What We Do

Maternal, Newborn & Child Health

Strategy Overview

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A mother and newborn at a health center in the Patna district of Bihar, India.

our goal:

To ensure that women and newborns remain healthy before, during, and after childbirth, including by identifying and addressing underlying vulnerabilities to poor health.

The Challenge

At A Glance

In high-burden communities, millions of women and newborns die during childbirth and the first month of life – the majority, due to preventable causes.

We channel our resources to understand and address underlying risks to keep women and their children healthy.

We work to strengthen health care systems to support the sustainable scale up of high-impact interventions, including a focus on improving the quality of care.

We advocate for evidence-based policies and programs and the better coordination of donor and domestic resources for health.

Our Maternal, Newborn & Child Health Program is led by Amy Pollack and is part of the foundation’s Global Development Division.

While maternal deaths worldwide have dropped by 44 percent since 1990, roughly 800 women still die every day from preventable causes related to pregnancy and childbirth. Almost all these deaths occur in low-income settings due to conditions that include severe bleeding, infection, high blood pressure, and complications during delivery.

Maternal health is closely linked to newborn survival, as vulnerabilities to illness can pass from mother to child. While great strides have been made in reducing global under-five child mortality, newborns now account for 46 percent of all childhood deaths. Each year, 2.6 million newborns die within their first month of life, and an additional 2.6 million are stillborn. The main causes are complications due to prematurity, complications during delivery, and infection.

Proven, high-impact interventions are still not reaching all of those in need. Although facility births are increasing across regions and income groups, quality of care also remains a challenge. Primary health care systems are often ill-equipped to prevent or address underlying causes of illness. Resourcing for health is often insufficient or fragmented and accountability for policy implementation is lacking in many settings.

The Opportunity

The development and implementation of proven, cost-effective interventions has led to significant improvements in maternal and newborn health over the past decades.

A home visit with a mother and newborn in the Patna district of Bihar, India.

There is an opportunity to build on this progress by better targeting and addressing the root causes of poor maternal and newborn health through both known and new packages of interventions.

Given increasing competition for finite donor resources, the pathway to impact also requires influencing and supporting country priorities and domestic health financing, including by working more intentionally through national, regional and global levers to accelerate the adoption, adaptation and scale-up of intervention packages.

Our Strategy

The Bill & Melinda Gates Foundation’s Maternal, Newborn & Child Health program envisions a world in which healthy mothers deliver healthy babies, receiving quality care from skilled and well-equipped health care workers. We invest in efforts to better understand and develop products to address underlying vulnerabilities and promote resilience among women and children. We also prioritize efforts to develop and deploy innovative systems and practices to improve the productivity, quality, and responsiveness of primary health care systems to maximize the efficacy of interventions.

A mother and newborn at Dalocha Health Center in Ethiopia.

We work closely with governments, bilateral agencies, multilateral organizations, civil society, and the private sector, and collaborate with other programs at the foundation, including Maternal, Newborn & Child Health Discovery & Tools, a group comprised of initiatives from Enteric and Diarrheal Diseases, Discovery & Translational Sciences, Pneumonia, Integrated Delivery, Family Planning, Nutrition, Program Advocacy & Communications and the foundation’s regional offices in Ethiopia, India and Nigeria.

The Maternal, Newborn & Child Health program supports work at the country level and uses national, regional and global policy and financing levers to increase coverage at scale.

Areas of Focus

Upstream: Developing Innovative Products to Address Root Causes of Poor Health

A new mother in Katsina, Nigeria, practices kangaroo mother care with her newborn who was born prematurely. © Save the Children

The upstream work supports research and development to understand and address biological susceptibilities to illnesses in pregnant women and during the earliest stages of life.

Across both research and product development, we focus on optimizing birth and health outcomes for mothers and newborns, improving resistance to disease, particularly among vulnerable populations.


Downstream: Maximizing Investments and Strengthening Systems

A new mother practices kangaroo mother care at Bwaila Hospital in Lilongwe, Malawi.

The downstream work focuses on aligning programmatic and advocacy investments to maximize health outcomes and strengthen primary health care systems. Specifically, this work includes: testing new interventions that target maternal and newborn morbidity and mortality; increasing coverage of key Maternal, Newborn & Child Health interventions through strengthened primary health care systems; and advancing evidence-based recommendations to accelerate the adoption of innovations by global and country decision-makers.

Our partners help gather, assess, and share critical data on maternal and newborn health, so it informs policies, and we look for opportunities to maximize health financing to support program implementation. As part of this effort, we are helping to develop a standardized set of indicators for health targets and measurements to guide planning, monitoring, and decision making.

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