39
antigens, and two others had achieved at least 80% coverage.
Infant and child mortality in Latin America is expected to
decline to roughly 41 by 1999.
Europe and the New Independent States:
Key problems within the
region related to child health and mortality have to do with
breakdowns in the health care system, resulting in poor access to
and availability of appropriate basic health care services.
Breakdowns in immunization coverage for example, have resulted in
outbreaks of diphtheria and other preventable childhood diseases.
Infant and under five mortality rates vary widely across the
region.
In 1996, infant mortality rates were as high as 46
deaths per 1,000 live births in Turkmenistan, but 14/1000 in
Ukraine.
Similarly, under five mortality rates were 85/1000 in
Turkmenistan, 79/1000 in Tajikistan, but 26 in Georgia and 24 in
Ukraine.
Strengthening of basic health care systems is expected
to result in decreases of infant and child mortality rates of 5 
10% in countries in the Central Asian Republics where the
mortality rates are relatively high.
Agency Strategic Goal:
World Population Stabilized and Human Health
Protected
Indicators:
Under 5 mortality rate
Source:
World Development Indicators (Table 2.14); USAID
calculations
Performance Goal 2
:
Mortality rates for
YEAR
1997
1999
infants and children under the age of 5
reduced by 25 percent by 2007.
PLANNED
82
ACTUAL
88.1
Percent reduction in under five mortality
AFR
PLN
116
rates on a regional basis
ACT
124.7
ANE
PLN
55.6
ACT
59.8
LAC
PLN
41
ACT
44.1
ENI
PLN
47
ACT
50.7
Comment(s):
Planned reductions for ENI countries are for the Central
Asian Republics only, where under five mortality is still fairly high.
With a 10 year target of reducing under five mortality by 25%, we
expect to see a 7% decline by 1999.
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