Acting on the Call 2017

ACTING ON THE CALL:

PREVENTING
CHILD & MATERNAL DEATHS

303,000 MOTHERS & 5.6M CHILDREN DIE GLOBALLY EACH YEAR

including over 2.6M newborns who die in their first month and almost 1 million on their first day of life.

OUR GOAL

Icon: Two children

SAVE 15M CHILDREN & 600K WOMEN BY 2020

As USAID Administrator Mark Green states: “We provide development assistance to help partner countries on their own development journey to self-reliance.” USAID aims to build capacity and reduce disease burden while strengthening health systems to enable countries to plan, fund, and manage their own continued progress. The 2018 Acting on the Call report focuses on the journey to self-reliance for preventing child and maternal deaths.

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’s maternal and child survival efforts have helped save the lives of more than 5 million children and 200,000 women in 25 priority countries.

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Photo by Saving Mothers Giving Life

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 45% in 2010 to 51% in 2015.

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Photo by USAID Nepal

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 President’s Malaria Initiative (PMI), nationwide surveys show significant declines in mortality rates among children under five, ranging from 18% to 67%

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Photo by President’s Malaria Initiative

Icon: A leaf NUTRITION

Undernutrition leads to stunting, contributing to 45 percent of child deaths. USAID supports country-owned programs to address the root causes of undernutrition and improve futures for mothers and babies.

In 2016 alone, the U.S. Government reached over 27 million children globally with nutrition interventions.

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Photo by CFNA

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 Morgana Wingard

BY THE NUMBERS

USAID'S IMPACT SINCE THE 2012 CALL TO ACTION

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13.2M

health workers trained in maternal and child health and nutrition

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8.7M

women gave birth in a health facility

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7.9M

newborns reached with care after delivery

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77.1M

treatments provided to children for pneumonia and diarrhea

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34.7M

children vaccinated against deadly preventable diseases

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12.2M

people gaining access to basic drinking water services

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25M

women reached with voluntary family planning services, annually

Icon: A bowl of food

28M

children reached with nutrition programs

STORIES

COUNTRY UPDATES

SELECT 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

Provided support to the MoPH to develop and endorse an overarching strategy on Reproductive, Maternal, Neonatal, Child, and Adolescent Health, which will guide future funding and prioritization by the MoPH

Bangladesh

Trained service providers at 140 facilities in the management of pre-eclampsia and eclampsia, which resulted in a 100% survival rate for mothers presenting with pre-eclampsia/eclampsia symptoms

Burma

Established a new skills training lab at the Myanmar Nurse Midwives Association, which increased organizational capacity assessment scores by nearly 30% since USAID assistance began

Democratic Republic of the Congo

Following the 2017 Acting on the Call event, the Government of the DRC held a two-day workshop on RMNCH, during which the Prime Minister announced his Government will subsidize access to health care for pregnant women and children under-five in Kinshasa

Ethiopia

Advocated for the creation and filling of more than 1,500 Human Resource Manager positions within host-government institutions to improve the timely recruitment, motivation, retention, and transfer of health workers

Ghana

Supporting the Ghana Health Service to the transition from pen and paper to a digital health record system, which will enable GHS to better manage patient cases and promote efficiency in data management

Haiti

Trained 5,714 health workers to ensure competency in the prevention of Zika virus infection, the provision of voluntary family planning, the management of child illness, and the improvement of WASH

India

Generated over $82 million in funding from national and state governments to scale-up successful high impact interventions proven effective by USAID’s initial $14 million investment

Indonesia

After improvements in maternal and child health indicators in USAID districts, the Ministry of Health directed maternal and child health priority districts nationally to use domestic resources to replicate USAID’s approaches. USAID developed standard operating procedures and budget implications to facilitate this scale-up.

Kenya

Standardized the process of health worker training before delivering care, which has contributed to a 30% cost savings because of increased skills and efficiencies

Liberia

Finalized a new Community Health Strategy, which introduced community health agents who increase access to health care in remote and hard to reach communities

Madagascar

Partnered with Coca-Cola to leverage $2.5 million from a $500,000 USAID investment to build WASH infrastructure in urban and rural areas

Mali

Integrated nutrition services into a planned vaccination campaign, which gave 8.1 million children access to the measles rubella vaccine and 2.9 million children Vitamin A supplements

Malawi

Worked with 212 Christian and Muslim religious leaders to advocate for the healthy timing and spacing of pregnancy, stigma reduction among people living with HIV, and the prevention of gender-based violence

Mozambique

Increased the percentage of men who participated in at least one antenatal care visit from 70% to 81% in one province

Nepal

Helped 106 administrative units to be declared open-defecation free, and trained 9,970 community and local government members to apply improved sanitation methods and sustain ODF status

Nigeria

Assisted four laboratories in achieving international accreditation to conduct quality assurance testing of medicines, which means many maternal and child health drugs no longer need to be sent abroad for testing

Pakistan

Since 2014, USAID supported provincial governments to allocate $110 million more in health funding from their own budgets for the procurement and transportation of contraceptives from domestic resources, compared to a historical budget of $5 million per year nationwide prior to USAID’s engagement.

Rwanda

Transitioned from substantial financial and technical support for the community-based health insurance to targeted technical assistance only, as the insurance program has been transitioned to the Rwanda Social Security Board (RSSB) for ongoing management.

Senegal

Conducted a mapping of the Senegalese private sector, which will provide the Ministry of Health and Social Action with an accurate and comprehensive database of 2,754 private facilities

South Sudan

Designed an effective contraceptive distribution system that, for the first time, enables the routine delivery of contraceptives to health facilities outside of the capital, Juba

Tanzania

Established surveillance and response teams in 131 public, private, and faith- based health facilities to examine the causes of maternal and facility newborn deaths, which has resulted in a 20% reduction in deaths in one year

Uganda

Supported local councils to assess financial performance at the district level, which increased locally raised funds for health by 52% from 2012 to 2017

Yemen

Zambia

The Government is incorporating the lessons and best practices from Saving Mothers, Giving Life into a national plan to provide RMNCH services. This effort will be funded jointly between the Government and other partners

REPORTS & RESOURCES

Last updated: June 18, 2018

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