TY - JOUR
T1 - Countdown to 2015 decade report (2000-10)
T2 - taking stock of maternal, newborn, and child survival
AU - Bhutta, Zulfiqar A.
AU - Chopra, Mickey
AU - Axelson, Henrik
AU - Berman, Peter
AU - Boerma, Ties
AU - Bryce, Jennifer
AU - Bustreo, Flavia
AU - Cavagnero, Eleonora
AU - Cometto, Giorgio
AU - Daelmans, Bernadette
AU - de Francisco, Andres
AU - Fogstad, Helga
AU - Gupta, Neeru
AU - Laski, Laura
AU - Lawn, Joy
AU - Maliqi, Blerta
AU - Mason, Elizabeth
AU - Pitt, Catherine
AU - Requejo, Jennifer
AU - Starrs, Ann
AU - Victora, Cesar G.
AU - Wardlaw, Tessa
N1 - Funding Information:
This report was funded by the Bill & Melinda Gates Foundation, UK Department for International Development, Government of Norway, Partnership for Maternal, Newborn and Child Health, Save the Children USA and UK, UNICEF, United Nations Population Fund, and WHO. We thank Holly Newby and Archana Dwivedi from UNICEF for their work in helping to construct the Countdown databases, Julia David from the Johns Hopkins University for her help with the initial review and analysis, Stan Bernstein and Edilberto Loaiza from the UN Population Fund for their inputs on the family planning indicators and analyses, Aluisio Barros for his work on the equity analyses, and Nancy Terreri for her review of the data. We also thank all members of the five Countdown working groups that have contributed to the conceptualisation of the Countdown 2010 report and products and all individuals that have contributed to data collection, tabulation, and analysis. Details about Countdown membership are provided on the Countdown website. The authors alone are responsible for the views expressed in this publication and they do not necessarily represent the decisions or the stated policy of WHO.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2010
Y1 - 2010
N2 - The Countdown to 2015 for Maternal, Newborn, and Child Survival monitors coverage of priority interventions to achieve the Millennium Development Goals (MDGs) for child mortality and maternal health. We reviewed progress between 1990 and 2010 in coverage of 26 key interventions in 68 Countdown priority countries accounting for more than 90% of maternal and child deaths worldwide. 19 countries studied were on track to meet MDG 4, in 47 we noted acceleration in the yearly rate of reduction in mortality of children younger than 5 years, and in 12 countries progress had decelerated since 2000. Progress towards reduction of neonatal deaths has been slow, and maternal mortality remains high in most Countdown countries, with little evidence of progress. Wide and persistent disparities exist in the coverage of interventions between and within countries, but some regions have successfully reduced longstanding inequities. Coverage of interventions delivered directly in the community on scheduled occasions was higher than for interventions relying on functional health systems. Although overseas development assistance for maternal, newborn, and child health has increased, funding for this sector accounted for only 31% of all development assistance for health in 2007. We provide evidence from several countries showing that rapid progress is possible and that focused and targeted interventions can reduce inequities related to socioeconomic status and sex. However, much more can and should be done to address maternal and newborn health and improve coverage of interventions related to family planning, care around childbirth, and case management of childhood illnesses.
AB - The Countdown to 2015 for Maternal, Newborn, and Child Survival monitors coverage of priority interventions to achieve the Millennium Development Goals (MDGs) for child mortality and maternal health. We reviewed progress between 1990 and 2010 in coverage of 26 key interventions in 68 Countdown priority countries accounting for more than 90% of maternal and child deaths worldwide. 19 countries studied were on track to meet MDG 4, in 47 we noted acceleration in the yearly rate of reduction in mortality of children younger than 5 years, and in 12 countries progress had decelerated since 2000. Progress towards reduction of neonatal deaths has been slow, and maternal mortality remains high in most Countdown countries, with little evidence of progress. Wide and persistent disparities exist in the coverage of interventions between and within countries, but some regions have successfully reduced longstanding inequities. Coverage of interventions delivered directly in the community on scheduled occasions was higher than for interventions relying on functional health systems. Although overseas development assistance for maternal, newborn, and child health has increased, funding for this sector accounted for only 31% of all development assistance for health in 2007. We provide evidence from several countries showing that rapid progress is possible and that focused and targeted interventions can reduce inequities related to socioeconomic status and sex. However, much more can and should be done to address maternal and newborn health and improve coverage of interventions related to family planning, care around childbirth, and case management of childhood illnesses.
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U2 - 10.1016/S0140-6736(10)60678-2
DO - 10.1016/S0140-6736(10)60678-2
M3 - Review article
C2 - 20569843
AN - SCOPUS:77952964063
VL - 375
SP - 2032
EP - 2044
JO - The Lancet
JF - The Lancet
SN - 0140-6736
IS - 9730
ER -