State of the World Children 2009

UNICEF 2009 flagship report

A woman smiles at her yawning newborn, at Herat Maternity Hospital in the north-western city of Herat
UNICEF/NYHQ2007-1151/Noorani
A woman smiles at her yawning newborn, at Herat Maternity Hospital in the north-western city of Herat. The hospital deals with 50 to 60 pregnancy-related cases a day.

15 JANUARY | JOHANESBURG/NEW YORK/GENEVA - Women in the world’s least developed countries are 300 times more likely to die in childbirth or from pregnancy-related complications than women in developed countries, according to UNICEF’s latest State of the World’s Children report. At the same time, a child born in a developing country is almost 14 times more likely to die during the first month of life than a child born in a developed one.

The health and survival of mothers and their newborns are linked, and many of the interventions that save new mothers’ lives also benefit their infants. The 2009 edition of UNICEF’s flagship publication, The State of the World’s Children, highlights the link between maternal and neonatal survival, and suggests opportunities to close the gap between rich and poor countries. Both mothers and infants are vulnerable in the days and weeks after birth – a critical time for life-saving interventions, such as post-natal visits, proper hygiene, and counseling about the danger signs of maternal and newborn health.

“Every year, more than half a million women die as a result of pregnancy or childbirth complications, including about 70,000 girls and young women aged 15 to 19,” said Ann M. Veneman, UNICEF Executive Director, at the Johannesburg launch. “Since 1990, complications related to pregnancy and childbirth have killed an estimated 10 million women.”

While many developing countries have made excellent progress improving their child survival rate in recent years, there has been less headway in reducing maternal mortality. Niger and Malawi, for example, nearly cut their under-five death rates in half between 1990 and 2007. In Indonesia, under-five death rates fell to nearly a third of what they were in 1990, and in Bangladesh they fell by more than a half.

The same progress has not been made in addressing health risks for mothers, who are most vulnerable during delivery and in the first days after birth. And while the rate of survival for children under five years of age is improving globally, the risks faced by infants in the first 28 days remain at unacceptably high levels in many countries.

To lower maternal and infant mortality, the report recommends essential services be provided through health systems that integrate a continuum of home, community, outreach and facility-based care. This continuum of care concept transcends the traditional emphasis on single, disease-specific interventions, calling instead for a model of primary health care that embraces every stage of maternal, newborn and child health. The report finds that health services are most effective in an environment supportive of women’s empowerment, protection, and education.

Maternal mortality video and print ads

Following the launch of The State of the World's Children 2009 Maternal and Newborn Health on January 15th 2009, the Development Professionals section of the Division of Communication presents you with an innovative 2-minute message video and an accompanying print ad campaign around the theme of maternal mortality.

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