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Saving Newborn Lives: The Global Perspective

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Saving Newborn Lives: The Global Perspective. Anne Tinker Director Saving Newborn Lives Initiative Save the Children Federation Washington, DC, USA World Bank, October 29, 2003. Why Focus on Newborns?. 40% of the world’s deaths of children under age 5 occur in the first month of life

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slide1

Saving Newborn Lives: The Global Perspective

Anne Tinker

Director

Saving Newborn Lives Initiative

Save the Children Federation

Washington, DC, USA

World Bank, October 29, 2003

slide2

Why Focus on Newborns?

  • 40% of the world’s deaths of children under age 5 occur in the first month of life
  • 4 million newborns die each year, and 4 million more are stillborn
  • Nearly 99% of the deaths occur in the developing world, most at home without skilled care
  • Poor newborn health can lead to learning disabilities, stunted growth, and early onset of chronic diseases
  • To meet the MDG on child mortality reduction, neonatal mortality must be reduced by at least one half
slide3

35

30

25

20

15

10

5

0

Relative Risk of Death per Month

Newborn period 31 deaths per month

The risk of dying is 15 times higher in the first month of life than in subsequent months of infancy

Deaths per 1000 live births

Post-neonatal period (1-11 months) 2 deaths per month

Children (12-59 months) 1 death per month

Average number of deaths per month in each period of a child’s life

From: State of the Worlds Newborns 2001, State of the World’s Children 2001, WHO Publications

slide4

Causes of Newborn Deaths

  • Pregnancy-related complications(e.g., complications of prematurity, congenital anomalies) 34%
  • Delivery-related complications(e.g., asphyxia, birth injury) 29%
  • Infectious diseases (e.g., neonatal tetanus, pneumonia, sepsis, meningitis, diarrhea) 32%

WHO, 2001

slide5

Newborn Deaths are Preventable

  • 70% of newborn deaths can be prevented by
  • simple, cost-effective interventions during
  • Pregnancy
  • Delivery
  • Newborn period

for as little as $1-3 per person per year.

slide6

Health Priorities for Newborns

  • Strong links with maternal health
  • Clean delivery and cord care
  • Warming and drying
  • Immediate, exclusive breastfeeding
  • Recognition and management of the sick newborn: asphyxia, infection
  • Special care for the LBW infant
what is snl
What is SNL?

A global initiative, led by Save the Children and supported by the Gates Foundation, to improve newborn health and survival in the developing world

snl s strategy for improving newborn health and survival
SNL’s strategy for improving newborn health and survival
  • Strengthen and expand proven, cost-effective interventions
  • Discover and diffuse new and better technologies and approaches
  • Increase understanding and commitment at global and country level
  • Build partnerships and mobilize resources to achieve scale and impact
  • Strengthen global and country level capacity to lead and support improved and sustained newborn health programming
where we work
Where we work
  • National programs fully operational in Pakistan, Bangladesh, Nepal, Malawi, Mali, and Bolivia
  • New programs being launched in India, Vietnam, Ethiopia, Myanmar, Indonesia, and Guatemala
tools development
Tools Development
  • Situation Analysis
  • Newborn care training package
  • Formative research guide
  • List of core indicators
what can the world bank do
What can the World Bank do?
  • Strengthen newborn health services in health sector lending
  • Include newborn mortality reduction as an indicator of progress towards meeting the health MDGs
  • Establish partnerships, such as providing supplies and equipment while SNL or others provide technical assistance and community support
snl research priorities
SNL Research Priorities

I. Improve household and community behaviors

II. Improve ENC delivery

III. Prevent and improve management of LBW

IV. Prevent and improve management of infection

V. Improve knowledge of causes of neonatal mortality

VI. Prevent and improve management of birth asphyxia

research on key questions relating to newborn health and survival
Research on key questions relating to newborn health and survival
  • How to improve newborn care practices and services in resource poor settings: community-based trials in India, Nepal and Malawi and Bangladesh
  • How to improve management of the sick newborn: research in prevention and management of birth asphyxia and infection
  • How to manage the low birth weight baby: lessons learned about kangaroo mother care and remaining research questions
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