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Our Children Cannot Wait: The Case for Child Survival and Nutrition Sovereignty
In this opinion piece, His Majesty King Letsie III of Lesotho, African Union Nutrition Champion, makes the case for child survival and nutrition sovereignty.
Leadership for child survival and nutrition
Rising child mortality demands action. Countries are advancing child survival as a sovereign priority, and inviting funders and partners to help reverse the trend.
Rising child deaths demand urgent action
For the first time this century, child deaths from preventable causes are projected to rise. Global instability, economic pressure and shrinking development financing have created a perfect storm: without a change in course, an estimated 30 million children could die from preventable causes over the next five years, half of them from malnutrition.
Africa will bear the heaviest toll, with roughly 18 million of those deaths and at least 50 million children born too small or too soon. This crisis reflects not just a funding gap, but also the limits of aid dependency — and it offers a historic opportunity for country-led, sustainable solutions.
Claiming child survival as a sovereign priority
The survival of the world's children is a fundamental issue on which the world can and must agree. It has united the world before, and it can do so again.
It is already happening. Governments are stepping forward to issue a call: naming child survival as a sovereign priority, committing their own resources and inviting aligned partners to help advance a shared agenda for children.
The interventions needed are proven, affordable and ready to scale. The opportunity now is to pair strong commitment with the catalytic investment needed to accelerate progress. This is an invitation to every country and partner that believes children deserve a place at the table of global priorities. Now is the time for action.
Prioritizing child survival and nutrition
At the margins of the 81st United Nations General Assembly in New York, His Majesty King Letsie III of Lesotho, the African Union Nutrition Champion, convened a high-level side event in partnership with Nutrition International and the Government of Canada that brought together heads of state, global partners and aligned institutions to advance a renewed agenda for child survival.
The discussion is captured in the Child Survival Principles and Call to Action, a statement of principles and priorities that draws on what participating leaders and partners put forward at the event. Grounded in African leadership and country ownership, it frames child survival as a sovereign priority, recognizes nutrition and prevention as foundational to lasting progress, and points to stronger domestic financing, aligned partnerships and shared accountability for results.
African Union Nutrition Champion calls for action on child survival
The Government of Ethiopia, in partnership with Nutrition International, hosted His Majesty King Letsie III of the Kingdom of Lesotho, African Union Nutrition Champion, during a high-level field visit to Zewditu Memorial Hospital, a healthcare facility in Addis Ababa. The visit highlighted how evidence-based, cost-effective nutrition interventions delivered through routine health systems can save the lives of children across the continent.
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