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Countdown to 2030 : tracking progress towards universal coverage for reproductive, maternal, newborn, and child health

(2018) LANCET. 391(10129). p.1538-1548
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Abstract
Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for 95% of maternal and 90% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000. Such accelerations are only possible with a rapid scale-up of effective interventions to all population groups within countries (particularly in countries with the highest mortality and in those affected by conflict), supported by improvements in underlying socioeconomic conditions, including women's empowerment. Three main conclusions emerge from our analysis of intervention coverage, equity, and drivers of reproductive, maternal, newborn, and child health (RMNCH) in the 81 Countdown countries. First, even though strong progress was made in the coverage of many essential RMNCH interventions during the past decade, many countries are still a long way from universal coverage for most essential interventions. Furthermore, a growing body of evidence suggests that available services in many countries are of poor quality, limiting the potential effect on RMNCH outcomes. Second, within-country inequalities in intervention coverage are reducing in most countries (and are now almost non-existent in a few countries), but the pace is too slow. Third, health-sector (eg, weak country health systems) and non-health-sector drivers (eg, conflict settings) are major impediments to delivering high-quality services to all populations. Although more data for RMNCH interventions are available now, major data gaps still preclude the use of evidence to drive decision making and accountability. Countdown to 2030 is investing in improvements in measurement in several areas, such as quality of care and effective coverage, nutrition programmes, adolescent health, early childhood development, and evidence for conflict settings, and is prioritising its regional networks to enhance local analytic capacity and evidence for RMNCH.
Keywords
SUSTAINABLE DEVELOPMENT GOALS, MIDDLE-INCOME COUNTRIES, SYSTEMATIC ANALYSIS, GLOBAL HEALTH, POLITICAL PRIORITY, POLICY-ANALYSIS, MORTALITY, POPULATIONS, REFUGEE, AFRICA

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Chicago
Boerma, Ties, Jennifer Requejo, Cesar G Victora, Agbessi Amouzou, Asha George, Irene Agyepong, Carmen Barroso, et al. 2018. “Countdown to 2030 : Tracking Progress Towards Universal Coverage for Reproductive, Maternal, Newborn, and Child Health.” Lancet 391 (10129): 1538–1548.
APA
Boerma, T., Requejo, J., Victora, C. G., Amouzou, A., George, A., Agyepong, I., Barroso, C., et al. (2018). Countdown to 2030 : tracking progress towards universal coverage for reproductive, maternal, newborn, and child health. LANCET, 391(10129), 1538–1548.
Vancouver
1.
Boerma T, Requejo J, Victora CG, Amouzou A, George A, Agyepong I, et al. Countdown to 2030 : tracking progress towards universal coverage for reproductive, maternal, newborn, and child health. LANCET. 2018;391(10129):1538–48.
MLA
Boerma, Ties, Jennifer Requejo, Cesar G Victora, et al. “Countdown to 2030 : Tracking Progress Towards Universal Coverage for Reproductive, Maternal, Newborn, and Child Health.” LANCET 391.10129 (2018): 1538–1548. Print.
@article{8550568,
  abstract     = {Building upon the successes of Countdown to 2015, Countdown to 2030 aims to support the monitoring and measurement of women's, children's, and adolescents' health in the 81 countries that account for 95\% of maternal and 90\% of all child deaths worldwide. To achieve the Sustainable Development Goals by 2030, the rate of decline in prevalence of maternal and child mortality, stillbirths, and stunting among children younger than 5 years of age needs to accelerate considerably compared with progress since 2000. Such accelerations are only possible with a rapid scale-up of effective interventions to all population groups within countries (particularly in countries with the highest mortality and in those affected by conflict), supported by improvements in underlying socioeconomic conditions, including women's empowerment. Three main conclusions emerge from our analysis of intervention coverage, equity, and drivers of reproductive, maternal, newborn, and child health (RMNCH) in the 81 Countdown countries. First, even though strong progress was made in the coverage of many essential RMNCH interventions during the past decade, many countries are still a long way from universal coverage for most essential interventions. Furthermore, a growing body of evidence suggests that available services in many countries are of poor quality, limiting the potential effect on RMNCH outcomes. Second, within-country inequalities in intervention coverage are reducing in most countries (and are now almost non-existent in a few countries), but the pace is too slow. Third, health-sector (eg, weak country health systems) and non-health-sector drivers (eg, conflict settings) are major impediments to delivering high-quality services to all populations. Although more data for RMNCH interventions are available now, major data gaps still preclude the use of evidence to drive decision making and accountability. Countdown to 2030 is investing in improvements in measurement in several areas, such as quality of care and effective coverage, nutrition programmes, adolescent health, early childhood development, and evidence for conflict settings, and is prioritising its regional networks to enhance local analytic capacity and evidence for RMNCH.},
  author       = {Boerma, Ties and Requejo, Jennifer and Victora, Cesar G and Amouzou, Agbessi and George, Asha and Agyepong, Irene and Barroso, Carmen and Barros, Aluisio JD and Bhutta, Zulfiqar A and Black, Robert E and Borghi, Josephine and Buse, Kent and Aguirre, Liliana Carvajal and Chopra, Mickey and Chou, Doris and Chu, Yue and Claeson, Mariam and Daelmans, Bernadette and Davis, Austen and DeJong, Jocelyn and Diaz, Theresa and El Arifeen, Shams and Ewerling, Fernanda and Fox, Monica and Gillespie, Stuart and Grove, John and Guenther, Tanya and Haakenstad, Annie and Hosseinpoor, Ahmad Reza and Hounton, Sennen and Huicho, Luis and Jacobs, Troy and Jiwani, Safia and Keita, Youssouf and Khosla, Rajat and Kruk, Margaret E and Kuo, Taona and Kyobutungi, Catherine and Langer, Ana and Lawn, Joy E and Leslie, Hannah and Liang, Mengjia and Maliqi, Blerta and Manu, Alexander and Masanja, Honorati and Marchant, Tanya and Menon, Purnima and Moran, Allisyn C and Mujica, Oscar J and Nambiar, Devaki and Ohiri, Kelechi and Park, Lois A and Patton, George C and Peterson, Stefan and Piwoz, Ellen and Rasanathan, Kumanan and Raj, Anita and Ronsmans, Carine and Saad-Haddad, Ghada and Sabin, Mariam L and Sanders, David and Sawyer, Susan M and da Silva, Inacio Crochemore M and Singh, Neha S and Somers, Kate and Spiegel, Paul and Tappis, Hannah and Temmerman, Marleen and Vaz, Lara ME and Ved, Rajani R and Vidaletti, Luis Paulo and Waiswa, Peter and Wehrmeister, Fernando C and Weiss, William and You, Danzhen and Zaidi, Shehla},
  issn         = {0140-6736},
  journal      = {LANCET},
  keyword      = {SUSTAINABLE DEVELOPMENT GOALS,MIDDLE-INCOME COUNTRIES,SYSTEMATIC ANALYSIS,GLOBAL HEALTH,POLITICAL PRIORITY,POLICY-ANALYSIS,MORTALITY,POPULATIONS,REFUGEE,AFRICA},
  language     = {eng},
  number       = {10129},
  pages        = {1538--1548},
  title        = {Countdown to 2030 : tracking progress towards universal coverage for reproductive, maternal, newborn, and child health},
  url          = {http://dx.doi.org/10.1016/s0140-6736(18)30104-1},
  volume       = {391},
  year         = {2018},
}

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