UN Millennium Development Goals 4 ‘Reduce Child Morality’ had targeted decreasing child mortality to 2/3 from 1990 to 2015. However, most regions except Oceania didn’t reach its goal for child mortality decrease rate was 50%. Goals 5 ‘Improve Maternal Health’ had targeted decreasing maternal mortality to 3/4 from 1990 to 2015. It neither approached its objective, since maternal mortality dropped to 50%. 

Maternal mortality all around the world in 2017 is 211 per 100,000. It dropped from 342 in 2000, but every day 810 pregnant women are dying, 86% of which are in Sub-Saharan Africa and South Asia region. However, it has achieved only 1/3 of the UN Sustainable Development Goals (SDGs) Target 3.1 that aims to reduce the global maternal mortality ration to less than 70 per 100,000 live births by 2030.

Maternal death can be prevented with adequate education and medical services, but in many cases, it happens by side effects of excessive bleeding and infection, resulting from not getting medical support during pregnancy and delivery. In developing countries, child marriage, early pregnancy, too frequent pregnancy, malnutrition in adolescents, girls often happen. In particular, pregnancy and childbirth of girls under 15-year-old threatens the life of newborns and infants. Even though many countries or organizations had provided aid to achieve MDGs 5, most of the girls were excluded from global health program because they set the age of fertile woman above 18. There must have been some reasons for not achieving MDGs goals 4 and 5, but we think that a lack of girls-health-program is one of the reasons.

Mostly in developing countries, medical services are not enough for adolescents, especially girls. If they have public health centers, there are limitations. Medical and health services for adolescents, especially girls, are very insufficient in most developing countries. If so, they are improper for their health issues or lack of needed facilities. Also, they are afraid of stigma by going to the health center that they have problems physically or sexually, or limited to use them for distance or operating time. Girls, unlike adult women, suffer from inequality of using reproductive health-related services. According to existing researches, girls in underdeveloped countries show much lower rates in pre-pregnancy tests and contraceptive methods.

Therefore, it is urgent to provide health services to girls for girls, maternal and infant health promotion, and to arrange improvement plans through analyzing social factors which have threatened girls’ health. Relieving inequality in health from which girls in developing countries are suffering can solve general problems of society associated with girls’ health. Moreover, improving inequality in reproductive health can protect girls’ early marriage, pregnancy, and delivery, and can advance MDGs 4 and 5, which was not fully achieved.