
Target 3.3: Progress towards the SDG target of ending communicable diseases by 2030 remains off course eventhough progress varies across different diseases.Among these countries, 37 countries will need to more than double their current rate of progress or reverse a recent increasing trend to achieve the SDG target by 2030. Of 200 countries and areas analysed, only 54 countries are not on track to meet the target of lower than 25 deaths per 1,000 live births. In 2021, 5 million children died before reaching their fifth birthday-down from 6.1 million in 2015.


To meet the target, the annual rate of reduction needs to increase to 11% between 20. The global average annual rate of reduction was only 0.04% in the period of 2016-2020, significantly lower than the 2.7% rate in 2000-2015.

Almost 95% of these deaths occurred in low and lower-middle-income countries. This means that almost 800 women are still dying from preventable causes related to pregnancy and childbirth every day. Target 3.1: The global maternal mortality ratio decreased only from 227 maternal deaths per 100,000 live births in 2015 to 223 in 2020, still over three times higher than the target of 70 maternal deaths by 2030.Overcoming these setbacks and dealing with longstanding shortcomings in health-care provision requires an urgent strengthening of health systems.

The pandemic has also highlighted the need for stronger global health security systems to prevent and respond to future pandemics. This has been particularly challenging in low- and middle-income countries, where health systems were already under-resourced before the pandemic. As a result, 68 million children are known to be un- or under-vaccinated as of 2022 from TB and malaria increased. The pandemic and other ongoing crises are hindering progress in achieving SDG3, exacerbating existing health inequalities and threatening progress towards universal health coverage.
