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[Comment] Offline: The Mexican revolution

Ana Langer’s choice of Mexico for last week’s landmark Global Maternal Newborn Health Conference was inspired. Writing in The Lancet in 2006, Jaime Sepulveda identified reasons why his country had succeeded so spectacularly in reducing child mortality. Strong leadership. Ministers of Health who knew their subject. Continuity of policies between governments. Institutions that provided independent technical advice to ministers. A results-based culture. Between 1990 and 2015, child mortality in Mexico fell by almost three-quarters, newborn mortality by two-thirds, and maternal mortality by over a quarter.