Mercy Kanyuka|Jameson Ndawala|Tiope Mleme|Lusungu Chisesa|Medson Makwemba|Agbessi Amouzou|Josephine Borghi|Judith Daire|Rufus Ferrabee|Elizabeth Hazel|Rebecca Heidkamp|Kenneth Hill|Melisa Martínez Álvarez|Leslie Mgalula|Spy Munthali|Bejoy Nambiar|Humphreys Nsona|Lois Park|Neff Walker|Bernadette Daelmans|Jennifer Bryce|Tim Colbourn
Malawi and Millennium Development Goal 4: a Countdown to 2015 country case study
United Nations Children's Fund|London School of Hygiene & Tropical Medicine|University of Malawi|University College London|World Health Organization|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|London School of Hygiene & Tropical Medicine|World Health Organization|University of Malawi|University College London|Public Health Institute of Malawi|Ministry of Health|Johns Hopkins University|Johns Hopkins University|World Health Organization|Johns Hopkins University|University College London
several years advance 2015 endpoint millennium development goals mdgs malawi already thought one countries subsaharan africa likely meet mdg 4 target reducing under5 mortality twothirds 1990 2015 countdown 2015 therefore selected malawi national statistical office lead indepth country case study aimed mainly explaining countrys success improving child survivalwe estimated child neonatal mortality years 200014 using five districtrepresentative household surveys study included recalculation coverage indicators period used lives saved tool list attribute child lives saved years 2000 2013 various interventions documented adoption implementation policies programmes affecting health women children developed estimates financingthe estimated mortality rate children younger 5 years declined substantially study period 247 deaths 90 ci 234262 per 1000 livebirths 1990 71 deaths 5883 2013 annual rate decline 54 rapid mortality decline occurred 159 months age group neonatal mortality declined slowly 50 23 deaths per 1000 livebirths representing annual rate decline 33 nearly half coverage indicators increased 20 percentage points 2000 2014 results list analysis show 280000 childrens lives saved 2000 2013 attributable interventions including treatment diarrhoea pneumonia malaria 23 insecticidetreated bednets 20 vaccines 17 reductions wasting 11 stunting 9 facility birth care 7 prevention treatment hiv 7 amount funding allocated health sector increased substantially particularly child health hiv external sources remains internationally agreed targets key policies address major causes child mortality deliver highimpact interventions scale throughout malawi began late 1990s intensified latter half 2000s 2010s backed healthsectorwide policies improve womens childrens healththis case study confirmed malawi achieved mdg 4 child survival 2013 findings suggest achieved mainly scaleup interventions effective major causes child deaths malaria pneumonia diarrhoea programmes reduce child undernutrition mothertochild transmission hiv improvements quality care provided around birth government malawi among first subsaharan africa adopt evidencebased policies implement programmes scale prevent unnecessary child deaths much remains done building success extending higher proportions population targeting continued high neonatal mortality ratesbill melinda gates foundation world bank government australia government canada government norway government sweden government uk unicef