After convening the 2013 African Leadership for Child Survival —A Promise Renewed, a regional forum that called for greater accountability for Africa’s mothers and children, the Government of Ethiopia is leading by example. With support from UNICEF and other partners, the government is implementing a bold strategy that targets the country’s hardest-to-reach mothers and newborns. The three-pronged strategy is scaling up the coverage of community-based new-born care, which includes sepsis treatment; immediate essential newborn care in health centres and district hospitals; and neonatal intensive care units in hospitals.
The combination of innovative, evidence-based strategies and the government’s long legacy of leadership on maternal, newborn and child survival is yielding impressive results. Ethiopia achieved MDG 4 three years ahead of schedule by cutting under-five mortality from 205 per 1,000 live births in 1990 to 68 per 1,000 in 2012. Ethiopia’s progress illustrates that countries can achieve dramatic declines in child mortality, despite constrained resources. It puts Ethiopia on a trajectory to bend the curve and achieve a major goal of A Promise Renewed — 20 under-five deaths per 1,000 live births by 2035.
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