As Chapter 1 indicates, despite the general progress that has been achieved, major challenges persist around each of the three objectives of Every Woman Every Child Global Strategy for Women’s, Children’s and Adolescents’ Health (EWEC Global Strategy).
Under “survive”, there is still a high toll of preventable deaths among women, children and adolescents, and also of stillbirths. There are continuing epidemics of communicable and noncommunicable diseases, emerging challenges from environmental pollution and climate change, and humanitarian crises that hinder progress: their impact is especially devastating in already fragile settings.
Under “thrive”, multiple barriers to good-quality health and health-related services – including for nutrition, early childhood and adolescent health and development, and sexual and reproductive health services and rights – prevent millions of women, children and adolescents from realizing their full potential and their human right to the highest attainable standard of health and well-being.
Under “transform”, issues such as children not being registered at birth, poverty, gender inequality, lack of education, weak health systems, lack of adequate water, sanitation and hygiene, air pollution, gender-based violence and discrimination constitute both violations of rights and barriers to progress. These issues often intersect, leading to even greater vulnerabilities and increased risks of preventable death, illness and injury.