Maternal, newborn, child and adolescent health and ageing

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The Global Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030) is a bold roadmap for ending all preventable maternal, newborn and child deaths, including stillbirths, by 2030, and improving their overall health and well-being. It aims to keep these groups at the heart of the sustainable development (SDG) agenda, unlocking their vast potential for transformative change. It was developed to translate the SDG agenda into concrete guidance on how to accelerate progress through a multisectoral approach.

This Global Strategy includes a monitoring framework with 60 indicators, (of which 16 are key) to help countries and their partners promote accountability in ending preventable deaths (“Survive”), ensuring health and well-being (“Thrive”), and expanding enabling environments, so that all women, children, and adolescents can reach their potential (“Transform”) and no one is “Left Behind”.

Progress Update on Global Strategy for Women's Children's and Adolescent's Health 2025
In recent decades, significant progress has been made for women and children. Since 2000, global under-five mortality has fallen by over half, and the maternal mortality ratio1 dropped by about 40% worldwide. However, conflicts, climate disasters and instability are hindering progress in women’s, children's and adolescents' health, particularly affecting those in the most vulnerable populations. Please click here to download.

What is Every Woman Every Child?

Launched by Ban Ki-moon, former UN Secretary-General, during the United Nations Millennium Development Goals Summit in September 2010, Every Woman Every Child  is an unprecedented global movement that mobilizes and intensifies international and national action by governments, multi-laterals, the private sector and civil society to address the major health challenges facing women, children and adolescents around the world.

The movement puts into action the Global Strategy for Women’s, Children’s and Adolescents’ Health, which presents a road-map to ending all preventable deaths of women, children and adolescents within a generation and ensuring their well-being.

“The three overarching objectives of the Global Strategy are Survive, Thrive and Transform. With its full implementation—supporting country priorities and plans and building the momentum of Every Woman Every Child—no woman, child or adolescent should face a greater risk of preventable death because of where they live or who they are.”- Ban Ki-Moon, Former UN Secretary-General

 

Survive: End preventable deaths of mothers, newborns and children by providing the best maternal, newborn and child care, ending epidemics of HIV, TB, malaria, neglected tropical diseases and other communicable diseases, and by reducing premature mortality.
Other indicators
Thrive: Ensure health and well-being by addressing the nutritional needs of all children, adolescents and women, especially mothers. Universal access to sexual and reproductive healthcare services, as well as access to quality early childhood development, are important elements of thriving.
Other indicators
Transform: Expand enabling environments by improving access to quality education and creating safe environments free from abuse, discrimination and violence. It is necessary to facilitate access to clean water, improve scientific research and technological capabilities, guarantee legal identity for all, and enhance global partnerships for sustainable development.
Leave no one behind: Leave no one behind represents taking explicit action to end extreme poverty, curb inequalities, confront discrimination and fast-track progress for the furthest behind.
Data Gaps: Since the onset of this monitoring framework in 2010 we have been able to update data and estimates for 54 indicators as of mid-2020; however, there are 4 indicators have never had any data to track.   Additionally, when the monitoring framework was first introduced, a review of the 16 key indicators demonstrated that 7 should be collected by Civil registration and Vital Statistics (CRVS). Unfortunately, we continue to have large gaps in CRVS.  In addition, among the 16 key indicators, 2 that could be collected primarily through facility data (i.e. stunting, CCI) continue to be primarily collected through household surveys.
Last date of update for key indicators Icon PDF file download
IndicatorDate of Last Update
Survive
Maternal mortality ratio (SDG 3.1.1)2019-10-18
Neonatal mortality rate (SDG 3.2.2)2020-09-20
Stillbirth rate2017-03-21
Under-5 mortality rate (SDG 3.2.1)2020-09-20
Adolescent mortality rate, by age and sex2018-04
Thrive
Prevalence of stunting (height for age <-2 standard deviation from the median of the WHO Child Growth Standards) among children under 5 years of age (SDG 2.2.1)2020-04-09
Adolescent birth rate (15-19) per 1000 women in that age group (SDG 3.7.2)2019-07
Extent to which countries have laws and regulations that guarantee women aged 15-49 access to sexual and reproductive health care, information and education (SDG 5.6.2)2020-08-25
Proportion of population with primary reliance on clean fuels and technology (SDG 7.1.2) 2020-04-08
Coverage of essential health services (index based on tracer interventions that include reproductive, maternal, newborn and child health, infectious diseases, non-communicable diseases and service capacity and access) (SDG 3.8.1) 2020-12-13
Domestic General Government Health Expenditure (including RMNCAH)2019-01-23
Out of-pocket health expenses as percentage of total health expenditure2020-01-23
Transform
Proportion of children and young people: (a) in grades 2/3; (b) at the end of primary; and (c) at the end of lower secondary achieving at least a minimum proficiency level in (i) reading and (ii) mathematics, by sex (SDG 4.1.1) 2020-02
Proportion of young women and men aged 18-29 who experienced sexual violence by age 18 (SDG 16.2.3)2020-08-25
Percentage of population using safely managed sanitation services including a hand-washing facility with soap and water (SDG 6.2.1)2019-07-11
Proportion of children under 5 years of age whose births have been registered with a civil authority, by age (SDG 16.9.1) 2020-06
Data sources for the 60 indicators Icon PDF file download
INDICATORCivil Registration and Vital Statistics (CRVS)SurveyFacilityOther
Survive
Maternal mortality ratio AvailableAvailablePotential 
Skilled attendance at birth  AvailableAvailable 
Antenatal care 4+ visits  AvailableAvailable 
Postpartum contact  AvailableAvailable 
Neonatal mortality AvailableAvailable  
Stillbirth rate AvailableAvailable 
Early breastfeeding initiation  Available  
Postnatal care (contact)  AvailableAvailable 
Antenatal care syphilis screening  AvailableAvailable 
Under-5 mortalityAvailableAvailable  
Oral rehydration salts treatment  Available  
Pneumonia care seeking  Available  
Exclusive breastfeeding  Available  
Full immunization coverage  AvailableAvailable 
Insecticide-treated net coverage among children AvailableAvailable Available
HIV incidence Available  
Malaria incident cases per 1000 persons per year (SDG 3.3.3) Available Available
Antiretroviral therapy coverage   Available 
Household nets(ITN) and spraying(IRS)     
Tobacco use (age-sex disaggregated)  Available  
Noncommunicable disease mortality (ages 30-70) AvailableAvailablePotential 
Suicide mortality rate AvailableAvailable  
Adolescent mortality rate AvailablePotential  
Cervical cancer screening  AvailablePotential 
Thrive
Child stunting Available  
Malnutrition Available  
Adolescent insufficient physical activity  Available  
Anaemia prevalence disaggregated  Available  
Children minimum acceptable diet  Available  
Family planning need satisfied  AvailablePotential 
Adolescent birth rate  Available  
Informed decisions by women  Available  
Country laws – sexual and reproductive health (SRH) access    Available
SRH knowledge (ages 15-24)  Available  
Children developmentally on track  Available  
Organized learning  Available Available
Pollution-related mortality and illness AvailableAvailable  
Clean fuels and technology  Available Available
Essential services, tracer health interventions  AvailableAvailablePotential
Current country health and RMNCAH expenditure per capita    Available
Out-of-pocket health expenditure    Available
Financial protection  Available Available
Transform
Poverty Available Available
Reading and math proficiency  Available Available
Early marriageAvailableAvailable  
Partner violence Available  
Female genital mutilation/cutting  Available  
Laws against discrimination    Available
Sexual violence against women and men  Available  
HIV post-exposure prophylaxis – rape survivors  AvailablePotential 
Safe drinking water  Available  
Sanitation Available  
Research and development expenditure    Available
Birth (death) registration AvailableAvailable  
Census   Available
Effective monitoring frameworks    Available
Leave no one behind
Data disaggregation    Available
Treaties for women’s, children’s and adolescents’ health and rights    Available
Humanitarian Response Index    Available
The following indicators currently have no publicly available data:
  • Proportion of men and women aged 15-24 with basic knowledge about sexual and reproductive health services and rights
  • Whether or not legal frameworks are in place to promote, enforce and monitor equality and non-discrimination on the basis of sex (SDG 5.1.1) (also monitoring frameworks on this and other grounds for discrimination and inequity)
  • Proportion of indicators at the national level with full disaggregation when relevant to the target (SDG 17.18.1)  (also, specifically as related to indicators of the Global Strategy for Women's, Children's and Adolescents' Health)
For more information about the Global Strategy for Women’s, Children’s and Adolescents’ Health, please see the Indicator and Monitoring Framework.

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