Preventing Child and Maternal Deaths: A Framework for Action in a Changing World

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USAID envisions a world where all women, newborns, and children survive, are healthy, and able to develop and reach their full potential, contributing to the development of their communities and countries. 

Preventing Child And Maternal Deaths: A Framework For Action In A Changing World

The United States Government is committed to preventing child and maternal deaths, and USAID’s new strategic framework will guide us toward that goal. USAID is shaping and supporting policies, practices, and country-led programs that improve the quality of care, promote equity, and achieve the optimal coverage of life-saving care. Our six strategic approaches will help bring critical promotive, preventive, and curative health services—in both public and private facilities—closer to the communities and families who need them.

USAID’s maternal and child survival programs integrate multiple health interventions and approaches, including maternal, newborn, and child health, reproductive health and family planning, nutrition, infectious disease control, and water, sanitation, and hygiene to achieve long-term, sustainable results.

Maternal and Child Health Family Planning Malaria Nutrition Water, Sanitation & Hygiene

In 2021 alone, USAID helped more than 91 million women and children access essential—often lifesaving—care.

A Decade of Saving Lives

This past decade was one marked by collective commitment to save children’s and mothers’ lives. In 2012, the global health community rallied together to advance a shared vision to end preventable child deaths in a generation. USAID partnered with country governments to develop specific national action plans to drive annual progress towards these ambitious goals. Together, we made meaningful progress.

 Explore the Infographic: A Decade of Progress ➡


Want to learn more about country-level results?

Visit our Where We Work page ➡

Improving the survival chances and quality of life of women, newborns, and children remains an urgent global challenge. Since 2012, meaningful progress has been made in reducing maternal and under-5 deaths. Yet, more than 5 million children under the age of five and 287,000 women are still dying, largely from preventable causes, every year.

Explore the Framework & Related Resources

Success Stories 

Safe Childbirth Close to Home


A mother in Senegal names her newborn after her midwife to honor the quality of care she received at community-invested health post. Read her story and learn how USAID is supporting women and children in Senegal to have sustainable access to high quality quality health services for improved health outcomes over the course of their lives.


Fighting Malnutrition in Ghana


Almost half of all deaths for children under 5 are attributable to malnutrition — this is why improving nutrition is imperative to achieving USAID’s global maternal and child survival goals. Climate change, conflict, and the lasting impacts of COVID-19 have all exacerbated rates of global malnutrition and contributed to the global food security and hunger crisis. Learn how health workers are leading the charge for change.

Delivering Quality


Learn how USAID’s partnership with the Government of India transformed labor and delivery rooms for safer childbirth. Thanks to the respectful care and delivery that Shivani, a new mother, received last month at the Ranchi District Hospital, in Jharkhand, India, she can now spend time recovering and enjoy thinking about name choices for her newborn with her husband, Amit. 

Putting People at the Center of USAID Immunization Programs


Vaccines are powerful tools for saving lives, stopping the spread of infectious diseases, and helping communities thrive. When individuals are fully protected from the threat of vaccine-preventable diseases, they can stay in school, care for their families, and contribute to the economic growth of their countries. Yet, to ultimately support long lives well-lived, we must go from vaccines to vaccination.

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