Friberg, I.K., et al., Sub-Saharan Africa's mothers, newborns, and children: how many lives could be saved with targeted health interventions? PLoS Med, 2010. 7(6): p. e1000295.
- Sub-Saharan Africa is at a critical point for achieving the Millennium Development Goals for maternal and child survival. Time is short so strategic action is needed now to maximize mortality reduction by 2015.
- We estimated mortality reduction for 42 sub-Saharan African countries if high coverage of MNCH interventions was achieved, using the Lives Saved Tool (LiST). Nearly 4 million African women, newborns, and children need not die each year if already well known interventions reached 90% of families.
- We also undertook a detailed analysis of nine African countries that estimated mortality reductions and additional cost for feasible increases in coverage of selected high-impact MNCH interventions considering three differing health system contexts. It revealed that a 20% coverage increase for selected community-based/outreach interventions would save an estimated 486,000 lives and cost an additional US$1.21 per capita. Increasing the quality of current facility births would save 105,000 lives and cost an additional US$0.54 per capita.
- Functioning health systems require both community-based or outreach services and facility-based care. Maximizing mortality impact for Africa's mothers, newborns, and children depends on using local data to prioritize the most effective mix of interventions, while building a stronger health system.