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  • RP one of worst places
    for mothers, report says
     
    By Dennis Estopace
    Reporter

    AMONG 55 less-developed countries, the Philippines was ranked below Mongolia but above Qatar as the best place for mothers, a report by Save the Children Inc. revealed.

    The report released last week by the United States branch of the nonprofit group revealed that among Southeast Asian nations, the Philippines (ranked 38th) trailed Malaysia (35), Vietnam (24), Thailand (13)  and Korea (8) as the “countries that are doing the best” at reaching the children of mothers with basic health measures.

    “Every year, our State of the World’s Mothers report reminds us of the inextricable link between the well-being of mothers and their children,” Save the Children president and chief executive Charles MacCormack was quoted in the report as saying.

    “More than 75 years of experience on the ground have shown us that when mothers have health care, education and economic opportunity, both they and their children have the best chance to survive and thrive.”

    The report, titled “State of the World’s Mothers 2008: Closing the Survival Gap for Children Under 5,” identified the Philippines as the top country in the world with the highest inequity in the survival rate of some 368.17 million children under 5 among 55 countries.

    The Report Card cited that in every country it analyzed, “more than 30 percent of children lack…essential health-care services.”

    In more than half of these countries, said the report, “50 percent or more of children do not get health care. In Ethiopia and Chad—the two lowest-ranked countries on the Report Card—more than 80 percent of children do not receive basic lifesaving health care.”

    The report said the Philippines, with 31 percent of children under 5 missing out on basic health care, is the highest-ranked country in this analysis. Ethiopia, with 84 percent of children not getting basic health care, ranks the lowest.

    “Nearly half of the poorest children under 5 in the Philippines [46 percent] do not get health care when they need it, and a poor child is 3.2 times more likely than a rich child to die before reaching age 5,” the report said.

    The report noted the inequities among poor and well-off children as “alarming” in terms of access to health services.

    “This is true for countries where the national averages are relatively good, such as the Philippines [where 46 percent of the poorest children do not get health care, compared with 14 percent of the best-off children], Indonesia [48 percent of poorest versus 23 percent of best-off] and Bolivia [58 versus 24 percent].”

    This, the report noted, is “a commonplace but largely untold tale of grief” for mothers.

    The report also linked the level of education of mothers with child mortality, noting that when mothers are educated, more children may likely survive.

    The gap between best-educated and least-educated mothers in the Philippines, however, is yawning according to the report. Still, the country’s education-related survival gap pales in comparison with Nepal’s, Nigeria’s and Tajikistan’s rate.

    The Philippines’ survival rate, the report noted, is of a magnitude comparable to the infant mortality rates among black infants in the US states of Wisconsin, Delaware and Michigan. The US, notably, ranked 26th in the World Mother’s Index; with the best place for mothers as Sweden.

    In the three US states mentioned, the report said “a black baby is over three times more likely to die compared with a white baby.”

    Survival gaps of this magnitude, it added, “are comparable with those in Bolivia, Nigeria and the Philippines —some of the most inequitable countries in the world.”

    The report suggested that the Philippines “could save many more children’s lives by targeting health care to the poor.”

    If all children survived at the same rates as the wealthiest children, 35 percent of the Philippines’s under-5 deaths could be averted. That means 26,000 Philippine children would be saved each year, the report said.

    If it’s any consolation, the Philippines ranked higher than Indonesia (55) and India (66) in the World’s Mother’s Index.

    So next time the country celebrates Mother’s Day, Save the Children’s Survive to 5 campaign chairman William H. Frist suggests that flowers and a sentimental card be dropped.

    “The presents that would bring tears of joy to most of the world’s mothers are not chocolates or  flowers. Instead, those mothers want health care that could save their children’s lives—remarkably simple, inexpensive tools such as vaccines, vitamin A, antibiotics and a trained community health worker.”

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