sowm_2015__int__africa_full_report_low_res

ensures the poorest and marginalized access to
basic health services, clean water, sanitation and
other basic resources.
b. Include smart, measurable targets to
reduce child and newborn deaths. In 2012,
over 174 nations pledged to end preventable
child and maternal deaths within a generation
at the Child Survival Call to Action Meeting
hosted by the United States, Ethiopia and India
and to end newborn deaths in 2014. The world
has already committed to this ambitious yet
achievable goal. The final post-2015 framework
should include a specific target to reduce child
mortality rates to 25 per 1,000 births and reduce
newborn deaths to 9 per 1,000 births.
c. Commitment to leaving no one behind
by embedding equity in the final post-2015
framework. While we have made tremendous
progress in reducing maternal and child deaths
over the last two decades, not all mothers and
children benefited from this progress. This is
especially true for the urban poor. Within the
context of the post-2015 framework to address
the inequities, explicit attention should be given
to advancing strategies to addressing the inequities
that exist within urban populations, as well
as among and within other disadvantaged social
and economic groups.
• Improving the quality and disaggregation
of data will be critical for monitoring this
commitment, and for identifying intersecting
inequalities including those within urban areas
(see below).
• The final post-2015 framework should include
mechanisms to ensure that progress is being
made among all social and economic groups.
One such mechanism is stepping stone targets.
Stepping stone targets are interim benchmarks
for disadvantaged groups, and should accompany
the final post-2015 targets across all goal
areas. These targets will specify progress that
disadvantaged groups must be making in the
run-up to 2030 and ensure they are on track
for achieving the final targets. For reducing
child mortality among all groups by 2022,
this should include closing the gap between
slum dwellers and urban poor and more
advantaged groups.
• The framework should ensure that all mothers,
newborns and children have access to
quality essential health services and other
basic resources no matter where they live, how
wealthy they are, or on the basis of their ethnic
identity. This should include targets on the
coverage of key health interventions and financial
risk protection for health, tracked through
disaggregated data.
• Include an explicit commitment that no target
will be considered to have been met unless
it has been met for all social and economic
groups. This means that the proposed targets
for child and newborn mortality should be
achieved by all sectors of society within a
country, not just at the national level.
Lampung, Indonesia
48 Take Action Now for the Urban Poor