Case Studies on Leaving No One Behind

A companion volume to the Development Co-operation Report 2018

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These case studies complement the 2018 Development Co-operation Report: Joining forces to leave no one behind. Case study contributors share knowledge and lessons on what it takes to answer the pledge of the 2030 Agenda for Sustainable Development to leave no one behind through national and sub-national policies, strategies and programmes as well as international development co-operation projects, programmes and partnerships. The insights, good practices and lessons shared in these case studies were provided by diverse actors. These include official development co-operation ministries and agencies from members of the OECD and the Development Assistance Committee, international organisations, developing country governments, civil society organisations, business, and research bodies.


The case studies highlight experiences from projects and programmes in leaving no one behind and reaching the furthest behind. They are organised and presented under two broad categories:

1. Reaching and including people and places;

2. The enabling role of international co-operation: policies, partnerships and data.



A programme-based approach for maternal and child health at the district level in Malawi

Development challenges remain enormous in Malawi, with the country ranking 171 in the United Nations Development Programme’s 2018 Human Development Index (UNDP, 2018[1]). Malawi records some of the highest poverty, child marriage and child-bearing rates in the world making these issues a core concern for development. Adolescent pregnancies represent a quarter of all pregnancies in Malawi, and 29% of youth aged 15-19 have had a baby. The associated health burden is substantial, as adolescent pregnancies account for 20% of maternal deaths, and the rate of obstetric fistula among this group is significant.


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