title: Success factors for reducing maternal and child mortality.
abstract: Reducing maternal and child mortality is a priority in the Millennium Development Goals (MDGs), and will likely remain so after 2015. Evidence exists on the investments, interventions and enabling policies required. Less is understood about why some countries achieve faster progress than other comparable countries. The Success Factors for Women's and Children's Health studies sought to address this knowledge gap using statistical and econometric analyses of data from 144 low- and middle-income countries (LMICs) over 20 years; Boolean, qualitative comparative analysis; a literature review; and country-specific reviews in 10 fast-track countries for MDGs 4 and 5a. There is no standard formula--fast-track countries deploy tailored strategies and adapt quickly to change. However, fast-track countries share some effective approaches in addressing three main areas to reduce maternal and child mortality. First, these countries engage multiple sectors to address crucial health determinants. Around half the reduction in child mortality in LMICs since 1990 is the result of health sector investments, the other half is attributed to investments made in sectors outside health. Second, these countries use strategies to mobilize partners across society, using timely, robust evidence for decision-making and accountability and a triple planning approach to consider immediate needs, long-term vision and adaptation to change. Third, the countries establish guiding principles that orient progress, align stakeholder action and achieve results over time. This evidence synthesis contributes to global learning on accelerating improvements in women's and children's health towards 2015 and beyond.
authors.affiliation: Partnership for Maternal, Newborn & Child Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
authors.forename: Shyama
authors.initials: S
authors.lastname: Kuruvilla
authors.affiliation: Results for Development Institute, Washington, United States of America (USA).
authors.forename: Julian
authors.initials: J
authors.lastname: Schweitzer
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, USA .
authors.forename: David
authors.initials: D
authors.lastname: Bishai
authors.affiliation: BRAC Institute of Global Health, Dhaka, Bangladesh .
authors.forename: Sadia
authors.initials: S
authors.lastname: Chowdhury
authors.affiliation: University of St Gallen, St Gallen, Switzerland .
authors.forename: Daniele
authors.initials: D
authors.lastname: Caramani
authors.affiliation: Global Health Insights, New York, USA .
authors.forename: Laura
authors.initials: L
authors.lastname: Frost
authors.affiliation: World Bank, Washington, USA .
authors.forename: Rafael
authors.initials: R
authors.lastname: Cortez
authors.affiliation: World Health Organization, Geneva, Switzerland .
authors.forename: Bernadette
authors.initials: B
authors.lastname: Daelmans
authors.affiliation: Partnership for Maternal, Newborn & Child Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
authors.forename: Andres
authors.initials: A
authors.lastname: de Francisco
authors.affiliation: Alliance for Health Policy and Systems Research, Geneva, Switzerland .
authors.forename: Taghreed
authors.initials: T
authors.lastname: Adam
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, USA .
authors.forename: Robert
authors.initials: R
authors.lastname: Cohen
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Baltimore, USA .
authors.forename: Y Natalia
authors.initials: YN
authors.lastname: Alfonso
authors.affiliation: Independent Consultant, Seattle, USA .
authors.forename: Jennifer
authors.initials: J
authors.lastname: Franz-Vasdeki
authors.affiliation: World Bank, Washington, USA .
authors.forename: Seemeen
authors.initials: S
authors.lastname: Saadat
authors.affiliation: Global Health Insights, New York, USA .
authors.forename: Beth Anne
authors.initials: BA
authors.lastname: Pratt
authors.affiliation: University of St Gallen, St Gallen, Switzerland .
authors.forename: Beatrice
authors.initials: B
authors.lastname: Eugster
authors.affiliation: Options Consultancy, London, England .
authors.forename: Sarah
authors.initials: S
authors.lastname: Bandali
authors.affiliation: Cambridge Economic Policy Associates, Delhi, India .
authors.forename: Pritha
authors.initials: P
authors.lastname: Venkatachalam
authors.affiliation: Partnership for Maternal, Newborn & Child Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
authors.forename: Rachael
authors.initials: R
authors.lastname: Hinton
authors.affiliation: Independent Consultant, Iowa City, USA .
authors.forename: John
authors.initials: J
authors.lastname: Murray
authors.affiliation: ICF International, Fairfax, USA .
authors.forename: Sharon
authors.initials: S
authors.lastname: Arscott-Mills
authors.affiliation: World Health Organization, Phnom Penh, Cambodia .
authors.forename: Henrik
authors.initials: H
authors.lastname: Axelson
authors.affiliation: World Health Organization, Geneva, Switzerland .
authors.forename: Blerta
authors.initials: B
authors.lastname: Maliqi
authors.affiliation: World Bank, Washington, USA .
authors.forename: Intissar
authors.initials: I
authors.lastname: Sarker
authors.affiliation: Partnership for Maternal, Newborn & Child Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
authors.forename: Rama
authors.initials: R
authors.lastname: Lakshminarayanan
authors.affiliation: USAID, Washington, USA .
authors.forename: Troy
authors.initials: T
authors.lastname: Jacobs
authors.forename: Susan
authors.initials: S
authors.lastname: Jack
authors.affiliation: University of Otago, Dunedin, New Zealand .
authors.forename: Susan
authors.initials: S
authors.lastname: Jacks
authors.affiliation: World Health Organization, Geneva, Switzerland .
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mason
authors.affiliation: Alliance for Health Policy and Systems Research, Geneva, Switzerland .
authors.forename: Abdul
authors.initials: A
authors.lastname: Ghaffar
authors.affiliation: London School of Hygiene & Tropical Medicine, London, England .
authors.forename: Nicholas
authors.initials: N
authors.lastname: Mays
authors.affiliation: Partnership for Maternal, Newborn & Child Health, World Health Organization, Avenue Appia 20, 1211 Geneva 27, Switzerland .
authors.forename: Carole
authors.initials: C
authors.lastname: Presern
authors.affiliation: World Health Organization, Geneva, Switzerland .
authors.forename: Flavia
authors.initials: F
authors.lastname: Bustreo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002662:Child Health Services / Q000191:economics / Q000458:organization & administration*; D046688:Child Mortality / Q000639:trends*; D002675:Child, Preschool; D003906:Developing Countries; D005260:Female; D014943:Global Health; D006040:Goals; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008427:Maternal Health Services / Q000191:economics / Q000458:organization & administration*; D008428:Maternal Mortality / Q000639:trends*; D014480:United Nations; D014944:World Health Organization
references.citation: Health Policy Plan. 2012 Jul;27 Suppl 3:iii6-28
references.pmid: 22692417
references.citation: Lancet Glob Health. 2014 Jun;2(6):e323-33
references.pmid: 25103301
references.citation: Lancet. 2014 Apr 12;383(9925):1333-1354
references.pmid: 24263249
references.citation: Lancet. 2013 Dec 14;382(9909):2012-26
references.pmid: 24268607
references.citation: Int J Equity Health. 2010 Jun 12;9:16
references.pmid: 20540793
references.citation: J Health Adm Educ. 1997 Spring;15(2):101-11
references.pmid: 10174962
references.citation: J Nepal Health Res Counc. 2012 May;10(21):88-94
references.pmid: 23034368
references.citation: Bull World Health Organ. 2009 Dec;87(12):913-20
references.pmid: 20454482
references.citation: J Health Serv Res Policy. 2005 Jul;10 Suppl 1:6-20
references.pmid: 16053580
references.citation: Lancet Glob Health. 2014 Jul;2(7):e373-4
references.pmid: 25103377
references.citation: Lancet. 2011 May 28;377(9780):1863-76
references.pmid: 21561656
references.citation: Lancet. 2013 Jun 15;381(9883):2118-33
references.pmid: 23574803
references.citation: Lancet. 2007 Mar 10;369(9564):850-855
references.pmid: 17350454