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It is not inconceivable that by 2035 the substantial gaps in child health across the  P acific can close significantly. Currently,  A ustralia and  N ew  Z ealand have child mortality rates of 5 and 6 per 1000 live births, respectively, while  P acific island developing nations have under 5 mortality rates ranging from 13 to 16 ( V anuatu,  F iji and  T onga) to 47 and 58 per 1000 live births ( K iribati and  P apua  N ew  G uinea, respectively). However, these Pacific child mortality rates are falling, by an average of 1.4% per year since 1990, and more rapidly (1.9% per year) since 2000. Based on progress elsewhere, there is a need to (i) define the specific things needed to close the gaps in child health; (ii) be far more ambitious and hopeful than ever before; and (iii) form a new regional compact based on solidarity and interdependence.

Closing the gaps in child health in the P acific: An achievable goal in the next 20 years