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Every Child Deserves a 5th Birthday. The U.S. Government’s Contribution to A Promise Renewed.


Nearly 7 million children will die this year before they reach their 5th birthday. That number is almost equivalent to the entire population of New York City. And, even more disturbing, most of these children will die from preventable causes.

We have the tools, we have the knowledge, and we must match them with our unshakeable commitment to save millions of lives.
- UNICEF Executive Director Anthony Lake

At the same time, as a global community, we have made staggering progress in the reduction of child mortality. Over the last 50 years, child mortality has been reduced by 70%. This result is largely due to high-impact tools and interventions for child survival, notably new vaccines and more community health workers.

However, we must not let this progress hide the reality that nearly 7 million children are at risk every year. In rich and poor countries alike, the poorest and most disadvantaged children continue to miss out on lifesaving, affordable interventions.

The tremendous declines in child mortality in Rwanda, (over 50%), and the 28% decline in both Tanzania and Ethiopia prove that these simple, cost-effective interventions can save lives. Now is the time for every nation to build on this proven success.

All governments and citizens are responsible for the survival of their most vulnerable children. Stakeholders in every country – from the government to civil society to the faith community to the private sector – are responsible for the survival of the world's children. Their existing commitments as well as future commitments must be fulfilled.

Ending preventable child deaths is possible, if we all work together.