Challenges such as the cost of fuel and poor state of roads result in delays, which present a significant problem for effective treatment. Unless the trends change, dozens of countries will miss the mark by a wide margin (see Figures 1.5 and 1.6). South Asia will not achieve the neonatal target until 2049 and sub-Saharan Africa will reach it after mid-century.84 The average annual rate of reduction in neonatal mortality required for India to reach the target is almost double the current level.