The Growing Movement to End Preventable Child Deaths

Report
from US Agency for International Development
Published on 21 Mar 2013 View Original

Yesterday at an event hosted by AEI and the Center for American Progress, USAID Administrator Raj Shah spoke about President Obama’s vision to end extreme poverty through innovation and partnership. His remarks mentioned an important corollary goal – the end of preventable child deaths. The first audience question commended the visionary Child Survival Call to Action held in Washington last year and asked about progress at country-level. Administrator Shah responded that the movement to end preventable child deaths is nothing short of extraordinary.

Since the Call to Action, 172 countries have now signed A Promise Renewed pledge to accelerate declines in child deaths. More than 400 civil society and faith-based organizations as well as over 2,000 individuals have also pledged support. Each signature represents a renewed commitment to give every child the best possible start in life. Governments are leading the effort to convene policymakers, technical experts, and development partners in a concerted effort to scale-up high-impact strategies for maternal, newborn and child survival. Below are a few highlights of countries leading and how USAID is supporting this important work.

Bangladesh

USAID and other donors are supporting the Ministry of Health to develop an action plan to end preventable child deaths in Bangladesh, particularly at district level. This plan will identify priority actions and benchmarks to reach the goal of no more than 20 deaths/1,000 live births by 2035, or earlier. A technical advisory group has been convened to discuss evidence-based interventions that can be deployed in Bangladesh to bend the curve. This includes programs to address Pneumoccocal and Rotavirus vaccines, corticosteroids, clean cord care, child drowning and Kangaroo Mother Care, among others. Given the fact that 60% of child deaths in Bangladesh occur within in the first 28 days of life, there is a huge need for post-natal monitoring to reduce stubborn neonatal mortality rates.

Burma

Building upon the Child Survival Call to Action, USAID recently launched a public private partnership: Survive and Thrive. This partnership will expand the coverage of quality and high impact maternal newborn services starting with essential newborn care, and link pediatricians, midwives, and obstetricians from American professional associations to peer associations in Burma to build capacity in service delivery. Survive and Thrive will partner with civil society and professional and educational institutions, work within the Ministry of Health’s health system, support the programs of the 3MDG Fund, and maximize synergy with community-based programs of existing partners.

Ethiopia

At the African Leadership on Child Survival meeting hosted by the Government of Ethiopia earlier this year, the consensus reached by over twenty African countries present was both significant and historic. The participating countries declared, in a consensus statement, that they are committed to developing and implementing country-led roadmaps that integrate ongoing efforts to accelerate progress to end preventable deaths among children by 2035, and reduce the mortality rate to below 20 per 1,000 live births in all African nations. Recently, Ethiopia’s Ministry of Health (MOH) signed a Memorandum of Understanding with Namibia. Officials from Namibia are undertaking a study tour to review Ethiopia’s health extension program.

India

At India’s recent Call to Action, the Government of India launched the Reproductive Maternal Neonatal Child Health Adolescent health strategy (RMNCH+A), which serves as a roadmap for the States. India also released several guidance documents including implementation of newborn care as well as management of pneumonia and diarrhea. A National Child Survival Scorecard was showcased, and States were encouraged to develop their own scorecards and to monitor progress. USAID’s Maternal and Child Health Integrated Project (“MCHIP”) supported the Ministry of Health and Family Welfare in organizing the recent India National Call to Action for Child Survival and Development, and USAID will continue to provide support in establishing quick response teams for Indian states with the highest child mortality that have committed to accelerating their efforts for child survival.

Indonesia

USAID supported a national newborn conference in Jakarta from Feb 26-March 1. The conference included international experts from India and the U.S. as well as representatives from the Indonesia’s Ministry of Health, key professional associations, academia, and district and provincial health leaders. This was the first such event in Indonesia focusing on newborn survival. Responding to Indonesia’s commitment to A Promise Renewed and the MOH’s call to accelerate progress toward the MDGs, this conference addresses one of the key indicators slowing achievement of MDG goal 4. DHS data from 2012 is now available and demonstrates no progress in newborn mortality since 2007. The rate remains at 19/1000 live births. Partners are committed to reducing this rate by 25% by 2017, in partnership with USAID, UNICEF and WHO, and an exceptionally strong collaborative relationship with the Ministry of Health.

Liberia

The Ministry of Health in Liberia is sharpening its child survival plan using evidence and aligning donors to support the plan. There is great donor support and commitment to implementing the national plan through the alignment of programs. A launch for A Promise Renewed is being planned by the Government of Liberia. A steering committee led by the Government of Liberia and comprised of representatives from NGOs, house of representatives, representatives from different Ministries has been established and meets regularly to plan the launch event. An expected key outcome of the launch is greater mobilization of support and resources at the counties, civil society organizations and community leaders around A Promise Renewed.

For more information about A Promise Renewed, please visit: apromiserenewed.org.