Promoting progress in child survival across four African countries: the role of strong health governance and leadership in maternal, neonatal and child health.

ABSTRACT: Despite numerous international and national efforts, only 12 countries in the World Health Organization's African Region met the Millennium Development Goal #4 (MDG#4) to reduce under-five mortality by two-thirds by 2015. Given the variability across sub-Saharan Africa, a four-country study was undertaken to examine barriers and facilitators of child survival prior to 2015. Liberia and Zambia were chosen to represent countries making substantial progress towards MDG#4, while Kenya and Zimbabwe represented countries making less progress. Our individual case studies suggested that strong health governance and leadership (HGL) was a significant driver of the greater success in Liberia and Zambia compared with Kenya and Zimbabwe. To elucidate specific components of national HGL that may have s

SUBMITTER: Haley CA 

PROVIDER: S-EPMC6479825 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature