The 2025 report of the Lancet Countdown to 2030 for women's, children's, and adolescents' health: tracking progress on health and nutrition

doi:10.1016/S0140-6736(25)00151-5

Review

. 2025 Apr 26;405(10488):1505-1554.

doi: 10.1016/S0140-6736(25)00151-5. Epub 2025 Apr 10.

The 2025 report of the Lancet Countdown to 2030 for women's, children's, and adolescents' health: tracking progress on health and nutrition

Agbessi Amouzou¹, Aluisio J D Barros², Jennifer Requejo¹, Cheikh Faye³, Nadia Akseer¹, Eran Bendavid⁴, Cauane Blumenberg², Josephine Borghi⁵, Sama El Baz¹, Frederik Federspiel⁶, Leonardo Z Ferreira², Elizabeth Hazel¹, Sam Heft-Neal⁷, Franciele Hellwig², Li Liu⁸, Abdoulaye Maïga¹, Melinda Munos¹, Catherine Pitt⁶, Yusra Ribhi Shawar⁹, Jeremy Shiffman⁹, Yvonne Tam¹, Neff Walker¹, Pierre Akilimali¹⁰, Leontine Alkema¹¹, Paoli Behanzin⁶, Peter Binyaruka¹², Zulfiqar Bhutta¹³, Andrea Blanchard¹⁴, Hannah Blencowe¹⁵, Ellen Bradley⁶, Nouria Brikci⁶, Beatriz Caicedo-Velásquez¹⁶, Anthony Costello¹⁷, Winfred Dotse-Gborgbortsi¹⁸, Shams El Arifeen¹⁹, Majid Ezzati²⁰, Lynn P Freedman²¹, Michel Guillot²², Claudia Hanson²³, Rebecca Heidkamp¹, Luis Huicho²⁴, Chimaraoke Izugbara²⁵, Safia S Jiwani¹, Caroline Kabiru³, Helen Kiarie²⁶, Mary Kinney²⁷, Fati Kirakoya-Samadoulougou²⁸, Joy Lawn¹⁵, Nyovani Madise²⁹, Gouda Roland Mesmer Mady¹, Bruno Masquelier³⁰, Dessalegn Melesse³¹, Kristine Nilsen¹⁸, Jamie Perin¹, Usha Ram³², Marina Romanello¹⁷, Ghada E Saad³³, Sudha Sharma³⁴, Estelle M Sidze³, Paul Spiegel¹, Hannah Tappis¹, Andrew J Tatem¹⁸, Marleen Temmerman³⁵, Cesar G Victora², Francisco Villavicencio³⁶, Yohannes Wado³, Peter Waiswa³⁷, Jon Wakefield³⁸, Shelley Walton¹, Danzhen You³⁹, Mickey Chopra⁴⁰, Robert E Black¹, Ties Boerma⁴¹

Affiliations

¹ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
² International Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
³ African Population and Health Research Center (APHRC), Nairobi, Kenya.
⁴ Department of Medicine, Stanford University, Stanford, CA, USA.
⁵ Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK; International Institute for Applied Systems, Laxenburg, Austria.
⁶ Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
⁷ Center on Food Security and the Environment & Environmental Change and Human Outcomes Lab, Stanford University, Stanford, CA, USA.
⁸ Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
⁹ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Paul H Nitze School of Advanced International Studies, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
¹⁰ University of Kinshasa, Kinshasa School of Public Health, Kinshasha, Democratic Republic of Congo.
¹¹ School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA USA.
¹² Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Ifakara, Tanzania.
¹³ The Hospital for Sick Children, Centre for Global Child Health, Toronto, ON, Canada; Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
¹⁴ Rady Faculty of Health Sciences, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada.
¹⁵ Department of Infectious Disease Epidemiology and International Health, London School of Hygiene & Tropical Medicine, London, UK.
¹⁶ School of Medicine, Universidad de Antioquia, Medellin, Colombia.
¹⁷ Institute for Global Health, University College London, London, UK.
¹⁸ Department of Social Statistics and Demography, University of Southampton, Southampton, UK.
¹⁹ International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
²⁰ School of Public Health, Imperial College London, London, UK.
²¹ Mailman School of Public Health, Columbia University, New York, NY, USA.
²² Department of Sociology, University of Pennsylvania, Philadelphia, PA, USA; Institute for Demographic Studies (INED), Paris, France.
²³ Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
²⁴ Universidad Peruana Cayetano Heredia, Centro de Investigación en Salud Materna e Infantil, Centro de Investigación para el Desarrollo Integral y Sostenible, Facultad de Medicina, Lima, Peru.
²⁵ International Center for Research on Women, Washington, DC, USA.
²⁶ Ministry of Health, Division of Monitoring & Evaluation, Nairobi, Kenya.
²⁷ School of Public Health, University of the Western Cape, Cape Town, South Africa.
²⁸ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium.
²⁹ African Institute for Development Policy, Lilongwe, Malawi.
³⁰ UCLouvain, Ottignies-Louvain-la-Neuve, Belgium.
³¹ Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
³² Department of Biostatics and Epidemiology, International Institute for Population Sciences, Mumbai, India.
³³ Centre for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
³⁴ CIWEC Hospital and Travel Medicine Center, Kathmandu, Nepal.
³⁵ Aga Khan University, Nairobi, Kenya.
³⁶ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Economic, Financial and Actuarial Mathematics, University of Barcelona, Barcelona, Spain.
³⁷ School of Public Health, Makerere University, Kampala, Uganda.
³⁸ Department of Statistics and Department of Biostatistics, University of Washington, Seattle, WA, USA.
³⁹ Division of Data, Analytics, Planning and Monitoring, UNICEF, New York, NY, USA.
⁴⁰ The World Bank Group, Washington, DC, USA.
⁴¹ Rady Faculty of Health Sciences, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada. Electronic address: ties.boerma@umanitoba.ca.

PMID: 40222381
DOI: 10.1016/S0140-6736(25)00151-5

Review

The 2025 report of the Lancet Countdown to 2030 for women's, children's, and adolescents' health: tracking progress on health and nutrition

Agbessi Amouzou et al. Lancet. 2025.

. 2025 Apr 26;405(10488):1505-1554.

doi: 10.1016/S0140-6736(25)00151-5. Epub 2025 Apr 10.

Authors

Affiliations

¹ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
² International Center for Equity in Health, Universidade Federal de Pelotas, Pelotas, Brazil.
³ African Population and Health Research Center (APHRC), Nairobi, Kenya.
⁴ Department of Medicine, Stanford University, Stanford, CA, USA.
⁵ Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK; International Institute for Applied Systems, Laxenburg, Austria.
⁶ Department of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.
⁷ Center on Food Security and the Environment & Environmental Change and Human Outcomes Lab, Stanford University, Stanford, CA, USA.
⁸ Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
⁹ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Paul H Nitze School of Advanced International Studies, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
¹⁰ University of Kinshasa, Kinshasa School of Public Health, Kinshasha, Democratic Republic of Congo.
¹¹ School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, MA USA.
¹² Department of Health Systems, Impact Evaluation and Policy, Ifakara Health Institute, Ifakara, Tanzania.
¹³ The Hospital for Sick Children, Centre for Global Child Health, Toronto, ON, Canada; Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
¹⁴ Rady Faculty of Health Sciences, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada.
¹⁵ Department of Infectious Disease Epidemiology and International Health, London School of Hygiene & Tropical Medicine, London, UK.
¹⁶ School of Medicine, Universidad de Antioquia, Medellin, Colombia.
¹⁷ Institute for Global Health, University College London, London, UK.
¹⁸ Department of Social Statistics and Demography, University of Southampton, Southampton, UK.
¹⁹ International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
²⁰ School of Public Health, Imperial College London, London, UK.
²¹ Mailman School of Public Health, Columbia University, New York, NY, USA.
²² Department of Sociology, University of Pennsylvania, Philadelphia, PA, USA; Institute for Demographic Studies (INED), Paris, France.
²³ Department of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
²⁴ Universidad Peruana Cayetano Heredia, Centro de Investigación en Salud Materna e Infantil, Centro de Investigación para el Desarrollo Integral y Sostenible, Facultad de Medicina, Lima, Peru.
²⁵ International Center for Research on Women, Washington, DC, USA.
²⁶ Ministry of Health, Division of Monitoring & Evaluation, Nairobi, Kenya.
²⁷ School of Public Health, University of the Western Cape, Cape Town, South Africa.
²⁸ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Ecole de Santé Publique, Université Libre de Bruxelles, Brussels, Belgium.
²⁹ African Institute for Development Policy, Lilongwe, Malawi.
³⁰ UCLouvain, Ottignies-Louvain-la-Neuve, Belgium.
³¹ Center of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
³² Department of Biostatics and Epidemiology, International Institute for Population Sciences, Mumbai, India.
³³ Centre for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
³⁴ CIWEC Hospital and Travel Medicine Center, Kathmandu, Nepal.
³⁵ Aga Khan University, Nairobi, Kenya.
³⁶ Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Department of Economic, Financial and Actuarial Mathematics, University of Barcelona, Barcelona, Spain.
³⁷ School of Public Health, Makerere University, Kampala, Uganda.
³⁸ Department of Statistics and Department of Biostatistics, University of Washington, Seattle, WA, USA.
³⁹ Division of Data, Analytics, Planning and Monitoring, UNICEF, New York, NY, USA.
⁴⁰ The World Bank Group, Washington, DC, USA.
⁴¹ Rady Faculty of Health Sciences, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada. Electronic address: ties.boerma@umanitoba.ca.

PMID: 40222381
DOI: 10.1016/S0140-6736(25)00151-5

Erratum in

Department of Error.
[No authors listed] [No authors listed] Lancet. 2025 Apr 26;405(10488):1467. doi: 10.1016/S0140-6736(25)00776-7. Lancet. 2025. PMID: 40287239 No abstract available.

No abstract available

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Conflict of interest statement

Declaration of interests Countdown to 2030 for Women's, Children's and Adolescents' Health is funded by the Bill & Melinda Gates Foundation (grant INV-065479). MR reports support from Wellcome (304972/Z/23/Z) and Horizon Europe through the IDAlert project (101057554), the UK Research and Innovation project (10056533 and 10041512), and the CATALYSE project (101057131). TB reports support from the Gates Foundation through a Countdown to 2030 grant through a US Fund for UNICEF to the University to Manitoba. AA reports support from the Gates Foundation through a Countdown to 2030 grant through a US Fund for UNICEF to Johns Hopkins University. JB reports receiving a grant from the Economic and Social Research Council to examine the impact of COVID-19 on health financing in Africa and from WHO for an evidence review of climate and health financing. EH reports receiving 25% of Level of Effort–salary support for the Countdown to 2030 project overall. LL reports receiving salary support from a Gates Foundation grant (INV-038624) to Johns Hopkins University; and travel support to attend the Countdown annual meeting in April, 2024, in Kigali, Rwanda. AM reports support from the Gates Foundation through a Countdown to 2030 grant through US Fund for UNICEF to Johns Hopkins University. JS reports receiving funds allocated to Johns Hopkins University to conduct analysis of global political priority for reproductive, maternal, newborn, child and adolescent health, which fed into this report; being Principal Investigator on a grant from the Oak Foundation, studying political priority to address sexual violence against children in five countries; previous Principal Investigator on a grant from GHR Foundation, studying the governance of national systems to care for orphans and vulnerable children; previous Principal Investigator on Jhpiego grant studying perceptions of MOMENTUM (USAID funded initiative on Maternal Neonatal Child Health) concepts; co-investigator on Medical Research council grant analysing global network on improving quality of care for maternal, newborn, and child health; honorarium from Korea Disease Control and Prevention Agency for a web talk titled “Framing and the formation of global health priorities”. AC reports receiving Wellcome Trust grants for Climate Change and Health Action; support with travel expenses to Bellagio meeting from Rockefeller Foundation; and participation on a Data Safety Monitoring Board for the Tara trial on preconceptual and pregnancy nutrition interventions in Delhi, India. RH reports receiving grants from the Gates Foundation (INV-040665). KN reports receiving funding from the Gates Foundation (INV-042414) to University of Southampton to pay for research and impact generating activities through a subgrant administered by US Fund for UNICEF. JP reports receiving funding from Gates Foundation (INV-038624) and support for travel to a conference in Santiago, Chile, from WHO. JW reports having a Ro1 from the National Institutes of Health and consulting for UNICEF, and received support for travel to Rwanda from WHO. All other authors declare no competing interests.

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The 2025 report of the Lancet Countdown to 2030 for women's, children's, and adolescents' health: tracking progress on health and nutrition

Affiliations

The 2025 report of the Lancet Countdown to 2030 for women's, children's, and adolescents' health: tracking progress on health and nutrition

Authors

Affiliations

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Conflict of interest statement

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