SPRING aims to improve child survival, child growth and development in two of the worst affected countries for child survival and stunting. Together, India and Pakistan account for over a quarter of all child deaths, 39% of stunted children and 34% of disadvantaged children globally.
Although there has been a 30% reduction in child deaths from 1990 to 2008, we are still well off track to reach the Millennium Development Goal 4 (MDG 4) of a 2/3 reduction in childhood deaths by 2015. The coverage of key child survival interventions remains inadequate & inequitable. Under-nutrition including sub optimal breast feeding remains the single biggest risk factor for child death thought to be responsible for 35% of child deaths in total. 200 million children under 5 are at extreme risk of impaired cognitive and social-emotional development. This increases the risk of intergenerational transmission of disadvantage. This waste of human potential also has profound implications for national development.