UNICEF released Survive and Thrive Report at Partner's Forum on 13th December 2018 at New Delhi. According to the report, neonatal deaths take place within the first 28 days of life and account for 62% of all under – 5 deaths in India. It is estimated that about 5.3 million children under the age of 5 died worldwide in 2017 of which 2.5 million were new borns. According to this report 45% of all the deaths in children were in zero to 28 day olds. In India the proportion is higher at 62%. This is a quarter of all the global neo natal deaths. Of all the deaths 80% of the neonatals had low birth weight and two-thirds were born prematurely. Between 1990 and 2015 there was a 66% fall in less than five mortality that was faster than the global reduction of 55%. During this period, the reduction of deaths in neonates was just 56% in India. In spite of government schemes were steadily reducing under five mortality, neonatal mortality remained stagnant between 2002 and 2007.The main reasons could be government’s emphasis on institutional deliveries, providing transport to and from hospitals, provide facility for delivery at doorsteps at sub centers and conditional transfer of cash and ensuring visits by Asha health workers. An estimated 5 million women still deliver at home each year without any skilled birth attendance with half the births taking place in UP and Bihar alone.
Under the Pradhan Mantri Surakshit Matritva Abhiyan launched in 2016, doctors in the private sector are donating one workday every month which has led 16 million antenatal checkups in last two years. The government has set up 794 special new born care units which provided help to 25 million new borns.According to the report globally 2.9 million lives of mothers and children can be saved by 20130 by providing pre-conception care during pregnancy, labor and delivery and care of the new born. India can reduce 71% of an estimated six-lakh neonatal death each year if all mothers deliver at a health care facility. They have access to caesarean section services; safe blood and special care for sick new borns.