,,ii #aac? ,,congress #b;d ,session ,s4 #bhec ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #ah1 #bjad ,mr4 ,coons 7= himself1 ,mr4 ,graham1 & ,mr4 ,c>d97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,=eign ,relations ,a ,,bill ,to implem5t policies to end prev5table mat]nal1 newborn1 & *ild dea?s globally4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,accel]at+ ,action 9 ,mat]nal & ,*ild ,heal? ,act ( #bjad4 #b4 ,purpose ,! purpose ( ?is ,act is to provide tools = ! ,unit$ ,/ates ,gov]nm5t to use to accel]ate ! r$uction ( prev5table mat]nal1 newborn1 & *ild dea?s 9 #bd ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t 7,,usaid7 focus c\ntries by #bjbj1 sav+ #ae1jjj1jjj *ildr5 & #fjj1jjj mo!rs4 #c4 ,f9d+s ,congress makes ! foll[+ f9d+s3 7#a7 ,ov] ! pa/ #b decades1 *ild mortality has r$uc$ by ne>ly #ej p]c5t & mat]nal mortality has r$uc$ by #dj p]c5t1 ?anks 9 l>ge "p to ,unit$ ,/ates ,gov]nm5t action & int]v5tion4 7#b7 ,9 ! la/ #c ye>s1 #bd priority c\ntries--( :i* #af are 9 ,africa--h a*iev$ an #h p]c5t r$uction 9 "u-#e mortality1 sav+ #ejj1jjj lives4 7#c7 ,! report ,act+ on ! ,call3 ,end+ ,prev5table ,*ild & ,mat]nal ,dea?s develop$ by ,,usaid provides a critical f\ndation ( evid5ce1 k1 model+1 & policy developm5t on end+ mat]nal1 newborn1 & *ild dea?s worldwide4 7#d7 ,to a*ieve ,mill5nium ,developm5t ,goal #d--to r$uce *ild mortality by #b_/c betwe5 #aiij & #bjae--on "t1 ! global annual rate ( r$uction 9 "u-#e mortality w\ld ne$ to rise to #ae4f p]c5t f #bjab ?r\gh #bjae1 mu* fa/] ?an ! #c4i p]c5t a*iev$ f #bjje ?r\gh #bjab4 7#e7 ,accord+ to ! ,_w ,heal? ,organization 7,,:o71 e ye> #f1fjj1jjj *ildr5 "u ! age ( #e--prim>ily infants--die f prev5table or treatable causes1 & m ?an #hjj wom5 die e day f complications dur+ pregnancy & *ildbir?4 7#f7 ,! va/ majority ( ^! dea?s occur 9 ! develop+ _w & c\ntries 9 ,africa h ! highe/ burd54 7#g7 ,! highe/ rates ( *ild mortality are /ill 9 sub-,sah>an ,africa1 ) an "u-#e mortality rate ( #ih dea?s p] #a1jjj live bir?s--m ?an #ae times ! av]age = develop$ regions4 7#h7 ,inve/+ 9 wom5 & *ildr5 r$uces pov]ty1 /imulates economic gr[?1 & mo/ importantly1 saves lives4 7#i7 ,heal? products1 su* z vacc9es & treatm5ts1 h contribut$ significantly to rec5t successes 9 *ild & mat]nal survival globally4 ,new approa*es & te*nologies are critically ne$$ to accel]ate progress t[>d end+ prev5table mat]nal & *ild dea?s4 7#aj7 ,! ,,:o id5tifies ! foll[+ lead+ causes ( mat]nal1 newborn1 & *ild mortality3 7,a7 ,lead+ causes ( mat]nal mortality 9 l[-income c\ntries include po/-p>tum ble$+1 infection1 & hyp]t5sion4 7,b7 ,newborn dea?s acc\nt = approximately #dd p]c5t ( dea?s among *ildr5 "u age #e & are pr$om9antly caus$ by infections1 premature bir?1 & asphyxia4 7,c7 ,mo/ dea?s ( *ildr5 "u ! age ( #e are a result ( prev5table causes1 su* z respiratory infections 7commonly f pneumonia71 di>rhea1 & mal>ia4 7,d7 ,malnutrition is ! und]ly+ contribut+ factor 9 ab\t #de p]c5t ( all *ild dea?s1 mak+ *ildr5 m vuln]able to sev]e diseases4 #d4 ,/atem5t ( policy ,x is ! policy ( ! ,unit$ ,/ates1 9 p>tn]%ip ) ho/ gov]nm5ts1 int]national f9ancial in/itutions1 nongov]nm5tal organizations1 fai?-bas$ organizations1 & ! private sector1 to e/abli% a compreh5sive1 coord9at$1 integrat$ /rategy to combat ! lead+ causes ( mat]nal1 newborn1 & *ild mortality globally by-- 7#a7 build+ on progress & success to date2 7#b7 scal+ up ! mo/ effective evid5ce-bas$ int]v5tions ) a focus on c\ntry own]%ip2 7#c7 focus+ on ,,usaid's #bd priority c\ntries2 7#d7 /reaml9+ exi/+ res\rces & scal+ up increas$ t>get$ res\rces2 7#e7 increas+ transp>5cy & acc\ntability2 & 7#f7 creat+ innovative new public-private f9anc+ me*anisms4 #e4 ,/rategy 7a7 ,9 g5]al ,! ,presid5t %all e/abli% a /rategy to accel]ate action 9 ea* ( ! #bd priority c\ntries set =? 9 section #g1 build+ on ! evid5ce outl9$ 9 ,,usaid's ,act+ on ! ,call3 ,end+ ,prev5table ,*ild & ,mat]nal ,dea?s4 ,! /rategy w use ! curr5t model+ & data t outl9es ! mo/ prov5 effective int]v5tions4 ,! /rategy %all fur!r /r5g!n ! capability ( ! ,unit$ ,/ates to be an effective lead] 9 mat]nal1 newborn1 & *ild heal?1 p>ticul>ly 9 ,africa1 & w be a fir/ /ep t[>d a broad]1 conc]t$ ef=t to end mat]nal1 newborn1 & *ild dea?s worldwide4 7b7 ,elem5ts ,! /rategy e/abli%$ "u subsection 7a7 %all-- 7#a7 include specific objectives1 multisectoral approa*es1 & specific /rategies to address ! lead+ causes ( dea? among mo!rs dur+ pregnancy1 *ildbir?1 & po/-deliv]y2 newborns 9 _! fir/ #bh days2 & *ildr5 "u ! age ( #e2 7#b7 cl>ify ! responsibilities ( ! c\ntry1 ! implem5t+ organization1 & ! ,unit$ ,/ates 9 ! a*ievem5t ( su* objectives2 7#c7 include regul> b5*m>ks to measure1 :]e appropriate1 progress t[>d a*iev+ su* objectives2 7#d7 utilize data & model+ to implem5t ! mo/ effective int]v5tions = sav+ #ae1jjj1jjj *ildr5 & #fjj1jjj mo!rs2 7#e7 illu/rate ! result ( coord9ation among relevant executive bran* ag5cies1 =eign gov]nm5ts1 & int]national organizations2 7#f7 provide project$ levels ( res\rces ne$$ to a*ieve ! /at$ objectives2 7#g7 exp& public-private p>tn]%ips = rese>* & innovation & = lev]ag+ res\rces 9 new & innovative ways2 & 7#h7 use op51 fair1 & competitive proc$ures :]ev] appropriate & possible 9 ! adm9i/ration1 execution1 & evaluation ( ! program4 7c7 ,t>get$ s]vices ,! /rategy e/abli%$ "u subsection 7a7 %\ld focus on ! foll[+ evid5ce-bas$ categories ( int]v5tion3 7#a7 ,safe mo!rhood & newborn survival1 includ+-- 7,a7 pr5atal & po/natal c>e = mo!rs & newborns2 7,b7 quality c>e dur+ labor & deliv]y1 includ+ 9 em]g5cies2 & 7,c7 education on heal?y tim+ & spac+ ( pregnancies4 7#b7 ,heal?y h\seholds & s*ools1 includ+ ,wat]1 ,sanitation1 & ,hygi5e 7,,wa%74 7#c7 ,nutrition1 includ+-- 7,a7 mat]nal & *ild nutrition dur+ ! fir/ #a1jjj days2 & 7,b7 prev5tion ( mat]nal malnutrition4 7#d7 ,heal?y *ildhood1 includ+-- 7,a7 vacc9es = ! lead+ causes ( mat]nal1 newborn1 & *ild dea?s2 7,b7 prev5tion & treatm5t = pneumonia & di>rhea2 7,c7 prev5tion ( "m-to-*ild transmission ( ,,hiv 7,,pmtct72 7,d7 prev5tion & treatm5t ( mal>ia2 & 7,e7 capacity-build+ ( heal? pr(essionals4 #f4 ,e/abli%m5t ( an innovative public-private f9anc+ me*anism ,! ,unit$ ,/ates ,gov]nm5t %all e/abli% a pilot program = innovative f9anc+ me*anisms = deliv]+ mat]nal1 newborn1 & *ild heal? int]v5tions 9 ! #bd priority c\ntries set =? 9 section #g bas$ on ! specific recomm5dations outl9$ by ! conv5+ ( high-level global exp]ts at ! #bjad ,unit$ ,nations ,g5]al ,assembly4 ,! innovative f9anc+ framework w e/abli% a me?od to mobilize capital = heal? utiliz+ tools1 includ+ loans & loan gu>antees1 volume gu>antees1 developm5t impact bonds1 or p>tn] gov]nm5t taxes1 levies1 fees1 & funds4 #g4 ,priority c\ntries 7a7 ,9 g5]al ,bas$ on ! global t>get li/ develop$ by ,,usaid1 ! priority c\ntries = receiv+ mat]nal & *ild heal? programm+ "u ?is ,act are ! foll[+3 7#a7 ,afghani/an4 7#b7 ,banglade%4 7#c7 ,! ,democratic ,republic ( ! ,congo 7,,drc74 7#d7 ,e?iopia4 7#e7 ,ghana4 7#f7 ,haiti4 7#g7 ,india4 7#h7 ,indonesia4 7#i7 ,k5ya4 7#aj7 ,lib]ia4 7#aa7 ,madagasc>4 7#ab7 ,malawi4 7#ac7 ,mali4 7#ad7 ,mozambique4 7#ae7 ,nepal4 7#af7 ,nig]ia4 7#ag7 ,paki/an4 7#ah7 ,rw&a4 7#ai7 ,s5egal4 7#bj7 ,s\? ,sudan4 7#ba7 ,tanzania4 7#bb7 ,ug&a4 7#bc7 ,yem54 7#bd7 ,zambia4 7b7 ,eligibility crit]ia ,! ,unit$ ,/ates ,gov]nm5t %\ld give pref]5ce to apply+ me*anisms "u ?is ,act to ! c\ntries li/$ "u subsection 7a7 t h rea*$ or made progress t[>ds #bjja ,abuja ,decl>ation commitm5ts involv+ pl$ges to increase gov]nm5t fund+ = heal? to at lea/ #ae p]c5t )9 ! next #e ye>s4 ,a c&idate c\ntry %\ld be also consid]$ to be an eligible c\ntry by demon/rat+ a commitm5t to-- 7#a7 peaceful & democratic gov]nance2 7#b7 civil society engagem5t2 7#c7 economic fre$om2 & 7#d7 inve/m5ts 9 ! p ( su* c\ntry1 p>ticul>ly 9 mat]nal1 newborn1 & *ild heal?4 #h4 ,progress report ,beg9n+ #b ye>s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,presid5t %all provide an annual progress report to ,congress on activities "u ?is ,act1 includ+-- 7#a7 data on me*anisms implem5t$ "u ?is ,act1 includ+ a description ( h[ !y are design$1 manag$1 & monitor$ & evaluat$2 7#b7 h[ _m me*anisms are implem5t$ & :]e2 & 7#c7 ! results ( implem5tation ( su* me*anisms1 & recomm5dations = improv+ ^! me*anisms to ensure future gr[? & success4 #i4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is ,act su* sums z may be necess>y = ea* ( fiscal ye>s #bjae ?r\gh #bjai1 to rema9 available until exp5d$4