Millennium Development Goal 4: reducing perinatal and neonatal mortality in low-resource settings
Article first published online: 13 DEC 2013
© 2013 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 16, Issue 1, pages 1–5, January 2014
How to Cite
Millennium Development Goal 4: reducing perinatal and neonatal mortality in low-resource settings. The Obstetrician & Gynaecologist 2014;16:1–5., , , .
- Issue published online: 13 JAN 2014
- Article first published online: 13 DEC 2013
- Manuscript Accepted: 14 OCT 2013
- The Health Partnership Scheme
- Tropical Health & Education Trust
- Millennium Development Goals;
- neonatal death;
- quality improvement;
- Millennium Development Goal 4 (MDG4) set targets to reduce by two-thirds the number of deaths of children aged <5 years by 2015 compared with 1990. In 2010, 7.7 million of these children died. Progress is accelerating but many countries will not meet targets.
- Stillbirths account for 2.65 million deaths but are not addressed in international targets.
- Possible solutions including ‘kangaroo mother care’, neonatal resuscitation and breastfeeding are identified; a difference can be made with basic training and resources.
- Political leadership is required to make significant health gains.
- The evidence for improving peri- and neonatal mortality exists. The challenge is in the implementation.
- To understand MDG4 and the variation in pregnancy outcomes for neonates globally.
- To increase knowledge of simple interventions and key barriers to improve peri- and neonatal mortality.
- To help UK doctors understand the health background of inward migrants.
- The increasing divide in health outcomes between rich and poor, both within and between countries.
- Gender inequalities may contribute to poor access to care.
- Resource limitations are compounded by external factors such as the ‘brain drain’ of health workers.