An Action Plan To End Preventable Deaths - PowerPoint Presentation

Presentation on theme: "An Action Plan To End Preventable Deaths"— Presentation transcript

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