GHTC's statement to the WHO Executive Board on the Global Strategy for Women’s, Children’s and Adolescents’ Health

GHTC's statement on Agenda item 14: Global Strategy for Women’s, Children’s and Adolescents’ Health at the World Health Organization's (WHO's) Executive Board (EB) meeting.

Although the Global Strategy for Women’s, Children’s and Adolescents’ Health has been instrumental in guiding global efforts, countries must scale up their implementation of high-impact interventions. The Director General’s report highlights that malaria continues to be one of the leading causes of under-five mortality, draws attention to the “severe drug drought” in maternal health, and underscores the continued inequalities when it comes to access to quality care. 

While not highlighted by the report, we also know that newborns in the first 28 days of their lives are especially vulnerable to drug-resistant infections, with staggering rates of morbidity and disability directly attributable to antimicrobial resistance (AMR). More broadly, one out of every five deaths due to AMR is in children, with 99.7 percent of those deaths occurring in low- and middle-income countries.

With only five years to 2030, and many countries being off track to reach the targets of the Sustainable Development Goals related to maternal, newborn, and child mortality, we recommend that countries and WHO take the following actions:

1. We call on member states to step up action to coordinate and increase investments in health technologies for women, scale up access to preventive tools and treatments, and include pregnant and lactating women in research and clinical trials to improve data quality and availability of therapeutics. As gaps in therapeutic options persist for pregnant and breastfeeding women, countries must prioritize efforts to accelerate the investigation, development, and introduction of better medicines for this population. 

2. We urge member states to make investments in malaria research and innovation that include underserved populations, including children and pregnant and lactating women, given the many adverse health outcomes of malaria in pregnancy for both mother and baby, including on early childhood development.

3. We welcome the efforts of the Global Accelerator for Paediatric Formulations Network, or GAP-f, and call on all countries and WHO to support its ongoing work, including facilitating the research and development of priority products on WHO’s Paediatric Antiretroviral Drug Optimization list. 

4. We call on greater focus and alignment between this strategy and the Global Action Plan for AMR and urge WHO and member states to facilitate access to antibiotics and other treatment options for children. More research and development to combat drug-resistant infections is urgently needed.