Every year, 287,000 women die during pregnancy or childbirth, and 6.9 million children die before reaching their fifth birthday. Almost all these deaths occur in developing countries where mothers, children and newborns lack access to basic health care. While child mortality rates have declined in recent decades, 19,000 mothers still mourn the loss of a child each and every day – an unthinkable number of heartbreaks. This is especially tragic since most of these deaths could be prevented at a modest cost.
This year's report looks at the critical first day of life, when mothers and their newborns face the greatest threats to survival, and when there is tremendous opportunity to save lives. It highlights approaches that are working to bring essential health care to the hard-to-reach places where most deaths occur. And it shows how millions more lives each year can be saved if we invest in proven solutions and help mothers do what's best for their children. If we don't save lives on this critical first day, we will never truly end preventable child deaths.
This report contains our annual ranking of the best and worst places in the world for mothers – but no matter if they're in the United States or Malawi or India, all mothers are fundamentally the same. Every night, millions of mothers around the world lean over their sleeping newborns and pray that they will be safe, happy and healthy. It's what we all want for our children. And it's certainly not too much to ask.
When a child is placed into his mother's arms for the first time, that woman's life is changed forever. The moment is brief and precious. We must seize the opportunity to invest in this most basic, most enduring partnership – between a mother and her child – if we are to change forever the course of history and reduce newborn deaths.
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