3-4 December, 2014 ¦ Ferney Voltaire, France
The Every Newborn action plan (ENAP) proposed a set of priority indicators to track programme coverage and ensure accountability for impact tracking to reach neonatal mortality and stillbirths targets in 2030 and beyond. Since the ENAP launch in June 2015, a group of experts, co-led by the World Health Organization and the London School for Hygiene & Tropical Medicine, has been coordinating the development of a 3-year plan for the ongoing metrics work. More than 60 technical experts attended from Africa, Asia, North and South America and Europe. The World Health Organization (WHO) hosted the meeting and major emphasis is being placed on ensured linkages and harmonisation across related work on metrics strengthening such as for Civil and Vital Registration and linking with the WHO core list of health management indicators.
The meeting involved technical work to advance the three main objectives of ENAP metrics:
- Map and improve the technical status of the selected Every Newborn indicators, data collection platforms and other relevant tools, and develop a plan to address key gaps;
- Institutionalise Every Newborn metrics in national and global data collection systems and post-2015 accountability framework; and
- Increase capacity to improve and use data for action regarding Every Newborn, especially in high burden countries.
The first day focused on the four priority ENAP treatment coverage indicators including Antenatal Corticosteroids, Kangaroo Mother Care, Neonatal Resuscitation, Sepsis Case Management and the additional one of Chlorhexidine Cord Care. None of these have agreed definitions or available coverage data and yet all are receiving investment to scale up. Thus there is urgent need to define and test valid measures, most of which are facility focused apart from Chlorhexidine Cord Care. For each of these indicators, task teams had already been established and in many cases had met and consulted widely. These task teams presented on the status of definitions, followed by discussion in small groups, feedback to the wider group and the refining of recommendations and a research agenda.
The second day included an update regarding the Every Mother, Every Newborn quality initiative (EMEN). An overview of metrics regarding intrapartum and postnatal coverage, content and quality of care was led by UNICEF, followed by discussion groups. A presentation on the status of impact indicators highlighted particular gaps for stillbirth data responsibility. Discussion groups then considered how to improve the metrics for neonatal deaths/stillbirth and morbidity, impairment and child development after perinatal complications. A plenary discussion, led by USAID and the Gates Foundation, considered how best to coordinate maternal and newborn metrics improvement and if there are already adequate, functional structures to achieve this coordination to maximize joint learning and testing for metrics improvement and use.
The Every Newborn metrics coordination group and task teams met on 5th December to reflect on the consultation and next steps moving forward, review the metrics improvement plan, and discuss potential linkages with quality improvement efforts in key countries. The intent is to develop centres of excellence for metrics improvement and use in several high burden countries. The inputs and discussions from this meeting will inform a multi-partner plan for metrics improvement that will be available for wider consultation in 2015.
The organisers would like to thank the funding parts, Children’s Investment Fund Foundation (CIFF), Bill & Melinda Gates Foundation, USAID and Saving newborn Lives/Save the Children.