The strategy chronicles the progress made across 25 countries since 2012, and lays out an action plan for country-led programs to measurably improve health outcomes for women and children through an intensified focus on coverage, quality, and equity. USAID’s new framework calls on the international community to draw from lessons learned, renew momentum towards the 2030 Sustainable Development Goals, and work together to improve global maternal and child survival.


  • Since the 2012 Call to Action, USAID has enabled 44 million women to give birth in a health facility, reached 33 million newborns with care after delivery, and trained 14 million health workers in maternal and child health and nutrition.
  • In this new framework, USAID envisions a world where all women, newborn and children survive, are healthy and are able to develop and reach their full potential.
    • Objective 1: Reduce preventable child and maternal mortality in 25 priority countries to 12 percent or lower of total deaths by 2030
    • Objective 2: Increase coverage levels of lifesaving interventions across priority countries to a level of 68 by 2030, as measured by the reproductive, maternal, newborn, and child health (RMNCH) service coverage sub index.
  • Strategic approaches will anchor response in primary health care systems, reach the hardest-to-reach populations, catalyze country commitment and mutual accountability, invest in the health workforce as the foundation of health systems, identify bottlenecks and tailor solutions through locally led development and generate and use data, evidence, and learning for decision-making.

How to Use

Stakeholders can use this framework as an a blueprint to improve health outcomes for women and children, incorporating components into implementation plans and policies.