Timing impact assessment for COAG Closing the Gap targets: child mortality

Publication
Release Date: 30 May 2014
Author: AIHW

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This report outlines the main drivers impacting on the COAG target to halve the gap in child mortality within a decade. These include low birthweight, maternal health and behaviours (smoking and alcohol use during pregnancy) and inadequate or infrequent antenatal care. The report examines interventions that have been shown to be effective in reducing Indigenous child mortality; the time lags between program implementation and expected reductions in child mortality and its risk factors; and data availability to measure outcomes achieved.

ISBN: 978-1-74249-575-0
Cat. no: IHW 124
Pages: 102

Findings from this report:

Significant decline in deaths from sudden infant death syndrome
Mortality rates for Indigenous children aged under 5 have declined over the past decade
External causes (injury and poisoning) account for just over one half of all deaths of Indigenous children aged 1-4
Risk factors include low birthweight, pre-term births, maternal health, and access to health services

Preliminary material
- Title and verso pages
- Contents
- Acknowledgments
- Abbreviations
- Symbols
- Summary
  - Indigenous child mortality
  - Risk factors and interventions
  - Time frames
Body section
- 1 Introduction
  - Determinants of infant and child mortality
- 2 Infant and child mortality
  - Trends in Indigenous child mortality
    - Causes of death
    - Implications
- 3 Interventions and programs aimed to reduce child mortality and its risk factors
  - Risk factors
  - Summary of improvements by risk factor for Indigenous-specific programs
  - Antenatal care
    - Australian initiatives for Indigenous mothers
    - Other Australian antenatal care initiatives
    - International antenatal care initiatives
  - Nurse home-visiting programs in Australia
  - Australian Nurse-Family Partnership Program (ANFPP)
  - State/territory home visiting programs
  - Anti-smoking initiatives
    - Maternal smoking cessation programs
    - General smoking programs
  - Population health initiatives
    - Alcohol consumption
    - Sexually transmitted infections
    - Breastfeeding
    - Immunisation
    - Injury prevention
- 4 Lags between program implementation, change and ability to measure
  - Example: Indigenous Early Childhood Development NPA
  - Progress against the COAG child mortality target
End matter
- Appendixes
  - Appendix A: COAG Closing the Gap targets
  - Appendix B: Literature review on risk factors associated with child mortality
  - Appendix C: Mortality interventions by risk factor
  - Appendix D: Methodology for calculating variability bands for the NIRA child mortality trajectory
- References
- List of tables
- List of figures

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