A Promise Renewed is a global effort to end preventable child deaths. By pledging to support the goals of Committing to Child Survival: A Promise Renewed, the Government of Liberia vows to redouble efforts to achieve Millennium Development Goals 4 and 5 by 2015, to reduce under-five mortality in all countries to 20 or fewer under-five deaths per 1,000 live births by 2035, and to focus greater effort on reaching the most disadvantaged and hardest-to-reach children in the country.
Liberia has made remarkable progress during the first decade of peace since the end of the 14-year civil war. According to the 2012 progress report of A Promise Renewed, the infant and under-five mortality rates were 58 and 78 per 1,000 live births respectively in 2010 in Liberia, a decline of over 68% from the 1990 levels of 241/1,000 (U-5MR), representing a remarkable annual reduction of about 5.4%, the highest in Africa.
In spite of the progress made in Liberia, neonatal mortality, which is currently estimated at 27/1,000 live