A/CONF.171/13
English
Page 59
developed and the developing regions of the world should be substantially
narrowed, and disparities within countries, those between geographical regions,
ethnic or cultural groups, and socio-economic groups should be eliminated.
Countries with indigenous people should achieve infant and under-5 mortality
levels among their indigenous people that are the same as those of the general
population. Countries should strive to reduce their infant and under-5
mortality rates by one third, or to 50 and 70 per 1,000 live births,
respectively, whichever is less, by the year 2000, with appropriate adaptation
to the particular situation of each country. By 2005, countries with
intermediate mortality levels should aim to achieve an infant mortality rate
below 50 deaths per 1,000 and an under-5 mortality rate below 60 deaths
per 1,000 births. By 2015, all countries should aim to achieve an infant
mortality rate below 35 per 1,000 live births and an under-5 mortality rate
below 45 per 1,000. Countries that achieve these levels earlier should strive
to lower them further.
8.17. All Governments should assess the underlying causes of high child
mortality and should, within the framework of primary health care, extend
integrated reproductive health-care and child-health services, [including safe
motherhood, 21/ child-survival programmes and family-planning services, to all
the population and particularly to the most vulnerable and underserved groups.
Such services should include prenatal care and counselling, with special
emphasis on high-risk pregnancies and the prevention of sexually transmitted
diseases and HIV infection; adequate delivery assistance; and neonatal care,
including exclusive breast-feeding, information on optimal breast-feeding and on
proper weaning practices, and the provision of micronutrient supplementation and
tetanus toxoid, where appropriate. Interventions to reduce the incidence of low
birth weight and other nutritional deficiencies, such as anaemia, should include
the promotion of maternal nutrition through information, education and
counselling and the promotion of longer intervals between births. All countries
should give priority to efforts to reduce the major childhood diseases,
particularly infectious and parasitic diseases, and to prevent malnutrition
among children, especially the girl child, through measures aimed at eradicating
poverty and ensuring that all children live in a sanitary environment and by
disseminating information on hygiene and nutrition. It is also important to
provide parents with information and education about child care, including the
use of mental and physical stimulation.
8.18. For infants and children to receive the best nutrition and for specific
protection against a range of diseases, breast-feeding should be protected,
promoted and supported. By means of legal, economic, practical and emotional
support, mothers should be enabled to breast-feed their infants exclusively for
four to six months without food or drink supplementation and to continue breastfeeding infants with appropriate and adequate complementary food up to the age
of two years or beyond. To achieve these goals, Governments should promote
public information on the benefits of breast-feeding; health personnel should
receive training on the management of breast-feeding; and countries should
examine ways and means to implement fully the WHO International Code of
Marketing of Breast Milk Substitutes.
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