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Countdown to 2015: tracking intervention coverage for child survival.

Jennifer Bryce1, Nancy Terreri, Cesar G Victora

  • 1Department of International Health, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore MD, USA.

Lancet (London, England)
|September 26, 2006
PubMed
Summary
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Global child survival efforts lag, with only seven countries on track to meet the fourth Millennium Development Goal (MDG-4). Urgent action is needed to improve intervention coverage, especially for disadvantaged children, to reduce child mortality worldwide.

Area of Science:

  • Global Health
  • Pediatrics
  • Public Health Policy

Background:

  • The fourth Millennium Development Goal (MDG-4) targets a two-thirds reduction in under-five mortality by 2015.
  • Effective interventions are crucial, particularly in low-income countries, to achieve child survival targets.
  • The Child Survival Countdown initiative monitors key interventions in high-burden countries.

Purpose of the Study:

  • To report on the coverage of essential child survival interventions in 60 countries.
  • To assess progress towards Millennium Development Goal-4.
  • To analyze the equity of intervention delivery to disadvantaged populations.

Main Methods:

  • Developed country profiles summarizing intervention coverage, demographics, and health policies in 2005.

Related Experiment Videos

  • Compared country-specific annual reduction rates in under-five mortality to MDG-4 targets.
  • Assessed equity by comparing intervention access between the poorest and richest quintiles.

    • Main Results:

    • Only 7 of 60 countries are on track for MDG-4; 14 are of serious concern.
    • Coverage of key child survival interventions remains critically low globally.
    • Children from the poorest quintiles have less access to essential preventive interventions compared to wealthier children.

    Conclusions:

    • Significant global efforts are required to achieve the child survival MDG.
    • Country-specific profiles highlight areas for intensified efforts and equity improvements.
    • The Countdown to 2015 initiative aims to increase global accountability for child survival progress.