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Mr. Bruce Campbell.
Nhan Dan Online – The Ministry
of Health and United Nations in Vietnam vowed to continue
investment in women’s health and ensure continued progress
towards achieving the Millennium Development Goals despite
the recent global economic crisis, in an appeal at a press
briefing today.
The appeal is made on the
occasion of the 2009 World Population Day with the theme
‘Responding to the Economic Crisis: Investing in Women is a
Smart Choice’.
At the press briefing, Bruce
Campbell, Representative of the United Nations Population
Fund (UNFPA), on behalf of the United Nations Country Team
in Vietnam, said that investments in education and health
for women and girls had been linked to increases in
productivity, agriculture yields, and national income. There
is no smarter investment, with such high economic and social
returns, than investing in the health and education rights
of adolescent girls and women.
He emphasised: “We all know that
the global economic crisis is hitting developing countries
hard. It threatens to push 200 million people in the world
back into poverty, and experience has shown that women and
girls suffer disproportionately during times of crisis such
as this. To protect their rights, we are here today to call
for continued investment in women and renewed efforts to
ensure progress towards achievements of MDGs”.
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In addition to the recoded
achievements, we are also confronting huge
challenges – a large population size, about 86.5
million people, making Vietnam the 13th most
populous country in the world; an unstable declined
birth rate yet; high population density (257
people/km2) at six times the world average;
imbalance of sex ratio at birth (112 males/100
females); rapidly increasing migration, expanding
and complicated population mobility – Dr Nguyen Ba
Thuy. |
According to Dr. Nguyen Ba Thuy,
Deputy Minister of Health and General Director of the
General Office for Population and Family Planning, Vietnam
is acknowledged by the United Nations as one country making
much progress in achieving MDGs, including MDG 5 (maternal
health) to reduce the maternal mortality ratio to 60 deaths
per 100,000 live births by 2010.
But, many challenges remain in
achieving maternal health targets. Maternal mortality ratio
may be lower but a large difference remains between regions,
he said, adding that family planning services are falling
short of demand, especially for young people while the
reproductive health care and family planning programme lacks
a close tie with the programme for sexually transmitted
diseases control, particularly HIV/AIDS.
Dr. Nguyen Ba Thuy stressed: “In
the immediate, our collective efforts to achieve the
Millennium Development Goals (MDGs) must remain a priority.
We must join forces to advance women’s empowerment and
ensure universal access to reproductive health by 2015.
Reproductive health services are key to protecting the
health of women, mothers and their children”.
Mr. Bruce Campbell also shared
his views with Dr. Nguyen Ba Thuy about the importance of
achieving MDG 5 on maternal health. He said: “If we do not
reduce tragic and unnecessary maternal deaths and guarantee
access to reproductive health, we will not achieve the other
MDGs”.
In his opinion, to maintain the
momentum towards achieving MDG5, three things are needed.
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GOAL 5: IMPROVE MATERNAL HEALTH
Millennium Development
Goal:
- Reduce by three
quarters, between 1990 and 2015, the maternal
mortality ratio
- Achieve, by 2015,
universal access to reproductive health
Viet Nam's Goal (SEDP
2006-2010):
- Reduce the maternal
mortality rate to 60 per 100,000 live births by 2010
with special attention to remote and disadvantaged
areas
· Improve postnatal
health of mothers
Source:UN |
He went on: “First, resources
must continue to be devoted to enhancing the quality of safe
motherhood services for ethnic minority people in remote and
mountainous areas. We need to pay special attention to
ethnic minorities and other vulnerable groups. We need data,
robust monitoring and evaluation. And we need better
co-ordination and harmonisation between partners to increase
efficiency gains and maximise the impact of our investments.
Secondly, it is essential to
strengthen and improve the knowledge, skills and attitudes
among service providers of maternal health and newborn care.
The priority should be given to skilled attendance at
delivery with a strengthened referral system to a centre
which can provide comprehensive care, including emergency
obstetric and new born care. With universal access to these
critical reproductive health services, maternal death and
disability could be reduces dramatically.
Thirdly, to save women’s lives,
we need strong leadership at all levels. We need increased
spending for women’s health in national budgets, and where
gaps are identified, we need increased international
development assistance”.
We know from other countries’
experiences from previous crises that decreased investments
in health took longer and require more resources to get back
to the pre-crisis level of health standards. We can not
allow this to happen in Vietnam, he stressed.
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Every year, the world loses an
estimated US$15 billion in productivity because half
a million women die in pregnancy and childbirth, and
four million newborns do not survive. It would cost
only US$6 billion to provide the health services
needed to save these lives (UNFPA 2008). Most
maternal deaths could be prevented through universal
access to reproductive health. Health systems need
to be strengthened to provide family planning,
skilled attendance at birth and emergency obstetric
care. This would not only save lives, but also
improve world productivity.
Globally, the total cost
for reproductive health, including family planning
and maternal health components, is estimated to be
US$23.5 billion in 2009, and will reach an estimated
US$33 billion in 2014 and 2015. These seem like
large amounts, but they are minor investments
compared to financial bailouts that have been
distributed in the last few months. Such investment
would promote health, and boost productivity and
economic growth. |
By Truong Son |