{"id":52513,"date":"2022-04-20T03:05:52","date_gmt":"2022-04-20T07:05:52","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=event&#038;p=52513"},"modified":"2022-06-27T11:23:10","modified_gmt":"2022-06-27T15:23:10","slug":"seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action","status":"publish","type":"event","link":"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/","title":{"rendered":"Seminar | Closing the neonatal infection detection gap: from data and evidence to action"},"content":{"rendered":"<p>The first seminar in\u00a0the NEW Implementation Toolkit for Small and Sick Newborn Care seminar series is coming this month!<\/p>\n<p>A\u00a0<a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fnewborntoolkit.us5.list-manage.com%2Ftrack%2Fclick%3Fu%3D7a4ba8643fabeb1b06801b973%26id%3D267701efd4%26e%3D21f54c1901&amp;data=04%7C01%7Ctgleason%40savechildren.org%7C57b1b465312649d820cd08da21ef4b18%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637859609549584077%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&amp;sdata=SNMUuUvXPjjWl%2BjX%2B%2B2TrvoJg464M%2FTeblDzsBHiL%2BU%3D&amp;reserved=0\">recent scoping review<\/a>\u00a0highlighted infection detection as a key gap in addressing health care-associated infections, which are a major cause of neonatal mortality in small and sick newborn care units. In this seminar, we discuss solutions to close this gap in the ward, laboratory and at the ward-laboratory interface.<\/p>\n<p>Full agenda<\/p>\n<ul>\n<li>Introduction: Dr Kondwani Kawaza, Kamuzu University of Health Sciences<\/li>\n<li>Neonatal infection culture gap: how, big, where and why?\n<ul>\n<li>Dr James Cross, London School of Hygiene &amp; Tropical Medicine<\/li>\n<li>Dr Sarah Collins, London School of Hygiene &amp; Tropical Medicine<\/li>\n<\/ul>\n<\/li>\n<li>Creating a &#8220;culture of doing cultures&#8221; in Tanzania\n<ul>\n<li>Dr Nahya Salim, Muhimbili University of Health and Allied Sciences<\/li>\n<li>Dr Aisa Shayo, Kilimanjaro Christian Medical Centre<\/li>\n<\/ul>\n<\/li>\n<li>Breakout group discussions &amp; feedback: How can we close the infection detection gap in the ward, laboratory and at the interface?\n<ul>\n<li>Discussion hosted by: Prof Joy Lawn, London School of Hygiene &amp; Tropical Medicine | Dr Nahya Salim, Muhimbili University of Health and Allied Sciences<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The first seminar in\u00a0the NEW Implementation Toolkit for Small and Sick Newborn Care seminar series is coming this month! A\u00a0recent scoping review\u00a0highlighted infection detection as a key gap in addressing health care-associated infections, which are a major cause of neonatal mortality in small and sick newborn care units. In this seminar, we discuss solutions to &hellip; <a href=\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\">Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":52515,"template":"","acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Seminar | Closing the neonatal infection detection gap: from data and evidence to action - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"The first seminar in\u00a0the NEW Implementation Toolkit for Small and Sick Newborn Care seminar series is coming this month! A\u00a0recent scoping review\u00a0highlighted infection detection as a key gap in addressing health care-associated infections, which are a major cause of neonatal mortality in small and sick newborn care units. In this seminar, we discuss solutions to &hellip; Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-27T15:23:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"906\" \/>\n\t<meta property=\"og:image:height\" content=\"643\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\",\"name\":\"Seminar | Closing the neonatal infection detection gap: from data and evidence to action - Healthy Newborn Network\",\"isPartOf\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1.png\",\"datePublished\":\"2022-04-20T07:05:52+00:00\",\"dateModified\":\"2022-06-27T15:23:10+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/#primaryimage\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1.png\",\"contentUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1.png\",\"width\":906,\"height\":643},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.healthynewbornnetwork.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Seminar | Closing the neonatal infection detection gap: from data and evidence to action\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/\",\"name\":\"Healthy Newborn Network\",\"description\":\"Addressing critical knowledge gaps in newborn health.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Healthy Newborn Network","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.healthynewbornnetwork.org\/event\/seminar-closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action\/","og_locale":"en_US","og_type":"article","og_title":"Seminar | Closing the neonatal infection detection gap: from data and evidence to action - Healthy Newborn Network","og_description":"The first seminar in\u00a0the NEW Implementation Toolkit for Small and Sick Newborn Care seminar series is coming this month! 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| Closing the neonatal infection detection gap: from data and evidence to action"}]},{"@type":"WebSite","@id":"https:\/\/www.healthynewbornnetwork.org\/#website","url":"https:\/\/www.healthynewbornnetwork.org\/","name":"Healthy Newborn Network","description":"Addressing critical knowledge gaps in newborn health.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"featured_image":"<img width=\"768\" height=\"545\" src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1-768x545.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1-768x545.png 768w, https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1-300x213.png 300w, https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nest360-seminar-1.png 906w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>","author_name":"HNN Team","author_image":"<img src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/themes\/hnn\/dist\/images\/member-default.jpg\" alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"countries":[],"location":"","url":"https:\/\/newborntoolkit.org\/events\/closing-the-neonatal-infection-detection-gap-from-data-and-evidence-to-action?back_action=\/events","link_text":"Access the Seminar Recording","start_date":"20220426","start_time":"8am EDT | 2pm CEST | 3pm EAT | 5:30pm IST","end_date":"April 26, 2022","end_time":"9am EDT | 3pm CEST | 4pm EAT | 6:30pm IST","issues":[{"ID":14757,"post_author":"7211","post_date":"2020-05-28 17:47:37","post_date_gmt":"2020-05-28 21:47:37","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1593021077725{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Nearly 750,000 newborns lives could be saved every year with specific interventions for small and sick newborns.<\/h4>\n<p>In order to achieve SDG 3 (to ensure healthy lives and promote well-being for all at all ages) focus is needed in improving care for every newborn, mainly in those who are born small (from prematurity or intrauterine growth restriction) or become ill. These babies are at high risk of dying or becoming disabled; an estimated 1 million of survivors in this group survive with a long-term disability.<\/p>\n<p>Approximately 80% of the 2.4 million newborn deaths globally every year, are in low-birth-weight (LBW); two thirds of deaths happen in those born prematurely. Care in facilities for newborns is needed for the most common conditions, such as complications from prematurity, intrapartum brain injury, severe bacterial infection, pathological jaundice, and congenital conditions. (1)[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">infants born with low birthweight who die globally (2015)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong>1m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">premature babies (less than 37 completed weeks of gestation) who die globally every year<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">30<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">newborns who <a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/276655\/WHO-FWC-MCA-18.11-eng.pdf?ua=1\">require care in facilities<\/a> globally every year<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"What can be done?\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]<\/p>\n<h4>Where is the improvement in care most needed?<\/h4>\n<p>Ninety-eight percent of neonatal deaths occur in low and middle-income countries, with 75% occurring in Southern Asia and sub-Saharan Africa (2). Of the 10 countries with the highest NMRs, eight are in Africa, where the majority have experienced a recent humanitarian crisis. In humanitarian settings, pregnant and post-partum women face enormous challenges to access care for themselves and for their newborns. These women are also at risk for malnutrition, sexual violence, poor mental health and unplanned pregnancies, as well as those related to births with no skilled attendants. (3)<\/p>\n<p>In high-income countries (HICs), the neonatal mortality rate is usually low, and most small newborns survive and thrive. In middle-income countries (MICs), the risk of disability for infants born between 28 and 32 weeks of gestation is nearly double that of HICs, due to deficiencies in the quality of care. In low-income countries (LICs), disability is uncommon since the smallest and sickest newborns, usually die due to lack of access to essential care or more advanced care when needed. (4)<\/p>\n<h4>What is the care needed?<\/h4>\n<p>Most newborns can survive and thrive when good quality health care, including appropriate inpatient care, is available. In order to provide appropriate care for small and sick newborns, LMICs require improvements in inpatient care to reduce mortality and avoid long-term complications. High-quality inpatient care requires an adequate space, competent professionals in all areas, and equipment and supplies to deliver the care. All newborns require essential care, particularly at the time of birth and during the first days of life, whether in a health facility or at home. Most small and sick newborns require special inpatient care, which can only be provided in a health facility. Intensive care in a high-level referral facility is only required by a third of sick newborns. In addition, the linkages between obstetric and neonatal services need to be protected and strengthened. The Survive and Thrive report provides a list of in-patient interventions proven effective in preventing newborn mortality and disability, by each level of care; and <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">WHO\u2019s standards for quality care of small and sick newborns in facilities<\/a> specify the various aspects of the health systems that need to be improved. Core interventions that should be available to all small or sick newborns beyond basic essential care for all newborns include:<\/p>\n<ol>\n<li>Kangaroo Mother Care started as soon as possible after birth for small newborns, provided as continuously as possible for at least 20 hours per day during the time the newborn is transitioning and receiving neonatal special care;<\/li>\n<li>Immediate and exclusive breastfeeding, including colostrum,\u00a0 provided by cup, spoon, or NG tube if baby is unable to breastfeed;<\/li>\n<li>Respiratory support when needed, guaranteeing safe oxygen use through blended air-oxygen and with oxygen saturation monitoring;<\/li>\n<li>CPAP for respiratory distress requiring positive airway pressure with guarantees of safe oxygen use and oxygen saturation monitoring;<\/li>\n<li>Appropriate and timely management of suspected serious infections (eg, sepsis, pneumonia, meningitis) with antibiotics and supportive care as needed;<\/li>\n<li>Family-centered care with families having continuous access to their babies in special care or neonatal intensive care, and participating in providing appropriate care of their baby;<\/li>\n<li>Developmentally supportive care for newborns and support for families to provide nurturing care in facilities and after discharge home;<\/li>\n<li>Discharge planning with parents to ensure their competence and confidence to provide essential nurturing care at home; and<\/li>\n<li>Follow up care after discharge from appropriate trained health care workers to monitor the baby\u2019s condition, support the family for KMC and nurturing care, and referral for any new danger signs or complications (including Retinopathy of Prematurity follow up for small babies receiving oxygen therapy).<\/li>\n<\/ol>\n<p>The WHO released <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">recommendations for care of the preterm or low-birth-weight infant\u00a0<\/a>in 2022 detailing some of these core interventions.<\/p>\n<p>(1,5)[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>The Nurturing Care Framework for ECD<\/h4>\n<p>The <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">Nurturing Care Framework for Early Childhood Development<\/a>, launched by WHO, UNICEF and the World Bank Group in 2018, demonstrates that focusing on ECD is one of the wisest investments a country can make to boost economic growth. Nurturing care is the provision of a stable environment that promotes children\u2019s health and nutrition and interactions that are responsive, emotionally supportive, and developmentally stimulating, while providing protection from threats.<\/p>\n<p>Neurosensory development begins in-utero and is responsive to positive and negative influences in the external environment from the time of birth. Hence early life exposure to hostile environment, including stress is linked to decreased brain density, with longer-term effects on learning outcomes. Newborns who are small \u2014 preterm, low birth weight, and\/or small for their gestational age \u2014 and\/or are sick \u2014 from infections, intrapartum related complications and pathological jaundice \u2014 are at heightened risk of neurodevelopmental delays and disabilities.<\/p>\n<p>Traditional inpatient care facilities expose vulnerable newborns to excess sound and light conditions in the units, potential harm from unsafe oxygen use, separation of the mother-infant dyad, leading to parental stress and negative psychological effects in addition to delayed feeding and difficulties breastfeeding which can persist after discharge. Of the 13 million preterm newborns who survive globally each year, an estimated 2.7% have moderate to severe impairments and 4.4% have mild neurodevelopmental impairments.<\/p>\n<p><span style=\"font-weight: lighter;\">Nurturing care for small and sick newborns is possible. Several evidence-based interventions can create a healing physical and sensory environment. These include Family Centered Care that allows for non-separation of the mother from her newborn; Kangaroo Care, including immediate initiation even when the newborn is receiving special care in the SCU\/NICU; the Baby-Friendly Hospital Initiative that supports the mother for breastmilk feeding; safety and security through infection prevention and control; judicious use of antibiotics; and safe oxygen use when needed.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/span><\/p>\n<h4>Use of data for action<\/h4>\n<p>Countries are required to improve the measurement of the care of small and sick newborns, and their later development and health in order to achieve the goal of ending all preventable deaths by 2030.<\/p>\n<p>It is of utmost importance to collect and analyze data on coverage and quality of care, including long-term outcomes in the most at-risk. In order to guide programs and investments, the continuous monitoring of data on quality of care is a key element for better results for newborns\u2019 survival and thriving.<\/p>\n<p>It is also important to establish good measurement for innovations implemented in LMICs for the care of high-risk newborns. Some examples are simpler and affordable technologies, such as bubble CPAP (continuous positive airway pressure), or innovative implementation approaches, such as task-shifting roles for various cadres of health workers.<\/p>\n<p>&nbsp;<\/p>\n<p><img class=\"wp-image-43882 \" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/kangaroo-mother-care-2020-1-300x225.jpg\" alt=\"\" width=\"546\" height=\"409\" \/>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1593021721082{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_column][vc_column_text]<\/p>\n<h4>Cost of care and return on investment<\/h4>\n<p>The Survive and Thrive report mentions that the increased investment by LMICs to improve access to inpatient quality care for small and sick newborns is currently at US$ 0.20 per person and US$ 1,700 per newborn death averted. The investment in health and development of all newborns, providing a good start in the life cycle, and in particular for the most at-risk, will potentially increase economic development in such countries.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"43329\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/preterm-birth-complications\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Every Newborn Tracking Progress toward SDG Targets<\/h4>\n<p>The Every Newborn Action Plan set concrete goals regarding newborn mortality and stillbirths in general and the care for small and sick newborns specifically. Interim goals and targets for 2025 were developed in 2020 through a multi-partnered consultative process by global and country leaders and experts. The four goals are to 1)eliminate preventable newborn and stillbirth deaths by 2025, 2) that 90% of mothers have four or more antenatal visits, 3) 90% of births are attended by trained health personnel, and that 4) 80% of mothers receive routine postnatal care within two days of birth, and <strong>80% of districts in all countries have <\/strong><strong>at least 1 inpatient newborn care unit (level 2) care to provide small and sick\/or newborns<\/strong>.[\/vc_column_text][vc_btn title=\"More on ENAP\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fissue%2Fevery-newborn%2F||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=\"custom\" css=\".vc_custom_1453408765156{margin-bottom: 50px !important;}\" accent_color=\"#cccccc\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"40699\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/complications-during-childbirth\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Care of the Small and Sick Newborn Community of Practice (SSNB CoP)<\/h4>\n<p>The Care of the Small and Sick Newborn Community of Practice (SSNB CoP), is an interactive platform that allows practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence in the area of newborn health.<\/p>\n<p>The Care of SSNB provides a space for dissemination of the standards and the implementation toolkit, including country experiences shared in <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fsearch-global%2F%3F_sf_s%3Dssnb%2520cop&amp;data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=roR04RmJrTTzTgsKVoE6v4UWcN8rcgGMOFm%2BruWhDkA%3D&amp;reserved=0\">webinars<\/a>.<\/p>\n<p><strong>REQUEST<\/strong>\u202fto join the SSNB CoP email list serve by emailing <a href=\"mailto:SSNB+subscribe@groups.ibpnetwork.org\">SSNB+subscribe@groups.ibpnetwork.org<\/a><\/p>\n<p><strong>REQUEST\u202f<\/strong>to join the SSNB CoP Online IBP Exchange Group <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed&amp;data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=WSEjIXQVSHXs7Je08Eddbx0x5LD8Zuon6xi9mvo2heM%3D&amp;reserved=0\">here<\/a>.[\/vc_column_text][vc_btn title=\"More on the Care of the Small &amp; Sick Newborn\" color=\"1\" link=\"url:https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Sources:<\/p>\n<ol>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">UNICEF, WHO. Survive and thrive: transforming care for every small and sick newborn. Geneva: World Health Organization; 2019<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/newborns-reducing-mortality\">WHO.Newborns: improving survival and well-being;2020<\/a><\/li>\n<li><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/MMR_in_humanitarian_settings-final4_0.pdf\">United Nations Population Fund (UNFPA). Maternal Mortality in Humanitarian Crises and in Fragile Settings<span style=\"font-weight: lighter;\">; 2015<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Caring-for-Mothers-and-Newborns-in-Humanitarian-Emergencies-1.pdf\">\u00a0IAWG. Surviving Day One: Caring for Mothers and Newborns in Emergencies on the Day of Childbirth; 2019<\/a><\/li>\n<li>\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/categorising-interventions-to-levels-of-inpatient-care-for-small-and-sick-newborns-findings-from-a-global-survey\/\">Moxon et al. Categorising interventions to levels of inpatient care for small and sick newborns: Findings from a global survey; 2019<\/a><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_column][\/vc_column][vc_column_text][\/vc_column_text][vc_column][\/vc_column][ultimate_exp_section title=\"Key Resources\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-small-vulnerable-newborns-series\/\" target=\"_blank\" rel=\"noopener\">The Lancet Small Vulnerable Newborns Series (2023)<\/a> - This Series presents a new conceptual framework that brings preterm birth, small for gestational age (SGA), and low birthweight (LBW) together under the term \u201csmall vulnerable newborns\u201d (SVN) in order to contribute to healthier and thriving women, newborns, children, adults, and societies.<\/li>\n<li>WHO <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">Standards for improving the quality of care for small and sick newborns in health facilities<\/a> \u2014 Theses standards for the care of small and sick newborns in health facilities define, standardize and mainstream inpatient care of small and sick newborns, building on essential newborn care and ensuring consistency with the WHO quality of care framework.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive: transforming care for every small and sick newborn<\/a> \u2014 This report maps out a pathway towards 2030. It is built upon epidemiology, historical trends, lessons learnt and evidence-based interventions.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/every-preemie-scale-launches-no-harm-technical-briefs-improve-safe-effective-use-key-inpatient-newborn-care-interventions\/\">Every Preemie Do No Harm Technical Briefs<\/a> \u2014 This series of briefs was developed between 2017-2019 and highlights the safe and effective use of specific inpatient newborn care interventions, with the guiding principle of \u201cDo No Harm.\u201d<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-every-newborn\/\">Nurturing Care for Every Newborn<\/a>\u00a0\u2014 This brief summarizes why nurturing care is essential for every newborn to survive and thrive. It outlines the five components of nurturing care and contains examples of practical actions to create and strengthen nurturing environments for newborns, including those who are born too soon, small or sick.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">The Nurturing Care Framework for Early Childhood Development<\/a> \u2014 This framework draws on state-of-the-art evidence on how ECD unfolds to set out the most effective policies and services that will help parents and caregivers provide nurturing care for babies.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/implementation-toolkit-for-small-and-sick-newborn-care\/\">Implementation Toolkit for Small and Sick Newborn Care<\/a> \u2014Released on World Prematurity Day 2021, this Implementation Toolkit brings together readings, tools and learnings to provide a one-stop shop for implementers to act, use, share and learn. Information in support of WHO norms and standards from more than 300 implementers around the world is systematically organised to enable implementation and reach every newborn.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Guidelines and Statements\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/newborn-health-standards.org\/\">European Standards of Care for Newborn Health<\/a> \u2014 The ESCNH project aims to address disparities in the care of preterm and ill infants by developing standards for a wide range of topics in newborn health.<\/li>\n<li><a href=\"https:\/\/nicudesign.nd.edu\/nicu-care-standards\">Consensus Standards on Infant and Family-Centered Developmental Care<\/a> \u2014 This web document is the full report of the Consensus Committee of the Standards, Competencies, and Best Practices for Infant and Family-Centered Developmental Care in the ICU.<\/li>\n<li><a href=\"https:\/\/journals.lww.com\/advancesinneonatalcare\/Fulltext\/2019\/02000\/Guidelines_for_the_Institutional_Implementation_of.4.aspx\">Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU: A Joint Position Statement from CANN, CAPWHN, NANN, and COINN (2019)<\/a> \u2014 This position statement provides an evidence-based framework for the institutional implementation of developmentally supportive, neuroprotective care in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/nidcap.org\/\">Newborn Individualized Developmental Care and Assessment Program<\/a> \u2014 NIDCAP is an organization that supports development, enhances strengths and minimizes stress for infants, family and staff who care for them.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-individualized-developmental-care-and-assessment-program-nidcap-an-education-and-training-program-for-health-care-professionals\/\">NIDCAP Program Guide<\/a> \u2014 Educational and consultative support and assistance to NICU and special care nursery settings towards effective delivery of intensive and special care in a neurodevelopmentally supportive, individualized, and family-centered framework.<\/li>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">Integrated Family Delivered Neonatal Care<\/a> \u2014 Online resources by the Imperial College Healthcare NHS Trust to create a consistent, nurturing environment for parents to feel engaged, enabled, educated and empowered as the primary caregivers to their babies.<\/li>\n<li><a href=\"https:\/\/fundacioncanguro.co\/en\/fundacion-canguro-english\/\">Kangaroo Foundation training kit (English, Spanish, French)<\/a> \u2014 This site hosts online resources to encourage the use, development and dissemination of Kangaroo Mother Care (KMC), a methodology based on scientific evidence.<\/li>\n<li><a href=\"https:\/\/nurturescienceprogram.org\/family-nurture-intervention\/\">Family Nurture Intervention<\/a> \u2014 This program helps families re-establish emotional connection and autonomic co-regulation if they are interrupted, with significant short- and long-term benefits for both baby and mother.<\/li>\n<li><a class=\"Hyperlink SCXW255313088 BCX8\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8063066\/?report=printable\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\" data-ccp-charstyle=\"Hyperlink\">Post Partum Depression in NICU<\/span><\/span><\/a><span class=\"TextRun SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\"> \u2014 This resource highlights important results from a community KMC study in India indicating that postpartum depression was reduced in mothers when KMC was used.<\/span><\/span><span class=\"EOP SCXW255313088 BCX8\" data-ccp-props=\"{&quot;201341983&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:405}\">\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/www.marchofdimes.org\/nursing\/index.bm2?cid=00000003\">March of Dimes Education for Nurses <\/a>\u2014This site includes resources to equip nurses with the information they need to provide the highest quality care to newborns and mothers.<\/li>\n<li><a href=\"http:\/\/www.familyintegratedcare.com\/\">Family Integrated Care<\/a> \u2014 FICare is a model that integrates families as partners in the NICU care team, and provides a structure that supports the implementation of family-centered care. This website provides helpful tools and resources to support this model.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Educational Materials for Professionals\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/53398\/\">Psychosocial standards for NICU Parents<\/a> \u2014 This article provides a rationale for and brief description of the process of developing recommendations for program standards for psychosocial support of parents with babies in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3697041\/\">National Perinatal Association Multidisciplinary Guidelines for the Care of Late Preterm Infants \u2014<\/a> This supplement was published on behalf of the Late Preterm Infant Guidelines Steering Committee with permission from The National Perinatal Association.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/small-and-sick-newborn-care-during-the-covid-19-pandemic-global-survey-and-thematic-analysis-of-healthcare-providers-voices-and-experiences\/\">Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers\u2019 voices and experiences<\/a> \u2014 This study surveyed reported disruptions to small and sick newborn care worldwide and analyzed healthcare providers\u2019 experiences and proposed mitigation strategies<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-kangaroo-mother-care-and-survival-of-infants-with-low-birth-weight\/\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight<\/a> \u2014 This research published in 2021 shows evidence that immediate KMC dramatically improves survival rates of small and sick newborns.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-had-a-protective-effect-on-the-volume-of-brain-structures-in-young-adults-born-preterm\/\">Kangaroo mother care had a protective effect on the volume of brain structures in young adults born preterm<\/a> \u2014 This study is one of the first to show evidence of the long-term benefits of KMC.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Parent Education and Integrated Family Delivered Neonatal Care\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">NHS Imperial College Healthcare \u2013 Parent NICU App<\/a> \u2014 This app helps parents through their NICU journey in the ethos of family integrated care.<\/li>\n<li><a href=\"https:\/\/www.bliss.org.uk\/health-professionals\/information-and-resources\/resources-for-parents\">Bliss Resources for Parents (in conjunction with IFDC Care Bundle)<\/a> \u2014 Downloadable resources to give to parents on neonatal units or you can direct them to the information on this website.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][vc_row][\/vc_row][vc_column][\/vc_column]<\/p>\n","post_title":"Care of small and sick newborns","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"care-of-small-and-sick-newborns","to_ping":"","pinged":"","post_modified":"2023-08-02 12:39:31","post_modified_gmt":"2023-08-02 16:39:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=14757","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":130,"post_author":"7211","post_date":"2015-10-21 15:20:03","post_date_gmt":"2015-10-21 15:20:03","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>It is crucial to use tested and standardized indicators for tracking and monitoring trends in neonatal health over time and making comparisons between districts, countries, or regions.<\/h2>\r\nUsing standard measurements should ensure collection of data that can be meaningfully analyzed and employed to inform program and policy decisions.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046459295{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of identified priority Every Newborn indicators<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046469073{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of Sustainable Development Goals<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][vc_column_text]Several global bodies have developed recommended indicators for global tracking and use at country level. The <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every_Newborn_Action_Plan-ENGLISH_updated_July2014.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan (ENAP)<\/a> has proposed a list of 10 core indicators and 10 additional indicators of impact and coverage of evidence-based newborn interventions. The World Health Organization (WHO) is compiling a list of core indicators aligned with the UN\u2019s <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-global-strategy-for-womens-childrens-and-adolescents-health-2016-2030-survive-thrive-transform\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. This list has been informed by efforts to standardize indicators for the <a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goals (SDGs)<\/a>, Ending Preventable Maternal Mortality (EPMM), ENAP, and the <a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">WHO\u2019s Global Reference List of 100 Core Health Indicators<\/a>.\r\n\r\nEfforts are also underway to develop standardized indicators for monitoring the implementation strength and coverage of priority newborn health interventions:\r\n<ul>\r\n \t<li><strong>Kangaroo mother care (KMC)<\/strong>: The KMC Acceleration Partnership developed a measurement framework and 10 core indicators covering service readiness and service delivery.<\/li>\r\n \t<li><strong>Treatment of neonatal infections:<\/strong> Following the recent release of new WHO guidelines on managing possible severe bacterial infections in young infants when referral is not possible, WHO and implementing partners in early-adopter countries are currently working on a measurement framework with indicators. More information will be available soon.<\/li>\r\n \t<li><strong>Chlorhexidine for umbilical cord care<\/strong>: The global Chlorhexidine Working Group recommended indicators for inclusion in Demographic and Health Surveys (see information below on the new DHS optional newborn module) and is tracking indicators collected across countries.<\/li>\r\n<\/ul>\r\nBelow are descriptions and links to useful data collection tools, which include questions on newborn care. More information on mortality audits can be found on <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">this page<\/a>.[\/vc_column_text][vc_text_separator title=\"Household surveys\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/DHS-Questionnaires.cfm\" target=\"_blank\" rel=\"noopener\">Demographic and Health Surveys (DHS)<\/a><\/h4>\r\nUSAID-supported Demographic and Health Surveys (DHS) are nationally-representative household surveys that provide data for a wide range of monitoring and impact evaluation indicators in the areas of population, health, and nutrition. The DHS Phase 7 model women\u2019s questionnaire now includes questions on pre- and post-discharge contacts for newborns, the content of postnatal care for newborns, and newborn care practices. In addition, an optional newborn module is under development with additional questions on newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/mics.unicef.org\/\" target=\"_blank\" rel=\"noopener\">Multiple Indicator Cluster Surveys (MICS)<\/a><\/h4>\r\nUNICEF-supported Multiple Indicator Cluster Surveys (MICS) are nationally-representative household surveys that provide estimates of a range of indicators in the areas of health, education, child protection, and HIV\/AIDS. The MICS questionnaire now includes questions on the pre- and post-discharge postnatal contacts for mothers and newborns.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mcsprogram.org\/resource\/knowledge-practice-coverage-tool\/\" target=\"_blank\" rel=\"noopener\">Knowledge Practices and Coverage Survey (KPC)<\/a><\/h4>\r\nThe Knowledge Practices and Coverage Survey (KPC) is a small population-based survey originally developed by Johns Hopkins University and used by grantees of USAID's Child Survival and Health Grants Program (CSHGP) since 1991. The KPC tool was revised to collect more data on newborn care practices.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358177910{background-color: #ffffff !important;}\"][vc_column][vc_text_separator title=\"Health facility assessment tools\"][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358191657{background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.who.int\/data\/data-collection-tools\/service-availability-and-readiness-assessment-(sara)?ua=1\" target=\"_blank\" rel=\"noopener\">Service Availability and Readiness Assessment (SARA)<\/a><\/h4>\r\nThe WHO-supported SARA is a health facility assessment tool designed to assess and monitor the service availability and readiness of the health sector and to generate evidence to support the planning and managing of a health system. It includes a section on service availability for maternal and newborn health.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mchip.net\/qocsurveys\/\" target=\"_blank\" rel=\"noopener\">Maternal and Newborn Quality of Care Surveys<\/a><\/h4>\r\nThese health facility surveys, developed by the Maternal and Child Health Integrated Program (MCHIP), focus on the frequency and quality of interventions that address the direct causes of maternal and newborn deaths and can be key sources of information for policymakers and other stakeholders in country.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/SPA.cfm\" target=\"_blank\" rel=\"noopener\">Service Provision Assessment (SPA)<\/a><\/h4>\r\nThe USAID-supported SPA is a health facility assessment tool that provides a comprehensive overview of a country\u2019s health service delivery. It includes a section on delivery and newborn care in the inventory questionnaire, as well as additional questions related to services for newborns.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mailman.columbia.edu\/research\/averting-maternal-death-and-disability-amdd\/toolkit\" target=\"_blank\" rel=\"noopener\">Emergency Obstetric and Neonatal Care Needs Assessment<\/a><\/h4>\r\nCreated by Averting Maternal Death and Disability (AMDD) at Columbia University, the\r\nEmergency Obstetric and Neonatal Care (EmONC) Needs Assessment is a health facility assessment tool that provides detailed data for planning to address gaps or problems in EmONC services. The tool is currently being revised to include more information on newborn services and quality of care.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][\/vc_column][vc_column width=\"2\/3\"][vc_text_separator title=\"Other tools\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_single_image image=\"13807\"][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/saving-newborn-lives-tools-newborn-health-qualitative-research-improve-newborn-care-package\" target=\"_blank\" rel=\"noopener\">Guide to Qualitative Research to Improve Newborn Care Practices<\/a><\/h4>\r\nSave the Children\u2019s Guide to Qualitative Research to Improve Newborn Care Practices provides a reference tool for conducting qualitative (or formative) research and planning a behavior change communications strategy to improve newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">ENAP Tools<\/a><\/h4>\r\nENAP has also compiled <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">an overview of tools<\/a> that can be used to sharpen existing reproductive, maternal, newborn, and child health (RMNCH) policies and plans, incorporating available evidence and data.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Data Cards<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Tool Kit<\/a><\/li>\r\n \t<li><a href=\"http:\/\/journals.plos.org\/plosmedicine\/article?id=10.1371\/journal.pmed.1001340\" target=\"_blank\" rel=\"noopener\">New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care<\/a><\/li>\r\n \t<li><a href=\"http:\/\/collections.plos.org\/measuring-coverage-in-mnch\" target=\"_blank\" rel=\"noopener\">Measuring Coverage in Maternal, Newborn, and Child Health<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.biomedcentral.com\/content\/pdf\/1471-2393-15-S2-S8.pdf\" target=\"_blank\" rel=\"noopener\">Count every newborn; a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">Global Reference List of 100 Core Health Indicators, 2015<\/a><\/li>\r\n \t<li><a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goal indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women's, Children's and Adolescent's Health 2016-2030<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][\/vc_row]","post_title":"Monitoring & evaluation","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"monitoring-evaluation","to_ping":"","pinged":"","post_modified":"2022-10-20 16:44:30","post_modified_gmt":"2022-10-20 20:44:30","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=130","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":126,"post_author":"7211","post_date":"2015-10-21 15:19:14","post_date_gmt":"2015-10-21 15:19:14","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Severe newborn infections\u2014including sepsis, meningitis, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/pneumonia\/\">pneumonia<\/a>\u2014are a major cause of morbidity and mortality among newborns in low- and middle-income countries.<\/h2>\r\nRecent analyses estimate that globally, approximately 400,000 newborns die each year as a result of severe infections, over one-sixth of the total burden of newborn deaths. Most of these deaths could be averted through:\r\n<ol>\r\n \t<li>preventive measures, such as improving hygiene practices, and<\/li>\r\n \t<li>timely and appropriate care for sick newborns.<\/li>\r\n<\/ol>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252549558{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of neonatal deaths caused by severe bacterial infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">400<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252596727{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of newborns who die each year as a result of severe infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">8<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1653422219529{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of neonatal deaths caused by pneumonia<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Prevention\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Preventive measures during the antenatal and intrapartum periods can reduce the risk of congenital and newborn infections while protecting the health of the mother. Before and during pregnancy, women can be screened and treated for syphilis and vaccinated against diseases like tetanus. In addition to preventing subsequent infection in the newborn, treating maternal infections during pregnancy \u2013 such as antibiotics for prolonged, preterm rupture of membranes or chorioamnionitis -- can also greatly reduce the risk for preterm birth, a leading cause of newborn mortality as well as prevent serious newborn infection.\r\n\r\nClean birth practices reduce the rate of newborn infections at home and implementation of consistent, high-quality infection control practices reduces newborn infections in facility settings. Hygienic umbilical cord care, including using a sterile instrument to cut the cord and, when appropriate and per national guidelines, <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/chlorhexidine-for-umbilical-cord-care\/\">applying chlorhexidine to the newborn cord stump<\/a>, can also reduce infection and preventable death. <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">Early and exclusive breastfeeding<\/a> also reduces the likelihood of newborn infections in several ways, including providing critical support to boost immune system development and avoiding the introduction of potentially harmful substances to the immature gut.\r\n\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Management\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]WHO recommends that newborns and young infants should be hospitalized when they have signs of possible <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/treatment-of-possible-severe-bacterial-infection\/\">serious bacterial infection, and treated<\/a> with 7 days of a combination of injectable antibiotics \u2013 gentaminin and ampicillin (or penicillin). In many or most low and middle-income countries (LMICs), such hospital-based treatment is not routinely feasible for many families for a number of cultural, geographic, and financial barriers. In these circumstances, recent evidence has led WHO to recommend outpatient antibiotics to such newborns and young infants to successfully treat the illness. The recommended antibiotic course is a combination of injectable and oral antibiotics: 2 days of once-daily gentamicin combined with 7 days of twice-daily oral amoxicillin. A follow up visit at 4 days of treatment is recommended to ensure adherence to the antibiotics and to ensure improvement in the newborn\u2019s condition. When referral from outpatient facility to hospital is accepted by families, the health center provider should ensure that the newborn or young infant is first given a dose of gentamicin and amoxicillin since even short delays in initiation of treatment can mean the difference between life and death.\r\n\r\nSaving newborn lives from life-threatening infections is now indeed feasible, acceptable, and effective in reducing preventable newborn and young infant deaths, and should be a top public health priority.\r\n\r\n<strong>Key Resources:\u00a0<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25274969\/\">Respiratory Distress in the Newborn <\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/SafeOxygen_english_7.6.17.pdf\">Safe and effective oxygen use for inpatient care of newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/InfectionPrevention_english_7.6.17.pdf\">Safe and effective infection prevention for inpatient newborn care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_MgmtNewbornInfection_7.15.19.pdf\">Management of newborn infections during inpatient care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013207\">Neonatal severe bacterial infection impairment estimates in South Asia, sub-Saharan Africa, and Latin America for 2010<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Severe infections","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"severe-infections","to_ping":"","pinged":"","post_modified":"2022-10-18 14:43:52","post_modified_gmt":"2022-10-18 18:43:52","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"partners":[{"ID":640,"post_author":"720","post_date":"2010-04-12 00:37:13","post_date_gmt":"2010-04-12 00:37:13","post_content":"Maternal, reproductive and child health problems are major contributors to ill health worldwide, and account for over 13 million deaths every year, many of which are preventable. The MARCH Centre brings together researchers, students and practitioners to address these problems. We conduct studies in low, middle and high-income countries. Our world-renowned researchers have strengths in epidemiology, intervention studies and health economics and policy.\r\n\r\nWe aim to consolidate research and communications among researchers. The Centre has three interconnected themes: A (<a href=\"http:\/\/march.lshtm.ac.uk\/adolescents\/\">Adolescents<\/a>), B (<a href=\"http:\/\/march.lshtm.ac.uk\/births\/\">Births<\/a>) and C (<a href=\"http:\/\/march.lshtm.ac.uk\/children\/\">Children<\/a>). Each theme offers its members a forum to exchange ideas, share news and take advantage of unique multidisciplinary strengths of LSHTM under the auspices of MARCH Centre.\r\n\r\nThe Centre strengthens and promotes innovation, evaluation and evidence-based policy-making by fostering communication and collaboration inside and outside the London School of Tropical Medicine &amp; Hygiene and between researchers and policy makers, across a range of settings in over 100 countries and multiple disciplines including:\r\n\r\n<strong>Description<\/strong>: observational epidemiology, high-quality national and global estimates and social science theory and analyses are the foundation for linking data to action.\r\n\r\n<strong>Discovery<\/strong>: understanding infections, genetic and epigenetic risks, and delineating risks for adverse outcomes especially during the two crucial windows of pregnancy and the first two years after birth, and adolescence.\r\n\r\n<strong>Development<\/strong>: innovations in diagnostics, devices and strategies, for example to improve quality of care.\r\n\r\n<strong>Delivery<\/strong>: a major strength is in intervention and health systems research, with economic and policy analysis.\r\n\r\nCurrently we have over 230 researchers covering themes along the continuum of care.\r\n\r\n<strong>We also welcome students to study on issues related to maternal, reproductive and child health at the London School of Hygiene &amp; Tropical Medicine.<\/strong>\r\n\r\nTraining is provided through a range of taught Masters courses and research degrees, many of which can be studied on a full-time or part-time basis, or through distance learning.\r\nIn addition, a range of short courses provide intensive advanced learning. See below for information on Masters Degrees, Short Courses, Study Modules and Research Degrees (PhD, DrPH).\r\nThe MARCH Centre also offers a free six-week free online course that presents the latest data, priorities and debates about the health of adolescents, mothers, newborns and children worldwide. For more information, please visit our <a href=\"http:\/\/march.lshtm.ac.uk\/2015\/12\/16\/1483\/\">website<\/a>.\r\n\r\n&nbsp;","post_title":"London School of Hygiene & Tropical Medicine (LSHTM) MARCH Centre for Maternal, Adolescent, Reproductive and Child Health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"march-centre-maternal-reproductive-and-child-health","to_ping":"","pinged":"","post_modified":"2016-12-12 07:07:19","post_modified_gmt":"2016-12-12 12:07:19","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&#038;p=640","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":838,"post_author":"12","post_date":"2013-04-29 19:44:10","post_date_gmt":"2013-04-29 19:44:10","post_content":"","post_title":"UNICEF","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"unicef","to_ping":"","pinged":"","post_modified":"2016-01-21 19:45:06","post_modified_gmt":"2016-01-21 19:45:06","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&#038;p=838","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"NEST360","featured_image":52515},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/event\/52513"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/event"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/event"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/event\/52513\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/52515"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=52513"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}