Born too soon: accelerating change to 2030 and beyond
Abstract Progress needed Preterm birth rates have “flatlined” for a decade with major loss of human capital, hindering progress for many Sustainable Development Goals. Progress on the reduction of maternal, newborn and child mortality needs to accelerate by between 3 and 11-fold to reach national an...
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| Format: | Artykuł |
| Język: | angielski |
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BMC
2025-06-01
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| Seria: | Reproductive Health |
| Hasła przedmiotowe: | |
| Dostęp online: | https://doi.org/10.1186/s12978-025-02035-9 |
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| author | Joy E. Lawn Rajat Khosla Amy Reid Etienne V. Langlois Mary Kinney Gagan Gupta Doris Mollel Bo Jacobsson Maria El Bizri Anna Gruending Harriet Ruysen Kelly Thompson Per Ashorn Lori McDougall Helga Fogstad Fouzia Shafique Anshu Banerjee |
| author_facet | Joy E. Lawn Rajat Khosla Amy Reid Etienne V. Langlois Mary Kinney Gagan Gupta Doris Mollel Bo Jacobsson Maria El Bizri Anna Gruending Harriet Ruysen Kelly Thompson Per Ashorn Lori McDougall Helga Fogstad Fouzia Shafique Anshu Banerjee |
| author_sort | Joy E. Lawn |
| collection | DOAJ |
| description | Abstract Progress needed Preterm birth rates have “flatlined” for a decade with major loss of human capital, hindering progress for many Sustainable Development Goals. Progress on the reduction of maternal, newborn and child mortality needs to accelerate by between 3 and 11-fold to reach national and global targets by 2030. Priorities Actions are required on two tracks: (1) prevention of preterm birth, including better management for women in preterm labour, and (2) provision of high-quality care to vulnerable newborns, including those born into fragile and conflict-affected settings. Together these tracks have potential for high impact in terms of millions of lives saved, and socioeconomic returns on investment. We can and must do more to provide quality and respectful reproductive, antenatal and birth care for all adolescent girls and women, everywhere, and close unacceptable survival gaps for small and sick newborns. New focus is essential on threats beyond the health sector, notably conflict and the climate crisis. Pivots The cost of inaction is too high in every country. Four pivots are central to accelerating action: invest, implement, integrate, and innovate. More specifically these pivots include investments in systems including more skilled human resources; implementation of high-impact interventions with data used for quality improvement and accountability; innovations including new health technologies and also systems and social innovations; plus, integration with levels of the health sector and across sectors and the life-course, with families at the centre. Everyone has a role to play. Increasing speed now, and sustaining progress, requires multi-level leadership including from grassroots movements led by parents and affected people through to heads of state. Some countries provide examples of such change: The United States of America in data identified inequalities by state and ethnicity for preterm birth. Importantly noting drops in donor aid, India has made ambitious investment in the health sector and beyond, and United Republic of Tanzania in multi-level leadership. Changing gears requires the ambition and energy witnessed a generation ago for HIV/AIDS. We have the ability now to ensure that every baby born too soon – and their mothers – can survive and thrive. Our next generation depends on us acting now for more healthy starts and hopeful futures. |
| format | Article |
| id | doaj-art-bebcaa2ea42a449885cdfca877e61ba5 |
| institution | Matheson Library |
| issn | 1742-4755 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj-art-bebcaa2ea42a449885cdfca877e61ba52025-06-29T11:11:33ZengBMCReproductive Health1742-47552025-06-0122S211510.1186/s12978-025-02035-9Born too soon: accelerating change to 2030 and beyondJoy E. LawnRajat Khosla0Amy Reid1Etienne V. Langlois2Mary Kinney3Gagan Gupta4Doris Mollel5Bo Jacobsson6Maria El Bizri7Anna Gruending8Harriet Ruysen9Kelly Thompson10Per Ashorn11Lori McDougall12Helga Fogstad13Fouzia Shafique14Anshu Banerjee15Partnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)Partnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)Partnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)School of Public Health, University of the Western Cape, Bellville, South Africa, and Global Surgery, University of Cape Town Faculty of Health Sciences, ObservatoryUNICEFDoris Mollel FoundationDepartment of Obstetrics and Gynecology, University of Gothenburg, Gothenburg, Sweden, Department of Obstetrics and Gynecology, Western Health Care Region, Sahlgrenska University HospitalPartnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)Partnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)Maternal, Adolescence, Reproductive, & Child Health (MARCH), London School of Hygiene & Topical MedicinePartnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health OrganizationPartnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization (WHO)UNICEFUNICEFDepartment of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health OrganizationAbstract Progress needed Preterm birth rates have “flatlined” for a decade with major loss of human capital, hindering progress for many Sustainable Development Goals. Progress on the reduction of maternal, newborn and child mortality needs to accelerate by between 3 and 11-fold to reach national and global targets by 2030. Priorities Actions are required on two tracks: (1) prevention of preterm birth, including better management for women in preterm labour, and (2) provision of high-quality care to vulnerable newborns, including those born into fragile and conflict-affected settings. Together these tracks have potential for high impact in terms of millions of lives saved, and socioeconomic returns on investment. We can and must do more to provide quality and respectful reproductive, antenatal and birth care for all adolescent girls and women, everywhere, and close unacceptable survival gaps for small and sick newborns. New focus is essential on threats beyond the health sector, notably conflict and the climate crisis. Pivots The cost of inaction is too high in every country. Four pivots are central to accelerating action: invest, implement, integrate, and innovate. More specifically these pivots include investments in systems including more skilled human resources; implementation of high-impact interventions with data used for quality improvement and accountability; innovations including new health technologies and also systems and social innovations; plus, integration with levels of the health sector and across sectors and the life-course, with families at the centre. Everyone has a role to play. Increasing speed now, and sustaining progress, requires multi-level leadership including from grassroots movements led by parents and affected people through to heads of state. Some countries provide examples of such change: The United States of America in data identified inequalities by state and ethnicity for preterm birth. Importantly noting drops in donor aid, India has made ambitious investment in the health sector and beyond, and United Republic of Tanzania in multi-level leadership. Changing gears requires the ambition and energy witnessed a generation ago for HIV/AIDS. We have the ability now to ensure that every baby born too soon – and their mothers – can survive and thrive. Our next generation depends on us acting now for more healthy starts and hopeful futures.https://doi.org/10.1186/s12978-025-02035-9Preterm birthMaternalNeonatalGlobal healthFinancingInvestment |
| spellingShingle | Joy E. Lawn Rajat Khosla Amy Reid Etienne V. Langlois Mary Kinney Gagan Gupta Doris Mollel Bo Jacobsson Maria El Bizri Anna Gruending Harriet Ruysen Kelly Thompson Per Ashorn Lori McDougall Helga Fogstad Fouzia Shafique Anshu Banerjee Born too soon: accelerating change to 2030 and beyond Reproductive Health Preterm birth Maternal Neonatal Global health Financing Investment |
| title | Born too soon: accelerating change to 2030 and beyond |
| title_full | Born too soon: accelerating change to 2030 and beyond |
| title_fullStr | Born too soon: accelerating change to 2030 and beyond |
| title_full_unstemmed | Born too soon: accelerating change to 2030 and beyond |
| title_short | Born too soon: accelerating change to 2030 and beyond |
| title_sort | born too soon accelerating change to 2030 and beyond |
| topic | Preterm birth Maternal Neonatal Global health Financing Investment |
| url | https://doi.org/10.1186/s12978-025-02035-9 |
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