India continues to have the highest burden of pneumonia and diarrheal child mortality in the world, with 158,176 pneumonia and 102,813 deaths from diarrhea in 2016, according to & # 39; Pneumonia and Diarrhea Progress Report & # 39; by the International Vaccine Access Center (IVAC).
The report found the health system fell "very short" in ensuring that the most vulnerable children had access to prevention and care services in 15 countries, including India, which accounted for 70 percent of global pneumonia and diarrhea deaths in children under five.
Although there has been a significant decline in disease in recent years due to increased access and use of health interventions, nearly half a million pneumonia and diarrhea deaths still occur in two countries – India and Nigeria, he said.
The number of deaths of children under five years due to pneumonia in 2016 was 1,58,176, while the death of diarrhea was 1,02,813, the report said.
Released before the 10th annual World Pneumonia Day on 12 November, at the Johns Hopkins Bloomberg School of Public Health, explained progress in combating these two diseases in 15 countries.
According to the report, 15 countries in the framework of the highest number of deaths from child pneumonia and diarrhea were India, Nigeria, Pakistan, Democratic Republic of Congo, Ethiopia, Chad, Angola, Somalia, Indonesia, Tanzania, China, Niger, Bangladesh, Uganda, and Ivory Coast.
Elaborating on RotaC coverage, said in 2017, the rotavirus vaccine has not been introduced in eight of the 15 focus countries – Nigeria, DRC, Chad, Somalia, Indonesia, China, Bangladesh and Uganda.
Of the seven countries where the rotavirus vaccine was introduced, the median coverage of complete rotavirus vaccine was 58 percent. "Among countries that have introduced vaccines in 2017, the lowest coverage rates are in Pakistan (12 percent) and India (13 percent), both of which have recently begun gradual national launches that have not reached all states or provinces." said the report.
Describing progress in India, home to more than five pneumonia deaths and diarrhea compared to other countries in 2016, has been "mixed", he said. Increased coverage of the Haemophilus influenzae type b (Hib) vaccine, as well as the continued increase in the rotavirus vaccine that was first introduced in mid-2016, caused an increase in scores for this intervention since last year's report.
"Introduced in 2017, the pneumococcal conjugate vaccine (PCV) has been included in only six countries to date. Further improvement of vaccines for all countries must be considered," the report, which analyzed government data, said.
It also shows that Indian scores for exclusive breastfeeding declined as did ORS coverage. "The proportion of children receiving important care is still very low, with almost 20 percent receiving ORS for diarrheal diseases," he said.
"Progress to stop child mortality is being hampered by persistent injustice in countries around the world," said Kate O & # 39; Brien, MD, MPH, a professor in Bloomberg's International Department of Health and IVAC executive director. "Overcoming this injustice will demand greater funding levels, strong political commitment, accountability supported by better data, and coordinated global efforts that prioritize the most vulnerable," he added.
The report found that even though countries are making progress towards increasing vaccine coverage, they are truly left behind in efforts to treat children's diseases – especially among remote, poor, or disadvantaged populations.