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Updated: Sep 18, 2025

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Born too soon: accelerating change to 2030 and beyond.

Joy E Lawn, Rajat Khosla1, Amy Reid2

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|June 24, 2025
PubMed
Summary

Urgent action is needed to accelerate progress in reducing preterm birth and newborn mortality. Investing in prevention, quality care, and innovative solutions is crucial for saving millions of lives and achieving global health goals.

Keywords:
FinancingGlobal healthInnovationInvestmentMaternalNeonatalPreterm birth

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Area of Science:

  • Global health
  • Maternal and child health
  • Public health policy

Background:

  • Preterm birth rates have stagnated for a decade, impeding progress on Sustainable Development Goals.
  • Significant acceleration in reducing maternal, newborn, and child mortality is required to meet 2030 targets.

Purpose of the Study:

  • To highlight the urgent need for action to reduce preterm birth and newborn mortality.
  • To outline key strategies for accelerating progress in maternal and newborn survival.

Main Methods:

  • The study emphasizes a two-track approach: prevention of preterm birth and high-quality care for vulnerable newborns.
  • It advocates for "four pivots": invest, implement, integrate, and innovate, supported by multi-level leadership.

Main Results:

  • Implementing these strategies has the potential to save millions of lives and yield substantial socioeconomic returns.
  • Addressing threats beyond the health sector, such as conflict and climate crisis, is essential.

Conclusions:

  • Accelerating progress requires increased investment in health systems, skilled human resources, and high-impact interventions.
  • Successful examples from the United States, India, and the United Republic of Tanzania demonstrate the feasibility of change through data-driven strategies, ambitious investment, and multi-level leadership.