{"id":45650,"date":"2020-05-22T16:24:39","date_gmt":"2020-05-22T13:24:39","guid":{"rendered":"http:\/\/192.163.207.100\/~timesku1\/news\/?p=45650"},"modified":"2020-05-22T18:37:31","modified_gmt":"2020-05-22T15:37:31","slug":"winning-the-war-against-maternal-and-child-deaths","status":"publish","type":"post","link":"https:\/\/timeskuwait.com\/news\/winning-the-war-against-maternal-and-child-deaths\/","title":{"rendered":"Winning the War Against Maternal and Child Deaths"},"content":{"rendered":"<p>As the world focuses its attention on winning the battle against COVID-19, we must not forget that we are still fighting a war against preventable child and maternal deaths \u2013 a war that world leaders\u00a0pledged\u00a0to win by 2030. The international community must recommit to that promise and deliver on it this decade.<\/p>\n<p>Child survival is perhaps the greatest untold success story in the recent history of international development. Since the early 1990s, the mortality rate for children under age five has\u00a0plunged\u00a0by nearly 60%. And the annual rate of decline has accelerated since 2000, saving millions of lives. Maternal mortality has also\u00a0fallen rapidly\u00a0\u2013 by nearly 40% over the last 20 years.<\/p>\n<p>These gains are largely the result of efforts to extend the reach of health systems in the world\u2019s poorest countries. Primary health care has been the catalyst for some of the most impressive gains. Countries such as Bangladesh and Ethiopia have achieved astonishing progress by training and deploying health workers where they can be most effective \u2013 namely, in the communities they serve.<\/p>\n<p>International cooperation has been another powerful driver of change. Aid provided through Gavi, the Vaccine Alliance since 2000 has\u00a0enabled\u00a0over 760 million people to be immunized against deadly diseases, saving more than 13 million lives.<\/p>\n<p>Despite this progress, children and their mothers are still dying at appalling rates. Over five million young lives are\u00a0still being lost\u00a0every year \u2013 almost half in the first month of life \u2013 to preventable or treatable diseases like pneumonia, malaria, and diarrhea. More than 800 women and adolescent girls\u00a0die\u00a0every<i>\u00a0day<\/i>\u00a0from preventable causes related to pregnancy and childbirth, owing largely to a lack of reproductive health care.<\/p>\n<p>Even before the COVID-19 pandemic, the world was not on track to deliver on its promise \u2013 included in\u00a0Sustainable Development Goal 3\u00a0\u2013 to end preventable maternal and child mortality by 2030. If progress over the next decade mirrors the last, over\u00a0three million children\u00a0will still be dying annually in 2030. Maternal survival goals will also be missed by a wide margin.<\/p>\n<p>The danger now is that COVID-19 will widen the gap between the SDG promise and reality. Supply-chain disruptions, intensifying financial pressures, and the diversion of health workers and resources are already undermining service delivery in vulnerable areas. Gavi\u00a0reports\u00a0delays on \u201c14 Gavi-supported immunization campaigns,\u201d as well as \u201cfour national vaccine introductions,\u201d leaving over 13 million people \u2013 many of them children \u2013 without vaccine protection.<\/p>\n<p>Meanwhile, lockdown policies and fear of infection are deterring people from seeking other kinds of health care. Researchers at the\u00a0Johns Hopkins University School of Medicine\u00a0estimate that a 15% reduction in the use of routine health services over a six-month period could lead to an additional 253,000 child deaths. Another research team at the Guttmacher Institute\u00a0estimates\u00a0that even a modest decline of 10% in coverage of pregnancy-related and neonatal health care would result in an additional 28,000 maternal deaths and 168,000 newborn deaths.<\/p>\n<p><a href=\"http:\/\/192.163.207.100\/~timesku1\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-45654\" src=\"http:\/\/192.163.207.100\/~timesku1\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO.png\" alt=\"\" width=\"616\" height=\"616\" srcset=\"https:\/\/timeskuwait.com\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO.png 616w, https:\/\/timeskuwait.com\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO-300x300.png 300w, https:\/\/timeskuwait.com\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO-150x150.png 150w, https:\/\/timeskuwait.com\/news\/wp-content\/uploads\/2020\/05\/62CvQ6vO-420x420.png 420w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>We have seen this story play out before. During the 2014-16 Ebola crisis in West Africa, the breakdown in routine service delivery caused a catastrophic surge in child deaths from\u00a0malaria\u00a0and other diseases, as well as an\u00a0increase\u00a0in maternal mortality and stillbirth.<\/p>\n<p>Like Ebola, COVID-19 demands the world\u2019s attention \u2013 and cooperation. Without a vaccine, there is no exit from the pandemic. That is why the development and equitable distribution of a vaccine is so critical. International cooperation to strengthen health systems and deliver the tests, protective equipment, and medical supplies needed to save lives remains a first-order priority.<\/p>\n<p>But we must not allow a new health crisis, however deadly, to increase the toll of old killers on the world\u2019s most disadvantaged children and women. Avoiding that outcome will require a four-pronged approach.<\/p>\n<p>First, governments and aid donors must defend hard-won gains in child and maternal health by protecting budgets for community health services, including maternal health care and immunization. Next month\u2019s donors\u2019 meeting to decide on Gavi\u2019s funding for 2021-25 is critical. By heeding Gavi\u2019s call for $7.4 billion in funds, donors would enable the organization to immunize an additional 300 million children in developing countries over this period \u2013 saving up to eight million lives. There is no more cost-effective health investment.<\/p>\n<p>Second, efforts to build more resilient health systems should be strengthened, with a focus on addressing the weaknesses that COVID-19 has exposed. For example, many of the world\u2019s poorest countries lack medical oxygen, which is essential for treating not only COVID-19, but also\u00a0childhood pneumonia\u00a0\u2013 which\u00a0kills\u00a0800,000 under-five children each year \u2013 as well as malaria, sepsis, and newborn respiratory problems.<\/p>\n<p>Third, it is time to abandon the false notion that universal health coverage is an unaffordable luxury. What is unaffordable is the inequality, suffering, and inefficiency that comes with financing health services through user charges imposed on people too poor to pay. With poverty set to rise, the elimination of these charges and strengthening of publicly financed health systems is more urgent than ever. In fact, universal health coverage is included in the\u00a0same SDG\u00a0as preventable maternal and child deaths, underscoring their interconnectedness.<\/p>\n<p>Finally, as financial pressures on health systems mount, we must explore every avenue for resource mobilization. The International Monetary Fund and the World Bank have secured a commitment from the G20 countries to suspend debt repayment from the poorest countries. Surely this is an opportunity to convert money earmarked for debt servicing into an investment fund for child and maternal health.<\/p>\n<p>COVID-19 is a devastating reminder of our shared vulnerability. But we are all united by the shared values reflected in our pledge to end preventable child and maternal deaths. As we fight the pandemic, we must hold to that pledge and fulfill the promise made to the children and women whose lives are at stake.<\/p>\n<p style=\"text-align: left;\"><i>Henrietta H. Fore is Executive Director of the United Nations Children\u2019s Fund (UNICEF). Tedros Adhanom Ghebreyesus is Director-General of the World Health Organization. Natalia Kanem is Executive Director of the United Nations Population Fund. Kevin Watkins is CEO of Save the Children UK.<\/i><\/p>\n<p style=\"text-align: right;\"><em>Copyright: Project Syndicate, 2020.<\/em><b><\/b><\/p>\n<p style=\"text-align: right;\"><em>Special to The Times<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As the world focuses its attention on winning the battle against COVID-19, we must not forget that we are still fighting a war against preventable child and maternal deaths \u2013 a war that world leaders\u00a0pledged\u00a0to win by 2030. The international community must recommit to that promise and deliver on it this decade. Child survival is [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":45652,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,52],"tags":[],"class_list":["post-45650","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-spotlight"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Winning the War Against Maternal and Child Deaths - TimesKuwait<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/timeskuwait.com\/news\/winning-the-war-against-maternal-and-child-deaths\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Winning the War Against Maternal and Child Deaths - TimesKuwait\" \/>\n<meta property=\"og:description\" content=\"As the world focuses its attention on winning the battle against COVID-19, we must not forget that we are still fighting a war against preventable child and maternal deaths \u2013 a war that world leaders\u00a0pledged\u00a0to win by 2030. 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