,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #ehfb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #aa1 #bjad   
,mrs4 ,capps introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,=eign  
,affairs  ,a ,,bill  ,to provide        
assi/ance to improve mat]nal & newborn  
heal? 9 develop+ c\ntries1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,improvem5ts 9 ,global     
,mat]nal & ,newborn ,heal? ,outcomes    
:ile ,maximiz+ ,successes ,act or       
,improvem5ts 9 ,global ,,moms ,act4  #b4
 ,f9d+s & purposes  7a7 ,f9d+s ,congress
 f9ds ! foll[+3  7#a7 ,9 #bjjj1 ! ,unit$
 ,/ates jo9$ #ahh o!r c\ntries 9        
support+ ! #h ,unit$ ,nations ,mill5nium
 ,developm5t ,goals 7,m,d,gs71 includ+  
,,mdg #d1 :i* aims to r$uce *ild        
mortality by two-?irds & ,,mdg #e1 :i*  
aims to r$uce ! mat]nal mortality ratio 
by ?ree-qu>t]s by #bjae4 ,9 #bjje1      
univ]sal access to reproductive heal? 0 
add$ z a t>get = ,,mdg #e4  7#b7        
,sub/antial progress 9 mat]nal heal? has

 be5 made4 ,! total numb] ( mat]nal     
dea?s decreas$ by ov] #ej p]c5t f       
#ebi1jjj mat]nal dea?s 9 #bjjj to       
#bhg1jjj mat]nal dea?s 9 #bjaj4 ,egypt1 
,honduras1 ,malaysia1 ,sri ,lanka1 &    
p>ts ( ,banglade% h all halv$ _! mat]nal
 mortality ratios ov] ! pa/ few decades4
  7#c7 ,:ile significant progress has   
be5 made 9 r$uc+ mat]nal mortality1 !   
,unit$ ,nations reports t curr5t mat]nal
 mortality levels are f> remov$ f !     
#bjae t>get4  7#d7 ,wom5 9 develop+     
c\ntries are ne>ly #ajj times m likely  
to die ( complications dur+ pregnancy or
 *ildbir? ?an 9 develop$ c\ntries1 )    
high] rates = wom5 liv+ 9 rural areas & 
among poor] communities4  7#e7 ,! ,unit$
 ,/ates ,ag5cy = ,int]national          
,developm5t 7,,usaid7 e/imates ! global 
economic impact ( mat]nal & newborn     
mortality at #ae billion 9 lo/          
productivity e ye>4  7#f7 ,annually1    
#bhg1jjj wom5 die f complications dur+  
pregnancy or *ildbir?1 ) #ii p]c5t ( ^! 
dea?s occurr+ 9 develop+ c\ntries4 ,six 

c\ntries--,afghani/an1 ! ,democratic    
,republic ( ,congo1 ,e?iopia1 ,india1   
,nig]ia1 & ,paki/an--acc\nt = almo/     
"o-half ( all mat]nal dea?s worldwide4  
7#g7 ,x is e/imat$ t up to #ij p]c5t (  
^! mat]nal dea?s are prev5table4 ,)     
access to m$ic9es & skill$ heal? c>e    
provid]s1 mo/ wom5 across ! _w c expect 
a successful deliv]y & a heal?y newborn4
  7#h7 ,! lead+ cause ( mat]nal dea?s is
 hemorrhage4 ,o!r prim>y causes (       
mat]nal dea? include sepsis1 hyp]t5sive 
disord] 7pre-eclampsia_/eclampsia71     
unsafe abortion1 & prolong$ or ob/ruct$ 
labor4  7#i7 ,an ess5tial "p ( ensur+ a 
woman survives pregnancy & *ildbir?     
includes access to mat]nal heal? m$ic9es
 & o!r supplies4 ,ut]otonics prev5t &   
treat po/p>tum hemorrhage by caus+      
contractions ( ! ut]us dur+ & aft]      
*ildbir?1 effectively controll+         
excessive ble$+4 ,if ut]otonic m$ic9es1 
su* z oxytoc9 & misopro/ol1 7 available 
to all wom5 giv+ bir? ov] a #aj-ye>     
p]iod1 approximately #da million        

po/p>tum hemorrhage cases c\ld be       
prev5t$ & #a4d million wom5's lives     
sav$4  7#aj7 ,pregnancy is ! lead+ kill]
 ( adolesc5t girls ages #ae to #ai 9 !  
develop+ _w4 ,ne>ly #gj1jjj adolesc5t   
girls die e ye> because _! bodies are n 
ready = *ildbir?4 ,comp>$ to wom5 9 _!  
tw5ties1 adolesc5t girls ag$ #ae to #ai 
are twice z likely to die 9 *ildbir?1 & 
girls "u #ae are five times z likely to 
die1 & mortality & morbidity rates are  
also high] among infants born to "y     
mo!rs4  7#aa7 ,= e mat]nal dea?1        
approximately #bj wom5 & girls exp]i5ce 
s]i\s or long-t]m negative heal?        
consequ5ces4 ,sev]e pregnancy-relat$    
injuries include fi/ula1 ut]9e prolapse1
 infections1 diseases1 & disabilities4  
,mat]nal morbidities accrue an e/imat$  
global co/ ( #f4h billion4  7#ab7       
,heal?y tim+ & spac+ ( pregnancy has a  
p[]ful impact on ! *ances ( survival =  
wom51 newborns1 infants1 & *ildr54      
,access to volunt>y family plann+ plays 
an ess5tial role 9 improv+ mat]nal      

heal?4  7#ac7 ,delay+ a fir/ pregnancy  
until at lea/ #ah ye>s old1 wait+ at    
lea/ #bd mon?s to become pregnant aft] a
 live bir?1 & wait+ at lea/ #f mon?s    
aft] a misc>riage or induc$ abortion1 c 
r$uce all mat]nal mortality by #cj p]c5t
 & prev5t #gj1jjj dea?s p] ye> ( wom5 :o
 die f unsafe abortion4  7#ad7 ,heal?y  
tim+ & spac+ ( bir? c also r$uce newborn
 & *ild dea? by m ?an #ej p]c5t4 ,*ildr5
 born less ?an two ye>s aft] ! previ\s  
bir? are approximately #b4e times m     
likely to die be=e ! age ( five ?an     
*ildr5 born ?ree to five ye>s aft] !    
previ\s bir?4  7#ae7 ,if all wom5 :o    
want$ to delay or avoid pregnancy _h    
access to mod]n contraception1 #bf      
million abortions w\ld be av]t$4  7#af7 
,m ?an #bbj million wom5 9 develop+     
c\ntries :o w\ld pref] to delay or avoid
 *ildbe>+ lack access to safe &         
effective family plann+ me?ods4 ,less   
?an "o-half ( m>ri$ wom5 ( reproductive 
age 9 ,s\? ,asia & less ?an #be p]c5t ( 
wom5 9 sub-,sah>an ,africa use mod]n    

contraceptives4 ,9 #bjab1 an e/imat$ #hj
 million wom5 9 develop+ c\ntries _h an 
un9t5d$ pregnancy4  7#ag7 ,x is e/imat$ 
t if #abj million m wom5 _h access to   
family plann+ in=mation1 s]vices &      
supplies1 )\t co]cion or discrim9ation  
by #bjbj1 #bjj1jjj few] girls & wom5    
w\ld die dur+ pregnancy & *ildbir?1 !re 
w\ld be #ajj million few] un9t5d$       
pregnancies1 !re w\ld be #ej million    
few] abortions1 & #c million few]       
infants w\ld die 9 _! fir/ ye> ( life4  
7#ah7 ,viol5t acts aga9/ pregnant wom5 c
 also lead to poor heal? outcomes = wom5
 & _! babies1 includ+ misc>riage1       
pre-t]m bir?1 l[ bir?weight1 /illbir?s1 
& mat]nal dea?s4 ,! risk = mat]nal      
mortality is #c times z high = abus$    
mo!rs4 ,9 em]g5cy sett+s1 g5d]-bas$     
viol5ce rates cont9ue to increase4      
7#ai7 ,accord+ to ! ,_w ,heal?          
,organization 7,,:o71 wom5 t h und]gone 
female g5ital mutilation_/cutt+ are     
significantly m likely to exp]i5ce s]i\s
 po/p>tum heal? problems ?an ^? :o h n  

und]gone female g5ital mutilation1 &    
*ildr5 born to mo!rs :o h und]gone      
female g5ital mutilation face high] dea?
 rates imm$iately aft] bir?4  7#bj7     
,mat]nal heal? is inextricably ti$ to   
newborn heal? & survival4 ,9 "s c\ntries
 9 ! develop+ _w ! risk ( newborn dea?  
d\bles foll[+ mat]nal dea?4 ,!          
conditions 9 ut]o1 dur+ labor1 deliv]y1 
& %ortly aft] bir? h a direct           
relation%ip on newborn outcomes4  7#ba7 
,9 #bjab1 #b4i million newborns or #dd  
p]c5t ( total "u-five mortality did n   
survive ! fir/ mon? ( life4 ,"o million 
( ^! dea?s occurr$ dur+ ! fir/ day (    
life4  7#bb7 ,! lead+ causes ( newborn  
mortality include prematurity1          
intrap>tum complications 7includ+ bir?  
asphyxia71 & neonatal infections4 ,ov]  
two-?irds ( ^! dea?s c\ld be prev5t$    
?r\gh l[-co/ m$ic9es1 products1 &       
int]v5tions t w\ld n require int5sive   
c>e4  7#bc7 ,9 addition to newborn      
mortality !re are an additional #b4fe   
million /illbir?s ea* ye> t are n       

includ$ 9 newborn or "u-five mortality  
/ati/ics4  7#bd7 ,wom5 9 ,africa are #bd
 times m likely to h a /illbir? ?an wom5
 9 high-income c\ntries4  7#be7 ,9      
develop+ c\ntries1 ne>ly "o-?ird (      
/illbir? babies 7 alive :5 labor began4 
,if #ii p]c5t ( wom5 9 develop+ c\ntries
 _h compreh5sive em]g5cy ob/etric c>e1  
ne>ly #gjj1jjj /illbir?s c\ld be prev5t$
 ea* ye>4  7#bf7 ,9 _m develop+         
c\ntries1 lack ( access to quality heal?
 c>e facilities1 heal? s]vices1 & tra9$ 
provid]s results 9 dea?s = mo!rs1       
newborns1 & *ildr5--! majority ( bir?s 9
 ,africa take place )\t a skill$        
att5dant pres5t or ! necess>y m$ic9es & 
m$ical supplies1 increas+ ! risk ( dea? 
or disability = bo? "m & newborn4  7#bg7
 ,if family plann+ & mat]nal & newborn  
s]vices 7 provid$ simultane\sly1 ! co/s 
( ^! s]vices w\ld decl9e by #a4e billion
 & w\ld result 9 a #gj p]c5t decl9e 9   
mat]nal dea?s & a #dd p]c5t decl9e 9    
newborn dea?s4  7#bh7 ,m ?an "o-half (  
all *ildr5 & pregnant wom5 9 develop+   

c\ntries suff] f anemia1 :i* is         
exac]bat$ by mal>ia1 neglect$ tropical  
diseases1 & nutritional deficits1 caus+ 
adv]se pregnancy outcomes & ev5 dea?4   
7#bi7 ,mat]nal dea?s worldwide c\ld be  
r$uc$ by #fj1jjj p] ye> if wom5 receiv$ 
appropriate ,,hiv diagnosis & treatm5t4 
7#cj7 ,) prop] int]v5tions1 !           
transmission ( ,,hiv betwe5 wom5 & _!   
infants dur+ pregnancy & brea/fe$+ c be 
r$uc$ to #e p]c5t 9 ! develop+ _w4 ,!   
,,:o recomm5ds e>ly diagnosis & imm$iate
 treatm5t = *ildr5 id5tifi$ z ,,hiv     
positive because1 )\t treatm5t1 half (  
^! *ildr5 w die be=e ! age ( two4  7#ca7
 ,n9e out ( t5 wom5 9 sub-,sah>an       
,africa w lose a *ild dur+ _! lifetimes1
 & only #cj p]c5t ( wom5 9 sub-,sah>an  
,africa h contact ) a heal? work] aft]  
giv+ bir?4  7#cb7 ,accord+ to !         
,director ( ,national ,intellig5ce's    
#bjji ,annual ,?reat ,assessm5t1        
widespread poor mat]nal & *ild heal? &  
malnutrition has ! pot5tial to weak5    
c5tral gov]nm5ts & emp[] non-/ate       

actors1 includ+ t]rori/ & p>amilit>y    
gr\ps4  7#cc7 ,! exp]i5ces ( ,unit$     
,/ates ,gov]nm5t-support$ &             
nongov]nm5tal organization mat]nal &    
*ild heal? programs 9 c\ntries su* z    
,nepal1 ,e?iopia1 & ,s5egal h demon/rat$
 t community-bas$ approa*es1 l9k$ to    
prim>y & ref]ral c>e :5 possible1 c     
deliv] high-impact int]v5tions to prev5t
 or treat _m ( ! life-?reat5+ conditions
 affect+ mo!rs & newborns4  7b7         
,purposes ,! purposes ( ?is ,act are--  
7#a7 to au?orize assi/ance to improve   
mat]nal & newborn heal? 9 develop+      
c\ntries2 &  7#b7 to develop a /rategy  
to r$uce mortality & morbidity & improve
 mat]nal & newborn heal? 9 develop+     
c\ntries4  #c4 ,assi/ance to ,r$uce     
,mortality & ,improve ,mat]nal &        
,newborn ,heal? 9 develop+ c\ntries  7a7
 ,9 g5]al ,*apt] #a ( "p ,i ( ! ,=eign  
,assi/ance ,act ( #aifa 7#bb ,u4,s4,c4  
#baea et seq47 is am5d$--  7#a7 9       
section #ajb7;b77#d77;,b71 by /rik+     
r$uction ( infant mortality & ins]t+    

r$uction ( mat]nal & newborn mortality1 
morbidity1 & /illbir?s2 &  7#b7 by      
ins]t+ aft] section #ajd;,c ! foll[+ new
 section3  #ajd;,d4 ,assi/ance to ,r$uce
 ,mortality & ,improve ,mat]nal &       
,newborn ,heal?  7a7 ,au?orization      
,consi/5t ) section #ajd7;c71 !         
,presid5t is au?oriz$ to furni%         
assi/ance1 on su* t]ms & conditions z ! 
,presid5t may det]m9e1 to r$uce mat]nal 
& newborn mortality & morbidity &       
improve mat]nal heal? & ! heal? (       
newborns 9 develop+ c\ntries4  7b7      
,activities support$ ,assi/ance provid$ 
"u subsection 7a7 %all1 to ! maximum    
ext5t practicable1 include--  7#a7      
activities to exp& access to & improve  
quality ( mat]nal heal? s]vices1        
includ+--  7,a7 bir? prep>$ness ?r\gh ! 
provision ( quality pre-pregnancy &     
ant5atal c>e ) a skill$ provid]         
7midwife1 nurse1 or doctor71 :i* %\ld   
consi/ (1 at m9imum--  7i7 iron & folic 
acid supplem5tation2  7ii7 tetanus      
vacc9e2  7iii7 smok+ cessation2  7iv7   

prev5tion & managem5t ( sexually        
transmitt$ infections & ,,hiv1 includ+  
access to ,prev5t+ ,"m-to-,*ild         
,transmission2  7v7 scre5+1 diagnosis1 &
 treatm5t ( exi/+ conditions1 su* z     
syphilis1 ,,hiv_/,,aids1 mal>ia1 &      
tub]culosis1 & ensur+ t wom5 are provid$
 )1 or ref]r$ to1 appropriate c>e &     
treatm5t & prophylaxis = ^? conditions1 
includ+ access to antiretrovirals       
7,a,r,vs72  7vi7 magnesium sulfate &    
l[-dose aspir9 to prev5t pre-eclampsia &
 calcium supplem5tation to prev5t       
hyp]t5sion2  7vii7 scre5+ =             
complications1 includ+ blood pressure   
scre5+s2  7viii7 magnesium sulfate =    
eclampsia2 antihyp]t5sive m$ication2    
7ix7 cortico/]oids to prev5t respiratory
 di/ress syndrome2  7x7 induction (     
labor at t]m to manage pre-labor rupture
 ( membranes2  7xi7 nutrition treatm5t (
 maln\ri%$ pregnant wom52 &  7xii7      
antibiotics = pre-t]m labor2  7,b7 exp&+
 access to skill$ *ildbir? & po/natal   
c>e1 p>ticul>ly 9 areas ) l[ utilization

 ( skill$ deliv]y1 includ+--  7i7 !     
pres5ce ( a skill$ heal? pr(essional    
7nurse1 midwife1 or doctor7 :o has be5  
educat$ & tra9$ to pr(ici5cy 9 ! skills 
ne$$ to manage normal or uncomplicat$   
pregnancies or ref]ral ( complications 9
 wom5 & newborns1  7ii7 clean deliv]y2  
7iii7 ut]otonics & active managem5t (   
?ird /age ( labor to prev5t po/p>tum    
hemorrhage2  7iv7 social support dur+   
*ildbir?2  7v7 scre5+ = ,,hiv1 l9kages  
to ,,hiv c>e & treatm5t s]vices1 & foll[
 up track+2  7vi7 induction ( labor =   
prolong$ pregnancy2  7vii7 nutrition    
c\nsel+2  7viii7 managem5t ( po/p>tum   
hemorrhage2  7ix7 caes>ean section =    
mat]nal_/fetal indication ) prophylactic
 antibiotics2  7x7 treat+ mat]nal       
anemia2 &  7xi7 po/p>tum family plann+  
me?ods2  7,c7 compreh5sive volunt>y     
family plann+ s]vices1 integrat$ into   
ant5atal & po/natal c>e1 to support wom5
 & m5 9 mak+ in=m$ decisions & hav+     
timely1 int5d$1 well-spac$ pregnancies1 
& to help wom5 ) pre-exi/+ conditions   

avoid high-risk1 un9t5d$ pregnancies1   
includ+--  7i7 provision ( family       
plann+_/bir? spac+ c\nsel+ & s]vices2 & 
7ii7 em]g5cy treatm5t ( complications ( 
unsafe abortions & l9kages to o!r       
reproductive heal? s]vices2  7#b7       
activities to exp& access to & improve  
quality ( s]vices t r$uce newborn &     
infant mortality1 includ+--  7,a7       
imm$iate !rmal c>e2  7,b7 initiation (  
e>ly1 exclusive1 & cont9u$ brea/fe$+2   
7,c7 hygi5ic cord & sk9 c>e2  7,d7      
kang>oo "m c>e2  7,e7 extra support =   
fe$+ small & pret]m infants2  7,f7      
antibiotic !rapy = newborns at risk (   
bact]ial infection2  7,g7 use (         
surfactant 9 pre-t]m infants2  7,h7     
initiate prophylactic antiretroviral    
!rapy = infants expos$ to ,,hiv2  7,i7  
neonatal resuscitation ) a bag & mask = 
infants suff]+ f bir? asphyxia2  7,j7   
cont9u\s positive airway pressure to    
manage respiratory di/ress syndrome2    
7,k7 case managem5t ( neonatal sepsis1  
neonatal m5+itis1 & pneumonia2  7,l7    

case managem5t ( m5+itis1 mal>ia1       
di>rhea1 pneumonia1 & sev]e acute       
malnutrition2 &  7,m7 compreh5sive c>e (
 ,,hiv1 includ+ ,a,r,vs1 cotrimoxazole1 
nutrition support1 & psy*osocial        
support2  7#c7 activities to support    
communities & heal? c>e provid]s 9      
id5tify+ & remov+ b>ri]s to mat]nal     
heal? c>e s]vices1 includ+--  7,a7      
f9ancial & sociocultural b>ri]s2  7,b7  
*ild m>riage2  7,c7 transportation2     
7,d7 g5d] discrim9ation & g5d]-bas$     
viol5ce2  7,e7 /igma bas$ on pre-exi/+  
heal? conc]ns2 &  7,f7 female g5ital    
mutilation_/cutt+2  7#d7 activities t   
focus on emp[]+ wom5 & girls & engag+ m5
 & boys at ! individual1 h\sehold1 &    
community levels to improve ! heal?     
outcomes ( wom51 newborns1 & *ildr51    
includ+ education & aw>5ess programs    
ab\t g5d]-bas$ viol5ce1 ! heal? risks ( 
female g5ital mutilation1 & %>$         
responsibility =1 & b5efits (1 family   
plann+2  7#e7 activities to improve !   
supply ( critical mat]nal & newborn     

heal? commodities1 includ+ lifesav+     
m$ic9es & supplies1 su* z activities    
design$ to /r5g!n regulatory sy/ems to  
ensure ! quality ( commodities 9        
circulation & ^? relat$ to /r5g!n+      
supply *a9 sy/ems s t ^! commodities    
rea* ! wom5 & *ildr5 :o ne$ !m2  7#f7   
activities support+ c\ntry-l$ ef=ts to  
improve capacity = heal? gov]nance1     
heal? f9ance1 & ! heal? work=ce1 includ+
 9 ! private sector1 & support = tra9+  
cl9icians1 nurses1 te*nicians1          
sanitation & public heal? work]s1       
community-bas$ heal? work]s1 midwives1  
bir? att5dants1 pe] educators1          
volunte]s1 & private sector ent]prises  
to provide integrat$ heal? & nutrition  
s]vices & ref]rals t meet ! ne$s (      
pati5ts across a cont9uum ( c>e2  7#g7  
activities t support c\ntry-l$ plans to 
r$uce mat]nal & newborn mortality &     
morbidity & /illbir?s1 includ+--  7,a7  
managem5t ( ho/ c\ntry in/itutions'     
in=mation sy/ems & ! developm5t & use ( 
tools & models to collect1 analyze1 &   

dissem9ate in=mation relat$ to mat]nal &
 newborn heal?2 &  7,b7 activities to   
develop & conduct ne$s assessm5ts1      
basel9e /udies1 t>get$ evaluations1 or  
o!r in=mation-ga!r+ ef=ts = ! design1   
monitor+1 & evaluation ( mat]nal &      
newborn heal? ef=ts1 includ+--  7i7 !   
/udy ( ! availability & effects (       
critical m$ic9es & devices1 p>ticul>ly  
^? ( importance 9 develop+ c\ntries1 on 
pregnant wom5 & newborns2  7ii7 !       
collection1 evaluation1 & use ( data on 
! m$ical & socioeconomic factors t l$ to
 a mat]nal or newborn dea? or /illbir?s 
at ! community & heal? facility levels2 
&  7iii7 ! improvem5t ( vital regi/ries 
to capture live bir?s1 neonatal dea?s1 &
 ! numb] ( /illbir?s2 &  7#h7 activities
 to integrate & coord9ate assi/ance     
provid$ "u ?is section ) exi/+ heal?    
programs = ! prev5tion ( ! transmission 
( ,,hiv f "m to *ild & o!r ,,hiv_/,,aids
 prev5tion1 c>e1 treatm5t1 & c\nsel+    
activities1 includ+ bett] integration ) 
programs address+--  7,a7 mal>ia2  7,b7 

tub]culosis2  7,c7 family plann+ &      
reproductive heal?2  7,d7 c\nsel+ =     
survivors ( sexual- & g5d]-bas$ viol5ce2
  7,e7 neglect$ tropical diseases2  7,f7
 nutrition2 &  7,g7 *ild survival4  7c7 
,guidel9es ,to ! maximum ext5t          
practicable1 programs1 projects1 &      
activities c>ri$ out us+ assi/ance      
provid$ "u ?is section %all be--  7#a7  
c>ri$ out ?r\gh private & volunt>y      
organizations1 includ+ community &      
fai?-bas$ organizations1 local          
organizations1 & relevant int]national &
 multilat]al organizations t demon/rate 
effectiv5ess1 includ+ ! ,unit$ ,nations 
,population ,fund1 ! ,unit$ ,nations    
,*ildr5's ,fund1 & ! ,global ,alliance =
 ,vacc9es & ,immunizations1 & t         
demon/rate commitm5t to improv+ ! heal? 
& rights ( mo!rs & newborns & r$uc+ !   
numb] ( /illbir?s2  7#b7 c>ri$ out 9 !  
context ( c\ntry-driv5 plans 9 ^:       
developm5t ! ,unit$ ,/ates ,gov]nm5t    
p>ticipates along ) o!r donors &        
multilat]al organizations1 nongov]nm5tal

 organizations1 & civil society2  7#c7  
c>ri$ out ) input by b5efici>ies & o!r  
directly affect$ populations1 especially
 wom5 & m>g9aliz$ communities2 &  7#d7  
design$ to build ! capacity ( ho/ c\ntry
 gov]nm5ts & civil society              
organizations4  7d7 ,annual report ,n   
lat] ?an ,janu>y #ca1 #bjaf1 & annually 
!reaft] = #d ye>s1 ! ,presid5t %all     
transmit to ,congress a report on !     
implem5tation ( ?is section = ! prior   
fiscal ye>4  7e7 ,def9itions ,9 ?is     
section3  7#a7 ,,aids ,! t]m ,,aids has 
! mean+ giv5 ! t]m 9 section            
#ajd;,a7g77#a7 ( ?is ,act4  7#b7 ,,hiv  
,! t]m ,,hiv has ! mean+ giv5 ! t]m 9   
section #ajd;,a7g77#b7 ( ?is ,act4  7#c7
 ,,hiv_/,,aids ,! t]m ,,hiv_/,,aids has 
! mean+ giv5 ! t]m 9 section            
#ajd;,a7g77#c7 ( ?is ,act4  4  #d4      
,developm5t ( /rategy to r$uce mortality
 & morbidity & improve mat]nal & newborn
 heal? 9 develop+ c\ntries  7a7         
,developm5t ( /rategy ,! ,presid5t %all 
develop & implem5t a compreh5sive       

/rategy to r$uce mortality & morbidity &
 improve ! heal? ( mo!rs & newborns 9   
develop+ c\ntries t integrates all      
curr5t ,unit$ ,/ates ,gov]nm5t ef=ts on 
improv+ mat]nal & newborn heal?1 includ+
 /rategies ) respect to ,,hiv_/,,aids1  
g5d]1 *ild survival4  7b7 ,compon5ts ,! 
compreh5sive ,unit$ ,/ates ,gov]nm5t    
/rategy develop$ pursuant to subsection 
7a7 %all include ! foll[+3  7#a7 ,an    
id5tification ( n less ?an #bd c\ntries1
 includ+ fragile /ates & c\ntries       
affect$ by conflict1 ) priority ne$s = !
 #e-ye> p]iod beg9n+ on ! date ( !      
enactm5t ( ?is ,act bas$ on--  7,a7 !   
numb] & rate ( neonatal dea?s2  7,b7 !  
numb] & rate ( ne>-miss morbidity = wom5
 & newborns2  7,c7 ! numb] & rate (     
mat]nal dea?s2  7,d7 ! numb] & rate (   
caes>ean sections2  7,e7 ! numb] & rate 
( maln\ri%$ wom5 ( reproductive age2 &  
7,f7 ! numb] ( individuals ) an unmet   
ne$ = family plann+4  7#b7 ,= ea* c\ntry
 id5tifi$ 9 p>agraph 7#a7--  7,a7 an    
assessm5t ( ! mo/ common causes (       

mat]nal & newborn mortality & morbidity2
  7,b7 a description ( ! programmatic   
areas & int]v5tions provid+ maximum     
heal? b5efits to populations at risk &  
maximum r$uction 9 mortality &          
morbidity2  7,c7 an assessm5t ( !       
inve/m5ts ne$$ 9 id5tifi$ programs &    
int]v5tions to a*ieve ! greate/ results2
  7,d7 a description ( h[ ,unit$ ,/ates 
assi/ance complem5ts & lev]ages ef=ts by
 o!r donors & builds capacity &         
self-suffici5cy among recipi5t c\ntries2
 &  7,e7 a description ( goals &        
objectives = improv+ mat]nal & newborn  
heal?1 includ+1 to ! ext5t feasible1    
objective & quantifiable indicators4    
7#c7 ,enhanc$ coord9ation among relevant
 dep>tm5ts & ag5cies ( ! ,unit$ ,/ates  
,gov]nm5t engag$ 9 activities to improve
 ! heal? & well-be+ ( mo!rs & newborns 9
 develop+ c\ntries4  7#d7 ,a description
 ( ! measur$ or e/imat$ impact on       
mat]nal & newborn morbidity & mortality 
( ea* project or program receiv+        
assi/ance "u section #ajd;,d ( ! ,=eign 

,assi/ance ,act ( #aifa 7z add$ by      
section #c ( ?is ,act74  7c7 ,report ,n 
lat] ?an #ahj days aft] ! date ( !      
enactm5t ( ?is ,act1 ! ,presid5t %all   
transmit to ,congress a report t conta9s
 ! /rategy describ$ 9 ?is section4  #e4 
,au?orization ( appropriations  7a7 ,9  
g5]al ,!re are au?oriz$ to be           
appropriat$ to c>ry out ?is ,act1 & !   
am5dm5ts made by ?is ,act1 su* sums z   
may be necess>y = ea* ( fiscal ye>s     
#bjaf ?r\gh #bjbj4  7b7 ,availability ( 
funds ,am\nts appropriat$ pursuant to ! 
au?orization ( appropriations "u        
subsection 7a7 are au?oriz$ to rema9    
available until exp5d$4