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Reshaping the health of children and adolescents for the SDG age
Over the last two decades, the epidemiology of global child health has changed dramatically, along with our understanding of what works to improve the health and well-being of children and adolescents. While states are struggling to recover and recover from the COVID-19 pandemic, a series of papers published today in the British Medical Journal (BMJ) supplement calls for a significant evolution in this thinking to meet the changing needs of all young people today.
The patterns of infant death and illness are changing dramatically
Trends show that preventable mortality is now highest in the neonatal period, although pneumonia, diarrhea and malaria, exacerbated by malnutrition, still severely affect children under the age of five. This is particularly the case among the most marginalized populations in sub-Saharan Africa ─ where the child population is expected to increase in the coming decades.
However, in some countries, mortality is increasing in older adolescents (15–19 years) due to traffic accidents, interpersonal violence, and self-harm. An increasing number of children and adolescents are surviving, but are affected by injuries, developmental difficulties, non-communicable diseases and poor mental health. Overweight and obesity in children and young people are growing rapidly as many countries face a double burden of malnutrition and malnutrition and overeating.
These challenges are likely to be compounded by demographic shifts. An increasing number of children will live in urban centers in the coming years, limiting opportunities for clean air and physical activity and leading to a serious burden on health services in these areas without other interventions.
The health and well-being of children and adolescents must be at the heart of efforts to achieve the 2030 sustainable development goals
Countries can only thrive and thrive if they invest in early childhood and adolescence and optimize support for key moments of child creation in future health – using what is called a “life path approach”.
With that in mind, improving a child’s health can no longer be just a health sector issue, the series shows. Policies, services and information must be established as part of the solution of the whole government and the whole society.
The papers in this series highlight the challenges and opportunities now needed to launch global, regional, and national health programs for children and adolescents.
WHO and UNICEF are working together on re-anticipate the global agenda on child health, with ongoing work on designing and updating tools to help countries put the new vision into practice.
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