Version April 2014

1. Version April 2014

2. The Every Newborn Action Plan: • building a movement A roadmap for change in countries… A platform for harmonized action by all partners… • Sets out a clear visionwith mortality goals, strategic objectives, innovative actions within the continuum of care • Supported by new evidence • Inputs from more than 2,000 individuals • A movement for greater action and accountability… Photo credit: Save the Children

3. 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 harmonizeglobal response and link to existing initiatives for reproductive, maternal, child and adolescent health care. • More than 3 million babies and women could be saved each year through investing in quality care around the time of birth. Photo credit: Save the Children

4. We’ve made significant progress toward MDGs 4 & 5, but newborn survival is lagging behind At least 40% slower fornewbornsurvival and slower still for stillbirths Source: Adapted from Lawn J,E. et al. 2012. Newborn survival: a multi-country analysis of a decade of change. Health Policy and Planning. 27(Suppl. 3): iii6-ii28. Data sources: UNICEF 2012 www.childinfo.org , UN MMR estimates 2012 * Maternal mortality ratio annual rate reduction 190-2010

5. Causes of under five deaths • 44% are from neonatal causes 3 main killers to address: Preterm birth Birth complications Neonatal infections Two-thirds of neonatal deaths are preventable Data source: Cause of death - WHO. Global Health Observatory http://www.who.int/gho/child_health/en/index.html); Child deaths - UN Inter-agency Group for Child Mortality Estimates. Levels and Trends in Child Mortality. Report 2013; Stillbirths - Lawn et al The Lancet stillbirth series 2011. 377 (9775) p1448 – 1463 5

6. We have the knowledge and tools to reduce the main causes of death 1 2 3 * 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

7. There are proven interventions within RMNCH continuum of care Source: Adapted from The Lancet Every Newborn Series

8. Care around birth gives a triple return on investments by reducing maternal and newborn deaths and stillbirths The lives of more than 3 million babies and women could be saved each year with high coverage of quality care around birth and care for small and sick babies Source: Special analysis detailed in The Lancet Every Newborn Series - forthcoming

9. 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 in draft ENAP, March 2014

10. NEW NEONATAL MORTALITY GOAL Unless 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 .

11. 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)

12. Maternal mortality goal in process and will need to be linked with action Lancet GH Sept 2013 : The Lancet Global Health 2013; 1:e176-e177 (DOI:10.1016/S2214-109X(13)70059-7)

13. What to do differently?Every Newborn’sguiding principles

14. What to do differently?Every Newborn’s Five strategic objectives • Strengthen and invest in care during labour, birth and the first day and week of life • Improve the quality of maternal and newborn care • Reach every woman and every newborn; reduce inequities • Harness the power of parents, families and communities • Count every newborn – measurement, tracking and accountability

15. What we aim to achieve? End preventable maternal, newborn and child deaths and stillbirths Stillbirths and newborn deaths are not inevitable Women and babies deserve access to quality care around the time of birth Each year save the lives of 3 million newborns, stillbirths and women Long term • Include newborn and stillbirth in post-2015 framework along with maternal and child health • Attention and funding to newborns and stillbirths within the context of and linking to the RMNCH continuum • Sharpen national plans and improve demand and delivery of care at the time of birth in countries • Improve the quality of care for mothers and newborns by implementing high-impact interventions , including through a “Mother-Baby Friendly” Initiative • More trained and equipped health workers • Improve programmatic and impact data and use this for action in countries In sight NOW

16. Every Newbornprioritizes focus on birth withinexisting national strategies and plans; not a new stand alone plan Health Sector Strategic & Investment Plan Integrated National RMNCH Plan Increasing access and use of FP Ending preventable deaths from pneumonia and diarrhoea (GAPPD) Ending preventable maternal deaths Ending preventable newborn deaths

17. Every Newborn’s impact framework

18. How will we track progress?Every Newborn milestones Every Newborn sets out concrete and measurable global and national level milestones from now to 2020, coverage targets to 2025 and mortality goals to 2035

19. How will we track progress?Every Newborn indicators A clear monitoring plan is an important milestone. ENAP proposes a core set of indicators and maternal/newborn service delivery packages

20. Potential for major change in countries • 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 “Mother-Baby friendly package” • Civil society advocacy to change social norms

21. 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 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 +40 member states, professional associations, academics, NGOs, individuals • WHO executive board and on main agenda at WHA AU MNCH conference

22. Every Newborn Process April 2013 – June 2014 • National and regional consultation and technical inputs to the development of the plan 20-25January 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 67thWorld Health Assembly June 2014 • Action Plan launched at PMNCH Partners’ Forum, Johannesburg Photo credit: Save the Children

23. We are building a movement… BE PART OF THE ACTION For more information visitwww.everynewborn.org #EveryNewborn