Health

Introduction
xx This section will cover infant and under-five mortality, measles vaccination, and maternal delivery service availability (while having trained attendance at delivery is critical in the event of an obstetric emergency, here we will focus on the implications of availability of delivery care for child health and survival)

Introduction: Mortality of children

Estimated under-five mortality rate, by province, Iran 2004 (click to enlarge)

[describe problem]
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[Provide quantitative data (where available) on how IRI measures up to international standards as part of problem description]

[describe why problem exists & is not going away]
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[describe consequences of problem]
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[summarize, conclude, recommend]
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Introduction: Childhood vaccination (measles)
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[describe problem]
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[Provide quantitative data (where available) on how IRI measures up to international standards as part of problem description]

[describe why problem exists & is not going away]
xx

[describe consequences of problem]
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[summarize, conclude, recommend]
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Introduction: Trained delivery service availability
xx – Find that article on training of med school applicants that discussed problems with IR’s approach to requiring that only female docs assist laboring women with delivery. Also, it is my understanding that in some parts of Iran (maybe only big cities?) the c-section rates are astronomically high. C-section is not ideal mode of delivery; all things being equal, better for baby to deliver vaginally.

Probably there is a real urban-rural divide in Iran, where rural women & their babies are underserved w delivery care (which is not good) and urban women and their babies are overserved w delivery care (which is also not good). [in US we also face astronomical rates of c-section; this is because it is more profitable for hospitals and care providers to perform surgery rather than allow the woman and her baby to work the process naturally]

[describe problem]
xx

[Provide quantitative data (where available) on how IRI measures up to international standards as part of problem description]

[describe why problem exists & is not going away]
xx

[describe consequences of problem]
xx

[summarize, conclude, recommend]
xx

[summarize, conclude, recommend]
xx

International Standards:
The fourth Millennium Development Goal, which focuses on health, is to reduce by two-thirds, between 1990 and 2015, the under-five mortality rate. Indicators of progress towards this goal include the following:
4.1 Under-five mortality rate
4.2 Infant mortality rate
4.3 Proportion of 1 year-old children immunised against measles

Article 24 of the Convention on the Rights of the Child

1. States Parties recognize the right of the child to the enjoyment of the highest attainable standard of health and to facilities for the treatment of illness and rehabilitation of health. States Parties shall strive to ensure that no child is deprived of his or her right of access to such health care services.

2. States Parties shall pursue full implementation of this right and, in particular, shall take appropriate measures:

(a) To diminish infant and child mortality;

(b) To ensure the provision of necessary medical assistance and health care to all children with emphasis on the development of primary health care;

(c) To combat disease and malnutrition, including within the framework of primary health care, through, inter alia, the application of readily available technology and through the provision of adequate nutritious foods and clean drinking-water, taking into consideration the dangers and risks of environmental pollution;

(d) To ensure appropriate pre-natal and post-natal health care for mothers;

(e) To ensure that all segments of society, in particular parents and children, are informed, have access to education and are supported in the use of basic knowledge of child health and nutrition, the advantages of breastfeeding, hygiene and environmental sanitation and the prevention of accidents;

(f) To develop preventive health care, guidance for parents and family planning education and services.

3. States Parties shall take all effective and appropriate measures with a view to abolishing traditional practices prejudicial to the health of children.

4. States Parties undertake to promote and encourage international co-operation with a view to achieving progressively the full realization of the right recognized in the present article. In this regard, particular account shall be taken of the needs of developing countries.

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