extreme poverty and hunger. One of the two targets is to halve between 1990 and 2015 the proportion of people who suffer from hunger. Indicators used to monitor progress are the fraction of the population below the minimum level of dietary energy consumption and the prevalence of underweight children under five years of age. Hitting the target would require an annual average rate of reduction of 2.7% between 1990 and 2015.
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This note was uploaded on 03/09/2008 for the course ASIA/SSP 198 taught by Professor Zhang during the Spring '08 term at Lehigh University .

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worldbank_2005_China's Progress towards the health MDGS -...

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