Data_Sheet_1_Delays in Achieving Maternal, Newborn, and Child Health Targets for 2021 and 2030 in Liberia.docx

Objectives: The Government of Liberia has set ambitious national health targets for 2021 to reduce the high maternal, newborn, and child mortality rate and to improve the related health services. Additionally, Sustainable Development Goal 3 provides a long-term target for 2030. The objective of this article is to analyze the gaps between the targets and collected data.
Materials and Methods: Relevant national documents were scrutinized to identify targets and related indicators which can serve as benchmarks for future achievements in Liberia's maternal, newborn, and child health. For each indicator, progress observed will be compared with that needed to meet the target, based on the indicator value in a baseline year, a later observed value, and the expected value in 2021 and 2030, respectively.
Results: The Gap Analysis reveals achievements and serious delays for 21 health and health system indicators. Based on national data the reduction of the maternal mortality ratio will take an additional −8.2 years for the 2021 target and −12.5 years for the 2030 target. The Neonatal Mortality rate is experiencing similar delays of −7.9 years for 2021 and −12.9 for 2030 whereas the targets for the Under-5-Mortality rate can be achieved with small delays of −1.8 and −1.7 years.
Conclusions: The Government of Liberia requires persistent efforts and international support to achieve its national targets and the Sustainable Development Goal 3 for health.

研究目标：利比里亚政府已制定2021年国家级宏伟卫生目标，旨在降低居高不下的孕产妇、新生儿及儿童死亡率，并完善相关卫生服务。此外，《可持续发展目标3（Sustainable Development Goal 3）》设立了2030年的长期卫生目标。本文的核心目标为分析既定目标与已收集数据之间的差距。

材料与方法：本研究对相关国家级文件进行详细审查，以明确可作为利比里亚孕产妇、新生儿与儿童健康未来成就基准的目标及相关指标。针对每一项指标，将分别以基准年（baseline year）的指标数值、后续观测值以及2021年、2030年的预期值为依据，将实际观测到的进展与达成目标所需的进展进行对比。

研究结果：本次差距分析覆盖21项卫生及卫生系统指标，揭示了部分成果达成情况与严重的进度滞后问题。基于全国数据，孕产妇死亡率比率（maternal mortality ratio）若要达成2021年目标，还需额外多耗时8.2年；若要达成2030年目标，则需额外多耗时12.5年。新生儿死亡率（Neonatal Mortality rate）同样面临类似进度滞后：2021年目标需额外多耗时7.9年，2030年目标需额外多耗时12.9年；而5岁以下儿童死亡率（Under-5-Mortality rate）的目标仅存在小幅延迟，分别只需多耗时1.8年和1.7年即可达成。

研究结论：利比里亚政府需持续付出努力并获取国际支持，方能达成其国家级卫生目标以及《可持续发展目标3》的相关要求。