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Dr Mary Bwalya and Fran McConville on behalf of the Core team. ICM Africa Congress, Nairobi, July 19 th 2013. We know the causes of newborn deaths. CHANGE 1. 3 main killers of newborns are known & addressable : Preterm birth (born too soon) Birth complications Neonatal infections.

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Presentation Transcript
slide1

Dr Mary Bwalya and Fran McConville on behalf of the Core team

ICM Africa Congress, Nairobi, July 19th 2013

slide2

We know the causes of newborn deaths

CHANGE 1

3 main killers of newborns are known & addressable :

Preterm birth (born too soon)

Birth complications

Neonatal infections

3 million

43%

Newborn deaths invisible in global estimates until 2005 – now visible

Source :CHERG and WHO, Liu et al. 2012. Global, regional and national causes of child mortality in 2000-2010:.The Lancet. DOI:10.1016/SO140-60560-1.

In 2010 40% of under five deaths were neonatal. In 2011 it as 43%

2

slide3

We can reduce the main causes of death

Newborn Survival Solutions – 3 by 2

CHANGE 2

Preterm birth

  • Preterm labor management including antenatal corticosteroids*
  • Care including Kangaroo mother care, essential newborn care

Birth complications (and intrapartum stillbirths)

  • Prevention with obstetric care *
  • Essential newborn care, and resuscitation*

Neonatal infections

  • Prevention, essential newborn care especially breastfeeding, Chlorhexidine where appropriate*
  • Case management of neonatal sepsis *

1

2

3

* Prioritised by the UN Commission on Life Saving Commodities for Women and Children

Over two-thirds of newborn deaths preventable – actionable now without intensive care

slide4

Clinical

Outreach/outpatient

ADOLESCENT HEALTH AT HOME AND SCHOOL

  • CLEANER, SAFER BIRTH

EARLY POSTNATAL HOME VISITS FOR MOTHER AND NEWBORN

Family/community

Newborn care fits in health system packages of care and focus on birth gives extra impact

ACTION 2

OBSTETRIC AND CHILDBIRTH CARE including essential newborn care

EMERGENCY NEWBORN CARE

EMERGENCY CHILD CARE

REPRODUCTIVE HEALTH CARE

ANTENATAL CARE

  • REPRODUCTIVE HEALTH CARE

CHILD HEALTH CARE

POSTNATAL CARE

ONGOING CARE FOR THE CHILD AT HOME

PREGNANCY HOME VISITS

INTERSECTORALImproved living and working conditions including housing, water and sanitation, and nutrition

Education and empowerment

Birth

Pre-pregnancy

Pregnancy

Newborn/postnatal

Childhood

Source: Adapted from Kereber et al Lancet 2007

slide5

What is the Every Newborn Action Plan?

A roadmap for change

A platform for harmonised action by all partners

  • Setting out a clear visionwith mortality target, strategic directions, and innovative actions within the continuum of care
  • Supported by evidence on epidemiology, effective interventions, delivery mechanisms and accelerators to progress to be published in The Lancet at the time of the launch in May 2014
slide6

Newborn action supports the Global Strategy

Country leadership & Implementation

Key catalytic initiatives in support of Every Woman Every Child

Family Planning Summit

Every Newborn

A Promise Renewed

Global action plans: scaling up nutrition,

global action plan for pneumonia & diarrhea, Born Too Soon, WASH for all

Commission on Live-saving Commodities

Who? Global mechanisms for coordinated action and advocacy

Some examples:

Commission of Information and Accountability Recommendations

Independent Expert Review Group

  • Reviewing progress on the Global Strategy and
  • the Commission’s recommendations

10-part framework for global reporting, oversight and accountability on women's and children's health

www.everywomaneverychild.org

slide7

How it fits together at Country Level

National Health Sector Plans

RMNCH Strategic Plan

Ending preventable newborn deaths

Ending preventable maternal deaths

Ending preventable child deaths

Increased access and use of FP

COMMODITIES, HUMAN RESOURCES etc.

who is involved to build this movement
Who is involved to build this movement?
  • Globalplan for country action linked to Every Woman Every Child, and to A Promise Renewed, following Born Too Soon report and World Prematurity Day movement
  • Global partnership with multiple organizations including:
      • Country governments and parliamentarians
      • United Nations
      • NGOs
      • Universities and Professional organizations
      • Donors and foundations
      • All the PMNCH 500+ constituencies

Country consultations and global communities

Global launch May 2014 linked to the World Health Assembly

NATIONAL action by professionals, policymakers and parents = ALL OF US !!

13

slide9

Every Newborn Toolkit

  • Advocacy 2 pager brief
  • Key messages and actions
  • Overview PPT
  • Country fact sheets
  • Library for newborn health
  • Overview of consultation process
  • Tools to assess newborn health
  • Calendar of events
slide10

Be part of the action for newborns

#GlobalNewbornAction

#Newborn2013

the 7 health systems building blocks and midwifery
The 7 Health Systems Building Blocks and midwifery
  • Leadership and governance
  • Health financing
  • Health workforce
  • Essential medical products
  • Health services
  • Health information systems
  • Community ownership and partnership