Tracking Progress in Child Survival: The 2005 Report

2005-ReportCountdown to 2015 released its first report in December 2005, when it held its first international conference at the University of London. The 2005 Report focused on newborn and child survival in the highest-burden countries, following the recommendations of a groundbreaking series of articles in The Lancet two years earlier. The 2005 Report included country profiles for 60 priority countries representing almost 500 million children under age five — more than 75% of all such children then living — and representing 94% of all child deaths.  An article summarizing and expanding on the 2005 Report results was published in The Lancet in September 2006.

The key messages in the 2005 Report included the following:

  • The data show just how much remains to be done.
  • But they also show that we are on the brink of unprecedented opportunities. In a very short time, some countries have made giant leaps in coverage.
  • Other countries are struggling, and have been ranked as “high alert” on numerous indicators.
  • Countdown results should stimulate hard questions about why there is progress in coverage for some countries, for some interventions, and not in others.
  • None of the 60 countries has achieved even minimal coverage levels for all or most child survival interventions appropriate to their settings. All parties – Governments, partners, researchers, and individuals – must work toward the common goal of achieving high, sustainable and equitable coverage for maternal, newborn and child survival interventions.
  • Inclusion of selected newborn indicators in household surveys will support better tracking of progress in future reports. Improving coverage with neonatal interventions is an urgent priority.

The Countdown renews its pledge to increase accountability by tracking intervention coverage for newborn and child survival. Tracking Progress in Child Survival: The 2005 Report can be downloaded below, either in its entirety or in its component parts:

Full Report

pdfFull report (including Country Profiles) [3.17 MB]

pdfFull report (without Country Profiles) [2.04 MB]

Report Sections

pdfCover, contributors, table of contents, list of abbreviations [750 KB]

pdfChapter 1: Tracking intervention coverage for child survival [137 KB]

  • A brief history of the Countdown effort
  • A commitment to building on existing goals and monitoring efforts
  • A World Fit for Children goals The Millennium Development Goals
  • A focus on effective interventions
  • Why focus on intervention coverage?
  • What is coverage?
  • Why track coverage at global level in preference to other possible indicators?
  • How is coverage currently measured, and how often?
  • What are the limitations of focusing on coverage?
  • 15 Links to other monitoring efforts
  • Constraints
  • Overview of the report

pdfChapter 2: Tracking indicators and methods [748 KB]

  • Selecting the 60 priority countries
  • Programmatic aims and associated coverage indicators
  • Tracking key coverage determinants: Work in progress
  • Tracking improvements in equity
  • Data sources

pdfChapter 3: Preliminary findings [776.1 KB]

  • Nutrition, including breastfeeding
  • Vaccination
  • Other prevention interventions
  • Newborn health
  • Case management of childhood illness
  • Coverage equity
  • Some preliminary findings

pdfAnnexes [337 KB]

  • Annex 1: List of indicators developed at the UNICEF/WHO Meeting on Child Survival Survey-based Indicators, New York, June 17-18, 2004
  • Annex 2: Global Monitoring of the major determinants of coverage for child survival interventions
  • Annex 3: Indicator List for Countdown 2005
  • pdfAnnex 4: Category Definitions 2005 Country Profiles [642 KB] 

Profiles for individual countries, along with country profiles from 2008, 2010, and 2012, and equity country profiles published by Countdown in 2012 and 2010, are available here.