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United Nations Department of Economic and Social Affairs Sustainable Development

The Survive and Thrive Global Development Alliance

    Description
    Description
    The Survive and Thrive Alliance is a public-private partnership established to achieve significant reduction in maternal and neonatal morbidity and mortality in low-resource settings through strengthening the performance of providers, as well as improving the quality of facility-based maternal, newborn and child health (MNCH) services to prevent maternal and child deaths. The US Government has joined with country nationals to implement, facilitate and integrate evidence-based interventions by mobilizing multi-sectorial technical experts from pediatric, obstetric and midwifery professional associations, private sector, and civil society to improve the quality of facility-based MNCH services in over 80 countries.
    Expected Impact

    The Alliance will replicate the five best practices that it had learned from the first phase.o Public Private PartnershipsIn partnering between the public and private sectors, the Alliance model emphasizes synergies of interest and builds on the complementary strengths of each partner while putting systems in place to mitigate conflicts of interest. Recognizing the potential power of public-private partnership among diverse organizations with complementary skills and assets and spurred by funding constraints, the Alliance supports common goals and jointly defined solutions to social or economic development problems; inclusion of non-traditional resource partners (companies, foundations, universities, professional associations, etc.); shared resources; and sustainable MNCH approaches.o Government as StewardThe Alliance strongly encourages all partner organizations to respect the principle of country-led and country-owned initiatives, seeks the guidance and coordination of ministries of health (MoHs), and involves host-country stakeholders in all Alliance activities. The Alliance implements all its activities within the national maternal and newborn health plan that is developed and owned by the participating national government and plays a supportive role to countries.o Engaged Professional AssociationsStrengthening national professional associations to 1) gain the organizational expertise required to become strong advocates for their professions and families they serve; and 2) develop MNCH champions in target countries through educational programming and ongoing mentorship.o Demystification, Simplification, Simulation, Innovation A hallmark of Survive and Thrive educational programs is the use of low-cost, evidence-based, purpose-driven innovations that are integrated with educational materials and quality improvement measures. The Alliance continuously looks for ways to improve, simplify and innovate the educational and life-saving technologies that are made available through the partnership. For example, through the use of a low-cost simulator designed to teach basic neonatal resuscitation skills, the alliance supports resuscitation simulation in training settings as well as in low-dose, high-frequency practice drills.o Clinical and Quality Improvement. Implementing countries recognize the importance of introducing quality improvement approaches such as refresher training, low dose high frequency simulation, mentoring, supportive supervision and certification to sustain and enhance trained professional skills at regular intervals.

    Capacity

    The first step often is engaging in a dialogue with the MoH, advocating for MNCH improvement and for reduction in newborn and maternal mortality. Working through its network of partners and hand-in-hand with governments, the Alliance identifies the key opinion leaders and policy makers in each country and develops a tailored approach to encourage exposure to S & T interventions among key stakeholders. Many of these local champions, often from the MoH and professional societies, are sponsored by development partners to attend regional or international training of trainers. This is often preceded by a stakeholder meeting at the national level to engage all stakeholders to begin the dialogue of whether and how to test, adapt and move forward with a tailored program model and approach to addressing the country’s MNCH goals. Inherent to the success of this process is the need for strengthened professional societies with established goals to improve maternal, newborn, and child health outcomes.Once governments and stakeholders in countries make a decision to introduce S & T interventions in their MNCH programs, Alliance partners provide support to the country partners in multiple ways including: reviewing and updating the national newborn and/or maternal care plans; adapting and integrating S &T interventions into existing MNCH national training materials; training master trainers and health providers in-country; conducting periodic supportive supervision in health facilities; facilitating the procurement of resuscitation equipment for health facilities; supporting evaluation approaches, facilitating interdisciplinary clinical initiatives and professional association organizational development, and exploring funding opportunities for the rollout and scale-up of the program in country.

    Governed

    To coordinate the activities, the Alliance has a designated Secretariat to coordinate members, a Steering Committee comprised of the founding member organizations, and monthly calls with all partners. Partners demonstrate that global public-private partnership is an effective strategy for rapid rollout of health interventions and professional association strengthening. The Alliance leverages and relies on each partner’s assets, cash and in-kind contributions, shared knowledge, influence, networks, and program platforms. Each partner facilitates coordination and harmonization of training methods and program approaches and contributes to reducing the cost of products such as medical devices and training materials. The Alliance influences global policy on interventions, shapes the global market for products, catalyses professional association capacity-building, stimulates the development of innovations and educational materials, and is a powerful force for advocacy through the widespread reach of its partners’ influence and networks.

    Partners
    Government: US Agency for International Development (USAID), Norwegian Agency for Development Cooperation (NORAD); Private Sector: Laerdal Global Health, Johnson & Johnson, University Research Corporation, Bill & Melinda Gates Foundation; NGO: Save the Children, Jhpiego, Global Health Media Project, Project CURE; FBO: Catholic Medical Mission Board, Latter-day Saint Charities, Professional Association: American Academy of Pediatrics (AAP), American College of Nurse Midwives (ACNM), American College of Obstetricians & Gynaecologists (ACOG), Sigma Theta Tau (STTI), International Pediatric Association (IPA), American Heart Association (AHA); Academic Institution: Earth Institute/Millennium Village-Columbia University

    Goal 4

    Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all

    Goal 4

    4.1

    By 2030, ensure that all girls and boys complete free, equitable and quality primary and secondary education leading to relevant and effective learning outcomes

    4.1.1

    Proportion of children and young people (a) in grades 2/3; (b) at the end of primary; and (c) at the end of lower secondary achieving at least a minimum proficiency level in (i) reading and (ii) mathematics, by sex

    4.1.2

    Completion rate (primary education, lower secondary education, upper secondary education)

    4.2

    By 2030, ensure that all girls and boys have access to quality early childhood development, care and pre-primary education so that they are ready for primary education

    4.2.1

    Proportion of children aged 24–59 months who are developmentally on track in health, learning and psychosocial well-being, by sex

    4.2.2

    Participation rate in organized learning (one year before the official primary entry age), by sex

    4.3

    By 2030, ensure equal access for all women and men to affordable and quality technical, vocational and tertiary education, including university

    4.3.1

    Participation rate of youth and adults in formal and non-formal education and training in the previous 12 months, by sex

    4.4

    By 2030, substantially increase the number of youth and adults who have relevant skills, including technical and vocational skills, for employment, decent jobs and entrepreneurship

    4.4.1

    Proportion of youth and adults with information and communications technology (ICT) skills, by type of skill

    4.5

    By 2030, eliminate gender disparities in education and ensure equal access to all levels of education and vocational training for the vulnerable, including persons with disabilities, indigenous peoples and children in vulnerable situations
    4.5.1

    Parity indices (female/male, rural/urban, bottom/top wealth quintile and others such as disability status, indigenous peoples and conflict-affected, as data become available) for all education indicators on this list that can be disaggregated

    4.6

    By 2030, ensure that all youth and a substantial proportion of adults, both men and women, achieve literacy and numeracy

    4.6.1

    Proportion of population in a given age group achieving at least a fixed level of proficiency in functional (a) literacy and (b) numeracy skills, by sex

    4.7

    By 2030, ensure that all learners acquire the knowledge and skills needed to promote sustainable development, including, among others, through education for sustainable development and sustainable lifestyles, human rights, gender equality, promotion of a culture of peace and non-violence, global citizenship and appreciation of cultural diversity and of culture’s contribution to sustainable development

    4.7.1

    Extent to which (i) global citizenship education and (ii) education for sustainable development are mainstreamed in (a) national education policies; (b) curricula; (c) teacher education and (d) student assessment

    4.a

    Build and upgrade education facilities that are child, disability and gender sensitive and provide safe, non-violent, inclusive and effective learning environments for all

    4.a.1

    Proportion of schools offering basic services, by type of service

    4.b

    By 2020, substantially expand globally the number of scholarships available to developing countries, in particular least developed countries, small island developing States and African countries, for enrolment in higher education, including vocational training and information and communications technology, technical, engineering and scientific programmes, in developed countries and other developing countries
    4.b.1

    Volume of official development assistance flows for scholarships by sector and type of study

    4.c

    By 2030, substantially increase the supply of qualified teachers, including through international cooperation for teacher training in developing countries, especially least developed countries and small island developing States

    4.c.1

    Proportion of teachers with the minimum required qualifications, by education level

    Goal 2

    End hunger, achieve food security and improved nutrition and promote sustainable agriculture

    Goal 2

    2.1

    By 2030, end hunger and ensure access by all people, in particular the poor and people in vulnerable situations, including infants, to safe, nutritious and sufficient food all year round

    2.1.1

    Prevalence of undernourishment

    2.1.2

    Prevalence of moderate or severe food insecurity in the population, based on the Food Insecurity Experience Scale (FIES)

    2.2

    By 2030, end all forms of malnutrition, including achieving, by 2025, the internationally agreed targets on stunting and wasting in children under 5 years of age, and address the nutritional needs of adolescent girls, pregnant and lactating women and older persons

    2.2.1

    Prevalence of stunting (height for age <-2 standard deviation from the median of the World Health Organization (WHO) Child Growth Standards) among children under 5 years of age

    2.2.2

    Prevalence of malnutrition (weight for height >+2 or <-2 standard deviation from the median of the WHO Child Growth Standards) among children under 5 years of age, by type (wasting and overweight)

    2.2.3

    Prevalence of anaemia in women aged 15 to 49 years, by pregnancy status (percentage)

    2.3

    By 2030, double the agricultural productivity and incomes of small-scale food producers, in particular women, indigenous peoples, family farmers, pastoralists and fishers, including through secure and equal access to land, other productive resources and inputs, knowledge, financial services, markets and opportunities for value addition and non-farm employment
    2.3.1

    Volume of production per labour unit by classes of farming/pastoral/forestry enterprise size

    2.3.2

    Average income of small-scale food producers, by sex and indigenous status

    2.4

    By 2030, ensure sustainable food production systems and implement resilient agricultural practices that increase productivity and production, that help maintain ecosystems, that strengthen capacity for adaptation to climate change, extreme weather, drought, flooding and other disasters and that progressively improve land and soil quality

    2.4.1

    Proportion of agricultural area under productive and sustainable agriculture

    2.5

    By 2020, maintain the genetic diversity of seeds, cultivated plants and farmed and domesticated animals and their related wild species, including through soundly managed and diversified seed and plant banks at the national, regional and international levels, and promote access to and fair and equitable sharing of benefits arising from the utilization of genetic resources and associated traditional knowledge, as internationally agreed

    2.5.1

    Number of (a) plant and (b) animal genetic resources for food and agriculture secured in either medium- or long-term conservation facilities

    2.5.2

    Proportion of local breeds classified as being at risk of extinction

    2.a

    Increase investment, including through enhanced international cooperation, in rural infrastructure, agricultural research and extension services, technology development and plant and livestock gene banks in order to enhance agricultural productive capacity in developing countries, in particular least developed countries
    2.a.1

    The agriculture orientation index for government expenditures

    2.a.2

    Total official flows (official development assistance plus other official flows) to the agriculture sector

    2.b

    Correct and prevent trade restrictions and distortions in world agricultural markets, including through the parallel elimination of all forms of agricultural export subsidies and all export measures with equivalent effect, in accordance with the mandate of the Doha Development Round

    2.b.1

    Agricultural export subsidies

    2.c

    Adopt measures to ensure the proper functioning of food commodity markets and their derivatives and facilitate timely access to market information, including on food reserves, in order to help limit extreme food price volatility

    2.c.1

    Indicator of food price anomalies

    Goal 17

    Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development

    Goal 17

    17.1

    Strengthen domestic resource mobilization, including through international support to developing countries, to improve domestic capacity for tax and other revenue collection

    17.1.1
    Total government revenue as a proportion of GDP, by source
    17.1.2
    Proportion of domestic budget funded by domestic taxes

    17.2

    Developed countries to implement fully their official development assistance commitments, including the commitment by many developed countries to achieve the target of 0.7 per cent of ODA/GNI to developing countries and 0.15 to 0.20 per cent of ODA/GNI to least developed countries; ODA providers are encouraged to consider setting a target to provide at least 0.20 per cent of ODA/GNI to least developed countries

    17.2.1
    Net official development assistance, total and to least developed countries, as a proportion of the Organization for Economic Cooperation and Development (OECD) Development Assistance Committee donors’ gross national income (GNI)

    17.3

    Mobilize additional financial resources for developing countries from multiple sources

    17.3.1

    Additional financial resources mobilized for developing countries from multiple sources 

    17.3.2
    Volume of remittances (in United States dollars) as a proportion of total GDP

    17.4

    Assist developing countries in attaining long-term debt sustainability through coordinated policies aimed at fostering debt financing, debt relief and debt restructuring, as appropriate, and address the external debt of highly indebted poor countries to reduce debt distress

    17.4.1
    Debt service as a proportion of exports of goods and services

    17.5

    Adopt and implement investment promotion regimes for least developed countries

    17.5.1

    Number of countries that adopt and implement investment promotion regimes for developing countries, including the least developed countries

    17.6

    Enhance North-South, South-South and triangular regional and international cooperation on and access to science, technology and innovation and enhance knowledge sharing on mutually agreed terms, including through improved coordination among existing mechanisms, in particular at the United Nations level, and through a global technology facilitation mechanism

    17.6.1

     Fixed broadband subscriptions per 100 inhabitants, by speed

    17.7

    Promote the development, transfer, dissemination and diffusion of environmentally sound technologies to developing countries on favourable terms, including on concessional and preferential terms, as mutually agreed

    17.7.1

    Total amount of funding for developing countries to promote the development, transfer, dissemination and diffusion of environmentally sound technologies

    17.8

    Fully operationalize the technology bank and science, technology and innovation capacity-building mechanism for least developed countries by 2017 and enhance the use of enabling technology, in particular information and communications technology

    17.8.1
    Proportion of individuals using the Internet

    17.9

    Enhance international support for implementing effective and targeted capacity-building in developing countries to support national plans to implement all the Sustainable Development Goals, including through North-South, South-South and triangular cooperation

    17.9.1

    Dollar value of financial and technical assistance (including through North-South, South‑South and triangular cooperation) committed to developing countries

    17.10

    Promote a universal, rules-based, open, non-discriminatory and equitable multilateral trading system under the World Trade Organization, including through the conclusion of negotiations under its Doha Development Agenda

    17.10.1
    Worldwide weighted tariff-average

    17.11

    Significantly increase the exports of developing countries, in particular with a view to doubling the least developed countries’ share of global exports by 2020

    17.11.1

    Developing countries’ and least developed countries’ share of global exports

    17.12

    Realize timely implementation of duty-free and quota-free market access on a lasting basis for all least developed countries, consistent with World Trade Organization decisions, including by ensuring that preferential rules of origin applicable to imports from least developed countries are transparent and simple, and contribute to facilitating market access

    17.12.1

    Weighted average tariffs faced by developing countries, least developed countries and small island developing States

    17.13

    Enhance global macroeconomic stability, including through policy coordination and policy coherence

    17.13.1
    Macroeconomic Dashboard

    17.14

    Enhance policy coherence for sustainable development

    17.14.1
    Number of countries with mechanisms in place to enhance policy coherence of sustainable development

    17.15

    Respect each country’s policy space and leadership to establish and implement policies for poverty eradication and sustainable development 

    17.15.1
    Extent of use of country-owned results frameworks and planning tools by providers of development cooperation

    17.16

    Enhance the Global Partnership for Sustainable Development, complemented by multi-stakeholder partnerships that mobilize and share knowledge, expertise, technology and financial resources, to support the achievement of the Sustainable Development Goals in all countries, in particular developing countries

    17.16.1

    Number of countries reporting progress in multi-stakeholder development effectiveness monitoring frameworks that support the achievement of the Sustainable Development Goals

    17.17

    Encourage and promote effective public, public-private and civil society partnerships, building on the experience and resourcing strategies of partnerships 

    17.17.1

    Amount in United States dollars committed to public-private partnerships for infrastructure

    17.18

    By 2020, enhance capacity-building support to developing countries, including for least developed countries and small island developing States, to increase significantly the availability of high-quality, timely and reliable data disaggregated by income, gender, age, race, ethnicity, migratory status, disability, geographic location and other characteristics relevant in national contexts

    17.18.1

    Statistical capacity indicators

    17.18.2
    Number of countries that have national statistical legislation that complies with the Fundamental Principles of Official Statistics
    17.18.3

    Number of countries with a national statistical plan that is fully funded and under implementation, by source of funding

    17.19

    By 2030, build on existing initiatives to develop measurements of progress on sustainable development that complement gross domestic product, and support statistical capacity-building in developing countries

    17.19.1
    Dollar value of all resources made available to strengthen statistical capacity in developing countries
    17.19.2

    Proportion of countries that (a) have conducted at least one population and housing census in the last 10 years; and (b) have achieved 100 per cent birth registration and 80 per cent death registration

    Goal 3

    Ensure healthy lives and promote well-being for all at all ages

    Goal 3

    3.1

    By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births
    3.1.1

    Maternal mortality ratio

    3.1.2

    Proportion of births attended by skilled health personnel

    3.2

    By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births
    3.2.1

    Under-five mortality rate

    3.2.2

    Neonatal mortality rate

    3.3

    By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases

    3.3.1

    Number of new HIV infections per 1,000 uninfected population, by sex, age and key populations

    3.3.2

    Tuberculosis incidence per 100,000 population

    3.3.3

    Malaria incidence per 1,000 population

    3.3.4

    Hepatitis B incidence per 100,000 population

    3.3.5

    Number of people requiring interventions against neglected tropical diseases

    3.4

    By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being
    3.4.1

    Mortality rate attributed to cardiovascular disease, cancer, diabetes or chronic respiratory disease

    3.4.2

    Suicide mortality rate

    3.5

    Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol

    3.5.1

    Coverage of treatment interventions (pharmacological, psychosocial and rehabilitation and aftercare services) for substance use disorders

    3.5.2

    Alcohol per capita consumption (aged 15 years and older) within a calendar year in litres of pure alcohol

    3.6

    By 2020, halve the number of global deaths and injuries from road traffic accidents
    3.6.1

    Death rate due to road traffic injuries

    3.7

    By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes

    3.7.1

    Proportion of women of reproductive age (aged 15-49 years) who have their need for family planning satisfied with modern methods

    3.7.2

    Adolescent birth rate (aged 10-14 years; aged 15-19 years) per 1,000 women in that age group

    3.8

    Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

    3.8.1

    Coverage of essential health services

    3.8.2

    Proportion of population with large household expenditures on health as a share of total household expenditure or income

    3.9

    By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination
    3.9.1

    Mortality rate attributed to household and ambient air pollution

    3.9.2

    Mortality rate attributed to unsafe water, unsafe sanitation and lack of hygiene (exposure to unsafe Water, Sanitation and Hygiene for All (WASH) services)

    3.9.3

    Mortality rate attributed to unintentional poisoning

    3.a

    Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate
    3.a.1

    Age-standardized prevalence of current tobacco use among persons aged 15 years and older

    3.b

    Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all

    3.b.1

    Proportion of the target population covered by all vaccines included in their national programme

    3.b.2
    Total net official development assistance to medical research and basic health sectors
    3.b.3

    Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis

    3.c

    Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
    3.c.1

    Health worker density and distribution

    3.d

    Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

    3.d.1

    International Health Regulations (IHR) capacity and health emergency preparedness

    3.d.2

    Percentage of bloodstream infections due to selected antimicrobial-resistant organisms

    Name Description
    Trained and equipped over 300,000 health providers in newborn resuscitation (Helping Babies Breathe) in 80 countries during 2010-2015.
    : Trained and equipped 24,565 health providers in Helping Babies Survive and Helping Mothers Survive interventions in 20 countries during 2012-2016.
    Reached 6,000 facilities in 5 countries during 2012-2016; Reach 10,000 facilities in countries with the highest neonatal and maternal mortality by 2017.
    10 professional associations strengthened in India, Ethiopia, Nigeria, Malawi, and Myanmar by 2017.
    Staff / Technical expertise
    o The three professional associations (AAP, ACOG, and ACNM) have contributed more than $13 million in in-kind technical expertise between 2012-early 2016. More than 15 global health advisors representing multi-disciplinary areas of clinical expertise have
    Other, please specify
    o USAID has contributed more than $4.4 million in financing from the start of the alliance in 2012 through January 2016. This financing has supported technical expert travel for key stakeholders, training, and planning meetings associated with the Allianc
    Other, please specify
    o Two of the founding private sector partners, Johnson & Johnson and Laerdal Global Health, have contributed more than $9 million in financial support and in-kind donations that have supported the distribution of simulation equipment necessary for trainin
    Other, please specify
    o Latter-day Saint Charities has contributed more than $7 million in financial support, in-kind donations of equipment, and technical expertise towards the delivery of critical components of GDA activities and in-country partner relationships.
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    False
    This initiative does not yet fulfil the SMART criteria.
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    Timeline
    01 January 1970 (start date)
    01 January 1970 (date of completion)
    Entity
    The American Academy of Pediatrics
    SDGs
    Geographical coverage
    Elk Grove Village, Illinois, United States
    Countries
    United States of America
    United States of America
    Contact Information

    Angela Tobin, Secretariat, Survive & Thrive Global Development Alliance