Countdown to 2015 for Maternal, Newborn and Child Survival

Nonetheless, treatment for potentially fatal illnesses and other vital health services still fail to reach the majority of women and children according to the findings.  These services are dependent on strong health systems that can provide 24-hour care within the community, at health clinics, and through a functioning referral system when more serious intervention is necessary.  Access to these services is most critical at the time of birth and during the first two weeks of life which are riskiest for mother and infant.

Tracking Progress in Maternal, Newborn & Child Survival identifies a series of missed opportunities to save lives: 

• Family planning: The unmet need for contraceptives is high. Only one-third of women in the 68 priority countries are using a modern contraceptive method – a proven means of boosting maternal and infant survival; 
• Skilled care at birth: Only around half of women and newborns benefit from a skilled birth attendant at the time of birth, and even fewer receive care in the critical days and weeks after childbirth; 
• Clinical care for sick children: Only about one-third of children with pneumonia – the biggest single killer of children – receive treatment;
• Nutrition: Undernutrition is the underlying cause of 3.5 million child deaths annually, and as many as Haiti, Turkmenistan and several countries in sub-Saharan Africa, have made demonstrable progress in reducing deaths of children under-five in the past three years.  Sixteen of the 68 Countdown priority countries are now ‘on track’ to achieve Millennium Development Goal 4.  

To pave the way for a well-functioning 'continuum of care', governments and their partners must address obstacles such as weak health systems, funding shortages, and inequalities in access to care.  The report findings show poor families missing out twice, on skilled care at birth and on care for newborns and children when they are ill.  Other barriers include armed conflict and a high HIV prevalence, which together have erased any gains in child survival in at least 12 African countries. 

Overall funding from donor governments for maternal, newborn and child health has increased in recent years, with Official Development Assistance (ODA) rising from US$2.1 billion to almost US$3.5 billion between 2003-2006, a  64 percent increase. This investment has resulted in significant health gains, notably to boost immunization levels and prevent malaria,  Nonetheless, health systems for maternal, newborn and child health remain grossly under-funded in relation to the needs of priority countries.  Total donor funding for maternal, newborn and child health still represents just 3% of total donor aid disbursements. Most donor assistance is delivered through specific projects and only 5% has been dedicated to general budget support in recipient countries.

The Countdown findings will be discussed during a three day conference in South Africa, from

17-19 April.  The Countdown findings are also the subject of a special issue of the medical journal The Lancet.