{"id":34667,"date":"2019-01-30T11:30:47","date_gmt":"2019-01-30T16:30:47","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?p=34667"},"modified":"2019-01-30T12:18:47","modified_gmt":"2019-01-30T17:18:47","slug":"verbal-and-social-autopsies-implications-on-the-future-of-maternal-and-newborn-health-in-ugandas-luuka-district","status":"publish","type":"post","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/verbal-and-social-autopsies-implications-on-the-future-of-maternal-and-newborn-health-in-ugandas-luuka-district\/","title":{"rendered":"Verbal and Social Autopsies: Implications on the future of maternal and newborn health in Uganda\u2019s Luuka District"},"content":{"rendered":"
\"\"
A mother sharing during a VASA session<\/figcaption><\/figure>\n

I am currently interning at the Community in Which Mothers and Newborns Thrive (COMONETH) through Makerere\u2019s Centre for Excellence in Maternal Newborn and Child Health. The COMONETH Project is based in the rural district of Luuka and is composed of three main components- the facility, community, and monitoring and evaluation components. Based on Uganda\u2019s MoH Annual Health Sector Performance Report, Luuka District has consistently been ranked in the bottom 15 of 98 districts in health sector performance.<\/p>\n

I have had an opportunity to explore the community component when I accompanied project staff to conduct verbal and social autopsies (VASA). VASA is a tool that\u2019s used to assess the cause of death of children and women within this community and helps to establish what social determinants are associated with the death. When Susan (one of the research assistants) and I arrived at the first home, the family was so welcoming offering us stools and chairs to sit on. After conducting the 30-page VASA, the last page asks the women to describe, in their own words, what they think caused their child to die. The first woman we spoke with believed that the loss of her child was due to contraception that she had used earlier in life. Susan later explained to me that contraception was not responsible for the loss of her child, but it indicates how negatively contraception and family planning in general is perceived within this community. This led me to wonder, what other barriers to proper maternal care are women in this community facing?<\/p>\n

I then became curious about the qualitative part of this study, what did women within this community think was killing their children and what was actually<\/em> killing them? I began to analyze the qualitative aspect of the VASA tool, and quickly identified some overarching themes. According to the mothers and the research assistants, the cause of death was usually either a result of negligence by healthcare workers, a lack of health education within the family, an untreated disease (such as HIV, syphilis, candidiasis, fever or malaria), or a transportation issue. Many of these themes overlap- for example, one woman who had an untreated sexually transmitted infection, that she believed was responsible for her child\u2019s death, said that her husband had forbidden her to seek treatment for her STI. This woman suffered from a lack of education and an untreated disease, both of which resulted in the death of her baby. Among the 52 VASA reports that I randomly selected out of the 237 that have been collected to date, only two of the deaths appeared to not be preventable.<\/p>\n

Among those who believed the death of their child was due to negligence by health staff, I read about a woman who immediately went to a health facility when she started labor- the same health facility that I visited during a support supervision visit. When she arrived at midnight, the Health Center was closed. She knocked on all the health workers\u2019 houses, but they refused to open their doors because it was too late at night and they did not want to deliver a mother. At 4:00am, four hours after she arrived at the Health Centre, she pushed out a dead baby just outside the facility. I now understood how vital the meeting COMONETH had with this health facility was. This woman did all the right things, when she felt that she was going into labour she immediately went to a health facility, but her baby still died a preventable death because of gross negligence by healthcare workers.<\/p>\n

Throughout my qualitative data analysis, I identified many women with traditional \u2013 and often incorrect \u2013 views about contraception similar to the woman I met in Luuka. There were even women that claimed that midwives and traditional birth attendants told them that their baby died because of contraception. Many couples lacked the health education to identify danger signs, such as bleeding of the umbilical cord, and therefore didn\u2019t seek needed care. Furthermore, many women gave birth with traditional birth attendants (TBAs) and when their baby suffered complications that the TBA was not equipped to handle, their baby passed away.<\/p>\n

This internship has helped me to understand how vital health education is- for not only the mothers and fathers, but also for midwives, VHTs, nurses and all other healthcare professionals. COMONETH\u2019s work to empower women via health education, design and implement high coverage preventative care, and improve quality and equity of care continues to have a positive impact on the community. Through the field work I\u2019ve done and the data I\u2019ve analyzed I\u2019ve seen first hand how poverty impacts every aspect of these women\u2019s lives, and how important it is to work towards improving maternal, newborn and child outcomes within this community.<\/p>\n

This blog is cross-posted from the MNCH site<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

I am currently interning at the Community in Which Mothers and Newborns Thrive (COMONETH) through Makerere\u2019s Centre for Excellence in Maternal Newborn and Child Health. The COMONETH Project is based in the rural district of Luuka and is composed of three main components- the facility, community, and monitoring and evaluation components. Based on Uganda\u2019s MoH … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":34665,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"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\/blog\/verbal-and-social-autopsies-implications-on-the-future-of-maternal-and-newborn-health-in-ugandas-luuka-district\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Verbal and Social Autopsies: Implications on the future of maternal and newborn health in Uganda\u2019s Luuka District - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"I am currently interning at the Community in Which Mothers and Newborns Thrive (COMONETH) through Makerere\u2019s Centre for Excellence in Maternal Newborn and Child Health. 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alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"featured_image":34665,"publication_date":"20190118","authors":false,"additional_authors":"Elizabeth Hentschel","partners":[{"ID":16437,"post_author":"4383","post_date":"2016-09-06 14:48:18","post_date_gmt":"2016-09-06 18:48:18","post_content":"The Makerere University Centre of Excellence for Newborn Health Research (CMNHR) was established in 2013 to serve as a one stop centre for information, research and capacity building.\r\n\r\n<strong>Strategic Focus<\/strong>\r\n\u201cOur purpose is to create a maternal and newborn health knowledge and information hub and create opportunities for evidence informed policy making in Uganda.\u201d\r\n\r\n<strong>Our Approach<\/strong>\r\n<ul>\r\n \t<li>Developing and monitoring implementation of an evidence-based national maternal and newborn health research agenda.<\/li>\r\n \t<li>Strengthening technical capacity for maternal and newborn healthcare in the country.<\/li>\r\n \t<li>Strengthening maternal and newborn health knowledge management and information dissemination efforts.<\/li>\r\n<\/ul>","post_title":"Makerere University Centre of Excellence for Maternal and Newborn Health Research","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"makerere-university-centre-excellence-maternal-newborn-health-research","to_ping":"","pinged":"","post_modified":"2016-09-06 14:48:18","post_modified_gmt":"2016-09-06 18:48:18","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=16437","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"issues":[{"ID":136,"post_author":"7211","post_date":"2015-10-21 15:21:03","post_date_gmt":"2015-10-21 15:21:03","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>Integrating postpartum family planning services and counseling into childbirth care is vital to newborn and maternal health and survival.<\/h2>\r\nOffering contraceptive counselling and a wide range of modern methods along the continuum of childbirth care has shown to increase contraception use, which enables women to choose when and if to have a baby. Family planning use is considered postpartum if the woman initiates and uses a method in the first twelve months after childbirth. Postpartum reproductive health and family planning also includes services initiated after miscarriage or abortion. Pregnancies that are spaced by at least two years after a live birth and six months after a miscarriage or induced abortion can reduce the risk of complications and adverse newborn outcomes. Maternal survival is also impacted as women who practice healthy timing and spacing of pregnancies are less likely to die in childbirth or from pregnancy complications. Integrating contraception counseling and services into quality antenatal, postnatal, and newborn care is a <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-postpartum-family-planning\/\">proven intervention<\/a> and should be included in both facility and community based services.[\/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\">163<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666117399105{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of women with <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(22)00936-9\/fulltext\">unmet need for modern contraception services in 2019<\/a><\/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\">1.7<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667922548234{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of fewer newborn deaths annually if <a href=\"https:\/\/www.guttmacher.org\/fact-sheet\/investing-sexual-and-reproductive-health-low-and-middle-income-countries\">unmet contraceptive need is met <\/a>in LMICs<\/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\">700<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667922954092{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of stillbirths that could be averted annually if <a href=\"https:\/\/www.guttmacher.org\/report\/adding-it-up-investing-in-sexual-reproductive-health-2019\">unmet contraceptive need is met<\/a> in LMICS<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][\/vc_column_inner][\/vc_row_inner][vc_separator][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][\/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=\"More on Family Planning\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Family planning methods:<\/strong> There are <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/family-planning-contraception\">many methods available<\/a>, under many different brand names. Modern methods include oral contraception pills, implants, injectable, intrauterine devices (IUDs), emergency contraception, male and female condoms, male and female sterilization, and lactational amenorrhea method (LAM). Additional methods include withdrawal, the calendar or rhythm method, and other fertility based methods. Some are more effective than others, and many rely on proper use to ensure effectiveness. Most of these contraceptives can be <a href=\"https:\/\/postpartumfp.srhr.org\/\">safely used immediately postpartum<\/a>; the rest can be initiated shortly after delivery, within a few weeks to six months.\r\n\r\nThe lactational amenorrhea method (LAM) is <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9678098\/\">98% effective<\/a> for the first six months postpartum. LAM prevents pregnancy while the mother is exclusively breastfeeding. It becomes less effective when other foods and liquids, like formula, are included, so women who are unable to exclusively breastfeed should consider other methods.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Spacing of pregnancy:<\/strong>\u00a0Use of family planning helps achieve healthy spacing of pregnancies, which is critical to a healthy pregnancy and delivery and to newborn survival. When pregnancies are too close together (less than 24 months between the last live birth and the next pregnancy), the risk of low birth weight, preterm birth, and newborn death increases; when pregnancy begins within six months of the last live birth, these complications are even more likely. Furthermore, when a mother who is still nursing an infant of any age becomes pregnant again, it is difficult to meet the nutritional needs of the mother, nursing baby, and fetus.\r\n\r\n<strong>Timing of pregnancy:<\/strong>\u00a0Studies have shown that both newborns and mothers have the healthiest outcomes when pregnancies occur after age 18. When mothers are <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4562289\/\">younger than 18<\/a>, they and their infants face increased risk of birth\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/complications-during-childbirth\/\">complications<\/a>, including stillbirth, low birth weight, and preterm birth. When possible, it is recommended to time pregnancies appropriately, especially by delaying first pregnancy until at least age 18. Adolescents, regardless of marital status, should have access to contraceptive methods to delay pregnancy.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_single_image image=\"56227\" add_caption=\"yes\"][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/training-resource-package-for-family-planning\/\">Training Resource Package for Family Planning\u00a0<\/a><\/li>\r\n \t<li><a href=\"https:\/\/fphandbook.org\/\">Family Planning Global Handbook for Providers<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-postpartum-family-planning\/\">High Impact Practices for Family Planning \u2013 Immediate Postpartum Family Planning<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/negative-effects-of-short-birth-interval-on-child-mortality-in-low-and-middle-income-countries-a-systematic-review-and-meta-analysis\/\">Negative effects of short birth interval on child mortality in low and middle income countries: a systematic review and meta analysis<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/family-planning-contraception\">WHO Family planning\/contraception methods<\/a><\/li>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9678098\/\">Postpartum contraception: the lactational amenorrhea method<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Reproductive health & family planning","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"reproductive-health-family-planning","to_ping":"","pinged":"","post_modified":"2023-02-07 16:00:38","post_modified_gmt":"2023-02-07 21:00:38","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=136","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":31084,"post_author":"7211","post_date":"2018-05-03 17:43:43","post_date_gmt":"2018-05-03 21:43:43","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>Midwifery encompasses care of women during pregnancy, labor, and the postpartum period, as well as care of the newborn.<\/h2>\r\nMidwifery includes measures aimed at preventing health problems in pregnancy, the detection of abnormal conditions, the procurement of medical assistance when necessary, and the execution of emergency measures in the absence of medical help.[\/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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2.2<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666121600643{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">maternal and newborn deaths, including stillbirths, that could be averted with <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">serious investment in midwives<\/a> by 2035<\/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\">900<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666121626966{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">midwives needed to address <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">global gaps<\/a><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][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][\/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=\"Specialized and Effective Care\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Worldwide, approximately 295,000 women die every year due to pregnancy and childbirth related complications, 2.4 million newborns die in the first month of life and there are 2 million stillbirths*. Most of these largely preventable deaths occur in low-income countries and in poor and rural areas. Many maternal and newborn deaths can be prevented if competent midwives assist women before, during and after childbirth. Where referral services are in place, midwives are able to identify and refer women and newborns with complications to emergency obstetric or pediatric care when severe complications arise.\r\n\r\nMidwives are a special nexus between maternal and newborn care, providing supportive and respective care for women and infants. Balanced between labor and delivery expertise, prevention and management of complications and skilled emergency care, midwives enhance efficient use of resources and promote cost-effective, affordable and sustainable care while improving outcomes for women and babies.\r\n<h6>*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.<\/h6>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]When midwifery is successfully integrated into a healthcare system, it allows for provision of more effective care for women and infants, as described in The Lancet Midwifery Supplement. Strategic scale up of midwifery services and contributions within existing health facilities can increase not only coverage, but also sustainability, quality of care, and access to life saving interventions.\r\n\r\nThe International Day of the Midwife occurs each year on May 5th.\r\n\r\n<strong>Key resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-state-of-the-worlds-midwifery-2021-report-supplements\/\">State of the World\u2019s Midwifery 2021<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-midwifery-series\/\">The Lancet: Midwifery Series<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/state-worlds-midwifery-analysis-sexual-reproductive-maternal-newborn-adolescent-health-workforce-east-southern-africa\/\">The State of the World\u2019s Midwifery: Analysis of the Sexual, Reproductive, Maternal, Newborn and Adolescent Health Workforce in East & Southern Africa<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Midwifery","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"midwifery","to_ping":"","pinged":"","post_modified":"2022-10-18 15:33:12","post_modified_gmt":"2022-10-18 19:33:12","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=31084","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"}],"regions":[{"ID":247,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Africa","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"africa","to_ping":"","pinged":"","post_modified":"2016-02-11 21:42:43","post_modified_gmt":"2016-02-11 21:42:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&p=247","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[{"ID":237,"post_author":"7211","post_date":"2015-10-21 22:06:39","post_date_gmt":"2015-10-21 22:06:39","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 Uganda (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%23ff675b%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%2241%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2241%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%226%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%228%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%228%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2212%25%20Other%20conditions%22%2C%22value%22%3A%2212%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1686337123508{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_1650990983217{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><b>19<\/b><\/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_1686337213840{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">2.6<\/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_1686337190567{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">46<\/span><\/strong><\/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_1686337207134{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">15.1<\/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_1686337136851{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">74.2<\/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_1578923215776{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">66<\/span><\/strong><\/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_1698697253027{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">10<\/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_1686337155158{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">284<\/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_1456709295400{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":"Uganda","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"uganda","to_ping":"","pinged":"","post_modified":"2023-10-30 16:19:27","post_modified_gmt":"2023-10-30 20:19:27","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=237","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"about_the_author":"<p>Elizabeth Hentschel is\u00a0a Master of Science Student Studying Global Health and Population at the Harvard T.H. Chan School of Public Health.<\/p>\n","author_image":{"ID":34666,"id":34666,"title":"Mnh Intern Elizabeth 150x140","filename":"mnh_intern_Elizabeth-150x140.jpg","filesize":4113,"url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/verbal-and-social-autopsies-implications-on-the-future-of-maternal-and-newborn-health-in-ugandas-luuka-district\/mnh_intern_elizabeth-150x140\/","alt":"","author":"5191","description":"","caption":"","name":"mnh_intern_elizabeth-150x140","status":"inherit","uploaded_to":34667,"date":"2019-01-24 21:14:25","modified":"2019-01-24 21:17:33","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.healthynewbornnetwork.org\/wp-includes\/images\/media\/default.png","width":150,"height":140,"sizes":{"thumbnail":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","thumbnail-width":150,"thumbnail-height":140,"medium":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","medium-width":150,"medium-height":140,"medium_large":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","medium_large-width":150,"medium_large-height":140,"large":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","large-width":150,"large-height":140,"1536x1536":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","1536x1536-width":150,"1536x1536-height":140,"2048x2048":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/mnh_intern_Elizabeth-150x140.jpg","2048x2048-width":150,"2048x2048-height":140}}},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/34667"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=34667"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/34667\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/34665"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=34667"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/categories?post=34667"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/tags?post=34667"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}