In our world today:

• 48 countries had mortality rates greater than 1 in 10 childbirths, compared to 1 in 43 in developed countries.
• 70% of deaths before age 5 are caused by disease, or a combination of disease and malnutrition.

To reach Goal 4, an increase in public spending on health is needed so that immunizations are available to all. Preventable diseases must be recognized and treated in the early stages and more health care providers need to be hired to service rural communities. Young women need improved access to family planning and sexual and reproductive health education.