Introduction Every day, over 800 women die from preventable causes related to pregnancy and childbirth. Nearly 15,000 children under 5 also die each day, mostly from preventable causes, according to the World Health Organization. While the number of maternal deaths worldwide dropped by 44% between 1990 and 2015, much progress still needs to be made. In 2015, the 17 Sustainable Development Goals for addressing global challenges were adopted. SDG 3 on health and well-being is a universal call to action to reduce child and maternal mortality, as well as to ensure universal access to sexual and reproductive health care services. To realize the SDG targets by 2030, it is clear that more meaningful and innovative collaboration between government and the private sector is needed. Reaching SDG 3 will require strong public-private collaboration and private sector capability, including but not limited to business and scientific expertise, innovations, and capital. One area of focus is addressing the $33 billion annual financing gap affecting reproductive, maternal, newborn, child, and adolescent health — or RMNCAH — services. This amount could prevent the deaths of an estimated 24 million to 38 million women, children, and adolescents by 2030. There is broad consensus that public sector finance alone is not enough to bridge this gap. After decades of steady growth, donors’ development assistance for RMNCAH services has generally stagnated since 2011, and political headwinds in most donor countries predict an end to substantial increases in traditional foreign aid for the foreseeable future.
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