A future for the world’s children? A WHO-UNICEF-Lancet Commission (2)

19 February, 2020

Neil thanks for sharing this important report.

I have not read all of it but reading your summary and comment make me offer two early observations:

‘---- today’s children face an uncertain future. Climate change, ecological degradation, migrating populations, conflict, pervasive inequalities, and predatory commercial practices threaten the health and future of children in every country’.

I am surprised that the commission found thee challenges that today’s children face is every country, 5 years after launching SDGs. So, not even rich countries who also spend more on health system are exempt. Money therefore cannot be all the problem. Lack of information at all levels (patient, family, carer, provider, policy maker, government, etc) is likely to be one major leveler amongst countries rich and poor.

‘---- This Commission presents the case for placing children, aged 0–18 years, at the centre of the SDGs:’

I am interested that the commission defines children as 0-18 years, because different countries have different cut-off line for categorizing who is a child. In Nigeria it is 0-18 years officially, but many subnational parts of the country follow different age brackets provided them through their religion or tribal practice (some of these practices that lower the age range for children are harmful to the physical, mental and psychological well-being of the child).

Joseph Ana

HIFA Profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007.

Website: www.hriwestafrica.com

Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.



Email: jneana AT yahoo.co.uk