{"id":6764,"date":"2015-04-06T00:00:00","date_gmt":"2015-04-06T00:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/"},"modified":"2022-09-27T14:21:39","modified_gmt":"2022-09-27T18:21:39","slug":"bangladesh-cncp-launched-to-improve-newborn-survival","status":"publish","type":"news-item","link":"https:\/\/www.healthynewbornnetwork.org\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/","title":{"rendered":"Bangladesh: CNCP Launched to Improve Newborn Survival"},"content":{"rendered":"

This package will be implemented in Kushtia with technical support from SNL, Save the Children in Bangladesh to measure the strength of implementation so that those interventions could be implemented at scale within the existing government system later on.<\/p>\n","protected":false},"author":7211,"featured_media":6766,"template":"","acf":[],"yoast_head":"\nHealthy 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\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bangladesh: CNCP Launched to Improve Newborn Survival - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"This package will be implemented in Kushtia with technical support from SNL, Save the Children in Bangladesh to measure the strength of implementation so that those interventions could be implemented at scale within the existing government system later on.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2022-09-27T18:21:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/1604733_516490765121883_8738106781233113221_n.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"160\" \/>\n\t<meta property=\"og:image:height\" content=\"160\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\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\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/news-item\/bangladesh-cncp-launched-to-improve-newborn-survival\/\",\"name\":\"Bangladesh: CNCP Launched to Improve Newborn Survival - 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Our vision is a world in which every child attains the right to survival, protection, development and participation. Our mission is to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.\r\n<h2>What we do<\/h2>\r\n<img class=\"aligncenter size-full wp-image-795\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/2.-Parth-Sanyal.jpg\" alt=\"2. Parth Sanyal\" width=\"800\" height=\"533\" \/>\r\n\r\n \r\n\r\nPhoto: Parth Sanyal\/ Save the Children\r\n\r\n<strong>Saving Newborn Lives (SNL) Program:<\/strong>\r\n\r\nSave the Children's Saving Newborn Lives (SNL) program, supported by the Bill & Melinda Gates Foundation, is a globally recognized leader in newborn health and a respected voice in many low-resource countries. Since 2000, Save the Children\u2019s SNL program has worked as a catalyst towards ensuring that newborn health and survival is on global and national agendas. SNL seeks to achieve equitable and effective coverage of high-impact newborn services and practices institutionalized at scale.\r\n\r\nSNL currently works in partnership with 7 countries to reduce newborn mortality, improve newborn health and bring high-impact interventions to scale. In 4 countries \u2013 Bangladesh, Malawi, Nepal, and Uganda - the program works through partnerships with government and stakeholders to achieve and document the scale-up of newborn health interventions. These countries have achieved substantial policy and system readiness for scale-up and are positioned for accelerated change in service delivery and health outcomes. In 3 additional countries \u2013 Ethiopia, India, and Nigeria \u2013 SNL coordinates with government and partners to develop policies, program experience, and evidence in order to promote the effective and sustainable scale-up of key interventions. SNL collaborates closely with governments and implementing partners, and provides direct support to the design, development and implementation of national strategies and policies to improve the quality and availability of care for mothers and newborns. For more information on Save the Children\u2019s Newborn Health program, <a href=\"http:\/\/www.savethechildren.org\/site\/c.8rKLIXMGIpI4E\/b.6234293\/k.7FC1\/Newborn_Health.htm\">visit our website<\/a>.\r\n\r\nSNL currently maintains the Healthy Newborn Network and strives to establish the site as the \u201cgo-to\u201d resource for newborn health information, data and resources.\r\n\r\nSave the Children also offers technical assistance and support as the newborn health leading partner under USAID\u2019s Maternal and Child Survival Program (MCSP). MCSP is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries with the ultimate goal of ending preventable maternal and child deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives.\r\n\r\n<strong>Save the Children Campaigns:<\/strong>\r\n\r\nAs an independent and global organization, Save the Children has a powerful voice in campaigning for long-term change, and a track record of success. Save the Children encourages its supporters to put pressure on decision makers and opinion formers to change policies and practices, locally and globally, to ensure children's rights become reality.\r\n\r\n<strong><img class=\"alignleft size-full wp-image-796\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryOne-Thumb.jpg\" alt=\"EveryOne - Thumb\" width=\"160\" height=\"160\" \/>The EveryOne Campaign<\/strong>: Save the Children has launched a global campaign to ensure governments provide basic health and nutrition services to millions of children who might not otherwise live to see their fifth birthday. EVERY ONE is Save the Children\u2019s global campaign to ensure no child under the age of five dies from preventable causes, and that public attitudes do not tolerate a return to high levels of child deaths. By 2015, the campaign aims to have catalyzed a breakthrough in governments' policies and practices that dramatically accelerates sustainable progress towards MDG 4. Follow the <a href=\"http:\/\/everyone.savethechildren.net\/news\">Every One campaign via their blog. <\/a>\r\n\r\n<strong><img class=\"alignleft size-full wp-image-797\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryBeatMatters-Thumb.jpg\" alt=\"EveryBeatMatters - Thumb\" width=\"160\" height=\"160\" \/>Every Beat Matters<\/strong>: Through this campaign, Save the Children aims to raise awareness among the American public of the key issues related to child survival, engage and foster champions who are willing to raise their voices for children in need around the world, and create a movement which demands that we increase access to lifesaving care so that no parent suffers the unnecessary loss of a child. Every child deserves the chance to grow up healthy, happy and able to reach their potential. Take a look at <a href=\"http:\/\/www.everybeatmatters.org\/\">Save the Children\u2019s Action Network <\/a>for more information.","post_title":"Save the Children","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"save-the-children","to_ping":"","pinged":"","post_modified":"2016-12-12 10:03:13","post_modified_gmt":"2016-12-12 15:03:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=793","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"issues":[{"ID":118,"post_author":"7211","post_date":"2015-10-21 15:18:04","post_date_gmt":"2015-10-21 19:18:04","post_content":"[vc_row][vc_column][vc_column_text]\r\n<h2 style=\"text-align: center;\"><em>As of 2022, the below information reflects outdated global consensus and guidance. For up-to-date guidance on umbilical cord care, including chlorhexidine, please visit the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/umbilical-cord-care\/\">Umbilical Cord Care page<\/a>.<\/em><\/h2>\r\n[\/vc_column_text][vc_btn title=\"Umbilical Cord Care\" color=\"1\" size=\"lg\" align=\"center\" button_block=\"true\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fissue%2Fumbilical-cord-care%2F|title:Umbilical%20cord%20care\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][vc_column_text]\r\n<h2><strong><a href=\"#getready\">Get Ready\u00a0\u00a0\u00a0<\/a><\/strong>|\u00a0 \u00a0<strong><a href=\"#plan\">Plan\u00a0<\/a><\/strong>\u00a0 |\u00a0 \u00a0<strong><a href=\"#execute\">Execute\u00a0\u00a0<\/a><\/strong>\u00a0|\u00a0 \u00a0<strong><a href=\"#about\">About\u00a0\u00a0\u00a0\u00a0<\/a><\/strong>|\u00a0 \u00a0<strong><a href=\"#country\">Country Specific Resources<\/a><\/strong><\/h2>\r\n<h2><\/h2>\r\n[\/vc_column_text][\/vc_column][\/vc_row][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 style=\"text-align: justify;\">Ensuring optimal cord care at birth and during the first week of life, including use of chlorhexidine, especially in settings having poor hygiene, is a crucial strategy to prevent life-threatening sepsis and cord infections and avert preventable neonatal deaths.<\/h2>\r\n<p style=\"text-align: justify;\">Chlorhexidine digluconate is a broad spectrum antiseptic that is available in a range of concentrations and has been safely used for over 40 years for a variety of health-related applications; but its specific use for umbilical cord care was uniquely tested in three clinical trials in Nepal, Bangladesh, and Pakistan, in the form of 7.1% chlorhexidine digluconate (CHX). Given the promising results of the trials, in 2013 the World Health Organization (WHO) added CHX to its <a href=\"http:\/\/www.who.int\/medicines\/publications\/essentialmedicines\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Model List of Essential Medicines for Children<\/a>; and in 2014 the WHO issued a new <a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/97603\/1\/9789241506649_eng.pdf?ua=1\" target=\"_blank\" rel=\"noopener noreferrer\">guideline<\/a> on umbilical cord care, which included a formal recommendation on the use of chlorhexidine.<\/p>\r\n[\/vc_column_text][vc_column_text]\r\n<p style=\"text-align: justify;\">This webpage was developed by the <a href=\"#about\">Chlorhexidine Working Group<\/a>\u00a0(CWG) to help policy makers, program managers, and donors facilitate the introduction of 7.1% chlorhexidine digluconate into existing essential newborn care services in low- and middle-income countries. The document, <a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHXstory_From-Research-to-Use_01.22.18.pdf\">From Research to Use: Saving Newborn Lives with Chlorhexidine for Umbilical Cord Care<\/a> chronicles the history and accomplishments of the CWG. The webpage consists of three phases, <strong><a href=\"#getready\">Get Ready<\/a><\/strong>, <strong><a href=\"#plan\">Plan<\/a><\/strong>, and <strong><a href=\"#execute\">Execute<\/a><\/strong>, and is based on the experiences of the CWG partners in introducing chlorhexidine in various countries (see <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/guide-implementing-7-1-chlorhexidine-digluconate-umbilical-cord-care\/\">Guide to Implementing 7.1% chlorhexidine digluconate for umbilical cord care: Three phases to ensure sustainable implementation<\/a>). Each phase\u00a0is composed of activities that facilitate introduction and scale-up. The phases do not necessarily occur in a sequential manner; however, as some activities\/components across the three phases may\u00a0occur simultaneously while others are dependent upon the results of activities from a previous phase.<\/p>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_cta h2=\"Chlorhexidine Global Scale-Up Tracker\" style=\"outline\" color=\"sandy-brown\" css=\".vc_custom_1503604990256{border-radius: 5px !important;}\"]\r\n\r\n[caption id=\"attachment_17423\" align=\"alignright\" width=\"250\"]<a href=\"https:\/\/www.healthynewbornnetwork.org\/chlorhexidine-dashboard\/\"><img class=\"wp-image-17423\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Dashboard-Thumbnail-1-300x211.jpg\" alt=\"Dashboard Thumbnail\" width=\"250\" height=\"176\" \/><\/a> Click on the map to view the tracker[\/caption]\r\n\r\nOver 25 countries are now moving toward implementation of chlorhexidine for umbilical cord care. The global scale-up tracker is a real-time, interactive dashboard that illustrates the global progress of chlorhexidine implementation and scale-up. Dashboard users can see a wealth of information regarding the current status of chlorhexidine engagement in these countries, including policy status, type of product used, location of use, regulatory status, and locations of local manufacture.[\/vc_cta][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.4<\/span>M<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1651600731322{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Newborn lives are claimed every year across the world*<\/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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">7<\/span>%<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1651600713114{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Of the deaths are caused by sepsis and other infectious conditions of the newborn*<\/span><\/h3>\r\n<h6>*Represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further<\/h6>\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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">23<\/span>%<\/strong><\/h1>\r\n[\/vc_column_text][vc_empty_space][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1461187100208{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Reduction in neonatal mortality when 7.1% chlorhexidine digluconate was used on the first day of life, as demonstrated by the clinical trials conducted in South Asia.<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1460150566355{margin-top: 0px !important;margin-bottom: 0px !important;border-top-width: 0px !important;background-color: #ffffff !important;}\"][vc_column][vc_cta h2=\"Cautionary note\" color=\"sandy-brown\"]\r\n<h3 style=\"text-align: justify;\"><strong>As with all medications, care must be taken to ensure that the product is used appropriately. 7.1% chlorhexidine digluconate for umbilical cord care should be kept out of eyes and ears and should be applied only to the umbilical stump.<\/strong><\/h3>\r\n<h3 style=\"text-align: justify;\">In 2015, it came\u00a0to the attention of the global Chlorhexidine Working Group (CWG) that 7.1% chlorhexidine digluconate aqueous solution (liquid) for umbilical cord care was mistakenly applied to the eyes of at least five children in Nigeria, causing eye injury.\u00a0\u00a0 Chlorhexidine has been in use for over 50 years and has a well\u2013characterized safety profile when used as directed. The formulation of chlorhexidine digluconate used for cord care (7.1% w\/v), when used as directed, is effective in preventing neonatal sepsis due to bacterial exposure through the fresh umbilical stump. \u00a0However, it can cause serious harm if applied to the eyes and should also not be put into the ear canal. It is important that persons and organizations responsible for chlorhexidine for umbilical cord care programs and for the distribution of the chlorhexidine for umbilical cord care product to caregivers ensure that instruction is provided on the appropriate use of the product, including appropriate warnings.<\/h3>\r\n<h3><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX)<\/a><\/h3>\r\n<h3><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration<\/a><\/h3>\r\n[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1636735661384{background-color: #ef814a !important;}\"]<a name=\"getready\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Get Ready<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">Successful program implementation requires the coordinated effort of the key stakeholders and alignment of policies and guidelines. The first step is to <strong>gain consensus<\/strong> through consultations with various key stakeholders in the public and private sectors. Further <strong>evidence for implementation<\/strong> may need to be generated if stakeholders believe that gaps in operational evidence exist. The final component of coordinating the effort is to <strong>align policies and guidelines<\/strong> for chlorhexidine implementation.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15591\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-1-gaining-consensus-chlorhexidine\/\"><strong>Activity 1: Gaining Consensus<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG Tech Brief (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-technical-brief-umbilical-cord-cleansing-saves-newborn-lives\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Technical-Brief_final-for-translation__2017-11-20_FR-1.pdf\">\u00a0fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Technical-Brief_final-for-translation__2017-11-20_PT-1.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>CWG Chlorhexidine Products and Uses\u00a0in Healthcare (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-products-and-uses-in-health-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/les-produits-a-base-de-chlorhexidine-et-leurs-utilisations-dans-le-domaine-des-soins-de-sante\/\" target=\"_blank\" rel=\"noopener noreferrer\">fran\u00e7ais<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Chlorhexidine-Applications-PT_Aug_2015-2015-08-20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>UN Commission on Life-Saving Commodities for Women and Children\u00a0<a href=\"http:\/\/www.path.org\/publications\/detail.php?i=2381\" target=\"_blank\" rel=\"noopener noreferrer\">Policy\/Advocacy Toolkit<\/a><\/li>\r\n \t<li>Results of the randomized controlled trials in\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(06)68381-5\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal<\/a>,\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)61848-5\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Bangladesh<\/a>, and\u00a0<a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)61877-1\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Pakistan<\/a>, and the\u00a0<a href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/1471-2458-13-S3-S15\" target=\"_blank\" rel=\"noopener noreferrer\">meta-analysis<\/a>\u00a0of the three trials<\/li>\r\n \t<li>Chlorhexidine gel versus aqueous solution\u00a0<a href=\"http:\/\/journals.lww.com\/pidj\/Abstract\/2010\/11000\/Chlorhexidine_Gel_Versus_Aqueous_for_Preventive.4.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">randomized noninferiority trial<\/a><\/li>\r\n \t<li>Chlorhexidine\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2386993\/\" target=\"_blank\" rel=\"noopener noreferrer\">safety data<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-for-umbilical-cord-care-game-changer-for-newborn-survival\/\" target=\"_blank\" rel=\"noopener noreferrer\">Chlorhexidine for umbilical cord care: game-changer for newborn survival?<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/DRC-Group-work_outline.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC Technical Working Group structure and outline<\/a>\u00a0(fran\u00e7ais)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/R%C3%A9sum%C3%A9-sur-les-%C3%A9vidences-scientifiques-de-lutilisation-de-la-Chlorhexidine-digluconate-7-1_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC\u00a0R\u00e9sum\u00e9 sur les \u00e9vidences scientifiques de l\u2019utilisation de la Chlorhexidine(CHX) digluconate 7.1%<\/a>\u00a0(fran\u00e7ais) \u00a0[DRC scientific evidence presentation]<\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Nepal-meeting-report-12-02-2011-FINAL-1.pdf\">Chlorhexidine for Umbilical Cord Care: Evidence Base and the Way Forward<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Coffey-P.-et-al.-umbilical-cord-care-practice-in-low-and-middle-income-countries-1.pdf\">Umbilical cord-care practices in low- and middle-income countries: a systematic review<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final_CHX_Meeting-Report_EN_140429.pdf\">Technical Report: Report on the Regional Meeting for Francophone West Africa on the use of Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Herrick-et-al_Modeling-the-potential-impact-of-emerging-innovations_2017.pdf\">Modeling the potential impact of emerging innovations on achievement of Sustainable Development Goals related to maternal, newborn, and child health<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Mullany_Safety-and-impact-of-chlorhexidine-antisepsis-interventions_Ped-Inf-Dis-J_2006.pdf\">Safety and Impact of Chlorhexidine Antisepsis Interventions for Improving Neonatal Health in Developing Countries<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Sazawal-S-et-al-Pemba-Island-chlorhexidine-trial-Lancet-GH-2016.pdf\">Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomized controlled trial<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Semrau-KEA-et-al-ZamCAT-main-analysis-Lancet-GH-2016.pdf\">Effectiveness of 4% chlorhexidine umbilical cord care on neonatal mortality in Southern Province, Zambia (ZamCAT): a cluster-randomised controlled trial<\/a><\/li>\r\n \t<li>Antiseptic brief (<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_11-30-17_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_3-11-30-17_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Antiseptic-brief_Final-for-translation_3-11-30-17_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>Generic CHX PPT\u00a0(<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018.pptx\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018_F....pptx\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_Generic-CHX-Presentation-updated-January-19-2018_P....pptx\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-innovation-countdown-report-2030-reimagining-global-health\/\">The Innovation Countdown Report 2030: Reimagining global health<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-2-building-evidence-implementation-chlorhexidine\/\"><strong>Activity 2: Building Evidence for Implementation<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Madagascar-Formative-Research-Presentation_English.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar formative research<\/a><\/li>\r\n \t<li><a href=\"https:\/\/bmcinthealthhumrights.biomedcentral.com\/articles\/10.1186\/1472-698X-14-12\">Ethiopia formative research<\/a><\/li>\r\n \t<li>Bangladesh operations research<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_CHX-operations-research_report_2010Jan20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0report\u00a0<\/a>and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_Programatic-Presentation_Winch-2011.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">presentation<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/PATH-Chlorhexidine-Product-Attribute-Study-Bangladesh-2008.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Bangladesh product attribute study<\/a><\/li>\r\n \t<li>India (Uttar Pradesh)\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/results-from-chx-survey-india\/\" target=\"_blank\" rel=\"noopener noreferrer\">formative research\u00a0results<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-end-to-end-analysis-focusing-on-uttar-pradesh\/\" target=\"_blank\" rel=\"noopener noreferrer\">end-to-end analysis<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Market-Research-in-Kenya_PATH-FINAL_19Feb2015.pdf\">Market research for 7.1% chlorhexidine digluconate: Kenya<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FINAL_Nigeria-market-research_v9_12.9.2014.pdf\">Market research for 7.1% chlorhexidine digluconate: Nigeria<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Muriuki-et-al_KenyaCHX_2017.pdf\">Health care providers\u2019 perspectives regarding the use of chlorhexidine gel for cord care in neonates in rural Kenya: implications for scale-up<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Walsh-et-al_Newborn-Cord-Care-Practices-in-Haiti.pdf\">Newborn cord care practices in Haiti<\/a><\/li>\r\n<\/ul>\r\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/activity-3-aligning-policies-guidelines-chlorhexidine\/\"><strong>Activity 3: Aligning Policies and Guidelines<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG\u00a0Country Guidance\u00a0(<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Final-for-translation_CWG-Country-Guidance_Jan-19-2018_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Supplementary-Country-Guidance-EN_Sept_2015-2015-08-21.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Supplementary Country Guidance<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Policy-Developement-DRC-CHX-FR-format.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">DRC \u00c9laboration d\u2019une politique nationale concernant l\u2019introduction de la chlorhexidine \u00e0 7,1 % pour les soins du cordon ombilical<\/a>\u00a0(fran\u00e7ais) [DRC national policy development plan]<\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Ghana_Chlorhexidine-Policy-Brief-FINAL.pdf\">Chlorhexidine Digluconate 7.1% Gel Press Release<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460145487524{background-color: #ef814a !important;}\"]<a name=\"plan\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Plan<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The next phase should be to plan for initial implementation. Key components of implementation planning include: developing\u00a0<strong>demand generation<\/strong> strategies, <strong>orientation and training<\/strong>\u00a0of service providers, considering <strong>product manufacturing and distribution<\/strong> options, developing a <strong>monitoring and evaluation<\/strong> plan, and developing a <strong>financing<\/strong> strategy.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"16266\" onclick=\"custom_link\" img_link_target=\"_blank\" link=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Chlorhexidine-PLAN-Graphic.jpg\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-1-integrating-demand-generation-chlorhexidine\/\"><strong>Component 1: Integrating Demand Generation<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/driving-demand-chlorhexidine-human-centered-design-toolkit-development-demand-generation-materials\/\">Driving Demand for Chlorhexidine<\/a>: a human-centered design toolkit for the development of\u00a0demand generation materials<\/li>\r\n \t<li>Demand Generation\u00a0<a href=\"http:\/\/sbccimplementationkits.org\/demandrmnch\/\" target=\"_blank\" rel=\"noopener noreferrer\">Implementation Kit (I-Kit)<\/a>\u00a0for Underutilized, Life-Saving Commodities<\/li>\r\n \t<li>Madagascar\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-flyer\/\" target=\"_blank\" rel=\"noopener noreferrer\">flyer<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-poster\/\" target=\"_blank\" rel=\"noopener noreferrer\">poster<\/a>\u00a0for AroFoitra (Malagasy)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Resultats-du-pretest-des-materiels-IEC-pour-AroFoitra-.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar Resultats du pretest des materiels IEC pour AroFoitra<\/a>\u00a0(fran\u00e7ais) \u00a0[results of the pretest of IEC materials for AroFoitra]<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Plan-com-CHX_final1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar Strat\u00e9gie de communication<\/a>\u00a0(fran\u00e7ais)\u00a0[Madagascar communication strategy for AroFoitra]<\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-2-orientationtraining-chlorhexidine\/\"><strong>Component 2: Orientation\/Training<\/strong><\/a>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_Chlorhexidine-Training-Manual2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Training materials for single-day application<\/a>\u00a0(from Nepal)<\/li>\r\n \t<li><a href=\"http:\/\/www.medicalaidfilms.org\/film\/how-to-use-chlorhexidine-for-umbilical-cord-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">How to use chlorhexidine for umbilical cord care<\/a>\u00a0(link to training video)<\/li>\r\n \t<li>Madagascar formation des agents de sante (fran\u00e7ais)\u00a0[Madagascar health worker training materials]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-cahier-du-formateur\/\" target=\"_blank\" rel=\"noopener noreferrer\">Cahier du formateur<\/a>\u00a0[trainer notebook]<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-carnet-du-participant\/\" target=\"_blank\" rel=\"noopener noreferrer\">Carnet du participant<\/a>\u00a0[participant book]<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-job-aid\/\" target=\"_blank\" rel=\"noopener noreferrer\">Madagascar job aid<\/a>\u00a0(Malagasy)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_Poster-Kawach-eng.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal job aid<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-training-manual-sbas-lhws-sindh-pakistan\/\" target=\"_blank\" rel=\"noopener noreferrer\">Sindh Province (Pakistan) training materials<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/TS_CHX_IFU_Poster_Update_v3_rev04.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Aqueous solution (liquid) instructions for use<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-Posters05-PRESS02-how-to-use_Kenya.pdf\">How to apply chlorhexidine gel and solution: Instructions for use from Kenya<\/a><\/li>\r\n \t<li>Brief on correct use (<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_12-05-17_EN.pdf\">English<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_2-12-05-17_FR.pdf\">fran\u00e7ais<\/a>,\u00a0<a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Brief-on-Correct-Use_Final-for-translation_2-12-05-17_PT.pdf\">Portugu\u00eas<\/a>)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/path-chlorhexidine-product-attribute-study-2008\/\">PATH Chlorhexidine Product Attribute Study (2008)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text][\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-3-product-manufacturing-distribution-chlorhexidine\/\"><strong>Component 3: Product Manufacturing and Distribution<\/strong><\/a>\r\n<ul>\r\n \t<li>Chlorhexidine Market Sizing Tool (Utilizing\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-market-sizing-tool-utilizing-user-estimates\/\" target=\"_blank\" rel=\"noopener noreferrer\">User Estimates<\/a>, Utilizing\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-market-sizing-tool-utilizing-market-size-estimates\/\" target=\"_blank\" rel=\"noopener noreferrer\">Market Size Estimates<\/a>)<\/li>\r\n \t<li>CWG Production Strategy (<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Production-Strategy-EN_November_2015-2015-11-06.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>,\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Production-Strategy-FR_November-2015-2015-11-06.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">fran\u00e7ais<\/a>)<\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Guidance-to-Procurers-EN_APR_2016.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Procurement Guidance<\/a><\/li>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/list-of-manufacturers-of-7-1-chlorhexidine-digluconate-for-umbilical-cord-care-2021\/\">List of manufacturers of 7.1% chlorhexidine digluconate for umbilical cord care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Standard-Patient-Information-Leaflet-English_October_2015.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Patient information\u00a0leaflet<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Chlorhexidine-in-Nepal-A-Public-Private-Partnership-Case-Study.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal Public Private Partnership Case Study<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/component-4-monitoring-evaluation-chlorhexidine\/\"><strong>Component 4: Monitoring and Evaluation (M&E)<\/strong><\/a>\r\n<ul>\r\n \t<li>CWG\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Performance-Indicators-CHX.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Performance Indicators<\/a><\/li>\r\n \t<li>Every Newborn Action Plan\u00a0<a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/1471-2393-15-S2-S8\" target=\"_blank\" rel=\"noopener noreferrer\">indicators<\/a>\u00a0(includes chlorhexidine)<\/li>\r\n \t<li><a href=\"http:\/\/dhsprogram.com\/publications\/publication-DHSQM-DHS-Questionnaires-and-Manuals.cfm\" target=\"_blank\" rel=\"noopener noreferrer\">Demographics and Health Surveys (DHS) newborn module<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.livessavedtool.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Lives Saved Tool (LiST)<\/a><\/li>\r\n \t<li>Demographic and Health Surveys (DHS)\u00a0<a href=\"http:\/\/dhsprogram.com\/pubs\/pdf\/DHSQM\/DHS7_Module_Newborn_Care_EN_01Mar2016_DHSQM.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">newborn module<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]<strong>Component 5: Financing\u00a0 <\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy For Scale-Up Of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine costed scale-up plan in Madagascar<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460145515019{background-color: #ef814a !important;}\"]<a name=\"execute\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Execute<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The final phase is to execute the CHX implementation plan and continuously monitor how it is being implemented to determine if the desired outcomes are being achieved. Data from the initial phase of implementation should be disseminated to key stakeholders within the country. If the program is not being implemented as planned, corrective action should be taken. Ministries of Health or key stakeholders may wish to disseminate data about the progress of CHX implementation in their country through international conferences or publications to help other countries accelerate implementation of CHX.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15603\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n<ul>\r\n \t<li>Chlorhexidine for umbilical cord care\u00a0presentations at the Global Maternal Newborn Health Conference (October 2015):\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Introduction-of-Chlorhexidine-in-Sindh-Pakistan.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Introduction of Chlorhexidine in Sindh, Pakistan<\/a> (MCHIP)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Introduction de la Chlorhexidine Digluconate 7,1% dans les soins ombilicaux en RDC<\/a> (MSH\/SIAPS)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Saving-the-Pair-%E2%80%93-Integrated-Scale-up-of-CHX-and-Miso-in-Rural-Madagascar.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Saving the Pair \u2013Integrated Scale-up of Chlorhexidine and Misoprostol for Newborns and Mothers in Rural Madagascar<\/a> (JSI Research and Training Institute)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Institutionalizing-Chlorhexidine-Program-and-Maintaining-Coverage-in-Nepal.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Institutionalizing Chlorhexidine Program and Maintaining Coverage Chlorhexidine Cord Care Program in Nepal<\/a> (JSI Research and Training Institute)<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Timeline-Nepal-progress-towards-CHX-sustainability.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nepal progress towards program sustainability (timeline)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy For Scale-Up Of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine costed scale-up plan in Madagascar<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Implementation-Guide-3-1.pdf\">Guide to implementing 7.1% chlorhexidine digluconate for umbilical cord care: Three phases to ensure sustainable implementation<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Establishing-Quality-Product-Supply-of-Chlorhexidine-for-Umbilical-Cord-Care.pptx\">Establishing Quality Product Supply of Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Institutionalizing-Chlorhexidine-Program-and-Maintaining-Coverage-in-Nepal.ppt\">Institutionalizing Chlorhexidine Program and Maintaining Coverage in Nepal<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pptx\">Introduction de la chlorhexidine digluconate 7,1% dans les soins ombilicaux en RDC (fran\u00e7ais) [Introduction of 7.1% chlorhexidine digluconate for umbilical cord care in DRC]<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Saving-the-Pair_Integrated-Scale-up-of-CHX-and-Miso-in-Rural-Madagascar.ppt\">Saving the Pair: Integrated Scale-up of Chlorhexidine and Misoprostol in Rural Madagascar<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Timeline-Nepal-progress-towards-CHX-sustainability-1.pdf\">Timeline of Nepal progress towards CHX program sustainability<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHXstory_From-Research-to-Use_01.22.18-1.pdf\">From Research to Use: Saving Newborn Lives With Chlorhexidine for Umbilical Cord Care<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1460149292456{background-color: #ef814a !important;}\"]<a name=\"about\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>About<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<p style=\"text-align: justify;\">The Chlorhexidine Working Group (CWG) is an international collaboration of organizations committed to advancing the use of 7.1% chlorhexidine digluconate (delivering 4% chlorhexidine) for umbilical cord care through advocacy and technical assistance. PATH serves as the Secretariat of the CWG.<\/p>\r\n<a href=\"#top\"><strong>Back to CHX HOMEPAGE<\/strong><\/a>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_single_image image=\"15798\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n<ul>\r\n \t<li>CWG <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-terms-of-reference_April-2016.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Terms of Reference<\/a><\/li>\r\n \t<li>CWG <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/NEW-FORMAT_CWG-strategy-statement_03.20.15-1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Strategy Statement<\/a><\/li>\r\n \t<li>CWG Capacity Statement (<a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Capacity-Statement-English_August_2015.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CWG-Capacity-Statement-PT_Aug_2015-2015-08-20.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Portugu\u00eas<\/a>)<\/li>\r\n<\/ul>\r\n<strong>Members include individuals representing:<\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li>PATH [Secretariat]<\/li>\r\n \t<li>ayzh<\/li>\r\n \t<li>Bill & Melinda Gates Foundation<\/li>\r\n \t<li>Boston University<\/li>\r\n \t<li>Burnet Institute<\/li>\r\n \t<li>Centre for Infectious Disease Research in Zambia<\/li>\r\n \t<li>Clinton Health Access Initiative<\/li>\r\n \t<li>Drugfield Pharmaceuticals Ltd. (Nigeria)<\/li>\r\n \t<li>Duke University<\/li>\r\n \t<li>Global Health Action<\/li>\r\n \t<li>Jhpiego<\/li>\r\n \t<li>John Snow, Inc.<\/li>\r\n \t<li>Johns Hopkins Bloomberg School of Public Health<\/li>\r\n \t<li>Johnson & Johnson (USA)<\/li>\r\n \t<li>Lomus Pharmaceuticals Pvt. Ltd. (Nepal)<\/li>\r\n \t<li>Maternal and Child Survival Program<\/li>\r\n \t<li>Ministry of Health, DRC (Reproductive Health)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li>Ministry of Health, Ethiopia (Maternal & Child Health)<\/li>\r\n \t<li>Ministry of Health, Kenya (Child & Adolescent Health)<\/li>\r\n \t<li>Ministry of Health, Liberia (Family Health)<\/li>\r\n \t<li>Ministry of Health, Malawi (Reproductive Health)<\/li>\r\n \t<li>Ministry of Health, Mozambique (Child Health)<\/li>\r\n \t<li>Promoting the Quality of Medicines\/United States Pharmacopeia<\/li>\r\n \t<li>PSI<\/li>\r\n \t<li>Save the Children\/Saving Newborn Lives<\/li>\r\n \t<li>SHOPS Plus\/Abt Associates<\/li>\r\n \t<li>Systems for Improved Access to Pharmaceuticals and Services\/Management Sciences for Health<\/li>\r\n \t<li>United Nations Children\u2019s Fund<\/li>\r\n \t<li>United States Agency for International Development<\/li>\r\n \t<li>Universal Corporation Ltd. (Kenya)<\/li>\r\n \t<li>University of Illinois at Chicago<\/li>\r\n \t<li>University Research Corporation<\/li>\r\n \t<li>World Health Organization<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=\".vc_custom_1511361090172{background-color: #ef814a !important;}\"]<a name=\"country\"><\/a>\r\n<h1 style=\"text-align: center;\"><span style=\"color: #ffffff;\"><strong>Country Specific Resources<\/strong><\/span><\/h1>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<strong>Bangladesh: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/bangladesh-national-newborn-health-situation-analysis-report-2014\/\">National Newborn Health Situation Analysis Report 2014<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/end-preventable-child-deaths-2035-bangladesh-call-action\/\">End preventable child deaths by 2035: Bangladesh Call for Action <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/bangladesh-chlorhexidine-operations-research-study-2008-2009\/\">Bangladesh chlorhexidine operations research study 2008-2009<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/impact-of-cord-cleansing-with-chlorhexidine-on-neonatal-mortality-in-rural-bangladesh-a-communitybased-clusterrandomised-trial\/\">Impact of cord cleansing with chlorhexidine on neonatal mortality in rural Bangladesh a community based trial<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Bangladesh_CHX-operations-research_phase-2-user-instructions_English_2009Feb01.pdf\">Chlorhexidine poster<\/a><\/li>\r\n<\/ul>\r\n<strong>Democratic Republic of the Congo:<\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/INTRODUCTION-DE-LA-CHLORHEXIDINE-DIGLUCONATE-71-EN-RDC.pdf\">Chlorhexidine Introduction in the DRC <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/overview-of-the-chlorhexidine-work-structure-for-democratic-republic-of-the-congo\/\">Chlorhexidine working group structure in the DRC<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Infection-ombilicale.pdf\">Chlorhexidine PowerPoint Presentation <\/a><\/li>\r\n<\/ul>\r\n<strong>India: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/effect-4-chlorhexidine-cord-colonization-among-hospital-community-births-india-randomized-controlled-study\/\">Effect of 4% chlorhexidine on cord colonization among hospital and community births in India: a randomized controlled study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/CHX-End-to-End-CHX-WG-121230.pdf\">Chlorhexidine end-to-end analysis focusing on Uttar Pradesh <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/results-from-chx-survey-india\/\">Results from chlorhexidine survey<\/a><\/li>\r\n<\/ul>\r\n<strong>Madagascar<\/strong>:\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/presentation-des-resultats-du-pretest-des-materiels-iec-pour-arofoitra\/\">Results of the pretest of IEC materials for the chlorhexidine program in Madagascar<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-formative-research-presentation\/\">Chlorhexidine Formative Research Presentation <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-job-aid\/\">Chlorhexidine Job Aid<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-flyer\/\">Chlorhexidine Flyer<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/madagascar-chlorhexidine-poster\/\">Chlorhexidine Poster <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/programme-introductive-de-prevention-de-linfection-du-nouveau-ne-par-la-chlorhexidine-71-pommade-formation-des-agents-de-sante-cahier-du-formateur\/\">Training toolkit for community health workers <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/saving-pair-integrated-scale-chlorhexidineand-misoprostol-newborns-mothers-rural-madagascar\/\">Saving the Pair \u2013Integrated Scale-up of Chlorhexidine and Misoprostol for Newborns and Mothers in Rural Madagascar<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-costed-scale-up-plan-in-madagascar\/\">Chlorhexidine Scale-up Plan<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Notice-CHX-FB01.pdf\">Chlorhexidine medical notice<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/arofoitra-flyer-malagasy\/\">Chlorhexidine Flyer<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/investiguer-les-pratiques-courantes-et-les-perceptions-autour-du-soin-du-cordon-ombilical-et-lacceptabilite-de-arofoitra-par-les-cibles\/\">Study on umbilical cord care practices<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Plan-com-CHX_final1.pdf\">Communications Strategy<\/a><\/li>\r\n<\/ul>\r\n<strong>Nepal: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/timeline-nepals-progress-towards-chlorhexidine-program-sustainability\/\">Timeline of Nepal\u2019s progress towards chlorhexidine program sustainability<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/institutionalizing-chlorhexidine-program-maintaining-coverage-chlorhexidine-cord-care-program-nepal\/\">Institutionalizing Chlorhexidine Program and Maintaining Coverage \u2013 Chlorhexidine Cord Care Program in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/introducing-chlorhexidine-in-nepal\/\">Chlorhexidine Introduction in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-in-nepal-a-public-private-partnership-case-study\/\">Case Study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-in-nepal-a-public-private-partnership-case-study-july-2013\/\">USAID, JSI Nepal Case Study <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/innovation-in-reducing-neonatal-death-using-chlorhexidine-in-nepal-a-case-study\/\">Innovation in reducing neonatal death using Chlorhexidine in Nepal- a case study<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-cleansing-of-the-umbilical-cord-in-nepal-leading-by-example-and-saving-lives\/\">Chlorhexidine cleansing of the umbilical cord in Nepal: leading by example and saving lives<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/study-on-cord-care-practices-focus-group-discussion-with-occupational-castes\/\">Study on cord care practices focus group discussion<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-semi-structured-interview-with-recently-delivered-women\/\">Semi-structured interview with mothers who recently gave birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-semi-structured-interview-with-mothers-in-law\/\">Semi-structured interview with mother-in laws<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/a-study-on-cord-care-practices-focus-group-discussion-with-mothers-in-law\/\">Study on cord care practices focus group discussion with mother in laws<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/study-on-cord-care-practices-semi-structured-interview-with-cord-cutting-occupational-groups\/\">Semi-structured interview with cord cutting occupational groups<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-navi-care-program\/\">Chlorhexidine poster<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Nepal_CHX-presentation-for-Nigeria-meeting_October2012.pdf\">Nepal chlorhexidine presentation<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-navi-care-program-2\/\">Chlorhexidine navi care program<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/preliminary-experience-with-chlorhexidine-for-cord-care-in-nepal\/\">Preliminary experience with chlorhexidine for cord care in Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/fighting-newborn-infection-chlorhexidine-in-rural-nepal\/\">Fighting newborn infection in rural Nepal<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/community-trial-of-newborn-skin-and-umbilical-cord-cleansing-on-neonatal-mortality-in-nepal\/\">Community trial of newborn skin and umbilical cord cleansing on neonatal mortality in Nepal<\/a><\/li>\r\n<\/ul>\r\n<strong>Nigeria: <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/nigeria-every-newborn-action-plan-a-plan-to-end-preventable-newborn-deaths-in-nigeria-launch-version\/\">Nigeria Every Newborn Action Plan: A Plan to End Preventable Newborn Deaths in Nigeria<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/national-strategy-for-scale-up-of-chlorhexidine-in-nigeria\/\">National Strategy for Scale-up of Chlorhexidine in Nigeria<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/RESOURCE_MamaYe-Nigeria-leaflet-drugs.pdf\">Mame Ye Nigeria brochure <\/a><\/li>\r\n<\/ul>\r\n<strong>Pakistan:\u00a0 <\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/chlorhexidine-training-manual-sbas-lhws-sindh-pakistan\/\">Chlorhexidine Training Manual for SBAs and LHWs <\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/introduction-chlorhexidine-sindh-pakistan\/\">Introduction of chlorhexidine in Pakistan<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.healthynewbornnetwork.org\/resource\/evaluation-of-topical-application-of-chlorhexidine-to-the-umbilical-cord-for-reduction-in-omphalitis-neonatal-mortality-in-pakistan\/\">Evaluation of topical application of chlorhexidine to the umbilical cord for reduction in omphalitis neonatal mortality in Pakistan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]","post_title":"Chlorhexidine for umbilical cord care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"chlorhexidine-for-umbilical-cord-care","to_ping":"","pinged":"","post_modified":"2022-09-20 16:54:48","post_modified_gmt":"2022-09-20 20:54:48","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=118","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":119,"post_author":"7211","post_date":"2015-10-21 15:18:12","post_date_gmt":"2015-10-21 15:18:12","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>Working closely with local leaders, civil society members, and existing structures is a core principle of community engagement.<\/h2>\r\nEngagement strengthens citizens' voices by involving them in the decisions that affect them. Community engagement can increase the impact of health programs and contribute to long-term sustainability. Women\u2019s groups convened for participatory learning and action is a methodology that has been tested across Latin America, Asia, and Sub-Saharan Africa. When certain key conditions are met, this approach has been shown to reduce maternal and newborn mortality risk.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_single_image image=\"13787\"][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][vc_column_text]There are a wide range of community-level actions that can make a difference for maternal and newborn health; these include:\r\n<ul>\r\n \t<li>Mobilizing local resources, including municipal governments, to expand service access (e.g., by hiring <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/midwifery\/\" target=\"_blank\" rel=\"noopener\">nurse-midwives<\/a>)<\/li>\r\n \t<li>Having local health committees or development committees prioritize maternal-newborn health (e.g., by developing local provisions for emergency transport)<\/li>\r\n<\/ul>\r\nLocal government, community-based organizations, local religious communities, and others all potentially can mobilize to ensure better outcomes for mothers and newborns.\r\n\r\nOne methodology specifically developed to encourage effective community mobilization for maternal-newborn health is facilitated women\u2019s groups with cycles of participatory learning and action. Experiences with this method have been comparatively small scale and under controlled study conditions so far. The women\u2019s groups have been demonstrated as effective in reducing mortality in rural (but not urban) settings, when there is sufficiently intensive implementation to ensure that at least a third of pregnant women participate in the group meetings. The usual pattern has been to work through the specific content in a series of monthly meetings over a period of 24 months or more, under the facilitation of a trained animator. In most of the documented cases, these animators have been paid by a non-governmental organization or research project, although there has been experience using existing cadres of community health workers, such as Accredited Social Health Activists (ASHAs) in India. Because of the design of these studies, it is not possible to clearly separate out the relative contributions to mortality reduction that can be attributed to community action versus behavior change by individual participating pregnant women.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong>\r\n<ul>\r\n \t<li><a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/127939\/1\/9789241507271_eng.pdf?ua=1\" target=\"_blank\" rel=\"noopener\">WHO recommendation on community mobilization through facilitated participatory learning and action cycles with women\u2019s groups for maternal and newborn health (2014).<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Community engagement","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"community-engagement","to_ping":"","pinged":"","post_modified":"2022-10-19 17:49:45","post_modified_gmt":"2022-10-19 21:49:45","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=119","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":117,"post_author":"7211","post_date":"2015-10-21 15:17:43","post_date_gmt":"2015-10-21 15:17:43","post_content":"<p>[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]<\/p>\n<h2>Within the continuum of care, childbirth care is provided during labor and delivery. Interventions include skilled care at birth, basic and comprehensive obstetric care, and management of preterm births.<\/h2>\n<p>It is important that the childbirth care interventions for mother and newborn are seen as a functional unit delivered in a narrow time window by the same healthcare provider (or team) and in the same place, with referral for management of complications including mother and baby together.[\/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]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666029713081{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of intrapartum stillbirths globally in 2015<\/span><\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">66<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690994883939{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of births attended by a skilled health professional in least developed countries (2016-2023)<\/span><\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">18<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690994111505{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of cesarean section deliveries globally (2016 - 2021)<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][\/vc_column_inner][\/vc_row_inner][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][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]The interaction between skilled healthcare workers and mothers before, during, and just after labor is critical for saving lives and ensuring good, healthy birth outcomes. Best practices include ensuring mothers are involved in the decision-making (including where they will give birth) and are provided with supportive care at all stages and that the birth proceeds without intervention as long as labor progresses normally and the woman and baby are well. When complications arise, health workers must be ready to respond appropriately.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.unfpa.org\/sowmy\">State of the World\u2019s Midwifery Report<\/a><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0<\/a>(2021)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">WHO guidelines Managing complications in pregnancy and childbirth: A guide for midwives and doctors\u00a0<\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course<\/a>\u00a0\u2013 interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/ending-preventable-stillbirths-requires-improving-quality-of-care\/\" target=\"_blank\" rel=\"noopener\">Ending Preventable Stillbirths requires improving quality of care<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Childbirth care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"childbirth-care","to_ping":"","pinged":"","post_modified":"2023-08-02 12:48:31","post_modified_gmt":"2023-08-02 16:48:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=117","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&p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":116,"post_author":"7211","post_date":"2015-10-21 15:17:32","post_date_gmt":"2015-10-21 15:17:32","post_content":"<p>[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]<\/p>\n<h2>Intrapartum-related complications are responsible for approximately one-quarter of newborn deaths and half of stillbirths.<\/h2>\n<p>When complications arise during childbirth and are not recognized or properly dealt with on a timely basis, the baby may emerge stillborn or be born alive but severely stressed and may not spontaneously begin to breathe. Unless stimulation and efforts to resuscitate are begun immediately, many of these babies quickly die of birth asphyxia.[\/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-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">570<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456246957513{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of annual newborn deaths attributable to childbirth complications<\/span><\/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-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690478685637{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of intrapartum stillbirths (2015)<br \/>\n<\/span><\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">80<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690476768268{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women who give birth in a health facility globally from 2015 - 2021<\/span><\/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-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456247366820{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of newborns that do not breathe at birth<\/span><\/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_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Most outcomes associated with complications of childbirth are preventable. The proportion of term deliveries that end in death during or shortly after labor is a sensitive and responsive measure of the quality of labor and delivery care. It is important in and of itself, but it also reflects readiness for managing other important complications for the mother or newborn.<\/p>\n<p>Pregnant women need a good assessment late in pregnancy to anticipate problems and ensure they receive any needed special care.Teaching expectant mothers about the importance of seeking healthcare can also prevent adverse birth outcomes. Giving birth in a center where assisted delivery or caesarian section can be provided quickly can also save a baby\u2019s life. Good monitoring of the mother and fetus throughout labor ensures that prompt action can be take to prevent conditions from evolving to a life-threatening state.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Ending dangerous practices, like augmenting labor with oxytocin under unsafe conditions or applying pressure on the mother\u2019s belly during labor, can prevent fetal deaths.<\/p>\n<p>And for those cases in which the baby emerges in a very stressed state and is unable to start breathing, competent action taken within the \u201cgolden minute\u201d can keep the baby alive until breathing begins. Finally, suitable equipment needs to be kept at the ready for all births, and provisions in place to ensure that health workers attending births are regularly practicing to maintain their resuscitation skills.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a> - interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe).<\/li>\n<li><a href=\"https:\/\/shop.laerdalglobalhealth.com\/product\/neonatalie-live\/\" target=\"_blank\" rel=\"noopener\">Neonathalie Live<\/a> \u2013 Newborn Ventilation Trainer<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">WHO guidelines Managing complications in pregnancy and childbirth: A guide for midwives and doctors <\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/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>Helping Babies Survive<\/h4>\n<p><img class=\"alignnone size-full wp-image-352\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-helpingbabiesbreathe.jpg\" alt=\"small-helpingbabiesbreathe\" width=\"570\" height=\"252\" \/><\/p>\n<p><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/\">Helping Babies Survive<\/a> is a package of evidence-based training programs designed to teach the necessary skills to reduce neonatal mortality in resource-limited environments. The first program Helping Babies Breathe (HBB) was developed in 2010 by the American Academy of Pediatrics (AAP) in keeping with WHO recommendations. Studies have shown that it can reduce neonatal mortality by up to 47%; saving thousands of asphyxiated newborns. The success of HBB led to a global request for additional programs (such as Essential Care for Every Baby, Essential Care for Small Babies, and Improving Care of Mothers and Babies) addressing other leading causes of newborn death by equipping providers with the necessary skills and competencies to deliver high quality care to newborns during and after birth.\u200b<\/p>\n<p>The partnership is not only providing competency-based, hands-on training to service providers but working with ministries of health and their partners to provide functional resuscitation equipment for all health facilities where babies are born.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Essential Newborn Care Course<\/h4>\n<p><img class=\"wp-image-1614 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-essentialnewborncare2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p><em>Please note this section will be updated in 2022. See <a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\" target=\"_blank\" rel=\"noopener\">interim version of the second edition of the Essential Newborn Care Course (ENCC)<\/a> for more information.\u00a0<\/em><\/p>\n<p>The Essential Newborn Care Course (ENCC) is a WHO training program that works to ensure that health workers have the skills and knowledge to provide appropriate care at the most vulnerable period in a baby's life. Health workers are taught how to use the <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549356?msclkid=05ffb757d06d11ec8a219bb5009124b0\" target=\"_blank\" rel=\"noopener\">WHO's Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice.<\/a><\/p>\n<p>In particular, the course focuses on the sections concerned with newborn care, which provide up-to-date evidence-based information and management of babies with a range of needs in the initial newborn period. The course includes:[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Complications during childbirth","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"complications-during-childbirth","to_ping":"","pinged":"","post_modified":"2023-07-27 13:25:43","post_modified_gmt":"2023-07-27 17:25:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=116","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":128,"post_author":"7211","post_date":"2015-10-21 15:19:45","post_date_gmt":"2015-10-21 15:19:45","post_content":"<p>[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]Transforming care for the 30 million newborns who require medical care, and who are currently being left behind, is a smart investment in the health and development of future generations. Kangaroo Mother Care (KMC) is one of the leading proven interventions that can radically improve inpatient care for small and sick newborns, leading to shorter hospitalizations and improved health outcomes.<\/p>\n<p>KMC refers to the practice of providing early, continuous, prolonged skin-to-skin contact between mother and baby, exclusive breastmilk feeding, and follow-up care with high-risk newborns. It has shown to decrease mortality and morbidity in preterm and low birthweight infants by providing protection from infection; regulating temperature, breathing, and brain activity; and encouraging mother-baby bonding. In many cases, newborns who receive KMC are able to be discharged early from the hospital and KMC can be continued at home. When delivered as a complete package, it is highly effective at reducing newborn mortality \u2013 up to 40% according to recent data.[\/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]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">14.7<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690899267181{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants with low birthweight globally (2020)<\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">27<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666024070330{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants who were not weighed at birth globally (2014-2020)<\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">40<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1466618727036{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percentage reduction in mortality of low birthweight infants (<2000g) who receive KMC compared to conventional neonatal care*<\/h3>\n<p>[\/vc_column_text][vc_column_text css=\".vc_custom_1545998791435{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h6 style=\"text-align: center;\"><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002771.pub4\/full\"><span style=\"font-weight: 400; color: #808080;\">*\u00a0Conde\u2010Agudelo and Diaz\u2010Rossello. 2016<\/span><\/a><\/h6>\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 <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_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>KMC implementation<\/h4>\n<p><img class=\"wp-image-1622 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-kmcimplementation.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>The World Health Organization (WHO) <a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">recommends KMC<\/a> for the routine care of newborns weighing 2000 grams or less at birth, regardless of availability of incubator care. <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Recent studies<\/a> are showing a significant decrease (25%) in morbidity and mortality for newborns who begin KMC immediately after birth, especially in newborns weighing between 1 kg and 1.79 kg. KMC can and should be started as soon as possible following birth, and can occur while stabilizing care is provided to the mother and newborn (eg, newborn receiving continuous positive airway pressure (CPAP) for respiratory distress). Additionally, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-of-community-initiated-kangaroo-mother-care-on-postpartum-depressive-symptoms-and-stress-among-mothers-of-low-birth-weight-infants-a-randomized-clinical-trial\/\">recent studies<\/a> have shown that KMC can be effectively implemented at home for newborns who are born outside of a facility, although all small newborns should receive post-natal care and follow-up with health care providers.<\/p>\n<p>There is a global push advocating for skin-to-skin contact between mother and newborn for one hour immediately following birth for all newborns, regardless of size at birth. While skin-to-skin contact is a key component of KMC, skin-to-skin alone is not sufficient for small newborns. All small newborns should receive complete KMC care, depending on facility and national protocols.<\/p>\n<p>KMC is considered a part of family-centered, respectful newborn and maternal care. It can be implemented during the full continuum of care, and is especially effective transitioning from the facility to the household. Providers should be trained to educate mothers and fathers in home-based continued KMC, and encourage its use at the home following discharge. Additionally, early and immediate KMC can also support positive early development, beyond the physical health benefits and morbidity prevention.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Accelerating KMC uptake<\/h4>\n<p><img class=\"wp-image-1621 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-acceleratingthisintervention.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>Despite the many benefits of KMC, country-level adoption and implementation have been limited, and only a small proportion of newborns who could benefit from KMC receive it. Barriers to KMC implementation at the facility level include inadequate facilities and supplies for KMC, insufficient staffing in facilities, lack of training and prioritization of KMC by facility staff, and inadequate policy and professional commitment to KMC. At the family and community level, barriers include cultural norms that make practice of skin-to-skin care difficult, lack of family and financial support for mothers to practice KMC, limited understanding of KMC, and stressors related to extended hospitalization.<\/p>\n<p>The COVID-19 pandemic was and continues to be a barrier for implementation of KMC in most settings. Infection prevention measures during the pandemic led to more newborns being separated from their mothers immediately following birth, even low birthweight and preterm newborns who would benefit from KMC. It is critical that infection prevention policies and government agencies do not recommend separation of mother and newborn, so that all vulnerable newborns receive KMC, even during COVID-19 outbreaks and infections.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_cta h2=\"Small and Sick Newborn Community of Practice\" txt_align=\"center\" color=\"sandy-brown\"]KMC features prominently as one of the core elements of care for the small or sick newborn.\u00a0 A new community of practice, the Small and Sick Newborn CoP (SSNB CoP) is an interactive platform that enables practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence regarding KMC and the other essential interventions comprising quality care of small for sick newborns.\u00a0<a href=\"https:\/\/ibpnetwork.org\/topics\/14356\">Click here<\/a>\u00a0to register for SSNC CoP and access webinars, networking, resources, events and much more.[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"2\/3\"][vc_column_text]<strong>Guidance<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/global-position-paper-on-kangaroo-mother-care\/\" target=\"_blank\" rel=\"noopener\">Global Position Paper on Kangaroo Mother Care: A transformative innovation in healthcare (2023)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-strategy-for-scale-up-adaptable-to-different-country-contexts\/\" target=\"_blank\" rel=\"noopener\">Kangaroo Mother Care: Implementation strategy for scale-up adaptable to different country contexts (2023)\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight infant (2022)<\/a><\/li>\n<li><a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">Standards for improving the quality of care for small and sick newborns in health facilities (2020)<\/a><\/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 (2018)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/joint-statement-international-recommendations-interventions-improve-preterm-birth-outcomes\/\">Joint Statement: International WHO Recommendations on Interventions to Improve Preterm Birth Outcomes (2017)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kmcjointstatement\/\">Kangaroo Mother Care Joint Statement (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-challenge-brief\/\">Kangaroo Mother Care challenge brief (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-guide\/\">Kangaroo Mother Care Implementation Guide (2012)<\/a><\/li>\n<\/ul>\n<p><strong>Research<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-on-neonatal-sepsis-following-immediate-kangaroo-mother-care-in-a-newborn-intensive-care-unit\/\">Effect on neonatal sepsis following immediate kangaroo mother care in a newborn intensive care unit: a post-hoc analysis of a multicentre, open-label, randomised controlled trial (2023)<\/a><\/li>\n<li><a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-03646-3\">Barriers and facilitators of facility-based kangaroo mother care in sub-Saharan Africa: a systematic review (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)32223-8\/fulltext\">Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial (2019)<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4750435\/\">Kangaroo mother care: a systematic review of barriers and enablers (2015)<\/a><\/li>\n<\/ul>\n<p><strong>Country Specific Resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/scaling-up-kangaroo-mother-care-in-ethiopia-and-india-a-multi-site-implementation-research-study\/\">Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/mother-newborn-care-unit-mncu-experience-in-india-a-paradigm-shift-in-care-of-small-and-sick-newborns\/\">Mother\u2011Newborn Care Unit (MNCU) Experience in India: A Paradigm Shift in Care of Small and Sick Newborns (2022)<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"20053\" img_size=\"medium\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/kangaroo-mother-care-toolkit\/\"][vc_btn title=\"Kangaroo mother care toolkit\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fkangaroo-mother-care-toolkit%2F|||\"][\/vc_column][\/vc_row]<\/p>\n","post_title":"Kangaroo Mother Care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"kangaroo-mother-care","to_ping":"","pinged":"","post_modified":"2023-08-01 10:14:43","post_modified_gmt":"2023-08-01 14:14:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=128","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&p=130","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":134,"post_author":"7211","post_date":"2015-10-21 15:20:44","post_date_gmt":"2015-10-21 15:20:44","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>The first hours and days after birth are the riskiest for both mothers and newborns.<\/h2>\r\nThere are important interventions and practices during this period that can reduce these risks. There are also\u00a0opportunities at multiple points in time to help ensure high coverage for these interventions and practices. For example, contacts during pregnancy can be used for counseling and health education on newborn care and care-seeking for danger signs in the postnatal period. This support may be especially important in settings where births still take place at home.[\/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\">75<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456333677270{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of newborn deaths that occur in the first week of life<\/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\">48<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456333713404{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of hours after birth when a newborn is at highest risk of death<\/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]Postnatal care can also include assessment and counseling provided to the mother before discharge after giving birth in a health facility, as well as later contacts during home visits by community health workers or postnatal visits to a health facility. Broadly, the major elements of postnatal care include:\r\n<ul>\r\n \t<li>counseling and health education on recognition of danger signs and appropriate care-seeking (for both mother and newborn)<\/li>\r\n \t<li>counseling and health education on routine care practices such as exclusive breastfeeding and good thermal care practices<\/li>\r\n \t<li>dispensing and related counseling for routine preventive interventions (such as chlorhexidine for cord-stump care and postnatal iron supplementation)<\/li>\r\n \t<li>assessment and case-management and referral for any identified complications or risk conditions<\/li>\r\n<\/ul>\r\nIt is through the same contacts that we have opportunities to improve outcomes for both mother and newborn, so programs and services\u00a0should focus on needed care for both. This more integrated perspective is reflected in the most recent guidance from\u00a0the World Health Organization\u00a0(see Resources below).\r\n\r\nHome visitation by community health workers has been promoted as a postnatal care strategy based on promising pilots in South Asia that demonstrated potential for reducing newborn deaths. However, it has proven difficult to achieve comparable benefits under more routine conditions at scale.\r\n\r\nWith the marked increases in institutional deliveries seen in many settings in recent years, there is increasing attention being given to taking better advantage of the time before discharge to ensure delivery of key aspects of postnatal care. Challenges to taking optimal advantage of this contact include the very high volume of births in some centers and the common practice of early discharge.\r\n\r\nFollow-up visits to the health facility for postnatal care can provide an important opportunity to ensure assessment, care, and provision of important counseling. Suitable timing and content of such care will depend on the overall configuration of postnatal care services specific to the setting.[\/vc_column_text][vc_text_separator title=\"Key Resources\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-on-maternal-and-newborn-care-for-a-positive-postnatal-experience\/\">WHO recommendations on maternal and newborn care for a positive postnatal experience (2022)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Postnatal care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"postnatal-care","to_ping":"","pinged":"","post_modified":"2022-10-17 18:49:11","post_modified_gmt":"2022-10-17 22:49:11","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=134","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":323,"post_author":"7211","post_date":"2016-01-12 17:55:54","post_date_gmt":"2016-01-12 17:55:54","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453922923730{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<h2>As reflected in Millennium Development Goals 4 and 5 and now the Sustainable Development Goals, our objective is to <strong>reduce the global burden of preventable deaths<\/strong>.<\/h2>\n<p>In the case of newborn work, we focus particularly on stillbirths, maternal deaths, and newborn deaths. Meeting our objectives at the level of whole populations requires that we do much better in ensuring that the highest proportion possible adopt key practices and receive specific interventions. We need <strong>high effective coverage at scale<\/strong> for key behaviors and specific high-impact elements of care. While \u201cscaling-up\u201d may be part of how we achieve sustained impact at scale, we must guard against scale-up as an end in itself. It is easy to fall into the \u201cempty scale-up\u201d trap.[\/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]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">287<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690998058971{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of women who died due to pregnancy or childbirth-related complications in 2020<br \/>\n<\/span><\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">5<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1651603452364{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of children under age 5 who died in 2020<\/span><\/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\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">47<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1651603474028{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of all under-5 deaths that occurred during the first 28 days of life in 2020<\/span><\/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 <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Where effective coverage is low, program efforts need to contribute to increasing and sustaining improved coverage. In some instances the interventions are already available and in use but at low effective coverage. In these cases improved delivery is needed \u2013 which may entail strengthened implementation or new delivery strategies. In situations where effective interventions are novel and not yet widely introduced, these methods may require some kind of scaling-up process to increase coverage. Because there are important differences between settings, a specific strategy or package will not be the answer for all settings.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong>:<\/p>\n<ul>\n<li><a href=\"http:\/\/www.expandnet.net\/tools.htm\" target=\"_blank\" rel=\"noopener noreferrer\">Expandnet scale-up resources<\/a><\/li>\n<li><a href=\"https:\/\/www.msiworldwide.com\/sites\/default\/files\/additional-resources\/2018-11\/ScalingUp_3rdEdition.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Scaling Up\u2014From Vision to Large-scale Change: A Management Framework for Practitioners<\/a><\/li>\n<li><a href=\"http:\/\/implementationscience.biomedcentral.com\/articles\/10.1186\/s13012-016-0374-x\" target=\"_blank\" rel=\"noopener noreferrer\">A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa.<\/a><\/li>\n<li><a href=\"http:\/\/www.mcsprogram.org\/resources\/lessons-learned-from-the-scale-up-experience-of-six-high-impact-interventions-in-reproductive-maternal-newborn-and-child-health\/\" target=\"_blank\" rel=\"noopener noreferrer\">Lessons Learned from the Scale-Up Experience of Six High-Impact Interventions in Reproductive, Maternal, Newborn, and Child Health<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text]<strong>Related\u00a0resources<\/strong>:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Empty-Scale-up-Meeting-Report.pdf\">Empty Scale-Up Meeting Report<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Empty-Scale-Up-Working-Paper_Dec2016.pdf\">Empty Scale-Up\u00a0Draft Working Paper<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_btn title=\"Scaling Up Substance Working Group\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fworking-group%2Fscaling-up-substance%2F||\"][vc_column_text]<\/p>\n<h3>Note: This working group is for members only. If you are a member on HNN, please log in <a href=\"https:\/\/www.healthynewbornnetwork.org\/login\/\">here<\/a> and email <strong><a href=\"mailto:info@healthynewbornnetwork.org\">info@healthynewbornnetwork.org<\/a> <\/strong>to join this working group. If you are not a member, please register <a href=\"https:\/\/www.healthynewbornnetwork.org\/join-the-network\/\">here<\/a> and tell us in your short bio that you\u2019d like to join this working group.<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Scale-up","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"scale-up","to_ping":"","pinged":"","post_modified":"2023-08-02 13:42:00","post_modified_gmt":"2023-08-02 17:42:00","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=323","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":318,"post_author":"7211","post_date":"2016-01-12 17:48:53","post_date_gmt":"2016-01-12 17:48:53","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>Administering antenatal corticosteroids (ACS) to mothers at risk of premature birth accelerates fetal lung development and reduces risk of infant respiratory distress syndrome, one of the most common life-threatening complications of prematurity. In addition, ACS administration decreases the risk of brain hemorrhage and serious prematurity complications such as necrotizing enterocolitis (NEC), a life-threatening intestinal infection.<\/h2>\r\nIn high-resource countries, the standard of care for more than two decades has been administration of ACS in cases where a woman is imminently likely to deliver prematurely (less than 34 weeks gestation). ACS use in low- and middle-income countries (LMICs) has been a slower process, in part due to limited evidence regarding safe and effective ACS administration. In many LMIC settings, accurate gestational age assessment is often lacking, as is the quality perinatal care required to prevent and manage preterm complications. Recent research evidence from a multi-country randomized controlled trial <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2022398#:~:text=The%20use%20of%20antenatal%20dexamethasone,any%20evidence%20of%20harm%20to\">(ACTION)<\/a> demonstrated significant reductions of neonatal deaths and stillbirths, showing the benefit of ACS in LMICs.[\/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\">36<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023688979{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Percent of neonatal deaths due to preterm birth complications globally (2019)<\/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\">10.6<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023701465{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">The rate of preterm births globally (2014)<\/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;\"><strong><span class=\"ticker\">1972<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023713023{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">The year that antenatal corticosteriods (ACS) were first used to accelerate fetal lung maturation in threatened preterm birth<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/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=\"Current Guidance\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]WHO is currently updating global ACS recommendations based on systematic review of evidence, including the ACTION trial. Until the guidelines are updated, ACS therapy should continue to be used only when certain conditions can be met: when gestational age can be accurately determined, when preterm birth is considered imminent, when there is no evidence of maternal infection, and when adequate newborn and delivery care is available, including care for complications, infection management, feeding support, thermal care, and access to respiratory support. For now, ACS therapy may be safely and effectively administered in LMICs when these conditions can be met. Dexamethasone is the most commonly available antenatal corticosteroid in LMICs. WHO currently includes dexamethasone in its <a href=\"http:\/\/www.who.int\/medicines\/publications\/essentialmedicines\/en\/\">Model List of Essential Medicines<\/a>, and it is included on the Essential Medicines lists of many countries worldwide.\r\n\r\nIt is crucial that health systems and providers prioritize proper training and quality of care to increase survival and health outcomes for preterm newborns and their mothers, and this quality care includes appropriate use of ACS for threatened imminent preterm delivery; for more information, see the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/preterm-birth-complications\/\">preterm birth complications page<\/a>.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-antenatal-corticosteroids\/\">WHO recommendations on antenatal corticosteroids for improving preterm birth outcomes. (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD004454.pub3\/abstract\">Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database of Systematic Reviews. (2017)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s12519-020-00398-6\">Reducing neonatal mortality and respiratory distress syndrome associated with preterm birth: a scoping review on the impact of antenatal corticosteroids in low- and middle-income countries (2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2022398#:~:text=The%20use%20of%20antenatal%20dexamethasone,any%20evidence%20of%20harm%20to\">Antenatal Dexamethasone for Early Preterm Birth in Low-Resource Countries (2020)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=Qqp1-BN_t4Y\">Video \u2013 Can antenatal corticosteroids prevent preterm infant death and morbidity in low-resource settings? (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news\/item\/23-10-2020-steroids-boost-survival-of-preterm-babies-in-low-resource-settings-new-study-finds\">Steroids boost survival of preterm babies in low-resource settings, new study finds (2020)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Antenatal corticosteroids","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"antenatal-corticosteroids","to_ping":"","pinged":"","post_modified":"2022-10-18 15:36:11","post_modified_gmt":"2022-10-18 19:36:11","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=318","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":55231,"post_author":"7211","post_date":"2022-09-20 15:41:44","post_date_gmt":"2022-09-20 19:41:44","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1663702110176{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 style=\"text-align: justify;\">Ensuring optimal umbilical cord care at birth and during the first week of life is a crucial strategy to prevent life-threatening sepsis and cord infections and avert preventable neonatal deaths.<\/h2>\r\nThe World Health Organization (WHO) <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">recommends<\/a> clean, dry umbilical cord care for all newborns, including those born in facilities, at home, and in humanitarian settings. Proper cord care includes using clean, sterile blades and ties, keeping the stump clean using soap and water, and drying thoroughly with a clean cloth after getting wet. In most settings, proper clean, dry umbilical cord care is sufficient to prevent infection.\r\n\r\nHowever, in settings where harmful traditional substances are placed on the cord, WHO recommends using chlorhexidine digluconate in addition to clean, dry cord care. Chlorhexidine digluconate (CHX) is a broad-spectrum antiseptic that is available in a range of concentrations, and has been safely used for over 40 years for a variety of health-related applications. Its specific use for umbilical cord care was originally tested in three clinical trials in Nepal, Bangladesh, and Pakistan, in the form of 4% chlorhexidine, delivered through a 7.1% chlorhexidine digluconate gel. In 2013 the WHO added CHX to its\u00a0<a href=\"http:\/\/www.who.int\/medicines\/publications\/essentialmedicines\/en\/\">Model List of Essential Medicines<\/a>; and in 2014 the WHO issued <a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/97603\/1\/9789241506649_eng.pdf?ua=1\">guidelines<\/a>\u00a0on umbilical cord care, which included a formal recommendation on the use of chlorhexidine. This guidance was subsequently <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">updated<\/a> in 2022, reflecting the current recommendation for CHX use in certain settings.\r\n\r\nCHX is the primary recommendation for settings where harmful traditional substances, such as oils, compresses, native plants, or other organic substances, are commonly placed on the umbilical cord. It was previously recommended for settings with high rates of home birth and neonatal mortality, where mothers, traditional birth attendants, and community health workers can be trained to administer CHX; as a result, this may be included as a recommendation in some national protocols.\r\n\r\nIn humanitarian settings, clean and dry umbilical cord care is the standard, but the use of chlorhexidine digluconate is also included as a recommendation in the <a href=\"https:\/\/iawgfieldmanual.com\/manual\">Inter-Agency Field Manual for Reproductive Health in Humanitarian Settings (IAFM),<\/a> the gold-standard for sexual and reproductive care in fragile and humanitarian settings. The IAFM includes CHX for cord care as a recommendation during the onset of emergencies, as part of the <a href=\"https:\/\/iawgfieldmanual.com\/manual\/misp\">Minimum Initial Service Package<\/a> (MISP), and as part of comprehensive maternal and newborn health (MNH) services. Additionally, chlorhexidine digluconate is included as a supplementary commodity in the <a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/IARH-Kits-6th-Edition_Manual_English.pdf\">Inter-Agency Reproductive Health Kits<\/a> (RH Kits), which provide the supplies necessary to implement the MISP at the onset of a humanitarian response.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_empty_space][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.4<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666120145784{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">newborn deaths worldwide in 2020<\/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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">7<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666120079406{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of deaths caused by sepsis and other infectious conditions of the newborn in 2020<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][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> page and download the Excel spreadsheet to explore the data further.\u00a0<\/em><\/h6>\r\n[\/vc_column_text][vc_separator][vc_empty_space][vc_cta h2=\"Cautionary note\"]\r\n<h3 style=\"text-align: justify; line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><strong><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\">As with all medications, care must be taken to ensure that the product is used appropriately. 7.1% chlorhexidine digluconate for umbilical cord care should be kept out of eyes and ears and should be applied only to the umbilical stump.<\/span><\/strong><b><\/b><\/h3>\r\n<h3 style=\"text-align: justify; line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><b><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\">Since 2015, there have been over <\/span><\/b><a href=\"https:\/\/www.who.int\/news\/item\/28-08-2020-chlorhexidine-7-1-digluconate-(chx)-aqueous-solution-or-gel-(10ml)-reports-of-serious-eye-injury-due-to-errors-in-administration\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif;\">40 reported cases<\/span><\/a><b><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #333333;\"> of incorrect administration of CHX in nine countries in sub Saharan Africa, specifically when CHX in both liquid and gel form have been mistaken for eye medication. In these reported cases, 7.1% chlorhexidine digluconate in both liquid and gel forms for umbilical cord care was mistakenly applied to the eyes, causing eye injury.\u00a0\u00a0 Chlorhexidine has been in use for over 40 years and has a well\u2013characterized safety profile when used as directed. The formulation of chlorhexidine digluconate used for cord care (7.1% w\/v), when used as directed, is effective in preventing neonatal sepsis due to bacterial exposure through the fresh umbilical stump. \u00a0However, it can cause serious harm if applied to the eyes and should also not be put into the ear canal. It is important that persons and organizations responsible for chlorhexidine for umbilical cord care programs and for the distribution of the chlorhexidine for umbilical cord care product to caregivers ensure that instruction is provided on the appropriate use of the product, including appropriate warnings.<\/span><\/b><\/h3>\r\n<h3 style=\"line-height: 13.5pt; background: #F7F7F7; margin: 0in 0in 18.75pt 0in;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #e05533;\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX)<\/span><\/a><b><\/b><\/h3>\r\n<h3 style=\"margin-top: 0in; line-height: 13.5pt; background: #F7F7F7;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\"><span style=\"font-size: 10.0pt; font-family: 'Arial',sans-serif; color: #e05533;\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration<\/span><\/a><b><\/b><\/h3>\r\n[\/vc_cta][\/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:\/\/globalhealthmedia.org\/videos\/care-of-the-cord\/\">Video on proper cord care for practitioners (2015)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-MHP-HPS-EML-2021.02\">WHO Model List of Essential Medicines (22nd list, 2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/savechildrenusa-my.sharepoint.com\/personal\/hwartinger_savechildren_org\/Documents\/HNN\/Page%20Drafts\/who.int\/publications\/i\/item\/WHO-MHP-HPS-EML-2021.03\">WHO Model List of Essential Medicines for Children (8<sup>th<\/sup> list, 2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240045989\">WHO recommendations on maternal and newborn care for a positive postnatal experience (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/iawgfieldmanual.com\/manual\">Inter-Agency Field Manual for Reproductive Health in Humanitarian Settings (2018)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/iawgfieldmanual.com\/manual\/misp\">Minimum Initial Service Package (2018)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/IARH-Kits-6th-Edition_Manual_English.pdf\">Inter-Agency Reproductive Health Kits<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news\/item\/28-08-2020-chlorhexidine-7-1-digluconate-(chx)-aqueous-solution-or-gel-(10ml)-reports-of-serious-eye-injury-due-to-errors-in-administration\">Chlorhexidine 7,1% digluconate (CHX) aqueous solution or gel (10ml): Reports of serious eye injury due to errors in administration (2020)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/memorandum-safety-concerns-over-misuse-of-chlorhexidine-chx\/\">Memorandum: Safety Concerns Over Misuse of Chlorhexidine (CHX) (2019)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/alert-no-133-chlorhexidine-71-digluconate-chx-reports-of-serious-eye-injury-due-to-errors-in-administration\/\">Alert No. 133: Chlorhexidine 7,1% digluconate (CHX): Reports of serious eye injury due to errors in administration (2019)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Umbilical cord care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"umbilical-cord-care","to_ping":"","pinged":"","post_modified":"2022-12-27 14:18:49","post_modified_gmt":"2022-12-27 19:18:49","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=55231","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[{"ID":251,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Asia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"asia","to_ping":"","pinged":"","post_modified":"2016-02-11 21:51:07","post_modified_gmt":"2016-02-11 21:51:07","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&p=251","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[{"ID":152,"post_author":"7211","post_date":"2015-10-21 21:50:06","post_date_gmt":"2015-10-21 21:50:06","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Bangladesh (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%221%25%20Diarrhoea%22%2C%22value%22%3A%221%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23f4524d%22%7D%2C%7B%22title%22%3A%228%25%20Pneumonia%22%2C%22value%22%3A%228%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2233%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2233%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2225%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2225%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%229%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%229%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%2210%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%2210%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2213%25%20Other%20conditions%22%2C%22value%22%3A%2213%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1685474035233{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&source=gmail&ust=1551964625737000&usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685474072957{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">16<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685474098908{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">4.8<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685474119270{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><b>59<\/b><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685474149008{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">20.5<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1651069372133{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">59<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1651069531142{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><b>47<\/b><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698691660987{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">16.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births <37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685474189742{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">123<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1453307990481{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Bangladesh","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"bangladesh","to_ping":"","pinged":"","post_modified":"2023-10-30 14:46:18","post_modified_gmt":"2023-10-30 18:46:18","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=152","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"external_link":"http:\/\/www.newshour.com.bd\/2015\/04\/03\/cncp-launched-to-improve-newborn-survival\/","publication":""},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/news-item\/6764"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/news-item"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/news-item"}],"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\/news-item\/6764\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/6766"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=6764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}