10 By 2010, Rwanda had tremendous increases in facility-based maternal and newborn health (MNH) care including skilled delivery therefore, improving facility newborn care quality became a key priority. 9 In response, Rwanda prioritized addressing neonatal mortality. However, similar to the global experience, neonatal mortality reduction lagged behind the success in reducing deaths after the first month of life. 7Īfter the health system devastation from the 1994 genocide, Rwanda rebuilt the health sector, experienced a 63% reduction in premature mortality between 20, 8 and achieved Millenni-um Development Goals 4 and 5. ![]() 4, 5 However, interventions targeting access without addressing quality have not resulted in reduction of neonatal mortality 6 improving care quality could prevent up to an estimate 71% of newborn deaths. 2 In response, a global movement has grown to accelerate progress, 3 and efforts have prioritized improving access along antenatal, delivery, and postnatal care. 1 However, the rate of progress in the neonatal period has been slower, with death in the first month of life accounting for 46% of under-5 deaths globally. ![]() Significant progress has been made worldwide in under-5 mortality, with more than 50% reduction from 1990 to 2015.
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