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Version Jan 2013. Why Every Newborn ?. Photo credit: Save the Children. We’ve made significant progress toward MDGs 4 & 5, but newborn survival is lagging behind. At least 40 % slower for newborn survival and slower still for stillbirths.

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Why Every Newborn?

Photo credit: Save the Children


We’ve made significant progress toward MDGs

4 & 5, but newborn survival is lagging behind

At least 40% slower fornewbornsurvival and slower still for stillbirths

Source: Adapted from Lawn J,E. et al. 2012. Newborn survival: a multi-country analysis of a decade of change. Health Policy and Planning. 27(Suppl. 3): iii6-ii28. Data sources: UNICEF 2012 , UN MMR estimates 2012

* Maternal mortality ratio annual rate reduction 190-2010


We know the causes of newborn deaths

3 main killers to address:

Preterm birth

Birth complications

Neonatal infections



Two-thirds of neonatal deaths

are preventable

Data source: Cause of death - WHO. Global Health Observatory; Child deaths - UN Inter-agency Group for Child Mortality Estimates. Levels and Trends in Child Mortality. Report 2013; Stillbirths - Lawn et al The Lancet stillbirth series 2011. 377 (9775) p1448 – 1463



We have the knowledge and tools to reduce the main causes of death




* 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



Outreach/out patient

adolescent health at home and school

early postnatal home visits for mother and newborn


safer birth


There are proven interventions within RMNCH continuum of care

  • Birth

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

pregnancy home visits

ongoing care for the child at home

intersectoral Improved living and working conditions including housing, water and sanitation, and nutrition

Education and empowerment

time around birth is critical window of opportunity to prevent and manage complications
Time around birth is critical window of opportunity to prevent and manage complications

Care during labour, childbirth and the days following birth

care at birth gives a triple return on investments by also reducing stillbirths and maternal deaths
Care at birth gives a triple return on investments by also reducing stillbirths and maternal deaths
  • If intervention in pregnancy and at birth reached all families by 2015:
  • 1.4 million newborn deaths averted (43%)
  • 1.1 million stillbirths prevented (45%)
  • 201,000 maternaldeaths averted (54%)

Source: Pattinson R, Kerber K, Buchmann E, et al, for The Lancet’s Stillbirths Series steering committee. Stillbirths: how can health systems deliver for mothers and babies? Lancet 2011; published online April 14. DOI:10.1016/S0140-6736(10)62306-9.



Unless we greatly accelerate newborn survival efforts, goal to end preventable child deaths by 2035 unreachable

APR target:

National U5MR of 20 or less

Global U5MR of 15


AAR = 3.8%

Global U5MR

Business as

usual: U5MR

Business as

usual: NMR

Global NMR

AAR = 4.3%


NEW target for stillbirths and

a maternal mortality target is in process

Business as

usual: SBR

Proposed SBR target:

National SBR of 10 or less

Global SBR of 8


ARR = 1.3%

ARR = 3.5%

we can bend the curve proof of impact at scale even in low income countries
We can bend the curve: proof of impact at scale even in low income countries

Over the last decade, 77 countries reduced NMR by >25%,

including at least 13 low income countries:

Bangladesh, Bolivia, Eritrea, Guatemala, Indonesia, Nepal, Madagascar, Malawi, Morocco, Senegal, Rwanda, Tanzania, Vietnam

Source: Newborn survival decade of change analysis: Health Policy and Planning. 27(Suppl. 3) papers 3 to 7


The Every Newborn Action Plan:

  • building a movement

A global roadmap for change…

A movement for greater action and accountability…

A platform for harmonized action by all partners…

  • Sets out a clear visionwith mortality target, strategic directions, and innovative actions within the continuum of care
  • Supported by new evidence to be published in The Lancet in May 2014

Photo credit: Save the Children

every newborn s s trategic objectives
Every Newborn’sstrategic objectives
  • Strengthen and invest in care during labour, child birth and the first day and week of life
  • Improve the quality of maternal and newborn care
  • Reach every woman and every newborn; reduce inequities
  • Harness the power of parents, families and communities
  • Count every newborn – measurement, tracking and accountability

Every Newborn supports

the Global Strategy

Country leadership & Implementation

Key catalytic initiatives in support of Every Woman Every Child

Family Planning 2020

UN Commission on Life Saving Commodities

A Promise Renewed

Global action plans: Every Newborn, scaling up nutrition,

global action plan for pneumonia & diarrhea, vaccines,

WASH for all, and others

Who? Global mechanisms for coordinated action and advocacy

Some examples:

Commission on Information and Accountability and independent Expert Review Group



Every Newbornprioritizes focus on birth withinexisting national strategies and plans; not a new stand alone plan

Health Sector Strategic & Investment Plan

Integrated National RMNCH Plan

Increasing access and use of FP

Ending preventable deaths from pneumonia and diarrhoea (GAPPD)

Ending preventable maternal deaths

Ending preventable newborn deaths


All stakeholders have a role to play

  • Countries, donors, civil society groups, professionals, and businesses are leading this effort in support of Every Woman Every Child. Every Newborn builds on key platforms like FP2020, A Promise Renewed, the Commodities Commission, and Commission on Information and Accountability.
    • A comprehensive consultation process whereby all stakeholders are given an opportunity to feed into the plan and countries identify specific bottlenecks and solutions

Photo credit: Save the Children


Every Newborn Process

April 2013 – June 2014

  • National and regional consultation and technical inputs to the development of the plan

20-25January 2014

  • Discussed at the WHO Executive Board

February 2014

  • Open consultation on draft Every Newborn by stakeholders and inputs incorporated into final draft

May 2014

  • Lancet series (update from 2005 and giving the analyses which are the basis for the Every Newborn)
  • Draft plan presented to the 67thWorld Health Assembly

June 2014

  • Action Plan launched at PMNCH Partners’ Forum, Johannesburg

Photo credit: Save the Children


We are building a movement…

All stakeholders have a role to play…

Get involved!

Join the online consultation

now at:


For more information