,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cgjf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #g1 #bjae ,mr4
 ,rei*]t 7= himself1 ,ms4 ,mc,collum1   
,ms4 ,lee1 & ,mr4 ,mc,caul7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,=eign ,affairs  ,a ,,bill
  ,to implem5t policies to end          
prev5table mat]nal1 newborn1 & *ild     
dea?s globally4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,rea* ,e ,"m &     
,*ild ,act ( #bjae4  #b4 ,purpose ,!    
purpose ( ?is ,act is to implem5t a     
/rategic approa* = provid+ =eign        
assi/ance 9 ord] to end prev5table      
mat]nal1 newborn1 & *ild dea?s globally 
)9 a g5]ation4  #c4 ,def9itions ,9 ?is  
,act3 7#a7 ,adm9i/rator ,! t]m          
,adm9i/rator means ! ,adm9i/rator ( !   
,unit$ ,/ates ,ag5cy = ,int]national    
,developm5t4  7#b7 ,appropriate         
congressional committees ,! t]m         
appropriate congressional committees    
means-- 7,a7 ! ,committee on ,=eign     
,relations & ! ,committee on            

,appropriations ( ! ,s5ate2 &  7,b7 !   
,committee on ,=eign ,affairs & !       
,committee on ,appropriations ( ! ,h\se 
( ,repres5tatives4  7#c7 ,coord9ator ,! 
t]m ,coord9ator means ! ,*ild & ,mat]nal
 ,survival ,coord9ator e/abli%$ "u      
section #f4  7#d7 ,t>get c\ntries ,! t]m
 t>get c\ntries means specific c\ntries 
t h ! greate/ ne$ & highe/ burd5 (      
mat]nal & *ild dea?s1 tak+ into         
consid]ation c\ntries t--  7,a7 h       
high-ne$ communities 9 fragile /ates or 
conflict-affect$ /ates2  7,b7 are l[- or
 middle-income c\ntries2 or  7,c7 are   
locat$ 9 regions ) weak heal? sy/ems4   
#d4 ,/atem5t ( policy ,x is ! policy ( !
 ,unit$ ,/ates1 9 p>tn]%ip ) t>get      
c\ntries1 o!r donor c\ntry gov]nm5ts1   
int]national f9ancial in/itutions1      
nongov]nm5tal organizations1            
int]national organizations1 multilat]al 
organizations1 & ! private sector to    
e/abli% & implem5t a coord9at$1         
integrat$1 & compreh5sive /rategy to    
combat ! lead+ causes ( mat]nal1        

newborn1 & *ild mortality globally &    
ensure heal?y lives by--  7#a7 scal+ up 
! mo/ effective1 evid5ce-bas$           
int]v5tions1 includ+ = ! mo/ vuln]able  
populations1 ) a focus on c\ntry        
own]%ip2  7#b7 design+1 implem5t+1      
monitor+1 & evaluat+ programs 9 a way t 
enhances transp>5cy & acc\ntability1    
increases ! su/a9ability1 & improves    
outcomes 9 t>get c\ntries2  7#c7        
support+ ! developm5t & scale up (      
innovative tools & approa*es to         
accel]ate progress t[>d end+ prev5table 
mat]nal1 newborn1 & *ild dea?s2 &  7#d7 
utiliz+ & exp&+ ! use ( innovative      
public-private f9anc+ me*anisms4  #e4   
,/rategy  7a7 ,9 g5]al ,n lat] ?an "o   
ye> aft] ! date ( ! enactm5t ( ?is ,act1
 ! ,presid5t %all e/abli% & implem5t a  
compreh5sive five-ye>1 :ole-(-gov]nm5t  
/rategy to a*ieve1 ) t>get c\ntries &   
donors1 ! goal ( end+ prev5table        
mat]nal1 newborn1 & *ild dea?s globally 
& ensure heal?y & productive lives )9 a 
g5]ation4  7b7 ,elem5ts ,! /rategy      

e/abli%$ "u subsection 7a7 %all-- 7#a7  
set outcome-bas$ t>gets to a*ieve !     
goals ( ! /rategy & asc]ta9 basel9e data
 relevant = ea* t>get c\ntry & = all    
areas ( focus & programm+ z ( ! date ( !
 release ( ! /rategy2  7#b7 build+ on ! 
evid5ce outl9$ 9 ,,usaid's ,act+ on !   
,call3 ,end+ ,prev5table ,*ild &        
,mat]nal ,dea?s1 include specific       
objectives1 programs1 & approa*es to    
utilize highe/ impact evid5ce-bas$      
int]v5tions to address ! lead+ causes ( 
dea? among--  7,a7 wom5 dur+ pregnancy1 
*ildbir?1 & po/ deliv]y2  7,b7 newborns 
9 _! fir/ #bh days2 &  7,c7 *ildr5 "u ! 
age ( five1 p>ticul>ly among ! mo/      
vuln]able populations2  7#c7 include    
developm5t & scale up ( new te*nologies 
& approa*es1 includ+ ^? support$ by     
public-private p>tn]%ips = rese>* &     
innovation2  7#d7 promote coord9ation & 
effici5cy )9 & among/ ! relevant        
executive bran* ag5cies & initiatives1  
includ+ ! ,unit$ ,/ates ,ag5cy =        
,int]national ,developm5t1 ! ,dep>tm5t (

 ,/ate1 ! ,dep>tm5t ( ,heal? & ,human   
,s]vices1 ! ,c5t]s = ,disease ,control &
 ,prev5tion1 ! ,national ,in/itutes (   
,heal?1 ! ,mill5nium ,*all5ge           
,corporation1 ! ,peace ,corps1 !        
,dep>tm5t ( ! ,treasury1 ! ,(fice ( !   
,global ,,aids ,coord9ator1 & !         
,presid5t's ,mal>ia ,initiative2  7#e7  
project g5]al levels ( res\rces ne$$ to 
a*ieve ! /rategy's /at$ objectives2     
7#f7 id5tify /rategies = lev]ag+        
res\rces 9 new & innovative ways2  7#g7 
align ) c\ntry-driv5 mat]nal1 newborn1 &
 *ild heal? & survival plans & improve  
coord9ation ) =eign gov]nm5ts &         
int]national organizations2 &  7#h7     
outl9e consultations ) gov]nm5ts1       
int]national f9ancial in/itutions1      
nongov]nm5tal organizations1 local &    
int]national civil society gr\ps1       
multilat]al organizations1 ! private    
sector1 & local heal? work]s &          
pr(essional associations1 z appropriate4
  #f4 ,e/abli%m5t ( *ild & mat]nal      
survival coord9ator  7a7 ,9 g5]al ,!    

,presid5t1 act+ ?r\gh ! ,adm9i/rator1   
%all designate a curr5t ,,usaid employee
 s]v+ 9 a c>e] or non-c>e] position 9 ! 
,s5ior ,executive ,s]vice or at ! level 
( a ,deputy ,assi/ant ,adm9i/rator or   
high] to s]ve concurr5tly z ! ,*ild &   
,mat]nal & ,survival ,coord9ator1 :o    
%all be responsible =--  7#a7 ov]see+ ! 
/rategy e/abli%$ "u section #e2 &  7#b7 
all ,unit$ ,/ates ,gov]nm5t funds       
appropriat$ or us$ = int]national       
mat]nal & *ild heal? & nutrition        
programs4  7b7 ,duties ,! ,coord9ator   
%all-- 7#a7 h ! prim>y responsibility = 
! ov]sight & coord9ation ( all res\rces 
& int]national activities ( ! ,unit$    
,/ates ,gov]nm5t appropriat$ or us$ =   
int]national mat]nal & *ild heal? &     
nutrition programs2  7#b7 direct !      
budget1 plann+1 & /aff+ to implem5t     
int]national mat]nal & *ild heal? &     
nutrition projects & programs = !       
purpose ( a*iev+ r$uctions 9 prev5table 
mat]nal1 newborn1 & *ild dea?s2  7#c7   
lead implem5tation & revision1 n less   

frequ5tly ?an once e #e ye>s1 ( !       
/rategy e/abli%$ "u section #e7;a72     
7#d7 coord9ate ) relevant executive     
bran* ag5cies1 gov]nm5ts ( p>tn]        
c\ntries1 nongov]nm5tal organizations1  
local civil society organizations1 &    
private sector entities to c>ry out !   
/rategy e/abli%$ "u section #e7;a7 & to 
align curr5t & future in/rum5ts )       
high-impact1 evid5ce-bas$ int]v5tions to
 save lives2  7#e7 provide direction to 
! design & ov]sight ( grants1 contracts1
 & coop]ative agreem5ts ) nongov]nm5tal 
organizations 7includ+ fai?-bas$1       
community-bas$1 & civil society         
organizations7 & private sector entities
 = ! purpose ( c>ry+ out ! /rategy      
e/abli%$ "u section #e7;a72 &  7#f7     
report directly to ! ,adm9i/rator reg>d+
 implem5tation ( ! /rategy e/abli%$ "u  
section #e7;a74  7c7 ,re/riction on     
additional or supplem5tal comp5sation ,!
 ,coord9ator %all receive no additional 
or supplem5tal comp5sation z a result ( 
c>ry+ out responsibilities & duties "u  

?is ,act4  #g4 ,au?ority to assi/ 9     
implem5tation ( ! /rategy  7a7 ,9 g5]al 
,! ,presid5t %all provide assi/ance to  
implem5t ! /rategy e/abli%$ "u section  
#e7;a74  7b7 ,focus on impact  7#a7     
,t>gets = increas$ implem5tation requir$
 ,,usaid grants1 contracts1 & coop]ative
 agreem5ts = ! purposes ( ! /rategy     
e/abli%$ "u section #e7;a7 %all be      
requir$ to include t>gets = increas$    
implem5tation ( high-impact1            
evid5ce-bas$ int]v5tions & /r5g!n+ heal?
 sy/ems1 z appropriate1 includ+ !       
e/abli%m5t ( basel9e measurem5ts f :i*  
to quantify progress4  7#b7 ,exception  
,9 exceptional circum/ances :]e ,,usaid 
deems t inclusion ( cov]age t>gets or   
basel9e measures are n reasonable or    
practicable = ! grant1 contract1 or     
coop]ative agreem5t1 ! fund+ me*anism   
%all include an explanation ( ! omission
 & explicitly h[ measurable impact w be 
t>get$ & track$4  #h4 ,reports  7a7     
,report requir$ ,! ,presid5t %all update
 ,congress on progress made to a*ieve ! 

/rategy e/abli%$ "u section #e7;a7 z    
well z progress t[>d ! goals set =? 9   
,,usaid's #bjad ,act+ on ! ,call3 ,end+ 
,prev5table ,*ild & ,mat]nal ,dea?s     
report by submitt+ an annual report to !
 appropriate congressional committees & 
mak+ all report data publicly available4
  7b7 ,in=mation includ$ 9 report ,a    
report submitt$ "u subsection 7a7 %all  
include ! foll[+3 7#a7 ,indicators (    
progress made by ,unit$ ,/ates ,gov]nm5t
 programs c>ri$ out "u int]national     
mat]nal & *ild heal? & nutrition        
programs = ! purposes ( improv+ mat]nal1
 newborn1 & *ild heal?1 p>ticul>ly among
 ! mo/ vuln]able populations1 9 ea*     
t>get c\ntry & ov]all1 includ+--  7,a7  
numb] ( mat]nal1 newborn1 & *ild dea?s  
av]t$2  7,b7 p]c5tage ( bir?s att5d$ by 
skill$ heal? p]sonnel2  7,c7 d5sity (   
heal? work=ce 7numb] ( heal?            
pr(essionals p] population72  7,d7      
descriptions ( ! measur$ or e/imat$     
impact on mat]nal1 newborn1 & *ild      
survival ( ea* ongo+ program or project2

 &  7,e7 any o!r t>gets id5tifi$ by !   
,coord9ator z ess5tial to meet+ ! goals 
( ! /rategy = end+ prev5table mat]nal1  
newborn1 & *ild dea?s4  7#b7 ,assessm5ts
 ( progress made t[>d a*iev+ ! t>gets   
set =? "u p>agraph 7#a74  7#c7          
,descriptions ( h[ ! int]v5tions or     
programs are design$--  7,a7 to increase
 activities 9 t>get c\ntries2  7,b7 to  
rea* und]s]v$1 m>g9aliz$1 & impov]i%$   
populations2  7,c7 to address causes (  
mat]nal1 newborn1 & *ild mortality )    
innovative ef=ts & int]v5tions pos$ to g
 to scale2  7,d7 to inve/ 9 activities t
 emp[] wom51 support volunt>ism1 &      
provide respectful mat]nity c>e2  7,e7  
to improve transp>5cy & acc\ntability at
 all levels & include common metrics =  
track+ progress2  7,f7 to ensure t      
high-impact1 evid5ce-bas$ int]v5tions   
are prioritiz$2 &  7,g7 to exp& access  
to quality s]vices ?r\gh community-bas$ 
approa*es & include community           
acc\ntability measures4  7#d7 ,report+  
on ea* aspect ( ! /rategy e/abli%$ "u   

section #e7;a71 includ+-- 7,a7          
multi-sectoral approa*es1 specific      
/rategies1 & programm+ utiliz+          
high-impact1 evid5ce-bas$ int]v5tions to
 address ! lead+ causes ( prev5table    
mat]nal1 newborn1 & *ild dea?s2  7,b7   
activities to develop & scale up new    
te*nologies & approa*es1 includ+ ^?     
id5tifi$ by public-private p>tn]%ips =  
rese>* & innovation2  7,c7 coord9ation )
 ,unit$ ,/ates ag5cies1 =eign gov]nm5ts1
 nongov]nm5tal organizations1 &         
int]national organizations2  7,d7 me?ods
 us$ to lev]age new f9ancial & o!r      
public & private res\rces 9 innovative  
ways2 &  7,e7 be/ practices id5tifi$ by 
! executive bran*4  7#e7 ,report+ on    
grants1 contracts1 & coop]ative         
agreem5ts aw>d$1 includ+--  7,a7 a      
compreh5sive li/ ( ,,usaid grants1      
contracts1 & coop]ative agreem5ts aw>d$ 
9 implem5tation ( ! /rategy e/abli%$ "u 
section #e7;a72 &  7,b7 a description   
(-- 7i7 ! t>gets = cov]age ( int]v5tions
 or s]vices & ! basel9e aga9/ :i* !y are

 measur$ & ! /atus ( progress 9 meet+ ! 
t>gets2 or  7ii7 9 ! case ( exceptional 
circum/ances :]e ,,usaid det]m9es t     
inclusion ( t>gets or basel9e           
measurem5ts is n reasonably possible1 an
 explanation ( h[ ! impact ( ! grant1   
contract1 agreem5t1 or result+ program  
is be+ measur$4  7#f7 ,report+ on !     
innovative public-private f9anc+ tools1 
includ+ an analysis ( ! feasibility &   
pot5tial effectiv5ess ( new f9anc+ tools
 t c\ld be us$ to fund ef=ts to end     
prev5table mat]nal1 newborn1 & *ild     
dea?s globally4  #i4 ,innovative        
public-private f9anc+ tools  7a7 ,9     
g5]al ,9 addition to exi/+ bilat]al &   
multilat]al assi/ance = mat]nal1        
newborn1 & *ild survival1 ! ,unit$      
,/ates ,gov]nm5t1 ?r\gh ,,usaid & o!r   
relevant executive bran* ag5cies        
id5tifi$ by ! ,coord9ator1 %\ld id5tify 
& remove f9ancial b>ri]s to /r5g!n      
access to deliv]y sy/ems t rea*         
vuln]able & m>g9aliz$ populations4 ,?is 
c be accompli%$ ?r\gh ! utilization (   

new & exi/+ tools t lev]age public &    
private capital to exp& deliv]y (       
high-impact1 evid5ce-bas$ int]v5tions = 
int]national mat]nal1 newborn1 & *ild   
heal?4  7b7 ,au?orities ,to c>ry out    
provisions ( ?is ,act1 ,,usaid is       
au?oriz$-- 7#a7 to grant loans2  7#b7 to
 set aside funds = use 9 ! implem5tation
 ( f9anc+ tools2  7#c7 to e/abli% & use 
a f9ancial int]m$i>y to implem5t new    
f9anc+ tools1 z appropriate2  7#d7 to   
issue sov]eign level gu>antees2 &  7#e7 
to make equity inve/m5ts4