Acting on the Call

ACTING ON THE CALL:

PREVENTING
CHILD & MATERNAL DEATHS

295,000 MOTHERS & 5.3M CHILDREN DIE GLOBALLY EACH YEAR

including over 2.5M newborns who die in their first month and almost 1 million on their first day of life.

The goal of foreign assistance is to end its need to exist. As countries move along the Journey to Self-Reliance, USAID’s role increasingly becomes that of a catalyst for new ideas, partners, and resources to help meet national goals. The 2019 Acting on the Call report focuses on how we can best work with countries on their development journeys.

 

BY THE NUMBERS

USAID'S IMPACT SINCE THE 2012 CALL TO ACTION

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13.3M

health workers trained in maternal and child health and nutrition

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12M

women gave birth in a health facility

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9.3M

newborns reached with care after delivery

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85.2M

treatments provided to children for pneumonia and diarrhea

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41.1M

children vaccinated against deadly preventable diseases

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14.9M

people gaining access to basic drinking water

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24M

women reached with voluntary family planning services, annually

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28M

children reached with nutrition programs

OUR APPROACH

Icon: woman holding a baby MATERNAL & CHILD HEALTH

Mothers and children play invaluable roles in families, communities, societies, and economies. One million children are left motherless each year, and these children are then less likely to survive childhood.

In the past ten years, USAID has helped save the lives of more than 9.3 million children and 340,000 women.

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Photo by Kate Holt for JHPIEGO/MCSP

Icon: A family FAMILY PLANNING

An estimated 214 million women want to delay or stop childbearing but can’t access contraception. Satisfying the global unmet need for family planning could reduce maternal deaths by 30 percent.

In our priority countries, the percent of demand for family planning satisfied by a modern method has increased from 46% in 2012 to 53% in 2017.

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Photo byKate Holt for Jhpiego/MCSP

Icon: A mosquito MALARIA

Approximately 125 million pregnant women annually are at risk of contracting malaria. USAID-supported malaria interventions are implemented to reduce maternal and child mortality.

In countries supported by the U.S. President’s Malaria Initiative (PMI), nationwide surveys show significant declines in mortality rates among children under five, up to 67%.

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Photo by Kate Holt/MCSP and Jhpiego

Icon: A leaf NUTRITION

Malnutrition is an underlying cause of an estimated 45% of child deaths and anemia contributes to 20% of maternal mortality. USAID supports country-owned programs that address the root causes of malnutrition to save the lives of women and children and lay the foundation for healthier futures.

Over the past 10 years, the prevalence of child stunting has decreased from 40% to 32.8% across 19 USAID-supported countries.

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Photo by Spring Project/USAID

Icon: A drop of liquid WATER, SANITATION & HYGIENE

Investments in water, sanitation and hygiene empower women, increase productivity and promote gender equality. Every $1 spent on improving sanitation results in an estimated $5 of economic gain.

Since 2014, USAID’s water activities have resulted in more than 4.3 million people with improved access to sanitation facilities.

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Photo by Allan Gichigi/MCSP

STORIES

COUNTRY UPDATES

SELECT A COUNTRY

Click on a country: USAID's efforts in maternal and child survival focus on 25 priority countries that account for more than 66% of global maternal and child deaths.

Afghanistan

Counseled more than 100,000 women on voluntary family planning following delivery, reaching 78% of all supported deliveries

Bangladesh

Developed an electronic records management system for use at the community and district level, which will allow for data to flow from 122 health facilities into national recording systems

Burma

Reached more than 1,150 birth attendants with hands-on skills trainings in five states and regions and trained an additional 850 health workers in facilities by using local resources in the same model

Democratic Republic of the Congo

Developed a National Child Health Strategic Plan, which calls for 8,000 more community care sites which would cover 70% of need and save the lives of over 300,000 children over five years

Ethiopia

Improved access to basic sanitation services for 11,000 peri-urban and rural households and 28,000 urban residents

Ghana

Supported clinical audits to review health insurance claims, which resulted in recovering $1.4 million from 1,082 facilities since 2014

Haiti

Assisted 68,000 newborns in receiving postnatal health checks within 72 hours, though supporting health providers

India

Developed a mobile phone-based patient-satisfaction survey to improve quality in 1,100 health facilities in the public sector, now being scaled up to include private facilities

Indonesia

Supported a comprehensive private-sector study to capture the impact of the Government’s health-insurance scheme on the private health market, including priorities for the private sector and level of competition provided to the public sector

Kenya

Established human-resource units with appropriate manpower in 38 counties, which helps to maintain consistent and appropriate staffing and mitigate workforce strikes

Liberia

Developed a national scale-up plan for chlorhexidine, which allowed 75 percent of babies born in public and private facilities to have the life-saving gel applied to their umbilical cords after birth

Madagascar

Improved diagnostic practices for the plague, which patients admitted to hospitals with plague-like symptoms were truly infected and freed beds for sick children

Mali

Reached four million children under age five with seasonal malaria prevention, which reduced the prevalence of malaria from 31 percent of children under age five in 2015 to 19 percent in 2018

Malawi

Supported the integration of the USAID-supported bubble Continuous Positive Airway Pressure (bCPAP) into a suite of newborn interventions, now being scaled up nationwide with the support of private foundations

Mozambique

Increased the percentage of women who used modern methods of voluntary family planning from two percent to 18 percent in Sofala, and from nine percent to 23 percent in Nampula, the two target provinces with the highest population growth rates

Nepal

Reduced equity gaps through focused outreach, which effectively eliminated the gap in access to iron-rich foods between the highest- and lowest-wealth quintiles of the population

Nigeria

Treated 12,200 children under age 5 for pneumonia, and 5,800 for diarrhea

Pakistan

Increased vaccination coverage from 15 percent to 57 percent in under-privileged districts in Sindh Province

Rwanda

Developed and validated a national health-financing strategy, which will enable increased advocacy for the national health budget

Senegal

Evaluated the certification examination for midwives and nurses to more accurately judge preparedness

South Sudan

Broadcast 2,187 media pieces on voluntary family planning and reproductive health, which accounts for 13 percent of all broadcast news in the country

Tanzania

Reached the families of more than one million children with messages about key feeding practices for infants and young children through a social and behavior-change program now being used nationally

Uganda

Developed the first-ever national immunization policy, which is improving the quality and reach of immunization nationwide

Yemen

Zambia

Rolled-out resource planning software to increase the efficiency, transparency, and accountability of scarce resources

REPORTS & RESOURCES

Last updated: October 11, 2019

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