Dr Mary Bwalya and Fran McConville on behalf of the
Core teamICM Africa Congress, Nairobi, July 19th 2013
43%
We know the causes of newborn deaths
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%
3 million
2
3 main killers of newborns are known & addressable :
1. Preterm birth (born too soon)
2. Birth complications
3. Neonatal infections
Newborn deaths invisible in global estimates until 2005 – now visible
CHANGE
1
We can reduce the main causes of deathNewborn Survival Solutions – 3 by 2
Preterm birth1. Preterm labor management including antenatal corticosteroids*2. Care including Kangaroo mother care, essential newborn care
Birth complications (and intrapartum stillbirths)3. Prevention with obstetric care *4. Essential newborn care, and resuscitation*
Neonatal infections5. Prevention, essential newborn care especially breastfeeding,
Chlorhexidine where appropriate*6. Case management of neonatal sepsis *
1
2
3
* Prioritised by the UN Commission on Life Saving Commodities for Women and Children
CHANGE
2
Over two-thirds of newborn deaths preventable – actionable now without intensive care
ChildhoodNewborn/postnatalPre-pregnancy Pregnancy
Fam
ily/c
omm
unity
Out
reac
h/ou
tpati
ent
Clin
ical
ANTENATAL CARE
POSTNATAL CARE
EARLY POSTNATAL HOME VISITS FOR MOTHER AND NEWBORN
CLEANER, SAFER BIRTH
ADOLESCENT HEALTH AT HOME AND SCHOOL
CHILD HEALTH CARE
OBSTETRIC AND CHILDBIRTH CARE including essential newborn care
EMERGENCY NEWBORN CARE
REPRODUCTIVE HEALTH CARE
REPRODUCTIVE HEALTH CARE
INTERSECTORAL Improved living and working conditions including housing, water and sanitation, and nutrition Education and empowerment
Birth
EMERGENCY CHILD CARE
Source: Adapted from Kereber et al Lancet 2007
ONGOING CARE FOR THE CHILD AT HOME
PREGNANCY HOME VISITS
Newborn care fits in health system packages of care
and focus on birth gives extra impact
ACTION
2
A roadmap for change
A platform for harmonised action by all partners
• Setting out a clear vision with 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
What is the Every Newborn Action Plan?
Family Planning Summit Every Newborn A Promise
Renewed
Country leadership & Implementation
Global action plans: scaling up nutrition, global action plan for pneumonia & diarrhea, Born Too Soon,
WASH for all
www.everywomaneverychild.org
Key catalytic initiatives in support of Every Woman Every Child
Commission on Live-saving Commodities
Newborn action supports the Global Strategy
Commission of Information and Accountability Recommendations
10-part framework for global reporting, oversight and accountability on women's and children's health
Reviewing progress on the Global Strategy and the Commission’s recommendations
Independent Expert Review Group
Who? Global mechanisms for coordinated action and advocacy Some examples:
National Health Sector Plans
RMNCH Strategic Plan
Increased access and use of FP
Ending preventable newborn deaths
Ending preventable child deaths
Ending preventable maternal deathsCOMMODITIES, HUMAN RESOURCES etc.
How it fits together at Country Level
Who is involved to build this movement?• Global plan 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
NATIONAL action by professionals, policymakers and parents = ALL OF US !!
Global launch May 2014 linked to the World Health AssemblyCountry consultations and global communities
13
Every Newborn Toolkit
1. Advocacy 2 pager brief
2. Key messages and actions
3. Overview PPT
4. Country fact sheets
5. Library for newborn health
6. Overview of consultation process
7. Tools to assess newborn health
8. Calendar of events
Be part of the action for newborns#Newborn2013 #GlobalNewbornAction
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