EVERY NEWBORN · 2019-09-24 · #EveryNewborn Ending&preventable&child&and&newborn&deaths Mortality(targets(in(Every(Newborn(Ac>on(Plan(and(APromise(Renewed ( Source: Lancet Every

An Action Plan To End Preventable Deaths

EVERY NEWBORN

#globalmnh #EveryNewborn

Measurement improvement

roadmap

www.everynewborn.org #EveryNewborn

Overview of panel Moderator Suzanne Fournier 5mins

1 Count every newborn: a 5-‐year measurement improvement roadmap Joy Lawn 15 min

IMPACT

2 Coun>ng births, neonatal deaths and cause of death: Improving measurement especially in vital registra>on

Peter Waiswa

15 min

COUNTING COVERAGE AND QUALITY AND LINKING TO ACTION

3 Care for all mothers and newborns: Measuring coverage and content of care

Agbessi Amouzou

12mins

4 Care for newborns with complica>ons: Measuring coverage and content of care

Sarah Moxon 12 mins

5 Coun>ng every s>llbirth and neonatal death: Perinatal audit tools and implementa>on for improving quality of care linked to maternal death surveillance and response

Kate Kerber 10 mins

DISCUSSION PANEL Tanzania and improving and using the data, links to scorecards Bangladesh and improving and using the data WHO’s role in co-‐ordina>ng maternal and newborn metrics

Georgina Msemo Shams El Arifeen Ma^hews Mathai

3 mins each

Discussion from the floor Close

10mins

5 mins


Where to get more information Lancet Every Newborn series: http://www.thelancet.com/series/everynewborn

Every Newborn Action Plan (ENAP): http://www.who.int/maternal_child_adolescent/topics/newborn/enap_consultation/en/

BMC Pregnancy and Childbirth series: http://www.biomedcentral.com/bmcpregnancychildbirth/supplements/15/s2

ENAP WHO meeting report: http://www.who.int/maternal_child_adolescent/documents/newborn-health-indicators/en/

MARCH MOOC: http://www.lshtm.ac.uk/study/freeonlinecourses/women-children-health/index.html

UNICEF: www.childmortality.org

Healthy Newborn Network: http://www.healthynewbornnetwork.org/page/newborn-numbers

INDEPTH: http://www.indepth-network.org/

@joylawn @katekerber

An Action Plan To End Preventable Deaths

EVERY NEWBORN

#globalmnh #EveryNewborn

Count Every Newborn: A measurement

improvement roadmap

Professor Joy Lawn

@joylawn


Lancet GH Sept 2013 : The Lancet Global Health 2013; 1:e176-e177 (DOI:10.1016/S2214-109X(13)70059-7)

Ending preventable maternal deaths Maternal mortality target also included in Every Newborn Ac:on Plan

Global average MMR of 70 per 100,000 with different targets for different countriesAlso target for sexual and reproductive health


Ending preventable child and newborn deaths Mortality targets in Every Newborn Ac>on Plan and A Promise Renewed

Source: Lancet Every Newborn series, paper 2 From 2.8 to 0.8 million neonatal deaths

~100 countries have already met the target – focus on equity gapsAbout 29 countries will have to more than double their rates of progress

Every Newborn target by 2030: National NMR of 12 or less


Source: Lancet Every Newborn series, paper 2 From 2.6 to 1.1 million stillbirths

Aligned with NMR target but more ambitious change neededStill NOT MENTIONED in any SDG document…

Also ending preventable stillbirths

Every Newborn target by 2030: National SBR of 12 or less


Lawn et al h*p://www.nature.com/pr/journal/v74/n1s/index.html/

In low income countries the major challenge is s>ll survival BUT in middle income countries disability is increasing

Must track and minimise disability as we scale up more complex neonatal care

Beyond newborn survival The world you are born into determines your survival and your risk of disability


Every Newborn Series 5 papers 6 comments 55 authors from 18+ countries 60+ partner organisaGons

Every Newborn Action Plan Main funders: Bill & Melinda Gates Foundation, USAID, Children’s Investment Fund Foundation

Ending preventable

maternal mortality

Launched by WHO

February 2015

#EPMM

Co-‐led by UNICEF & WHO ConsultaGon >60 governments >80 organisaGons, >1000 individuals World Health Assembly 2014 resoluGon

One year aaer, already policy and program change in at least 20 high burden countries


Source: The Lancet Every Newborn series, paper 3

2 of the 3 MILLION POTENTIAL LIVES SAVED / YEAR

Yet lowest coverage and highest equity gap

What return on investment? 3 million lives could be saved per year with universal coverage


Implementa>on with Innova>on

Address health system boSlenecks, innovate for

Quality of Care

Increase the voice of women

Women’s rights, and their voices for accountability, aSenGon to bereavement

care

Integrated Plans, invest for impact Integrated service

delivery, conGnuum of care, coordinaGon, partner alignment

Inten>onal leadership development

Especially in countries with highest burden

Indicators & metrics Targets in post 2015 Measurement of

progress and impact

Five things to do differently

@joylawn


Indicators to track progress of Every Newborn Ac>on Plan


ENAP Milestones regarding measurement

•  Count births and deaths in CVRS (women, newborns and s>llbirths) •  ENAP core indicators to be defined , incorporated in na>onal metrics plagorms and used •  Perinatal mortality audit and minimum perinatal dataset being widely used in countries

World Health

Assembly

Metrics testing and use in countries

for programme improvement and accountability

Wide use in countries, linking data sources. tesGng E-‐health-‐ based min perinatal dataset

Jan 2019-‐ Dec 2020

Test indicators and tools in various data plaXorms (CVRS, audit facility HMIS, surveys)

Jan 2016-‐ Dec 2018

Scope ENAP metrics definiGons, research gaps (including WHO meeGng)

Sep-‐May 2015

Refine Roadmap, assess current work, consult etc

June-‐ Dec 2015

DEFINE PLAN TEST VALIDITY TEST FEASIBILITY

Every Newborn measurement improvement roadmap 2030

End Preventable Maternal

and Newborn Deaths including S>llbirths

Effec>ve use of data in na>onal health

informa>on systems to improve coverage, quality and

equity

2020


Conclusion: How will the ENAP measurement improvement roadmap be opera:onalised?

§  MulG-‐partner 5 year plan to meet Every Newborn milestones related to measurement improvement •  Improve the data (validity, feasibility tesGng) •  InsGtuGonalise improved metrics at scale within 5 years •  Increased capacity and leadership

§  ENAP metrics coordinaGon group led by WHO and LSHTM and linked to WHO MNH Measurement Expert Reference Group •  AnGcipate a range of partnerships and investments •  CIFF have made a major 3 year investment for

−  Facility based tesGng in two countries − MulGsite research with INDEPTH maternal newborn working group

Opportunity for rapid change ..... BUT also need more rapid change and support for people to use data and lead change in programmes and countries

Documents

EVERY NEWBORN · 2019-09-24 · #EveryNewborn Ending&preventable&child&and&newborn&deaths Mortality(targets(in(Every(Newborn(Ac>on(Plan(and(APromise(Renewed ( Source: Lancet Every