Version Jan 2013

Setting Global Targets and Milestones

Lily Kak, USAID (on behalf of the ENAP team)

Orientation for Civil Society Organizations Washington DC

February 12, 2014

NEW NEONATAL MORTALITY TARGET Unless we greatly accelerate newborn survival efforts, goal to end

preventable child deaths by 2035 unreachable

0

10

20

30

40

50

60

70

80

90

100

1990 1995 2000 2005 2010 2015 2020 2025 2030 2035

Mor

talit

y ra

te (p

er 1

,000

live

birt

hs)

2000-2012 AAR = 2.7%

Proposed NMR target: National NMR of 10 or less Global NMR of 7

2000-2012 AAR = 3.8% Global U5MR

Global NMR

APR target: National U5MR of 20 or less Global U5MR of 15

Business as usual: U5MR

AAR = 4.3%

Business as usual: NMR

Scenario 2035 global NMR 2035 neonatal deaths

If current trends are unchanged 13 1.8 million

Every country to NMR of 10 per 1000 7 0.9 million

Similar to 2/3 reduction in NMR as if a continuation of MDG4

0

5

10

15

20

25

1995 2000 2005 2010 2015 2020 2025 2030 2035

Glob

al a

vera

ge st

illbi

rth

rate

(p

er 1

,000

tota

l birt

hs) 2000-2009

ARR = 1.3%

ARR = 3.5%

Scenario 2035 global SBR 2035 stillbirths

If current trends are unchanged 15.9 2.2 million

Every country reaches SBR of 10 per 1000 8.0 1.1 million

Also similar to ≥2/3 reduction in SBR for every country

Business as usual: SBR Proposed SBR target:

National SBR of 10 or less Global SBR of 8

NEW target for stillbirths and a maternal mortality target is in process

Coverage targets (Under Discussion)

Coverage and quality of care at national level 2020 2025

Coverage and quality of care at birth

90% births with skilled birth attendants will receive effective high-quality and respectful care

95%

Home visits and participatory group support

20% increase in postnatal care within two days of birth and access to a participatory group. (or an increase to 90% if baseline is above 70%)

90%

Coverage and quality of care for newborns at risk

>50% newborns not breathing, resuscitated with bag and mask >50% preterm or lowbirth weight newborns receive kangaroo mother care and other supportive care >50% newborns with sepsis receive antibiotics

> 75% > 75% >75%

National Level Global Level

May 2014 Endorsement at the World Health Assembly

December 2014 50% of countries have reviewed and revised their national strategies and action plans All countries have included the 13 life-saving commodities prioritized by the Commission on Life-saving Commodities.

December 2014 The UN and partners have provided technical support to countries to revise their national strategies and plans to meet the ENAP goal, targets Governments and partners have ensured that investment in maternal and newborn health is sustained in the post-2015 development agenda

May 2015 All countries have reviewed and revised their national strategies and action plans in line with the goal, targets and indicators defined in the Every Newborn Action Plan All countries have taken steps to harness community participation and support local champions and existing community structures to take action for maternal and newborn health

May 2015 The UN, health professional associations and partners have developed standards of quality of maternal and newborn care

Examples of Milestones (under discussion)

Examples of Milestones (under discussion)

National Level Global Level

May 2016 All countries have taken significant steps to establish a system for birth and death registration including neonatal causes of death

May 2016 The business community has made substantive investment in technology transfer to low income countries to ensure that basic newborn commodities such as weighing scales, resuscitation equipment, and medicines are available in appropriate formulations and at affordable prices.

May 2017 All countries have reviewed progress in implementation of the Every Newborn Action Plan and reformulated national strategies and plans to address gaps in implementation

May 2017 The UN and partners have reviewed and published global progress in implementation of ENAP and highlighted gaps

Milestones for 2018, 2019, 2020 etc.

A Promise Renewed Score-Cards

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

All stakeholders have a role to play

Photo credit: Save the Children

Actions for Civil Society • Community health workers: Support preventative care around birth and

referrals to basic and comprehensive facilities. • Community leadership and accountability: Solve practical problems, hold

health providers accountable to providing quality services, strengthen links between community and facilities, promote incentives for community health workers.

• Champions: Develop local champions, including parliamentarians, parent groups, professionals, community health volunteers and community leaders; engage and link champions for RMNCH+A to integrate newborn messaging

• Demand: Generate and sustain demand for services using community owned actions

• Adolescents: Give special attention to adolescent girls; help prevent early and unwanted pregnancies

• Seek care: Utilize community health workers, skilled birth attendants and midwives to obtain essential maternal and newborn care.

• Quality and accountability: Be a voice for change. Demand quality, affordable, accessible services. Report poor services. Demand zero tolerance for maternal and newborn death.

April 2013 – June 2014 Global, national and regional consultation and

technical inputs to the development of the plan

20-25 January 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 67th World Health Assembly

June 2014 Action Plan launched at PMNCH Partners’ Forum,

Johannesburg

Every Newborn Process

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: http://www.who.int/maternal_child_adolescent/topics/newborn/enap_consultation/en

or email everynewborn@who.int

For more information visit www.everynewborn.org