Skip to content
MHTF logo

Maternal Health Task Force

  • Facebook
  • Twitter
  • Vimeo
  • Flickr
  • Email
  • About
  • Topics
  • Resources
  • Buzz
  • Blog
MHTF Blog ›

The Global Development Framework in Transition: Where Are Mothers and Newborns in the Post-2015 Era?

Posted on February 4, 2016October 12, 2016

By: Ana Langer, Director of the Maternal Health Task Force and Women and Health Initiative; Joy Riggs-Perla, Director, Saving Newborn Lives at Save the Children; Koki Agarwal, Director, Maternal and Child Survival Program

This post originally appeared on the PLOS Collections Blog.

Momentum poster for webWhile the Millennium Development Goals (MDGs) underlined the necessity of better policies and programs to improve maternal and child health, HIV and AIDS, malaria, and other health conditions, the approach had significant flaws. Having separate goals for mothers and children may have been a disservice, fostering the persistent segmentation of service delivery.

The era of the Sustainable Development Goals (SDGs) recently started.  With their focus on universal health care, equity, and integration, the new policy framework represents a historic opportunity to build on progress, while addressing the limitations of the MDGs. It is critical, however, not to let an emphasis on maternal and newborn health wane in this new broad agenda.

The maternal health landscape is rapidly evolving, mostly for good.  Evidence shows substantial decline in maternal mortality[1] and growing utilization of maternal health services.[2] But in some countries, the challenge of limited progress or even a reversal of progress casts a shadow. Large inequalities in the coverage of maternal health interventions persist and poor quality of care is the only option for far too many women.[3]

Between 2000 and 2012, the newborn mortality rate declined at a slower pace than maternal and child mortality and the stillbirth rate remained stagnant.[4] These trends require attention to reduce deaths during the first month of life. Furthermore, the high number of preventable stillbirths is a clarion call to improve the quality of antenatal and intrapartum care.

In October 2015, the global maternal newborn health community gathered to share emerging evidence, ask hard questions, and learn from those doing vital work within countries.[5] A thousand delegates from more than 75 countries reflected on the newly adopted SDGs,[6] and shared critical lessons about successes and persistent challenges in maternal newborn health. Researchers, implementers, advocates and representatives from the development and donor communities outlined a roadmap for maternal newborn health in the post-2015 era that included ten critical actions:

  1. Countries where political leadership acts on strong scientific evidence and the public demands better maternal newborn survival make progress. Governments and societies of countries lagging behind are morally obliged to embrace and implement an active and evidence-based maternal newborn health agenda and continuously monitor its progress.
  2. Global and national health communities must integrate strategies, services and funding streams to avoid unnecessary and harmful silos. Maternal newborn health offers a proven platform to strengthen the entire health system.[7]
  3. Weak national healthcare systems fail too many individuals; reaching the most vulnerable, including adolescents, is an urgent priority.
  4. Efforts to improve maternal newborn survival should include attention to maternal morbidities, stillbirths, and child development outcomes; they are essential proxies for inequality and poor quality care.
  5. Increasing the investment in better quality maternal newborn health services is a fundamental response to health and rights imperatives.
  6. Care with dignity does not cost any more. At any resource level, a provider has the opportunity and the obligation to treat clients with compassion and respect.
  7. Universal access to integrated sexual and reproductive health care, including contraception, is essential to ensure maternal newborn health.
  8. It is time to address the gap in measurement, information, and accountability. In order to assess progress in the next 15 years, countries and the global community need to address these complex challenges now.
  9. Sharing good news in human development is not a risk, but an opportunity to build stronger health programs.[8] This is the time to acknowledge important gains made as strategies are created to implement the SDGs.
  10. Supporting all providers, including midwives, to address maternal newborn health is imperative to realize the ambitious post-2015 agenda.

Collective action, with a renewed commitment to accountability and governance, is needed to deliver sustainable solutions and give mothers and newborns the central place they deserve in all efforts to achieve sustainable development. Now is the time to stop the injustice of needless deaths and deliver integrated, quality, and equitable care that reaches all women and newborns.

__

[1] Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, Fat DA, Boerma T, Temmerman M, Mathers C, Say L, United Nations Maternal Mortality Estimation Inter-Agency Group collaborators, technical advisory group. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. 2015; available online 13 November 2015.

[2] Victora C, Requejo J, Barros A, Berman P, Bhutta Z, Boerma T et al. Countdown to 2015: a decade of tracking progress for maternal, newborn, and child survival. The Lancet. 2015.

[3] Chou D, Daelmans B, Jolivet R, Kinney M, Say L. Ending preventable maternal and newborn mortality and stillbirths. BMJ. 2015;h4255.

[4] Darmstadt G, Kinney M, Chopra M, Cousens S, Kak L, Paul V et al. Who has been caring for the baby?. The Lancet. 2014;384:174-188.

[5] Horton R. Offline: The Mexican revolution. The Lancet. 2015;386: 1718.

[6] United Nations. Sustainable Development Goals. http://www.un.org/sustainabledevelopment/sustainable-development-goals/#, (accessed 2 November 2015).

[7] Sepúlveda J, Bustreo F, Tapia R, Rivera J, Lozano R, Oláiz G et al. Improvement of child survival in Mexico: the diagonal approach. The Lancet. 2006;368: 2017-2027.

[8] Rosling, Hans. Global Maternal Newborn Health: An Overview. 2015. Web. 3 Feb. 2016. Retrieved from http://www.ustream.tv/recorded/75823270.

Share this:FacebookTwitterLinkedInReddit
CATEGORIESCATEGORIES: Cross-post GMNHC2015 Series
TOPICSTOPICS: Adolescent Health Commodities Emergency Obstetric and Newborn Care Facility-based Births Family Planning Health Systems Human Resources for Health Inequities & Inequalities Maternal Morbidity Maternal Mortality MDG Policy & Advocacy Postpartum Hemorrhage Preterm Birth Quality of Care Reproductive Health Respectful Maternity Care SDG Social Determinants

Looking for something specific?

Blog Series

  • Noncommunicable Diseases and Maternal Health
  • The Global Maternal Health Workforce
  • Quality of Maternal Health Care
  • See more>>

Archives

Blogs we follow

  • Healthy Newborn Network
  • Jacaranda Health
  • Jhpiego Field Notes
  • MamaYe
  • Maternal and Child Survival
  • NPR Goats and Soda
  • White Ribbon Alliance
  • Women Deliver

MHTF Disclaimer

The posts on this blog do not necessarily reflect the views of the Maternal Health Task Force. Our objective is to provide a platform for our Editorial Committee and other experts to post a myriad of data and evidence, as well as opinions/views that exist in the field which will contribute to expanding the maternal health dialogue.
  • About
  • Topics
  • Resources
  • Buzz
  • Blog

MATERNAL HEALTH TASK FORCE

Harvard Chan School Center of Excellence in Maternal and Child Health
677 Huntington Avenue
Boston, MA 02115
MHTF@hsph.harvard.edu

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant T76MC00001 and entitled Training Grant in Maternal and Child Health. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
  • About
    • Key Facts
    • Renaming the School
    • Office of the Dean
    • Location and Facilities
    • Administrative Offices
    • Contact Information
  • Admissions
    • Office of Admissions
    • Harvard Chan Viewbook
    • Financial Aid
    • Registrar’s Office
    • Summer at the School
  • Academics
    • Departments
    • Degrees
    • Online Degree Program
    • Programs and Requirements
    • Executive/Summer Programs
    • Interdisciplinary Concentrations
    • Office of Education
    • Division of Biological Sciences
    • Division of Policy Translation and Leadership Development
    • Executive and Continuing Professional Education
    • Fellowships and Residencies
    • Academic Calendar
    • Harvard Chan Viewbook
  • Exec Ed
  • Research
    • Office of Research Strategy and Development
    • Harvard Longwood Campus Research Administration
    • Office of Regulatory Affairs and Research Compliance
    • Office of Human Research Administration
    • Centers & Institutes
    • Researchers Directory
    • Postdoctoral Research Fellows
    • Export Controls
    • International Research
  • Faculty
    • Office of Faculty Affairs
    • Office of Diversity and Inclusion
    • Faculty Directory
    • Faculty Searches
  • Students
    • Student Life Main
    • Academic Calendar
    • Career Advancement
    • Countway Library
    • Housing
    • Student News
    • Office for Student Affairs
    • Office of Education
    • Office of Diversity and Inclusion
    • Office of Financial Aid
    • Registrar’s Office
    • Student Billing
    • Orientation
    • Commencement
  • Alumni
  • News
    • News Main
    • Press Releases
    • Harvard Public Health Magazine
    • Explore Research by Topic
    • Mailing Lists
    • Multimedia
    • Office of Communications
  • Make a Gift
    • Campaign for Harvard Chan School
  • Facebook
  • Twitter
  • Vimeo
  • Flickr
  • Email
Maternal Health Task Force Proudly powered by WordPress