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Version Jan 2013

Version Jan 2013. Why Every Newborn ?. Photo credit: Save the Children. We’ve made significant progress toward MDGs 4 & 5, but newborn survival is lagging behind. At least 40 % slower for newborn survival and slower still for stillbirths.

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Version Jan 2013

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  1. Version Jan 2013

  2. Why Every Newborn? Photo credit: Save the Children

  3. 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

  4. We know the causes of newborn deaths 3 main killers to address: Preterm birth Birth complications Neonatal infections Neonatal 44% 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 4

  5. 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

  6. Clinical Outreach/out patient adolescent health at home and school early postnatal home visits for mother and newborn cleaner, safer birth Family/community There are proven interventions within RMNCH continuum of care • Birth obstetric and childbirth care including essential newborn care emergency newborn care emergency child care reproductive health care antenatal care reproductive health care child health care postnatal care pregnancy home visits ongoing care for the child at home intersectoral Improved living and working conditions including housing, water and sanitation, and nutrition Education and empowerment

  7. Time around birth is critical window of opportunity to prevent and manage complications Care during labour, childbirth and the days following birth

  8. Care at birth gives a triple return on investments by also reducing stillbirths and maternal deaths • If intervention in pregnancy and at birth reached all families by 2015: • 1.4 million newborn deaths averted (43%) • 1.1 million stillbirths prevented (45%) • 201,000 maternaldeaths averted (54%) Source: Pattinson R, Kerber K, Buchmann E, et al, for The Lancet’s Stillbirths Series steering committee. Stillbirths: how can health systems deliver for mothers and babies? Lancet 2011; published online April 14. DOI:10.1016/S0140-6736(10)62306-9.

  9. NEW NEONATAL MORTALITY TARGET Unless we greatly accelerate newborn survival efforts, goal to end preventable child deaths by 2035 unreachable APR target: National U5MR of 20 or less Global U5MR of 15 2000-2012 AAR = 3.8% Global U5MR Business as usual: U5MR Business as usual: NMR Global NMR AAR = 4.3%

  10. NEW target for stillbirths and a maternal mortality target is in process Business as usual: SBR Proposed SBR target: National SBR of 10 or less Global SBR of 8 2000-2009 ARR = 1.3% ARR = 3.5%

  11. We can bend the curve: proof of impact at scale even in low income countries Over the last decade, 77 countries reduced NMR by >25%, including at least 13 low income countries: Bangladesh, Bolivia, Eritrea, Guatemala, Indonesia, Nepal, Madagascar, Malawi, Morocco, Senegal, Rwanda, Tanzania, Vietnam Source: Newborn survival decade of change analysis: Health Policy and Planning. 27(Suppl. 3) papers 3 to 7

  12. The Every Newborn Action Plan: • building a movement A global roadmap for change… A movement for greater action and accountability… A platform for harmonized action by all partners… • Sets out a clear visionwith mortality target, strategic directions, and innovative actions within the continuum of care • Supported by new evidence to be published in The Lancet in May 2014 Photo credit: Save the Children

  13. Every Newborn’s strategic framework

  14. Every Newborn’sguiding principles

  15. Every Newborn’sstrategic objectives • Strengthen and invest in care during labour, child 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

  16. Every Newborn supports the Global Strategy Country leadership & Implementation Key catalytic initiatives in support of Every Woman Every Child Family Planning 2020 UN Commission on Life Saving Commodities A Promise Renewed Global action plans: Every Newborn, scaling up nutrition, global action plan for pneumonia & diarrhea, vaccines, WASH for all, and others Who? Global mechanisms for coordinated action and advocacy Some examples: Commission on Information and Accountability and independent Expert Review Group Visit www.everywomaneverychild.org

  17. 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

  18. All stakeholders have a role to play • 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 Photo credit: Save the Children

  19. 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

  20. 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 emaileverynewborn@who.int For more information visitwww.everynewborn.org

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