Based on inaugural analysis of disaggregated data from 87 low and middle income countries around the world, this report reveals that in more than three quarters of these countries, inequalities in child survival rates are actually worsening, resulting in some groups of children making far slower progress than their better-off peers. In 78 percent of the countries covered in the report, at least one social or economic group has fallen behind and is therefore making slower progress in reducing child mortality, and in 16 percent of these countries, inequalities in child survival rates have increased across all social and economic groups. Save the Children's analysis suggests that, without a true step change in action, the lottery of birth will continue into the future, slowing progress towards the ultimate goal of ending preventable child deaths for generations to come. However, tackling this inequality is possible. Almost a fifth of the countries in the report, including Rwanda, Malawi, Mexico, and Bangladesh, have successfully combined rapid and inclusive reductions in child mortality, achieving faster progress than most countries, while at the same time ensuring that no groups of children are left behind.
The agency calls for the international community to commit to ending preventable child deaths by 2030.The new development framework, which will replace the MDGs, will be agreed upon at the United Nations General Assembly in September 2015. This framework must set out ambitious child and maternal survival targets and commit to working towards universal health coverage.