About Countdown to 2030

Countdown to 2030 for Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition

A successful multi-institutional partnership with over a decade of global and country level monitoring experience, Countdown to 2015 (CD2015) concluded with the launch of its seventh global report at the Global Maternal Newborn Health Conference in Mexico City, October 2015. The initiative, now re-launched as Countdown to 2030 (CD2030), aims to accelerate the momentum to achieve the targets of the Sustainable Development Goals (SDGs) for ending preventable maternal, newborn, and child deaths; and catalyze efforts to achieve the vision of the Global Strategy for Women’s, Children’s and Adolescents’ Health.

CD2030 retains the successful elements of CD2015, including the inclusive and participatory model of governance and technical work. It promotes accountability and action through better monitoring and measurement of intervention coverage and its key drivers, by strengthening regional and country capacity for evidence generation and use, and by developing communication strategies to increase the uptake of Countdown findings. CD2030 is addressing today’s broader agenda by expanding its indicators and analyses on the reproductive health, adolescent health, and nutrition dimensions of the continuum of care, and is paying more attention to subnational analyses, use of health facility data, and effective coverage. CD2030 continues to prepare country profiles for the 81 Countdown countries that account for more than 90% of child deaths and 95% of maternal deaths in the world as well as regular synthesis reports other secondary analyses.

Countdown to 2030 focuses on:

  • Coverage and equity of cost effective interventions against the main causes of maternal and child deaths
  • The RMNCAH continuum of care, including a focus on nutrition
  • Monitoring and accountability at country and global levels
  • Cutting-edge research on measurement of coverage, equity, and key drivers of intervention coverage
  • Capacity strengthening at regional and country level with special attention to sub-Saharan Africa and countries in conflict situations
  • Providing UN agencies, the Independent Accountability Panel, the Global Nutrition Report, and other accountability efforts with specific analyses and technical inputs

The global landscape and associated priorities in monitoring, measurement, research, and learning have vastly changed over the past decade as mortality levels have sharply declined and become more concentrated in certain geographies. The SDGs include a greater emphasis on universal health coverage, social and environmental determinants, and in-country inequalities to ensure no one gets left behind. The accountability architecture for women’s, children’s, and adolescents’ health has evolved to incorporate these more complex and expansive priorities while not forgetting the unfinished agenda of maternal, newborn, and child survival. With its flexible structure, CD2030 is a strong contributor to the global accountability architecture and provides technical inputs on coverage, equity, and drivers of coverage to the annual reports for the Global Strategy for Women’s, Children’s and Adolescents’ Health and the Independent Accountability Panel, hosted by the Partnership for Maternal Newborn and Child Health.

Learning from a portfolio of 10 in-depth case studies conducted under CD2015 and from preparing annual country profiles for high-burden countries, CD2030 has introduced a regional network initiative to devolve the effort to country level where action is most critical. A central aim of these networks is to build the capacity of countries to undertake multi-country and in-depth case study research, and to use the findings of that research to shape national plans and policies.

The need for a Countdown-like mechanism that provides independent analyses grounded in a collaborative partnership among academic institutions, UN agencies, governments, and other civil society members has never been greater. CD2030 will help ensure regular reporting on progress and performance at the global and country level, and will help foster the ability and appetite of country-based teams to conduct robust assessments of progress and investments.