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