Version April 2014
Advocacy and Campaigning on Child and Newborn Survival in South Africa
Mary KinneySaving Newborn Lives/Save the Children
Managing editor for ENAP
• Why do we need a Every Newborn
Action Plan?
• What is the Every Newborn Action Plan?
• Action with a plan
• Opportunities for South Africa to link to
global effort
Three million newborns are dying globally every year
We Stand for Newborns!
The Global Newborn Health ConferenceAll participants made a commitment to stand for newborns – WILL YOU?
We Stand for Newborns!
Why Every Newborn?
• Huge burden, yet huge potential for rapid change with high impact, feasible interventions
• Country demand for guidance and action to accelerate progress towards MDGs 4 and 5, universal health coverage, and towards ending preventable deaths among women and children
• For greater effectiveness we must accelerate and harmonize global response and link to existing initiatives for reproductive, maternal, child and adolescent health care.
We have the knowledge and tools to reduce the main causes of death
1
2
* 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
3
There are proven interventions within RMNCH continuum of care
Source: Adapted from The Lancet Every Newborn Series
The vision for Every Newborn Action Plan
A world in which there are no preventable deaths of newborns or stillbirths, where every pregnancy is wanted, every birth celebrated, and women, babies and children survive, thrive and reach their full potential.
Vision statement, May 2014
NEW NEONATAL MORTALITY GOALUnless we greatly accelerate newborn survival efforts, goal to end
preventable child deaths by 2035 unreachable
Source: Special analysis detailed in The Lancet Every Newborn Series based on country and official online consultations and using neonatal mortality rate data from the UN Inter-agency Group for Child Mortality Estimation 2013 .
NEW goal for stillbirths
Source: Special analysis detailed in The Lancet Every Newborn Series based on country and official online consultations and using stillbirth rate data from The Lancet Stillbirth Series (Cousens S et al Lncet 2011)
What to do differently?Every Newborn’s guiding principles
What to do differently?Every Newborn’s Five strategic objectives
1. Strengthen and invest in care during labour, birth and the first day and week of life
2. Improve the quality of maternal and newborn care
3. Reach every woman and every newborn; reduce inequities
4. Harness the power of parents, families and communities
5. Count every newborn – measurement, tracking and accountability
National Service Delivery Agreement
Strategic plan for MNCWH+N in South Africa
Increasing access and use of FP
Ending preventable
newborn deaths
Ending preventable deaths from pneumonia and diarrhoea (GAPPD)
Ending preventable
maternal deaths
Every Newborn prioritizes focus on birth within existing national strategies and plans; not a new stand alone plan
• Progress is possible – targets getting traction Neonatal survival unfinished agenda, stillbirths still missing,
but count for families Synergies of newborn survival with demographic transition Country consultations and ownership over 1 yr process
• Programmatic focus is clear and evidence-based Time around birth, triple return on investment Priority attention to small babies to reduce deaths, disability
and risk of non communicable diseases (NCDs) Urgent improvements for programmatic coverage data
• Partnerships and alliances UN leadership Maternal alliances especially re service delivery eg “Every
Mother, Every Newborn package” Civil society advocacy to change social norms
Potential for major change in countries
Movement with a planWho has been involved?
Every Newborn consultation process Alliance:
50+ global partners on Advisory group; Steering team and management group (led by WHO & UNICF) ENAP presented and discussed at many global meetings in
2013 including GNHC, Women Deliver, AU MNCH, IPA, and NYC mtg
Countries: 17 country consultations between April-September 2013 2 regional workshops Completed bottleneck analyses conducted in 10 countries
Official WHO consultation: More than 300 official comments including +50 member
states, professional associations, academics, NGOs, individuals WHO executive board and on main agenda at WHA
AU MNCH conference
Every Newborn timeline 2014
FebruaryFebruary NovemberNovemberJuneJune SeptemberSeptember
EVERY NEWBORN ACTION PLAN
LAUNCH!
EVERY NEWBORN ACTION PLAN
LAUNCH!
MayMay
UNGAUNGAState of
the World’s
Midwifery
State of the
World’s Midwifery
WHO World Health
Assembly
WHO World Health
Assembly
State of the
World’s Mothers
State of the
World’s Mothers
Countdown report 2014Countdown report 2014
Every Newborn
2014
Canada MNCH summit
Canada MNCH summit
Action all at country and global level for newborns & stillbirths
Launch 20th May
Dr. Yogan Pillay author on paperDr. Yogan Pillay author on paper
South Africa on WHA Executive Board
South Africa on WHA Executive Board
South Africa hosting Partners Forum,
launching nati’l CD
South Africa hosting Partners Forum,
launching nati’l CD
South Africans taking action and being a voice for change
South Africans taking action and being a voice for change
We are building a movement…
BE PART OF THE ACTION
For more informationvisit www.everynewborn.org
#EveryNewborn
April 2013 – June 2014 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