rcpch global report 2016 · the royal college of paediatrics and child health plays a leading role...
TRANSCRIPT
RCPCH Global Health Report
2015-2016
www.rcpch.ac.uk/global
23
Fore
wo
rd
3
Stra
teg
y
5
Pro
gra
mm
es
6
B
uild
ing
hea
lth
syst
ems
6
S
upp
ort
ing
glo
bal
lear
ning
7
P
rom
oti
ng c
hild
dev
elo
pm
ent
10
Em
erg
ing
wo
rk
11
Ad
voca
cy a
nd r
esea
rch
12
Fina
nce
13
Than
k yo
u
14
Ref
eren
ces
15
The
emer
gen
ce o
f tr
uly
glo
bal
hea
lth
pre
sent
s g
reat
cha
lleng
es, b
ut a
lso
gre
at o
pp
ort
unit
y.
Lev
els
of
new
bo
rn a
nd
ch
ild m
ort
alit
y re
mai
n
un
acce
pta
bly
hig
h in
man
y co
un
trie
s –
the
‘un
fin
ish
ed b
usi
nes
s’ o
f th
e M
illen
niu
m
Dev
elo
pm
ent
Go
als.
We
will
co
nti
nu
e to
wo
rk
on
red
uci
ng
ch
ild a
nd
, in
par
ticu
lar,
neo
nat
al
mo
rtal
ity
bu
t al
so lo
ok
mo
re b
road
ly a
t
imp
rovi
ng
th
e h
ealt
h o
f in
fan
ts, c
hild
ren
an
d
you
ng
peo
ple
acr
oss
th
e sp
ectr
um
.
Imp
rove
d c
hild
su
rviv
al s
ho
uld
be
acco
mp
anie
d
by
inve
stm
ent
in e
arly
ch
ildh
oo
d d
evel
op
men
t
and
su
pp
ort
th
rou
gh
th
e ke
y tr
ansi
tio
ns
of
ado
lesc
ence
, in
ord
er t
o c
ou
nte
r th
e em
erg
ing
bu
rden
s o
f o
bes
ity
and
ch
ron
ic d
isea
se in
dev
elo
pin
g r
egio
ns.
Pro
tect
ing
th
e h
ealt
h a
nd
wel
fare
of
child
ren
is, w
e b
elie
ve, t
he
par
amo
un
t co
nce
rn o
f u
s al
l
– fr
om
th
e fa
mily
ho
use
ho
ld t
o t
he
UN
Gen
eral
Ass
emb
ly. T
he
Ro
yal C
olle
ge
of
Pae
dia
tric
s an
d
Ch
ild H
ealt
h p
lays
a le
adin
g r
ole
in a
dva
nci
ng
the
hea
lth
of
infa
nts
, ch
ildre
n a
nd
yo
un
g p
eop
le
aro
un
d t
he
wo
rld
. We
wo
rk in
no
vati
vely
in
area
s o
f m
ost
nee
d, c
reat
ing
lin
ks b
etw
een
hea
lth
inst
itu
tio
ns
in r
ich
an
d p
oo
r co
un
trie
s
and
bu
ildin
g t
he
cap
acit
y o
f h
ealt
h w
ork
ers
fro
m c
linic
ian
s to
co
mm
un
ity
nu
rse
mid
wiv
es,
to s
tren
gth
en h
ealt
h s
yste
ms
and
imp
rove
ch
ild
hea
lth
.
Th
e S
ust
ain
able
Dev
elo
pm
ent
Go
als
hav
e se
t
ou
t an
am
bit
iou
s ag
end
a fo
r ch
ild h
ealt
h. W
e
mu
st w
ork
to
en
sure
th
at a
ctio
n f
ollo
ws
rhet
ori
c.
In t
he
year
s to
co
me,
we
will
co
nti
nu
e to
lead
rese
arch
, ad
voca
cy a
nd
act
ion
to
war
ds
ou
r
stat
ed v
isio
n o
f a
hea
lth
ier
futu
re f
or
child
ren
an
d
you
ng
peo
ple
acr
oss
th
e w
orl
d.
Co
nten
ts
Fo
rew
ord
Dr
Bha
nu W
illia
ms
D
r Se
bas
tian
Tay
lor
RC
PC
H G
lob
al O
ffice
r
R
CP
CH
Hea
d o
f G
lob
al O
per
atio
ns
FO
RE
WO
RD
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
4
Str
ateg
y
RC
PC
H r
epre
sent
s o
ne o
f th
e m
ost
pow
erfu
l co
ncen
trat
ions
of
child
hea
lth
exp
erti
se in
the
w
orl
d t
od
ay. T
his
is o
ur g
reat
est
reso
urce
and
the
ce
ntre
pie
ce o
f o
ur g
lob
al h
ealt
h w
ork
.
Ove
r th
e co
min
g fi
ve y
ears
, RC
PC
H’s
glo
bal
str
ateg
y
will
fo
cus
on
red
ucin
g n
eona
tal a
nd c
hild
mo
rtal
ity,
and
on
sup
po
rtin
g p
olic
ies
and
pro
gra
mm
es
that
max
imis
e he
alth
y d
evel
op
men
t fo
r in
fant
s,
child
ren
and
yo
ung
peo
ple
aro
und
the
wo
rld
. Our
geo
gra
phi
cal f
ocu
s w
ill b
e o
n lo
w-i
nco
me
coun
trie
s,
pri
mar
ily in
sub
-Sah
aran
Afr
ica,
So
uth/
sout
heas
t
Asi
a, a
nd t
he M
idd
le E
ast.
We
will
co
ntin
ue t
o d
esig
n an
d o
per
atio
nalis
e
field
-bas
ed p
rog
ram
mes
whi
ch s
upp
ort
hea
lth
syst
em s
tren
gth
enin
g, b
y b
uild
ing
the
cap
acit
y o
f
heal
th w
ork
ers
fro
m s
enio
r cl
inic
ians
to
co
mm
unit
y
nurs
e-m
idw
ives
to
rec
og
nise
and
act
on
the
maj
or
thre
ats
to g
oo
d h
ealt
h am
ong
infa
nts,
chi
ldre
n an
d
ado
lesc
ents
. Our
wo
rk b
uild
s o
n R
CP
CH
’s r
ole
as
a
lead
ing
pro
po
nent
of
Em
erg
ency
Tri
age
Ass
essm
ent
and
Tre
atm
ent
(ETA
T+
), t
owar
ds
wid
er s
upp
ort
to
imp
rovi
ng b
asic
pae
dia
tric
ski
lls a
cro
ss t
he s
pec
trum
of
heal
th w
ork
ers
fro
m t
each
ing
ho
spit
al t
o lo
cal
clin
ic.
Our
pro
gra
mm
e m
od
el is
bas
ed o
n p
artn
ersh
ip –
wit
h g
over
nmen
t, m
ulti
late
ral a
gen
cies
, and
civ
il
soci
ety.
Our
pro
gra
mm
es w
ill c
ont
inue
to
bui
ld
bri
dg
es li
nkin
g c
linic
ians
fro
m t
he U
K, w
ork
ing
on
a
volu
ntee
r b
asis
, wit
h th
eir
coun
terp
arts
in r
eso
urce
-
scar
ce h
ealt
h sy
stem
s an
d s
etti
ngs.
We
sup
po
rt o
ur p
rog
ram
mes
wit
h hi
gh-
qua
lity
rese
arch
evi
den
cing
sim
ple
, co
st-e
ffec
tive
way
s
to e
nhan
ce c
hild
sur
viva
l and
gro
wth
. And
we
will
cont
inue
to
ad
voca
te, a
t ho
me
and
inte
rnat
iona
lly,
for
po
licie
s th
at r
eco
gni
se t
he r
ight
s o
f ch
ildre
n an
d
the
need
to
pro
tect
the
m in
hum
anit
aria
n cr
ises
.
ST
RA
TE
GY
Co
ntex
t
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
Und
er-5
mo
rtal
ity
rate
(p
er 1
00
0)
New
bo
rn a
nd c
hild
m
ort
alit
y re
mai
n a
ke
y co
ncer
n in
d
evel
op
ing
reg
ions
Mo
rtal
ity
rate
, und
er 5
(p
er 1
00
0)
217
7
Hea
lth
exp
end
itur
e
per
cap
ita
Fin
ance
fo
r he
alth
in
low
-inc
om
e se
ttin
gs
mus
tco
ntin
ue t
o g
row
Hea
lth
wo
rkfo
rce
(den
sity
of
nurs
es
and
mid
wiv
es)
Bui
ldin
g t
he c
apac
ity
of
clin
icia
ns, n
urse
s an
d
mid
wiv
es is
the
bed
rock
of
hea
lth
syst
ems
st
reng
then
ing
Hea
lth
exp
end
itur
e p
er c
apit
a$
13£
9,7
15
Num
ber
of
nurs
es a
nd m
idw
ives
per
10
00
po
pul
atio
n
020
So
urce
: The
Wo
rld
Ban
k G
roup
, htt
p://
dat
a.w
orl
db
ank.
org
So
urce
: The
Wo
rld
Ban
k G
roup
, htt
p://
dat
a.w
orl
db
ank.
org
So
urce
: The
Wo
rld
Ban
k G
roup
, htt
p://
dat
a.w
orl
db
ank.
org
5
67
Up
to
hal
f o
f al
l new
bo
rn a
nd c
hild
dea
ths
occ
ur in
d
istr
ict-
leve
l hea
lth
faci
litie
s.i,
ii, ii
i Mo
st d
eath
s ar
e d
ue t
o a
lim
ited
num
ber
of
trea
tab
le c
ond
itio
ns, a
nd
occ
ur w
ithi
n th
e fi
rst
48
hour
s o
f ad
mis
sio
n.iv
, v
As
com
mu
nit
y d
eman
d f
or
hea
lth
care
in lo
w-i
nco
me
cou
ntr
ies
gro
ws,
so
do
es t
he
nee
d f
or
qu
alit
y se
rvic
es
pro
vid
ed b
y tr
ain
ed h
ealt
h w
ork
ers
in a
nd
th
rou
gh
p
rop
erly
-eq
uip
ped
ho
spit
als
and
clin
ics.
To
o o
ften
, th
ou
gh
, ava
ilab
le c
are
is w
eak.
A p
rim
ary
pro
ble
m
is s
carc
ity
of
hea
lth
wo
rker
s tr
ain
ed in
bas
ic b
ut
crit
ical
ly im
po
rtan
t kn
ow
led
ge
and
ski
lls.vi
R
esea
rch
sh
ow
s th
at s
imp
le im
pro
vem
ents
in c
ase
man
agem
ent
are
key,
incl
ud
ing
in a
sses
smen
t, t
reat
men
t an
d
mo
nit
ori
ng
. It
is c
lear
th
at o
ne
of
the
gre
ates
t o
pp
ort
un
itie
s to
red
uce
ch
ildre
n’s
mo
rbid
ity
and
m
ort
alit
y lie
s in
str
eng
then
ing
th
e q
ual
ity
of
bas
ic c
are
and
th
e im
ple
men
tati
on
of
sim
ple
bu
t st
and
ard
ised
cl
inic
al m
anag
emen
t p
roto
cols
.vii
Str
eng
then
ing
Em
erg
ency
Car
e
RC
PC
H G
lob
al f
ocu
ses
on
red
uci
ng
neo
nat
al a
nd
u
nd
er-fi
ve m
ort
alit
y th
rou
gh
imp
rove
d q
ual
ity
of
faci
lity-
bas
ed e
mer
gen
cy c
are.
We
are
a le
adin
g
par
tner
in t
he
glo
bal
ro
ll-o
ut
of
Em
erg
ency
Tri
age
Ass
essm
ent
and
Tre
atm
ent+
, wit
h m
ajo
r p
roje
cts
in
Ken
ya, R
wan
da,
Sie
rra
Leo
ne
and
Ug
and
a as
wel
l as
an E
mer
gen
cy P
aed
iatr
ic C
are
Pro
gra
mm
e (E
PC
P)
in M
yan
mar
. Th
ese
are
bas
ed o
n W
HO
’s E
TAT
mo
del
b
ut
exte
nd
ed a
nd
ad
apte
d t
o in
clu
de
new
bo
rn
resu
scit
atio
n a
nd
th
e in
teg
rate
d m
anag
emen
t o
f ch
ildh
oo
d il
lnes
ses
(IM
CI)
.
We
and
ou
r p
artn
ers
un
der
stan
d t
hat
rea
l life
-sa
vin
g im
pro
vem
ents
in lo
w-i
nco
me
sett
ing
s ca
n
– an
d in
dee
d m
ust
– b
e m
ade
by
max
imis
ing
th
e va
lue
of
exis
tin
g h
um
an r
eso
urc
es. O
ur
app
roac
h is
o
ne
of
lon
g-t
erm
tec
hn
ical
par
tner
ship
, bu
ildin
g a
co
mm
on
pla
tfo
rm o
f cl
inic
al u
nd
erst
and
ing
an
d t
rust
th
rou
gh
su
stai
ned
rel
atio
nsh
ips
of
cap
acit
y-b
uild
ing
, m
ento
rsh
ip a
nd
su
pp
ort
.viii,
ix I
ncr
easi
ng
ly, w
e ar
e se
ein
g t
he
resu
lts
in f
allin
g le
vels
of
faci
lity-
bas
ed
mo
rtal
ity
in a
reas
wh
ere
we
wo
rk.
As
the
wo
rld
bec
om
es in
crea
sing
ly in
terc
onn
ecte
d,
heal
th –
incl
udin
g c
hild
hea
lth
– b
eco
mes
tru
ly
glo
bal
. No
long
er d
o w
e se
e a
wo
rld
of
two
he
mis
phe
res
– th
e ri
ch a
nd t
he p
oo
r. In
stea
d, w
e se
e co
ntin
uous
exc
hang
e an
d in
terd
epen
den
ce.
Sin
ce it
s es
tab
lishm
ent
in 1
99
6, R
CP
CH
has
nur
ture
d
inte
rnat
iona
l lea
rnin
g e
xcha
nges
fo
r cl
inic
ians
bas
ed
in t
he U
K a
nd f
rom
aro
und
the
wo
rld
. T
he
Co
lleg
es’ V
isit
ing
Fel
low
s an
d M
TI p
rog
ram
mes
sup
po
rt p
aed
iatr
icia
ns f
rom
low
- an
d m
idd
le-i
nco
me
coun
trie
s to
tra
in w
ith
coun
terp
arts
in s
om
e o
f th
e
UK
’s le
adin
g c
entr
es o
f p
aed
iatr
ic a
nd c
hild
hea
lth.
In 2
00
1 R
CP
CH
laun
ched
a p
artn
ersh
ip w
ith
Vo
lunt
ary
Ser
vice
Ove
rsea
s (V
SO
), p
rovi
din
g t
he
op
po
rtun
ity
to jo
in a
str
uctu
red
vo
lunt
eer
pro
gra
mm
e fo
cuss
ed o
n te
achi
ng a
nd t
rain
ing
pae
dia
tric
co
lleag
ues
in lo
w-r
eso
urce
ho
spit
als.
Sh
arin
g s
kills
to
ben
efit
all
Sin
ce 2
012
the
RC
PC
H ‘G
lob
al L
inks
’ pro
gra
mm
e
has
pla
ced
ove
r 6
0 t
rain
ees,
co
nsul
tant
s an
d r
etir
ed
cons
ulta
nts
in 2
8 d
istr
ict
and
ter
tiar
y le
vel h
osp
ital
s
in K
enya
, Ug
and
a, S
ierr
a Le
one
, Gha
na a
nd
Mya
nmar
. V
olu
ntee
rs w
ork
alo
ngsi
de
loca
l hea
lth-
care
sta
ff t
o r
ole
-mo
del
go
od
clin
ical
pra
ctic
e, o
ffer
muc
h ne
eded
in-s
ervi
ce c
ont
inui
ng m
edic
al
educ
atio
n an
d t
rain
in t
he u
se o
f cl
inic
al-a
udit
and
Qua
lity
Imp
rove
men
t m
etho
do
log
ies.
Our
mo
del
of
par
tner
ship
is b
ased
on
long
-ter
m
volu
ntee
ring
, ens
urin
g a
hig
h le
vel o
f va
lue
for
mo
ney
in p
rog
ram
me
fund
ing
ter
ms.
But
it is
als
o
bas
ed o
n m
utua
l lea
rnin
g –
the
incr
easi
ngly
com
pel
ling
evi
den
ce t
hat
for
ever
y vo
lunt
eer
taki
ng
tim
e o
ut o
f th
e N
HS
to
wo
rk w
ith
colle
ague
s in
low
-inc
om
e co
untr
ies
and
clin
ics,
the
Bri
tish
hea
lth
syst
em r
ecei
ves
bac
k cl
inic
ians
wit
h sh
arp
ened
clin
ical
acu
men
and
a r
enew
ed c
om
mit
men
t to
chi
ld
heal
th.x
BU
ILD
ING
HE
ALT
H
SYS
TE
MS
SU
PP
OR
TIN
G G
LOB
AL
LEA
RN
ING
Pro
gra
mm
esP
rog
ram
mes
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
RC
PC
H G
lob
al A
ctiv
ity
Map
RC
PC
H G
lob
al A
ctiv
ity
Map
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
Ind
ia
Ad
visi
ng o
n em
erg
ency
neo
nata
l and
pae
dia
tric
care
and
dis
tric
t st
reng
then
ing
Ug
and
a
Glo
bal
Lin
ks v
olu
ntee
r p
rog
ram
me
& E
TAT
+
Jinj
a co
mm
unit
y E
TAT
+
exte
nsio
n p
roje
ct
Sier
ra L
eone
Glo
bal
Lin
ks v
olu
ntee
r p
rog
ram
me
& E
TAT
+
Sup
po
rtin
g p
ost
-Eb
ola
hea
lth
sect
or
reco
nstr
ucti
on
Pal
esti
ne
Trai
ning
mul
tid
isci
plin
ary
ap
pro
ache
s to
chi
ldho
od
dis
abili
ty in
the
Wes
t B
ank
and
Gaz
a
Sup
po
rtin
g p
ost
gra
dua
te
educ
atio
n in
chi
ld h
ealt
h
Sri L
anka
Tech
nica
l sup
po
rt t
o
nati
ona
l aw
aren
ess
on
ado
lesc
ent
sexu
al a
nd
men
tal h
ealt
h
Cam
bo
dia
Dev
elo
pin
g a
mo
del
of
child
pro
tect
ion
for
hea
lthc
are
wo
rker
s
Mya
nmar
Sup
po
rtin
g e
mer
gen
cyp
aed
iatr
ic c
are
acro
ssth
ree
stat
es
Rw
and
a
Bui
ldin
g c
linic
ian,
nu
rse
and
mid
wif
e ca
pac
itie
s in
E
TAT
+
Ken
ya
Glo
bal
Lin
ks v
olu
ntee
r p
rog
ram
me
ETA
T+
Enh
anci
ng h
ealt
hcar
e
in K
iber
a
Cur
rent
pro
gra
mm
es
Em
erg
ing
wo
rk
89
1011
Ach
ievi
ng d
evel
op
men
tal m
ilest
one
s in
the
ear
ly
stag
es o
f a
child
’s li
fe is
vit
al t
o lo
ng-t
erm
hea
lth
and
wel
l-b
eing
, to
so
cial
incl
usio
n an
d e
duc
atio
nal
and
eco
nom
ic p
rod
ucti
vity
.
Ch
ildre
n –
in p
arti
cula
r in
sit
uat
ion
s o
f cr
isis
an
d
vuln
erab
ility
– a
re a
t ri
sk o
f lo
sin
g o
ut
per
hap
s m
ore
th
an a
ny o
ther
gro
up
: on
life
ch
ance
s, o
n
dev
elo
pm
ent
po
ten
tial
. Ear
ly d
isad
van
tag
e ca
n
resu
lt in
life
lon
g d
isab
ility
, wit
h c
atas
tro
ph
ic
con
seq
uen
ces
for
ind
ivid
ual
par
tici
pat
ion
an
d
ho
use
ho
ld p
ove
rty.
RC
PC
H h
as b
een
wo
rkin
g w
ith
par
tner
s in
Pal
esti
ne
sin
ce 1
99
6. I
n 2
015
we
lau
nch
ed a
new
pro
ject
fu
nd
ed b
y U
KA
id a
nd
th
e Tr
op
ical
Hea
lth
Ed
uca
tio
n
Tru
st (
TH
ET
), w
ork
ing
wit
h t
he
Pae
dia
tric
So
ciet
y o
f P
ales
tin
e, t
o t
rain
loca
l hea
lth
pro
vid
ers
in
mu
ltid
isci
plin
ary
app
roac
hes
to
ch
ildre
n w
ith
d
isab
iliti
es. R
CP
CH
has
als
o w
ork
ed w
ith
Ju
zoo
r fo
r H
ealt
h a
nd
Dev
elo
pm
ent
to d
evel
op
a u
niq
ue
Dip
lom
a in
Ch
ild H
ealt
h d
eliv
ered
in P
ales
tin
e an
d
sub
seq
uen
tly
dev
elo
ped
into
a M
aste
rs in
Ch
ild
Hea
lth
(M
AC
H)
wit
h A
l Qu
ds
Un
iver
sity
.
Ad
dre
ssin
g d
isab
ility
RC
PC
H is
wo
rkin
g w
ith
Ho
pe
and
Ho
mes
fo
r C
hild
ren
in E
aste
rn E
uro
pe
to r
esea
rch
pae
dia
tric
at
titu
des
an
d p
ract
ices
wit
h d
isab
led
ch
ildre
n in
R
om
ania
, Bu
lgar
ia a
nd
Mo
ldo
va. W
e ar
e d
evel
op
ing
ap
pro
ach
es t
o e
nh
ance
ch
ild p
rote
ctio
n in
C
amb
od
ia a
nd
to
en
han
cin
g s
up
po
rt f
or
ado
lesc
ent
sexu
al a
nd
men
tal h
ealt
h in
Sri
Lan
ka.
In a
glo
bal
co
nte
xt o
f p
rotr
acte
d h
um
anit
aria
n
cris
es, r
egio
nal
co
nfl
ict
and
ref
ug
ee d
isp
lace
men
t,
RC
PC
H c
on
tin
ues
to
ad
voca
te w
ith
po
licy-
mak
ers
in t
he
UK
an
d in
tern
atio
nal
ly, t
o e
nsu
re t
hat
th
e ri
gh
ts a
nd
inte
rest
s o
f ch
ildre
n a
re r
eco
gn
ised
an
d
pro
tect
ed.
RC
PC
H h
as e
stab
lishe
d a
str
ong
pre
senc
e in
Eas
t A
fric
a, b
uild
ing
em
erg
ency
car
e sk
ills
for
child
ren
in h
osp
ital
s in
Ken
ya, U
gan
da
and
Rw
and
a.
Our
reg
iona
l par
tner
ship
s –
wit
h g
over
nmen
t,
Pae
dia
tric
Ass
oci
atio
ns, m
edic
al s
cho
ols
and
univ
ersi
ty d
epar
tmen
ts –
pro
vid
e th
e b
asis
on
whi
ch
to e
xten
d a
pro
gra
mm
e m
od
el w
ith
pro
ven
cap
acit
y
to d
rive
dow
n in
fant
and
chi
ld d
eath
s, f
or
exam
ple
exp
and
ing
our
rea
ch t
o w
ork
wit
h he
alth
cen
tres
in
Kib
era
– o
ne o
f th
e w
orl
d’s
larg
est
slum
set
tlem
ents
.
We
have
exp
and
ed o
ur w
ork
in W
est
Afr
ica
–
init
ially
thr
oug
h a
‘Glo
bal
Lin
ks’ v
olu
ntee
r
pro
gra
mm
e in
Sie
rra
Leo
ne. F
ollo
win
g t
he 2
014
Eb
ola
out
bre
ak in
tha
t co
untr
y, w
e ar
e d
evel
op
ing
a
pro
gra
mm
e o
f w
ork
, in
cons
ulta
tio
n w
ith
gov
ernm
ent
and
par
tner
s, t
o s
upp
ort
rec
ons
truc
tio
n
of
the
heal
th s
ecto
r. T
his
new
pro
gra
mm
e ai
ms
to
harn
ess
the
colle
ctiv
e p
ote
ntia
l of
mul
tip
le
Med
ical
Roy
al C
olle
ges
, to
bui
ld a
nd s
trea
mlin
e th
e
UK
’s o
vera
rchi
ng m
od
el o
f g
lob
al h
ealt
h p
artn
ersh
ip.
Wit
h su
pp
ort
fro
m g
over
nmen
t, t
he M
yanm
ar
Pae
dia
tric
Ass
oci
atio
n an
d U
nice
f, w
e ar
e ex
pan
din
g
a o
ne-s
tate
pilo
t in
to a
3-s
tate
inte
rven
tio
n in
Mya
nmar
, wit
h th
e p
ote
ntia
l to
imp
rove
pae
dia
tric
care
fo
r a
sig
nific
ant
par
t o
f th
e B
urm
ese
po
pul
atio
n.
We
are
eng
aged
in t
he d
esig
n an
d d
evel
op
men
t o
f
new
pro
gra
mm
e, r
esea
rch
and
ad
voca
cy p
roje
cts
in a
num
ber
of
coun
trie
s w
ithi
n o
ur r
egio
nal f
ocu
s:
fro
m s
tren
gth
enin
g n
eona
tal c
apac
ity
in E
thio
pia
and
enh
anci
ng b
asic
pae
dia
tric
car
e in
Cam
bo
dia
,
to s
upp
ort
ing
bet
ter
und
erst
and
ing
of
ado
lesc
ent
sexu
al a
nd m
enta
l hea
lth
in S
ri L
anka
and
eff
ort
s in
Ind
ia t
o a
dva
nce
emer
gen
cy m
ater
nal a
nd n
ewb
orn
care
. Alo
ngsi
de
thes
e in
tern
atio
nal c
om
mit
men
ts,
we
will
co
ntin
ue t
o b
uild
aca
dem
ic, t
each
ing
and
rese
arch
co
llab
ora
tio
ns w
hich
pro
mo
te a
nd e
vid
ence
bes
t ap
pro
ache
s to
glo
bal
chi
ld h
ealt
h.
PR
OM
OT
ING
CH
ILD
D
EV
ELO
PM
EN
TE
ME
RG
ING
WO
RK
Pro
gra
mm
esE
mer
gin
g w
ork
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
1213
Ad
voca
cy
RC
PC
H s
pea
ks w
ith
auth
ori
ty o
n is
sues
aff
ecti
ng
the
heal
th a
nd w
elfa
re o
f in
fant
s, c
hild
ren
and
ad
ole
scen
ts b
oth
in t
he U
K a
nd in
tern
atio
nally
. W
ith
par
tner
Med
ical
Roy
al C
olle
ges
, we
cons
titu
te a
pow
erfu
l vo
ice
for
heal
th a
nd m
edic
al
care
wo
rld
wid
e.
We
will
co
nti
nu
e to
sp
eak
ou
t o
n is
sues
of
acu
te
cris
is –
su
ch a
s th
e p
ligh
t o
f re
fug
ee f
amili
es a
nd
u
nac
com
pan
ied
ch
ildre
n b
etw
een
th
e M
idd
le E
ast
and
Eu
rop
e. B
ut
we
will
als
o a
dvo
cate
fo
r re
sear
ch,
evid
ence
an
d a
ctio
n o
n lo
ng
-ter
m p
rob
lem
s –
n
utr
itio
n, c
hild
ho
od
ob
esit
y, a
do
lesc
ent
men
tal
hea
lth
– t
hat
pre
sen
t g
rave
ris
ks t
o o
ur
com
mo
n
futu
re.
Res
earc
h
The
Roy
al C
olle
ge
of
Pae
dia
tric
s an
d C
hild
Hea
lth
has
a m
and
ate
to le
ad a
nd s
upp
ort
the
gro
wth
of
child
hea
lth
rese
arch
glo
bal
ly.
We
hav
e an
exc
epti
on
al n
etw
ork
of
acad
emic
an
d
clin
ical
pra
ctit
ion
ers
wit
h w
ho
m w
e ar
e ab
le t
o
dev
elo
p r
esea
rch
pro
toco
ls. W
e d
raw
on
late
st p
eer-
re
view
ed e
vid
ence
in t
he
des
ign
of
ou
r fi
eld
p
rog
ram
mes
. An
d w
e ar
e co
mm
itte
d t
o t
he
g
ener
atio
n, t
hro
ug
h t
ho
se p
rog
ram
mes
, of
rob
ust
d
ata
sup
po
rtin
g a
nal
ysis
of
effec
tive
nes
s an
d
imp
act.
In t
he
com
ing
str
ateg
ic p
erio
d, w
e w
ill b
uild
re
sear
ch p
artn
ersh
ips,
loo
kin
g b
oth
at
enh
anci
ng
th
e q
ual
ity
of
ou
r in
terv
enti
on
evi
den
ce –
fo
r
exam
ple
th
rou
gh
dev
elo
pm
ent
and
inn
ova
tive
p
artn
er-b
ased
eva
luat
ion
of
care
fo
r th
e si
ck
new
bo
rn –
an
d a
t u
nd
erst
and
ing
bet
ter
the
fact
ors
in
flu
enci
ng
ch
ild h
ealt
h f
rom
neo
nat
al s
urv
ival
to
ad
ole
scen
t tr
ansi
tio
n.
AD
VO
CA
CY
AN
D
RE
SE
AR
CH
Ad
voca
cy a
nd r
esea
rch
Fin
ance
Exp
end
itu
re
Alm
ost
th
ree-
qu
arte
rs o
f R
CP
CH
Glo
bal
exp
end
itu
re w
as in
curr
ed
in s
ub
-Sah
aran
Afr
ica
(pri
mar
ily S
ierr
a L
eon
e, K
enya
, Ug
and
a an
d
Rw
and
a).
Exp
end
itu
re in
So
uth
east
Asi
a an
d t
he
Mid
dle
Eas
t is
g
row
ing
as
we
con
tin
ue
to d
evel
op
ou
r w
ork
in M
yan
mar
an
d
Pal
esti
ne.
UK
-bas
ed a
ctiv
itie
s in
clu
de
the
Vis
itin
g F
ello
wsh
ips
p
rog
ram
me,
res
earc
h, a
dvo
cacy
an
d p
artn
ersh
ips
adm
inis
trat
ion
.
FIN
AN
CE
So
urc
e: 2
014
-20
15 M
anag
emen
t A
cco
un
tsF
ull
stat
uto
ry a
cco
un
ts a
re a
vaila
ble
fro
m t
he
colle
ge
up
on
req
ues
t
RC
PC
H G
lob
al C
hild
Hea
lth
Rep
ort
20
15-1
6w
ww
.rcp
ch.a
c.u
k/g
lob
al
Fu
nd
ing
RC
PC
H g
lob
al o
per
atio
ns
are
fun
ded
by
a ra
ng
e o
f d
on
ors
in
clu
din
g D
FID
(U
KA
id/T
HE
T),
UN
ICE
F a
nd
th
e Je
rsey
O
vers
eas
Aid
Co
mm
issi
on
(JO
AC
).
Su
b-S
ahar
an A
fric
a
Mid
dle
Eas
t
So
uth
/so
uth
east
Asi
a
Go
vern
ance
UK
-bas
ed a
ctiv
itie
s
Ove
rsea
s p
rog
ram
me
gra
nts
Ch
arit
able
Tru
sts
Mem
ber
s
1415
RC
PC
H G
lob
al w
ork
s w
ith
and
thr
oug
h it
s m
emb
ers.
It is
the
ir w
illin
gne
ss t
o s
upp
ort
a g
lob
al r
ole
, and
to
co
mm
it t
o w
ork
ing
ove
rsea
s –
alm
ost
inva
riab
ly w
itho
ut r
emun
erat
ion,
oft
en in
cha
lleng
ing
co
ntex
ts
– th
at u
nder
pin
s o
ur a
bili
ty t
o o
per
ate
glo
bal
pro
gra
mm
es.
We
ow
e a
hu
ge
deb
t o
f th
anks
to
all
tho
se C
olle
ge
mem
ber
s w
ho
hav
e w
ork
ed w
ith
us
and
th
ose
wh
o
con
tin
ue
to s
up
po
rt o
ur
wo
rk. T
hat
wo
rk w
ou
ld n
ot
be
po
ssib
le w
ith
ou
t th
e co
nti
nu
ing
co
mm
itm
ent
of
ou
r p
artn
ers
to c
hild
hea
lth
: go
vern
men
t le
ader
s an
d m
inis
trie
s o
f h
ealt
h u
nd
er w
ho
se a
egis
we
op
erat
e; d
istr
ict
hea
lth
man
ager
s, h
osp
ital
an
d h
ealt
h c
entr
e st
aff o
n w
ho
se k
no
wle
dg
e an
d e
ner
gy
we
dep
end
; lea
der
s in
pae
dia
tric
hea
lth
wh
ose
infl
uen
ce p
aves
th
e w
ay f
or
effec
tive
wo
rkin
g; c
ivil
soci
ety
par
tner
s w
ho
se w
ork
we
sup
po
rt a
nd
wh
o f
acili
tate
ou
rs; d
on
ors
wh
o p
rovi
de
the
fin
anci
al li
feb
loo
d o
f
ou
r en
dea
vou
rs; a
nd
, fin
ally
, th
e fa
mili
es a
nd
ch
ildre
n w
ho
see
k th
e q
ual
ity
of
care
ou
r p
artn
ers
asp
ire
to
pro
vid
e.
RE
FE
RE
NC
ES
TH
AN
K Y
OU
i K
im E
Dic
kso
n, M
ary
V K
inn
ey, S
arah
G M
oxo
n, J
oan
ne
Ash
ton
, Nab
ila Z
aka,
Alin
e S
imen
-Kap
eu,
Gau
rav
Sh
arm
a, K
ate
J K
erb
er, B
ern
adet
te D
aelm
ans,
A M
etin
Gü
lmez
og
lu, M
atth
ews
Mat
hai
,
Ch
rist
abel
Nya
ng
e, M
arti
na
Bay
e an
d J
oy
E L
awn
(20
15)
Sca
ling
up
qu
alit
y ca
re f
or
mo
ther
s an
d
new
bo
rns
aro
un
d t
he
tim
e o
f b
irth
: an
ove
rvie
w o
f m
eth
od
s an
d a
nal
yses
of
inte
rven
tio
n-s
pec
ific
bo
ttle
nec
ks a
nd
so
luti
on
s, B
MC
Pre
gn
ancy
an
d C
hild
bir
th 2
015
, 15(
Su
pp
l 2):
S1
ii.
Mø
lbak
K, A
aby
P, In
gh
olt
L e
t al
. Per
sist
ent
and
acu
te d
iarr
ho
ea a
s th
e le
adin
g c
ause
s o
f ch
ild
mo
rtal
ity
in u
rban
Gu
inea
Bis
sau
. Tra
nsa
ctio
ns
of
the
Ro
yal S
oci
ety
of
Tro
pic
al M
edic
ine
and
Hyg
ien
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199
2; 8
6: 2
16-2
20.
iii.
So
dem
ann
M, J
ako
bse
n M
S, M
ølb
ak K
et
al. H
igh
mo
rtal
ity
des
pit
e g
oo
d c
are-
seek
ing
beh
avio
ur:
a
com
mu
nit
y st
ud
y o
f ch
ildh
oo
d d
eath
s in
Gu
inea
-Bis
sau
. Bu
lleti
n o
f th
e W
orl
d H
ealt
h O
rgan
izat
ion
.
199
7; 7
5 (3
): 2
05-
212.
iv.
Cla
rk M
, Sp
ry E
, Dao
h K
, Bai
on
D, S
kord
is-W
orr
all J
(20
12)
Red
uct
ion
s in
Inp
atie
nt
Mo
rtal
ity
follo
win
g
Inte
rven
tio
ns
to Im
pro
ve E
mer
gen
cy H
osp
ital
Car
e in
Fre
eto
wn
, Sie
rra
Leo
ne.
PL
oS
ON
E 7
(9):
e4
1458
.
do
i:10
.1371
/jo
urn
al.p
on
e.0
04
1458
v.
Go
ve S
, Tam
bu
rlin
i G, M
oly
nea
ux
E e
t al
. Dev
elo
pm
ent
and
tec
hn
ical
bas
is o
f si
mp
lified
gu
idel
ines
for
emer
gen
cy t
riag
e as
sess
men
t an
d t
reat
men
t in
dev
elo
pin
g c
ou
ntr
ies.
Arc
hiv
es o
f D
isea
se in
Ch
ildh
oo
d. 1
99
9; 8
1: 4
73-4
77.
vi.
En
glis
h M
. Ch
ild s
urv
ival
: dis
tric
t h
osp
ital
s an
d p
aed
iatr
icia
ns.
Arc
hiv
es o
f D
isea
se in
Ch
ildh
oo
d. 2
00
5;
90
: 974
-978
.
vii.
No
lan
T, A
ng
os
P, C
un
ha
AJL
A e
t al
. Qu
alit
y o
f h
osp
ital
car
e fo
r se
rio
usl
y ill
ch
ildre
n in
less
-dev
elo
ped
cou
ntr
ies.
Th
e L
ance
t. 2
00
1; 35
7: 1
06
-110
.
viii.
Nzi
ng
a J,
Mb
ind
yo P
, Mb
aab
u L
et
al. D
ocu
men
tin
g t
he
exp
erie
nce
s o
f h
ealt
h w
ork
ers
exp
ecte
d t
o
imp
lem
ent
gu
idel
ines
du
rin
g a
n in
terv
enti
on
stu
dy
in K
enya
n h
osp
ital
s. Im
ple
men
tati
on
Sci
ence
. 20
09
;
4:4
4.
ix
Nzi
ng
a J,
Nto
bu
ri S
, Wag
ai J
et
al. I
mp
lem
enta
tio
n e
xper
ien
ce d
uri
ng
an
eig
hte
en m
on
th in
terv
enti
on
to im
pro
ve p
aed
iatr
ic a
nd
new
bo
rn c
are
in K
enya
n d
istr
ict
ho
spit
als.
Imp
lem
enta
tio
n S
cien
ce. 2
00
9;
4:4
5.
x A
ll-P
arty
Gro
up
on
Glo
bal
Hea
lth
: Th
e U
K’s
co
ntr
ibu
tio
n t
o h
ealt
h g
lob
ally
– b
enefi
tin
g t
he
cou
ntr
y an
d
t
he
wo
rld
; Lo
nd
on
29
th J
un
e 20
15; h
ttp
://w
ww
.ap
pg
-glo
bal
hea
lth
.org
.uk/
Tha
nk Y
ou
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eren
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Sier
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acul
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Serv
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