“It is not good enough.”
In a video interview presented at Canada’s Maternal, Newborn and Child Health Summit last month, Tanzania’s President Jakaya Kikwete shook his head. He was talking about his country’s progress in preventing deaths among children under 5 years old. Since 2000, child mortality in Tanzania has dropped significantly from 147 deaths per 1,000 live births to 54 per 1000 just last year. But to Kikwete, it wasn’t good enough.
With the 2015 deadline for the Millennium Development Goals fast approaching, Tanzania is within reach of the MDG 4 target to reduce child mortality by two thirds—to a rate below 49 deaths per 1,000 live births. Much of the East African country’s progress can be credited to the dedication and determination of Kikwete and his team who have demonstrated the will to lead on the issue. The story of Tanzania illustrates the profound importance of political leadership to the health and well-being of women and children, even in resource constrained settings.