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Millennium Development Goals Numbers 4, 5, and 6

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Millennium Development Goals Numbers 4, 5, and 6 REPORT REPORT Economi In the name of GOD – Final c Cooperation Organization – 2010 June A regional report on Millennium Development Health related Goals in Economic Cooperation Organizations (ECO) countries (Goals 4, 5 and 6) [Type your address] address] [Type your [Type your phone number] phone your [Type [Type your e [Type your - mail address] June. 2010 ALI ----------------------------------------------------------------------------------- Institute of Public Health Research (Recently renamed as National Institute of Health Research (NIHR)) Tehran University of Medical Sciences Economic Cooperation Organization (ECO) The United Nations Children's Fund (UNICEF) II Consultancy Team The project has been offered by The Economic Cooperation Organization (ECO) Secretariat to Institute of Public Health Research (Recently renamed as National Institute of Health Research (NIHR)), Tehran University of Medical Science to prepare an analytical regional report on Millennium Development Goals Numbers 4, 5, and 6. UNICEF has covered the consultancy costs. The consultancy team included: Professor Hossein Malekafzali Ardakani, MD, PhD The project manager Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Email: [email protected] http://www.tums.ac.ir/faculties/malekafzali Professor Kourosh Holakouie Naieni MD, PhD The executive manager of the project Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Email: [email protected] http://www.tums.ac.ir/faculties/holakoin Assistant Professor Arash Rashidian, MD, PhD The member of the project’s team Director, National Institute of Health Research (NIHR) Health Management and Economics Department, School of Public Health Tehran University of Medical Sciences, Tehran, Iran, Email: [email protected] Dr Parviz Vazirian, MD , MPH The member of the project’s team Consultant officer, World Health Organization Email: [email protected] Dr Ghobad Moradi, MD, MPH The member of the project’s team PhD student of Epidemiology Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Email: [email protected] Dr Ali Mirzazadeh, MD, MPH The member of the project’s team PhD student of Epidemiology Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Educational Manager, Regional Knowledge Hub for HIV/AIDS Surveillance, Iran Email: [email protected] http://www.hivhub.ir/en/staff/mirzazadeh III Acknowledgment We would like to express our gratitude to all those who help us to complete this project. We want to thank the ECO secretariat, especially Dr Davoud Rezaie and Dr Muzaffer Alacaogullari for their kind and intensive efforts to arrange the country visits with the best knowledgeable persons on MDGs from the both governmental and nongovernmental health sectors. We have furthermore to thank the Iranian Embassy and Consulate in the visited countries, in supporting the team members in the countries by providing the transportation, translator and arranging the visits of the related stakeholders in the country. Our colleagues in WHO and UNICEF offices in the ECO countries supported us scientifically in the research work. We want to thank them for all their help, support, interest and valuable hints. Please cite this document as A regional report on Millennium Development Health related Goals in Economic Cooperation Organizations (ECO) countries (Goals 4, 5 and 6), National Institute of Health Research (NIHR) [formerly the Institute of Public Health Research], Tehran University of Medical Sciences, 2010 IV Preface Economic Cooperation Organization (ECO) is an intergovernmental regional organization established in 1985 by the Islamic Republic in Iran, the Islamic Republic of Pakistan and Republic of Turkey. In 1992, ECO developed and evolved into a dynamic organization with 10 Member States to include seven new members, namely: Islamic Republic of Afghanistan, Republic of Azerbaijan, Republic of Kazakhstan, Kyrgyz Republic, Republic of Tajikistan, Turkmenistan and Republic of Uzbekistan. The ECO has already entered into new areas for cooperation which are important for all member states and they have shown interest. Among others these new areas include reactivation of health section and MDGs within the secretariat. Relevant international organizations also supported this new orientation. Millennium Development Goals (MDGs) emanating from the United Nations Millennium Summit held in December 2000 have emerged as the key strategic tools for raising awareness, advocacy, alliance building, and renewing the political commitment towards the promotion of Sustainable Human Development at the country level based on a global consensus. The fight against poverty in all its dimensions, and the promotion of sustainable development particularly within the context of the MDGs remain the overall priority of the Governments of Economic Cooperation Organization (ECO) member states and ECO. In this regard, ECO organized two High Level Expert Group (HLEG) Meetings to overview MDGs implementation in December 2006 and February 2008 in Ankara and Islamabad, respectively and the third one is going to be held on 12-13 January 2010 in Tehran. The 2nd ECO HLEG Meeting on Human Resource Development and MDGs (Islamabad, 11-12 February, 2008) while reviewing the current situation of MDGs implementation in the region, came to the conclusion to recommend selection of three health-related MDGs i.e. MDG numbers 4, 5, and 6, as priority areas within organization‘s further activities in this field. Therefore, based on the recommendation of the afore-mentioned event and also other main ECO decision-making meetings, the ECO has benefited from expertise an international consultant involved on these issues and as a result this descriptive and analytical regional report on current trends and progress reports of ECO member states on these MDGs has been prepared. Under the agreed MoU between UNICEF and ECO to promote mutual cooperation and exchange of information, UNICEF has supported ECO in successful accomplishment of this activity. I must thank the UNICEF and the Consultant Team for their cooperation and support in accomplishing this task successfully. I hope that the valuable recommendations of this report would be materialized. Based on the findings and recommendations of the report, the Secretariat with the help of the concerned authorities of the member states as well as with that of the International organizations, will continue to identify Regional projects which are beneficial for the member states. Mohammed Yahya Maroofi ECO Secretary General V Abbreviations AIDS Acquired immunodeficiency syndrome DOTS Directly Observed Treatment, Short Course GDP Gross Domestic Product DHS Demographic Health survey ECO Economic Cooperation Organization EECAR Division of Eastern Europe and Central Asian Republics FP Family Planning GF Global fund HIV Human immunodeficiency virus IMR Infant Mortality rate MDG Millennium Development Goals MH Maternal health MICS Multiple Indicator Cluster Survey MoH Ministry of Health MMR Maternal Mortality rate NGO Non-Governmental Organization PHC Primary Health Care PLWHA People living with HIV/AIDS RH Reproductive health STI Sexual Transmitted Infection TB Tuberculosis U5MR Under 5 Mortality rate UN United Nations UNAIDS the Joint UN Program on HI UNGASS United Nations General Assembly Special Session UNCT United Nations Country Team UNFPA United Nations Population Fund UNICEF United Nations Children‘s Fund UNIFEM United Nations Development Fund for Women USAID United States Agency for International Development UNDAF United Nations Development Assistance Framework UNDP United Nations Development Program WHO World Health Organization VCT Voluntary Counseling and Testing (for HIV) XDR-TB Extensively Drug-Resistant Tuberculosis VI Table of Content Consultancy Team.............................................................................................................................. III Acknowledgment ............................................................................................................................... IV Preface ................................................................................................................................................. V Abbreviations ..................................................................................................................................... VI Chapter1- Executive summary ............................................................................................................. 1 Chapter2. Islamic Republic of Afghanistan ......................................................................................... 3 A brief summary of the country‘s health system ............................................................................. 6 Country‘s health system findings and comments: ........................................................................... 7 Methodology and visits: ................................................................................................................... 8 Goal 4: Reduce Child Mortality ...................................................................................................... 9 Goal 5: Improve Maternal Health .................................................................................................
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