To End Preventable Deaths EveryNewborn EVERY NEWBORN EVERY NEWBORN UPDATE 3 December 2014 Agenda Current status History structure activities Working group updates Country Implementation ID: 578244
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Slide1
An Action Plan
To End Preventable Deaths
#EveryNewborn
EVERY
NEWBORN
EVERY NEWBORN UPDATE
3 December 2014Slide2
Agenda
Current status History, structure, activitiesWorking group updatesCountry ImplementationMetrics AdvocacyMoving forward Next steps and roles of partnersQuestions and discussionSlide3
Building a movement
World Health Assembly
The end
of MDGs brings new clarity about what is left behind on the agenda – newborns,
stillbirths, adolescents
Country action for newborn healthSlide4
Main funders: Bill & Melinda Gates Foundation, USAID, Children’s Investment Fund Foundation
Every Newborn Series
5 papers, 6 comments
55 authors from 18+ countries
60+ partner organizationsPublished May 2014www.thelancet.com/series/everynewborn
Every Newborn Action Plan
Based on the evidence from the Series
Co-led by UNICEF & WHO
World Health Assembly 2014 resolution
Over 300 experts consulted
60+ partner organization
Launched 30
th
June 2014
40+ commitments to EWEC
Building from evidence to actionSlide5
This is where we get the biggest bang for our buck.
- Kim Dixon, Co-Chair ENAP, UNICEF
Our efforts have meaning only if those who are born today can enjoy them. - Cyril
Ramaphosa, Deputy Vice President of South Africa
Progress is still too slow, especially for newborns. Today we launch the Every to speed up our response and save more lives.
- Ban Ki-Moon, UN Secretary General
Graça
Machel
and other world leaders launched the Every Newborn action plan
Partners Forum, South Africa, June 2014
Newborn was a gap. The World Health Assembly agreed and passed ENAP.
- Margaret Chan, World Health Organization
This plan demonstrates that together we can achieve the vision of 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 –
Graça
MachelSlide6
EVERY NEWBORN
Commitmentswww.lancet/series/everynewbornwww.everynewborn.org
#EveryNewborn
World Health Assembly Resolution
194 member states endorsed the Every Newborn Action Plan
in May 2014
Now 40 new commitments, largest collection since launch of
Every Woman, Every Child in 2010Slide7
The partnerships forged during the development process for ENAP will work together on three main streams of activities:
Country implementation:
to identify and respond to technical support needs to ensure that the proposed strategies and evidence are
translated into action
Data and metrics: to improve and institutionalize metrics to track coverage and impact based on the goals and targets of the ENAP and the five strategic
objectivesAdvocacy: to strengthen and track maternal and newborn health advocacy efforts globally and in countries.
Every Newborn priority
activities
Research Slide8
New ENAP structure
New management structure set up to strengthen the support to the three main streams of activities Members include:Three working groups co-leads: WHO, UNICEF, LSHTM, UN Foundation, PMNCH, Save the Children Chairs: WHO and UNICEFOther core partners: BMGF, UNFPA, MHTF, USAIDChannels of communication for wider group of stakeholders:
Participation in one or more of the work streams either as core member or wider group member Regular updates from ENAP management team though different outreach mechanisms e.g. email updates, discussion fora, webinars, global and national meetings. Slide9
An Action Plan
To End Preventable Deaths
#EveryNewborn
EVERY
NEWBORN
ENAP COUNTRY IMPLEMENTATION GROUP
Kim Dickson and Bernadette
Daelmans
on behalf of teamSlide10
Purpose:
To identify and respond to technical support needs to ensure that the proposed strategies and evidence are translated into action
Goals:
To strengthen technical support coordinationTo strengthen monitoring of country implementation and track progress
To provide technical assistance for EMEN development, implementation and assessmentTeam
Leads: WHO (Bernadette Daelmans
) and UNICEF (Kim Dickson)
Core partners: UNICEF, Save the Children, CIFF, BMGF, USAID
Country Implementation GroupSlide11
To orient and support action in countries
by providing technical country support and facilitate coordination including mapping partners activities, available tools and engagement of partners as well as support in the development and launch of national action plans and capacity building for effective interventions
Mapping
of technical assistance currently available within countries underway and development of a repository of TA.Inter-country meetings on Every Newborn e.g. Sri Lanka WHO/UNICEF regional meeting held in November 2014
Country Implementation
Group ActivitySlide12
Monitor
and track progress of country implementation
Progress tracking tool has been shared by facilitating partners in many countries and countries have started returning completed tools. Data analysis to be completed by end December 2014
Develop, implement and evaluate the Every Mother Every Newborn Quality Improvement Initiative
Literature review of accreditation programmes, country quality improvement activities and incentives programmes
underway
Country Implementation
Group ActivitySlide13
Country Implementation
Group
Next steps/plan
Development of pre-term guidelines (for 2015) and guidelines for the management of possible severe bacterial infection (for 2015)
Progress report on newborn health to
be prepared next yearEastern Mediterranean Region
meetings planned for Q1 2015Stakeholders meeting on EMEN – date TBCSlide14
An Action Plan
To End Preventable Deaths
#EveryNewborn
EVERY
NEWBORN
ENAP METRICS GROUP
Matthews
Mathai and Joy Lawn
on behalf of teamSlide15
ENAP Milestones by 2020
Count births and deaths in CVRS (women, newborns and stillbirths) Minimum perinatal dataset &
perinatal mortality audit being widely used in countries
ENAP core indicators to be defined , incorporated in national metrics platforms and widely used
Improving, institutionalising & using ENAP metrics for action
World Health Assembly
Metrics testing and use in countries
for programme improvement and accountability
May/June 2014
Dec 2014
Meeting
To scope
ENAP Metrics
improvement plan
Jan- May 2015
Refining and consulting on metrics plan
& ENAP monitoring FW
June 2015 - May 2018
Testing indicators and tools in limited number of countries
June 2018 - May 2020
Wide use in many countries
CVRS, facility HMIS, surveys
2020Slide16
Every Newborn action plan core indicators
Core ENAP Indicators
Additional Indicators
Impact
1. Maternal
Mortality Ratio
2. Stillbirth
Rate
Intrapartum Stillbirth Rate
3. Neonatal
Mortality Rate
Low birth weight rate
Preterm birth rate
Small for gestational age
Neonatal morbidity rates
, eg
infection
Disability
after neonatal conditions
Coverage:
Care for all mothers and newborns
4. Skilled
attendant at birth
Immediate
breastfeeding
5. Early
postnatal care for mothers and babies
6. Exclusive breast feeding to 6 months
Coverage:
Complications and extra care
7. Antenatal corticosteroid use
Caesarean section rate
8. Newborn resuscitation
9. Kangaroo
mother
care,
feeding support
Chlorhexidine
cord cleansing
10.
T
reatment of neonatal
sepsis
Counting
Birth registration
Death registration,
cause of death
ENAP service delivery packages
"
MotherBaby" high quality care
at
birth
Care of small and sick newborn
Shaded
= not currently routinely tracked.
Bold
= indicator requiring additional evaluation for consistent measurement
All indicators to be tracked so that they can be broken down to assess equity, e.g. urban/rural, regional, wealth quintile
Source:
Every Newborn: From evidence to action to deliver a healthy start for the next generation. Mason E. , McDougall L, Lawn JE, Gupta G, Claeson M, Pillay Y, Presern C, Baye Lukong, M, Mann, G, Wijnroks M, Azad K, Taylor K, Beattie A, Bhutta ZA, Chopra M for the Lancet Every Newborn Study Group. Lancet 2014.Slide17
CO CHAIRS
WHO
: Matthews
Mathai
LSHTM: Joy Lawn
COORDINATION GROUP
(purpose
to link to existing metrics work, and
institutionalise
)
UNICEF: Holly Newby plus
alternate
UNFPA:
Sennen
Hounton
SNL/NBITWG: Lara
Vaz
CIFF
: Suzanne Fournier
Gates: John
Grove
USAID:
Allisyn
Moran
TASK TEAMS
(working
on specific
metrics, linked
with existing
initiatives)
Task
teams
Initial focus on the 4+1 specific
newborn care interventions
WIDER INTEREST GROUP
Very inclusive
>100 people drawn from wider metrics
community including Newborn
indicators technical working group
INSTITUTIONAL PARTNERS
to
build
capacity especially
Africa & Asia
Aim to have 2-4 academic institutional
partners in high
burden countries
linked
to EMEN pilot
sites (Ghana,
Tz
, Bangladesh, Kenya)
Every Newborn Management team
work streams
Every newborn
management including ENAP Metrics
3. Advocacy
&
mobilisation
1. Country
Implementation
2. ENAP Metrics group
UNF/PMNCH &
Save the Children
UNICEF & WHO
WHO & LSHTM
Research working group (Cross cutting)
Every Newborn Steering Group
Light touch secretariat
ENAP Metrics group:Slide18
Three tracks of work
for ENAP metricsInitial focus
on testing 4 + 1 priority
treatment interventionsKMC (
coordinated with KMC acceleration gp
and LSHTM with SNL)Resuscitation (USAID/MCS,
SNL Bangladesh, WHO, HBB, UNCoLSC
, etc)
Antenatal Corticosteroids (WHO and
UNCoLSC
TRT etc)
Sepsis case
mx
(WHO,
UNCoLSC
etc)
CHX cord cleansing (
UNCoLSC
, SNL etc)
Coverage/ content
maternal
&
newborn care (with NBITWG & ICM)
Impact indicators including disability (LSHTM & WHO)Priority research agenda for HMIS, surveys, and related tools, work in progress and
gaps (LSHTM & WHO)
Technical mapping & planning
of indicators, tools & work in progress
1
Improve & institutionalise
tools in national
data collection
platforms
&
global metrics architecture, accountability
2
Capacity development
to improve & use the data for action
3
Birth
and
perinatal
death certificates, coverage & quality
Develop and test Minimum
Perinatal
Dataset
Perinatal
Mortality audit tool, to link to maternal death
surveillance
and response,
led by
WHO
Household
surveys modules and Verbal autopsy tools
(eg birth/pregnancy history, improved
birthweight
and GA assessment)
Standard data collection in facility HMIS and facility assessments
(eg SPA,SARA
)
Improving
birthweight
and GA assessment tools
U
ser friendly formats, intentional links to accountability and parent voices (eg partnerships with E4A and WRA)
Testing
linked
to EMEN work
(~4 countries)
Southern
institutions & INDEPTH
as centres of
excellence
Integrated
l
oversight especially with maternal
communitySlide19
An Action Plan
To End Preventable Deaths
#EveryNewborn
EVERY
NEWBORN
ENAP ADVOCACY GROUP
Anita Sharma, Lori McDougall, Mike Kiernan
on behalf of teamSlide20
Purpose:
To
strengthen the linkages and track maternal and newborn health advocacy efforts globally and in countries.
Goals:
Under the Every Woman Every Child umbrella support national coalitions advocating for maternal-newborn healthMaintain and strengthen global and regional commitments building on growing ENAP support at country level Ensure strong accountability for commitments made to ENAP
Continue to raise awareness and bring new partners on-board with a special focus on strengthening integration of MNCH
Team:
Leads: UN Foundation, Save the Children, PMNCH
Core partners: BMGF, UNICEF, World Vision, March of Dimes, Save the Children, FCI, Johnson & Johnson, White Ribbon Alliance,
MamaYe
, Well Being Foundation and others
Advocacy GroupSlide21
Focus on country progress
Lead from behind (ENAP is a goal, not a brand)
Build on existing networks, coalitions at country level Leverage global efforts to deepen, sharpen country commitments (EG: World Prematurity Day)
Use evidence to guide policy, practice (
EG: Lancet Every Newborn launches in country)Support integration of maternal-newborn health
Our Operating Principles Slide22
Work plan 2015
currently under development
Support dissemination opportunities
for the Lancet Every Newborn Series and/or national maternal-newborn action plans
Priorities for advocacy
Engagement with the development of the
updated Global Strategy for Women’s and Children’s Health
.
Support the next development agenda,
including the Sustainable Development Goals, targets, indicators and means of implementation to ensure inclusion of stillbirths and newborn.
Support and promote key
advocacy moments.
A calendar of upcoming events is maintained at www.everynewborn.orgSlide23
An Action Plan
To End Preventable Deaths
#EveryNewborn
EVERY
NEWBORN
MOVING FORWARD
Kim Dickson and Rajiv
Bahl
on behalf of teamSlide24
Country launch events
for the Lancet Every Newborn Series and/or national maternal-newborn action plans
Implementation
of national
action plans with an emphasis on saving both mothers and newborns
Global and national tracking of benchmarks, milestones and outcomes with a special focus on identifying significant progress in specific countries or regions
Annual
reporting
to World Health
Assembly
Engagement with the development of the
updated Global Strategy for Women’s and Children’s Health
and
the next development agenda
Support and promote key
maternal and newborn resources and events.
Information available at www.everynewborn.org
Next steps
Every Newborn opportunities for actionSlide25
Actions of all stakeholders
Every stakeholder has committed to the actions in the ENAP We would love to hear what are you doing and how can we work better together to deliver for every newborn?Open to discussionSlide26
An Action Plan
To End Preventable Deaths
EVERY
NEWBORN
We are
still building
a movement…
BE PART OF THE ACTION
For more information
visit
www.everynewborn.org