Achieving Sustainable Development Goal (SDG) 3.2 in the five years remaining to 2030 will require a roughly one third reduction in global child deaths—from the current 5 million to 3.3 million.* Action is most urgently needed in the 60 countries off track to meet the target, including 45 in Africa, as reported by UNICEF
With child deaths projected to rise by more than 200,000 in 2025 to 4.8 million, and with global health financing under pressure, urgent action is needed to scale interventions that can reduce child mortality quickly, cost-effectively, and sustainably, especially in the off-track countries.
Expanding coverage of vaccines that prevent pneumonia—the leading infectious killer of children under five—is a critical opportunity. In 2023, pneumonia caused an estimated 610,000 child deaths, with 30% occurring among newborns and 70% among children aged 1–59 months, according to the Global Burden of Disease.
Although vaccines have driven roughly 40% of the decline in child mortality since 1990, pneumonia vaccines have fallen short of their lifesaving potential due to delayed introduction and low coverage.
Of the 14 vaccines that have saved at least 154 million lives over the past 50 years, pneumonia vaccines account for just 3%, including 2.85 million lives saved by the Haemophilus influenzae type b (Hib) vaccine and 1.6 million by the pneumococcal conjugate vaccine (PCV). Yet new estimates indicate that scaling PCV and new Respiratory syncytial virus (RSV) vaccines to full coverage could prevent 3.4 million child deaths by 2045.
With PCV coverage at 67%, far below the IA2030 target of 90%, and no low- or middle-income country apart from Brazil introducing the RSV vaccine, closing these gaps could dramatically increase the contribution of pneumonia vaccines to the child mortality reductions required for SDG achievement.
To accelerate uptake of RSV vaccines, the Stop RSV: Let the Science Talk! initiative will bring together leading scientific experts in RSV vaccination to share their views on the impact of these vaccines. Content will be distributed directly to policy makers and other decision-making audiences.
Goal
The group will be guided by an overarching goal:
Increase awareness of the new RSV maternal vaccine and its impact on saving lives and reducing healthcare costs to motivate governments with large numbers of RSV hospitalizations and deaths to commit to introducing RSV vaccine by 2030.
Countries targeted will include those with more than 400,000 child RSV episodes and high coverage of four antenatal visits (ANC) among pregnant women, including:
An additional eight countries who are also members of the Maternal Immunisation Readiness Network in Africa & Asia (MIRNA) will be targeted, including Kenya, Ghana, Ethiopia, Uganda, Pakistan, Bangladesh. Burkina Faso, and Nigeria. Close partnership with MIRNA will ensure these efforts are complementary.
*In 2030 there will be an estimated 131,000,000 live births according to UN World Population Prospects. Achieving a child mortality rate of 25 child deaths for every 1,000 babies born in 2030 translates into 3.3 million child deaths in that year.
Kintampo University
Ghana
Haramaya University
Ethiopia
Medical Research Institute
Kenya
Witwatersrand University
South Africa
Bayero University
Nigeria
Witwatersrand University
South Africa
Society of Microbiology and Infectious Diseases
Philippines
Federal Government Ministry of Health
Kenya
London School of Hygiene and Tropical Medicine
UK
Makerere University
Uganda
Aga Khan University
Pakistan
University of San Luis Potosí
Mexico
Clinical Research Unit of Nanoro
Burkina Faso
Child Health Research Foundation
Bangladesh
University of Rio Grande do Sul
Brazil
International Pediatrics Association
India
National Institute of Perinatology
Mexico
Universidad Nacional de San Martín
Argentina
St. Paul’s Hospital Millennium Medical College
Ethiopia
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