6 Reduce child mortality

Where we are?

Kazakhstan works closely with the United Nations to reduce child mortality under the age of five.

Target 5. To reduce by two-thirds, between 1990 and 2015, the under-five mortality rate

MDG 4 progress report has exposed challenges that are governed by corresponding Governmental resolutions and orders of the Ministry of Healthcare. Unfortunately, they are not enforced well enough locally, which may be due to misunderstanding of the essence of the orders due to insufficient awareness of new perinatal technologies and their organizational support by health staff. The findings of the analysis and evaluation of the MDG 4 status in Kazakhstan allow the following conclusions to be drawn, and recommendations on the implementation mechanism be proposed:

- to introduce regionalization of perinatal care into obstetric practice and to provide full financing of these services;

- to identify financing for the introduction of further sustainable Effective Perinatal Care programmes into obstetric practice and WHO Integrated Management of Childhood Illness (IMCI) in primary hospitals and primary healthcare facilities;

- to undertake research to explore the causes of accidents involving a wide range of ministries (healthcare, education, road and transport, etc.);

- to conduct a study to assess the true frequency and causes of congenital malformation;

- to amplify usage of the BABIES matrix for proper management decisions in obstetrics throughout the country.

Targets for MDG4
  1. Reduce by two thirds the mortality rate among children under five
    • Under-five mortality rate
    • Infant mortality rate
    • Proportion of 1 year-old children immunised against measles