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Steady progress has been made, but many
more lives can be saved
World leaders have been steadast in their commitment to child survival and well-being
starting in late 1989 with the adoption o the Convention on the Rights o the Child. In 1990, t
global community united behind the World Summit or Children. A decade later, world lead
adopted the Millennium Declaration, which led to the subsequent adoption o the MDGs an
positioned children at the centre o eight critical targets or human development. In 2002,
the United Nations General Assembly passed a landmark resolution to build A World Fit
or Children.
This sustained commitment to children has contributed to a remarkable decrease in child
mortality that is unprecedented in human history. Over the past two decades, the number o
under-ve deaths has allen dramatically, rom nearly 12 million in 1990 to 6.9 million i n 20
Yet, even as the global and regional under-ve mortality rates have allen, the number o ch
deaths still remains unacceptably high. Every year, millions o children die rom causes thahave the power to prevent and diseases that we have the ability to treat.
The time has come to recommit to child survival and renew the promise to give every child
best possible start in lie.
Join us.
Visit the website
additional inormat
www.apromiserenewed
Twitter: #Promise4Child
Facilitated by the United Nations Childrens Fund (UNICEF)
Photos:
Frontcover: UNICEF/AFGA2010-00439/Noorani
Insidelet: UNICEF/NYHQ2006-2706/Noorani
Right: UNICEF/NYHQ2011-1795/Pirozzi
September2012
For the frst time in history we have the knowledge, technical expertise
and innovative tools needed to mitigate the risk o young children
dying rom preventable causes. Evidence shows that t remendous
progress is possible, even in the most difcult settings. By pledging
support or A Promise Renewed, partners commit to redoubling eorts
to accelerate the declines in the number o under-fve and maternal
deaths, enabling more countries to achieve MDGs 4 and 5 by 2015 and
to sustain the progress well into the uture.
Everyone has a role to play in achieving the goals o
A Promise Renewed:
Governmentscan take the lead in monitoring and strengthening
country action plans or maternal, newborn and child survival.
Developmentpartners can align their support with national
priorities and targets.
Privatesectorpartnerscan spur innovation and help identiy
new resources or maternal, newborn and child survival.
Civilsocietycan support the communities and amilies whose
decisions and actions have a direct impact on prospects or
maternal, newborn and child survival.
Individualcitizens can demonstrate support or the
principle that every last child, rich or poor, deserves
the best possible start in lie.
Join the global movement or child survivalTo advance Every Woman Every Child, an initiative launched by the United Nations
Secretary-General, partners rom the public, private and civil society sectors are uniting
around a clear and compelling goal: ending preventable child deaths.
A Promise Renewedis a commitment to all
children, rich and poor, wherever they live.
No child should die of preventable causes.
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Dramatic reductions in preventable
child deaths can be achieved through
concerted action in fve critical areas:
Five
priority
actions
GeoGrapHy
Scaleup eortsinthe 25 countriesthat
account or 80per cent o allunder-fve
deaths.Whileeveryregion o the world
hasmade progressin reducingthe
number o childdeaths,highrateso
childmortalitypersist,particularlyin
South Asia and sub-Saharan Arica.
HiGH-
popU
Strengthen health
coverage among u
tions,including r ur
groups. Coverage
and accessto inno
strategies must be
children and amil
LIBERIA
68% decline
U5MR 1990: 241
U5MR 2011: 78
14,000FEWERCHILDRENDIED EACH DAY
IN 2011 THAN
IN 1990
Renewing the PromiseCommitting to Child Survival: A Promise Renewedis a global eort to accelerate action on maternal,newborn and child survival.
In June 2012, the Governments o Ethiopia, India and the United States convened more than
700 representatives rom government, civil society and the private sector or the Child Survival
Call to Action in Washington, D.C. Evidence presented at the high-level orum demonstrated that
it is easible to eliminate the grossest o inequities the disparate child survival rates that persist
between the poorest and richest nations. A modelling exercise showed that most countries can
lower national rates o child mortality to 20 or ewer deaths per 1,000 live births by 2035.
To make the most o this extraordinary opportunity, governments and partners are uniting under
the banner oA Promise Renewedto support concerted action on three ronts:
Strengthening evidence-based country action plans: Participating governments are
sharpening their country action plans to accelerate progress towards the Millennium DevelopmentGoals (MDGs) and setting ve-year milestones to monitor progress rom 2015 to 2035.
Monitoring and reporting: Governments and
partners are increasing the availability and accessibility
o data and analysis on maternal, newborn and child
mortality to encourage stronger accountability or child
survival. Each year, UNICEF and partners will release
global progress reports to stimulate public dialogue
and sustain the political commitment to child survival.
Promoting global communication and social
mobilization or child survival: Governments and
partners are mobilizing broad-based social support or
the principle that no child should die rom preventable
causes. By harnessing the power o mobile technology,
governments and partners are engaging all citizens,
especially women and youth, in the search or innovative
solutions to maternal, newborn and child survival.
Many countries have achieved marked declines in child
mortality over the past two decades, including some that
had very high mortality rates in 1990.
Globally, reductions in under-fve mortality rates, combined
with declining ertility rates in many regions and countries,
have lowered the number o child deaths rom nearly
12 million in 1990 to 6.9 million in 2011.
Note: This map isstylized and is not to scale. It does not refect a position by UNICtion o any rontiers. The dotted line represents approximately the Line o Control i
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