KARACHI: A new UNICEF report shows that if current trends continue, the world will not meet Millennium Development Goal 4 – to cut the rate of under-five mortality by two-thirds by 2015. Worse, if current trends continue, the goal will not be reached until 2028.
As many as 35 million more children could die mostly from preventable causes between 2015 and 2028, if the global community does not take immediate action to accelerate progress.
That is the bad news. But the report provides many points of good news as well. It demonstrates that dramatic improvements in child survival are possible. Globally, the annual number of under-five deaths fell from an estimated 12.6 million in 1990 to approximately 6.6 million in 2012. Over the past 22 years, the world saved around ninety million lives that might otherwise have been lost.
“Yes, we should celebrate the progress,” said Anthony Lake, UNICEF Executive Director. “But how can we celebrate when there is so much more to do before we reach the goal? And we can speed up the progress – we know how, but we need to act with a renewed sense of urgency,” he said.
Just over a year ago, the Governments of Ethiopia, India and the United States, together with UNICEF, launched Committing to Child Survival: A Promise Renewed, a global effort to stop children from dying of causes that are easily prevented.
So far, 176 governments have signed a pledge, vowing to accelerate progress on child survival. Hundreds of civil society, religious groups and private individuals have also pledged support for the shared goal of giving every last child the best possible start in life.
The 2013 Progress Report on Committing to Child Survival: A Promise Renewed examines trends in child mortality since 1990, analyses the main causes of under-five deaths, and highlights national and global efforts to save children’s lives. The progress made to date is due to the collective efforts of governments, civil society and the private sector, as well as the increase in affordable, evidence-based interventions, such as insecticide-treated mosquito nets, medicines, vaccines, proper breastfeeding, nutritional supplements and therapeutic food, rehydration treatment for diarrhoea, and improved access to safe water and sanitation, among others.
The report shows sharp reductions in preventable child deaths across all regions of the world, and at all levels of national income, including low-income countries. In fact, some of the world’s poorest countries have made the strongest gains in child survival since 1990. A few low-income countries with high child mortality rates, such as Bangladesh, Ethiopia, Liberia, Malawi, Nepal and United Republic of Tanzania, have already reduced their under-five death rates by two-thirds or more since 1990, reaching Millennium Development Goal 4 for the reduction of child deaths ahead of the 2015 deadline.