The Challenge
Poor maternal, newborn and child health remains a significant problem in developing countries. Worldwide, 358 000 women die during pregnancy and childbirth every year, with Africa accounting for more than half of them at 53%. An estimated 7.6 million children die under the age of five. The majority of maternal deaths occur during or immediately after childbirth, most commonly from bleeding, high blood pressure, prolonged and obstructed labour, infections and unsafe abortions.
Approximately 40% of under-five deaths take place during the first 28 days of life. Up to one half of all newborn deaths occur within the first 24 hours of life and 75% occur in the first week. Globally, the main causes of neonatal death are premature birth, severe infections and asphyxia. Children in low-income countries are nearly 18 times more likely to die before the age of five than children in high-income countries.

The response
Despite large numbers of global, regional and national efforts and reaffirmation of commitments towards the issue, maternal, newborn and child mortality continues to unnecessarily decimate the lives of many in the developing world. Many of these deaths can be prevented, if the proven, cost-efficient tools and interventions can reach those in need. Greater coordination and integration of reproductive, maternal, new born and child health initiatives can lower costs, promote greater efficiencies, reduce duplication of resources and save lives.
References and Resources
Partnership for Maternal, Newborn & Child Health (PMNCH)
PMNCH Report 2012 – Analysing Progress on Commitments to the Global Strategy for Women’s and Children’s Health
Essential Interventions, Commodities and Guidelines for RMNCH – WHO 2011
Maternal and Child Health Journal