A Decade of Tracking Progress for Maternal, Newborn and Child Survival the 2015 Report
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COUNTDOWN TO 2015 A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report THE 2015 REPORT FAMILY CARE INTERNATIONAL A Decade of Tracking Progress for Maternal, Newborn and Child Survival pantone pantone 382 C 322 C 381 U 321 U CMYK (process) CMYK (process) DS 302-3 C DS 249-3 C C 25, Y 95 C 95, Y 25, K 35 DS 302-5 U DS 248-2 U C 20, Y 65 C 100, Y 30, K 30 www.countdown2015mnch.org Contributors Lead writers: Jennifer Requejo (PMNCH), Cesar Robin Gorna (PMNCH), Matthews Mathai (WHO), Victora (Federal University of Pelotas), Jennifer Jennifer Requejo (PMNCH) Bryce (Johns Hopkins University) Production team: Christopher Trott and Additional writing team: Aluisio Barros Elaine Wilson (Communications Development (Federal University of Pelotas), Peter Berman Incorporated), Jennifer Requejo (PMNCH) (Harvard School of Public Health), Zulfiqar Bhutta (SickKids Center for Global Child Health, Aga Khan Technical Working Groups University), Ties Boerma (WHO), Mickey Chopra (UNICEF), Bernadette Daelmans (WHO), Andres Coverage: Jennifer Bryce (co-chair), Agbessi de Francisco (PMNCH), Adam Deixel (Family Care Amouzou/Holly Newby (co-chair), Archana International), Elizabeth Hazel (Johns Hopkins Dwivedi, Doris Chou, Jocelyn DeJong, Shams El University), Joy Lawn (LSHTM), Blerta Maliqi (WHO) Arifeen, Elizabeth Hazel, Sennen Hounton, Allisyn Moran, Jamie Perin, Jennifer Requejo, James Profile development team: Tessa Wardlaw Tibanderana, Nancy Terreri, Lara Vaz (UNICEF), Holly Newby (UNICEF), Archana Dwivedi (UNICEF), Colleen Murray (UNICEF), Agbessi Equity: Cesar Victora (co-chair), Ties Boerma Amouzou (UNICEF) (co-chair), Aluisio Barros, Zulfiqar Bhutta, Xing Lin Feng, Wendy Graham, Ahmad Hosseinpoor, Kate Countdown Scientific Review Group: Cesar Kerber, Betty Kirkwood, Edilberto Loiaza, Alexander Victora (chair, Federal University of Pelotas), Manu, Carine Ronsmans, Inacio Crochemore Silva Jennifer Bryce (alternate chair, Johns Hopkins University), Agbessi Amouzou (UNICEF), Peter Financing: Peter Berman (chair), Josephine Berman (Harvard School of Public Health), Borghi, Lara Brearley, Rafael Cortes, Howard Bernadette Daelmans (WHO), Andres de Francisco Friedman, Geir Li, Gemini Mte, Ravi Rannan-Eliya, (PMNCH), Joy Lawn (LSHTM), Holly Newby Nirmala Ravishankar (UNICEF), Jennifer Requejo (PMNCH), Noelle Battle (Johns Hopkins University) Health systems and policies: Bernadette Daelmans (co-chair), Joy Lawn (co-chair), Neha Countdown Leadership Group: Mickey Chopra Singh (coordinator), Blerta Maliqi, Michel Brun, (co-chair, UNICEF), Zulfiqar Bhutta (co-chair, Tim Colbourn, Giorgio Cometto, Andres de Sickkids Center for Global Child Health, Aga Khan Francisco, Lisa Hedman, Sennen Hounton, Tiziana University), Cesar Victora (Federal University of Leone, Matthews Mathai, Zoe Matthews, Allisyn Pelotas), Adam Deixel (Family Care International), Moran, Jennifer Requejo, Deborah Sitrin, Amani Siyam, Nancy Terreri ISBN: 978-92-806-4814-0 © Copyright UNICEF and World Health Organization, 2015. All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to WHO Press through the WHO web site (http://www.who.int/about/licensing/copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. This publication has been prepared to facilitate the exchange of knowledge and to stimulate discussion. The logos that appear on the back cover represent the institutional affiliations of individual participants in report preparation and do not imply institutional endorsement of the contents or recommendations or approval of any specific intervention for which data are included. Implementation of specific intervention is dependent on the legal context in each country. While all reasonable precautions have been taken to verify the information contained in this publication, Countdown partners accept no responsibility for errors. Photo credits: front cover, © UNICEF/NYHQ2009-1930/Pirozzi; page v, © UNICEF/NYHQ2015-1476/Calvin; page vi, Dominic Chavez/World Bank; page 2, © UNICEF/ NYHQ2015-1235/Newar; page 4, Dominic Chavez/World Bank; page 14, © 2012 Kyalie Photography, Courtesy of Photoshare; page 26, Arne Hoel/World Bank; page 29, Chhor Sokunthea/World Bank; page 31, Scott Wallace/World Bank; page 41, © 2006 Enriqueta Valdez-Curiel, Courtesy of Photoshare; page 216, © 2012 Diana Mrazikova/Networks/Senegal, Courtesy of Photoshare; page 221, Arne Hoel/World Bank; page 222, © UNICEF/UGDA2010-00011/Hyun. Editing and layout by Communications Development Incorporated, Washington, DC USA. A Decade of Tracking Progress for Maternal, Newborn and Child Survival The 2015 Report Acknowledgements Countdown would like to thank the following: change in progress in coverage of maternal, newborn and child health interventions. UNICEF’s Data and Analytics Section for use of the global databases, preparation of country profiles Kate Kerber (Save the Children), Nathalie Roos and inputs to and review of report text. Particular (WHO) and Matthews Mathai (WHO) for their help recognition goes to Danzhen You for help with the with the maternal and perinatal audit box. child mortality estimates, Agbessi Amouzou for help with the maternal, newborn and child health Neha Singh (London School of Hygiene and coverage indicators, Julia Krasevec for help with Tropical Medicine) for her leadership on the box on the nutrition indicators, David Brown for help the health systems and policies tools developed with the immunization coverage estimates, Tom for the Countdown case studies. Slaymaker and Robert Bain for help with the water and sanitation indicators and Priscilla Idele and WHO colleagues Giorgio Commetto and Amani Tyler Andrew Porth for help with the HIV and AIDS Syam for their analyses on human resources. indicators. The Partnership for Maternal, Newborn & Child Johns Hopkins University colleague Lois Park for Health for hosting the Countdown Secretariat, her inputs to the coverage analyses. and convening meetings and teleconferences for Countdown. Particular recognition goes to Nacer Federal University of Pelotas colleagues Tarif and Nick Green for providing administrative Leonardo Ferreira, Giovanny Araújo França, Maria support. Clara Restrepo, Luis Paulo Vidaletti, Fernando Wehrmeister and Kerry Wong for their inputs to Matthews Mathai and Nathalie Roos (WHO), Vikas the equity analyses. Dwivedi and Barbara Rawlins (MCSP), Susan Purcell-Gilpin (World Council of Churches) and Jo Borghi (London School of Hygiene and Tropical Nynke Van Den Broek, Barbara Madaj and Luigi Medicine) for her analysis of the data on official D’Aquino (Liverpool School of Tropical Medicine) development assistance, Courtney Ng (Harvard for their inputs on the quality of care box. School of Public Health) for her help with the financing analysis and Geir Lie (PMNCH) for his help Robert Black and Li Liu (Johns Hopkins University) with preparing a summary table on different tracking for their inputs into the causes of child deaths. methods for official development assistance. Lale Say and Doris Chou (WHO) for their inputs to Corrina Moucheraud (UCLA), Helen Owen (London the maternal mortality section. School of Hygiene and Tropical Medicine), Courtney Ng and Neha Singh (London School of Family Care International for help developing Hygiene and Tropical Medicine) for their help with Countdown’s key advocacy messages. the case study box and all case study inputs. Jenny Ruducha (Boston University Center for Global Carolyn Wiedemann and the US Fund for UNICEF Health and Development) for her inputs on the for their support in managing the grant from the Ethiopia case study. Bill & Melinda Gates Foundation for the technical work of Countdown and Noelle Battle (Johns Ghada Saad (American University of Beirut) for Hopkins University) for serving as the project her leadership on the work presented in the box on coordinator for that grant. antenatal care, and Liliana Carvajal-Velez (UNICEF) for her leadership on the work presented in the box The Bill & Melinda Gates Foundation,