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Leere Versprechungen und tote Kinder

LONDON – Unter den 169 Zielen nachhaltiger Entwicklung, die die Vereinten Nationen im vergangenen September inmitten von Glitzerevents, Prominenten, sich gegenseitig auf den Rücken klopfenden Politikern, Hilfsgebern und Nicht-Regierungsorganisationen verabschiedeten, lag das wichtige Ziel begraben, „vermeidbare Kindersterblichkeit” bis 2030 zu beseitigen. Es ist eine Aufgabe für unsere Generation, für deren Bewältigung mehr notwendig sein wird als UN-Kommuniqués.

Die vorherigen internationalen Entwicklungsziele, die Millenniumziele, haben sicherlich wichtige Fortschritte erzielt, die Anzahl an Kindern, die vor Erreichen ihres fünften Geburtstages starben, ist von zehn Millionen im Jahr 2000, als die Millenniumziele verabschiedet wurden, auf 5,9 Millionen 2005 gesunken. Einige der ärmsten Länder der Welt verzeichneten dabei die wichtigsten Erfolge.

Dieser Fortschritt wurde von verschiedenen Faktoren begünstigt, wie einer sinkenden Armutsquote und erheblicher Investition in öffentliche Gesundheitssysteme. Durch den Einsatz von Krankenschwestern, Hebammen und anderem Pflegepersonal ermöglichten diese Systeme eine Erweiterung von Schwangerschaftsvorsorge, einfachen geburtsbegleitenden Maßnahmen, sauberer Abnabelung und postnataler Versorgung. Äthiopien zum Beispiel hat im vergangenen Jahrzehnt eine kleine Armee von 38.000 Gesundheitsarbeitern aufgestellt.

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