Abstract
Under-5 mortality decreased significantly worldwide between 2000 and 2015, but there is still progress to be made, particularly in lower- and middle-income countries. This supplement shares the work over the last four years on a project to understand how six countries (Bangladesh, Ethiopia, Nepal, Peru, Rwanda, and Senegal) were more successful in decreasing child mortality than many of their regional and economic peers. The use of implementation research across these countries identifies common implementation strategies and contextual factors that can facilitate or impede successful implementation of an evidence-based intervention and explores a common pathway to implementation. The work highlights how the use of implementation research to understand the “how” and the “why” behind countries’ success provides important actionable knowledge and lessons to country-level decision-makers, donors, and implementers as we arrive at the midpoint of the Sustainable Development Goal era.
| Original language | English (US) |
|---|---|
| Article number | 654 |
| Journal | BMC Pediatrics |
| Volume | 23 |
| Issue number | Suppl 1 |
| DOIs | |
| State | Published - Feb 2024 |
Funding
We would like to thank the Exemplars team at Gates Ventures, Simon Hay from the Institute for Health Metrics and Evaluation, Seattle, Washington, Cesar Victora from the International Center for Equity in Health, Federal University of Pelotas, Brazil, and the team who worked with us on this project over time. We also want to acknowledge and thank our research partners in Nepal, Rwanda, Bangladesh, Ethiopia, Senegal, and Peru, as well as the key informants and other stakeholders who provided essential information, historical perspectives and narratives, and feedback on the findings of the work included in this supplement, ensuring we captured the most accurate reflection possible on these countries’ journeys to reducing under-5 mortality. This article has been published as part of BMC Pediatrics Volume 23 Supplement 1, 2023: Understanding Success: Multi-country implementation research in U5M reduction. The full contents of the supplement are available online at https://bmcpediatr.biomedcentral.com/articles/supplements/volume-23-supplement-1. This work was supported by The Bill & Melinda Gates Foundation grant [OPP1191491]. Funding was provided by Gates Ventures.
Keywords
- Amenable mortality
- Contextual factors
- Implementation science
- Implementation strategies
- Low- and middle-income countries
- Under-5 mortality
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
