{"id":47018,"date":"2020-10-20T15:55:28","date_gmt":"2020-10-20T19:55:28","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?p=47018"},"modified":"2020-10-21T14:48:18","modified_gmt":"2020-10-21T18:48:18","slug":"snl-newborn-health-legacy-e-talk-series-summary","status":"publish","type":"post","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/snl-newborn-health-legacy-e-talk-series-summary\/","title":{"rendered":"SNL Newborn Health Legacy e-Talk series: Summary"},"content":{"rendered":"

Beginning in 2000 with a ground-breaking grant from the Bill and Melinda Gates Foundation, Saving Newborn Lives<\/a> (SNL) marked the first newborn health program of its kind, elevating Save the Children\u2019s contribution to the area of newborn health. It is an unprecedented legacy, shared with partners around the globe.<\/p>\n

Save the Children\u2019s 20-year SNL program invited the international community to reflect on the state of newborn health during the SNL Legacy e-Talks<\/a>.<\/p>\n

The e-Talks were a series of 12 sessions carried out from September 29 to October 15, 2020. Each day discussed two topics<\/a>. Over 300 maternal and newborn health experts attended multiple sessions led by more than 45 panelists.<\/p>\n

Day 1 reminisced about the history and lessons learnt. The speaker and panel moderator, David Oot, \u00a0shared the anecdote on how he conceived of the SNL project with an idea scribbled on r a paper napkin.\u00a0 We heard from global and country stakeholders \u00a0how SNL was instrumental in initiating the newborn health movement with multiple partners. We also heard about the donor Gates Foundation\u2019s commitment and engagement to ensure the agenda of newborn health received the needed focus.<\/p>\n

On Day 2, there were rich discussions around advances in measurement of newborn health and survival, including standardized indicators, which helped generate estimates for policymakers and key stakeholders, supporting evidence-based programming. The strides made in measurement of newborn health and survival enabled advocacy and policy change to improve indicators at the country level, supported by case studies from Malawi and Nepal.<\/p>\n

Day 3 saw Bangladesh and Ethiopia \u00a0share their case studies of how SNL worked with partners to generate evidence, policy change, implementation, and to catalyze learning around scaling up high-quality, high-impact interventions. The second discussion examined experiences from Malawi and Uganda on innovative approaches to improving quality of care as well as potential role of private sector in Nepal to help achieve high effective coverage of diagnosis and treatment of possible serious bacterial infections.<\/p>\n

Day 4 focused on SNL\u2019s experience and evidence generated through the program for community based model for prevention and management of newborn infections. Day 5 emphasized lessons learnt from Malawi on scaling up Kangaroo mother care, and programmatic efforts during the four phases of SNL, which helped address key newborn and perinatal health issues, including quality and skill retention to perform neonatal resuscitation, partnerships to enable wide-scale implementation of essential newborn care and neonatal resuscitation. New stillbirth estimates were also discussed.<\/p>\n

Finally, the e-Talks had session 11 and 12 on day 6<\/a>, where we kept the chameleons eyes, with one eye looking back and concluding with a recap of the achievements, remembering the program leaders and one eye looking ahead towards the challenges that remain within the maternal and newborn health arena and the unfinished agenda.<\/p>\n

The SNL Legacy e-Talks invited participants to share their thoughts on prioritizing the future agenda for maternal and newborn health. The takeaway from a poll carried out during the last day of the e-Talks was that nothing really happens without political will especially in the government community and that continued engagement with governments should be a top priority.<\/p>\n

Current SNL technical lead, Dr. Steve Wall, presented a Call to Action<\/a>, focusing on many of the priorities highlighted by the poll. The Call to Action is posted on HNN for endorsement.<\/p>\n

_________________________________________________________________________________________________________________________________<\/p>\n

Poll results: Newborn health priorities moving forward<\/p>\n

58% voted for priority to work with the governments to ensure every newborn action plan and the SDG\u2019s are advanced.<\/p>\n

33% voted for care for small and sick newborn babies.<\/p>\n

30% voted for universal provision of respectful high quality care.<\/p>\n

25% voted for increased focus on postnatal care, KMC and family planning.<\/p>\n

20% voted for improved access to care and services for urban poor and those in humanitarian settings.<\/p>\n

15% voted for integration of early childhood development with WASH initiatives and managing infections.<\/p>\n

_________________________________________________________________________________________________________________________________<\/p>\n

\u201cWe are celebrating the 20 years of SNL with our partners. Despite progress, we must ensure that gains made in the past two decades will not be negatively impacted by the current pandemic. We must also keep our eyes firmly targeted on the future and finish the work that still needs to be done,\u201d said Dr. Wall.<\/p>\n

\u201cAs program developers and technical experts, we need to support countries lead implementation research to move beyond demonstration into scale up of evidence-based interventions. We need to ensure that babies born into crisis and the urban poor have access to affordable and quality care,\u201d Dr. Wall added.<\/p>\n

The participants in the Legacy e-Talks had a clear message. For a just world, one in which health care professionals can provide the services needed, at the right time, we need to transform care, reach all segments of society, support research to design and test innovations.<\/p>\n

\u201cWe want our babies to not only survive, but thrive and achieve their utmost potential. We will not drop the ball and we will keep our commitment alive.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Beginning in 2000 with a ground-breaking grant from the Bill and Melinda Gates Foundation, Saving Newborn Lives (SNL) marked the first newborn health program of its kind, elevating Save the Children\u2019s contribution to the area of newborn health. It is an unprecedented legacy, shared with partners around the globe. Save the Children\u2019s 20-year SNL program … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":47021,"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\/snl-newborn-health-legacy-e-talk-series-summary\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SNL Newborn Health Legacy e-Talk series: Summary - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"Beginning in 2000 with a ground-breaking grant from the Bill and Melinda Gates Foundation, Saving Newborn Lives (SNL) marked the first newborn health program of its kind, elevating Save the Children\u2019s contribution to the area of newborn health. 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src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/themes\/hnn\/dist\/images\/member-default.jpg\" alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"publication_date":"20201020","authors":false,"additional_authors":"Mridu Pandey","partners":[{"ID":793,"post_author":"7211","post_date":"2009-11-18 19:01:52","post_date_gmt":"2009-11-18 19:01:52","post_content":"Save the Children is the world's leading independent organization for children. 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":408,"post_author":"7211","post_date":"2016-01-20 17:59:41","post_date_gmt":"2016-01-20 17:59:41","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>While the term \u201cessential newborn care\u201d can be used in a variety of ways, the Healthy Newborn Network uses the term to refer to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at home.<\/h2>\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\">800<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667425498849{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of children under age 5 who <a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/the-lancet-breastfeeding-series\/\">might be saved every year<\/a> if optimally breastfed<\/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\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666041181328{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of babies who are exclusively breastfed during their first six months of life globally (2014-2020)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][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 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 information\"][vc_column_text]Essential newborn care includes:\r\n<ul>\r\n \t<li>early initiation and exclusive breastfeeding<\/li>\r\n \t<li>thermal care (including prompt drying and covering at birth, maximizing skin-to-skin contact, delayed bathing, maintaining \u201cwarm chain\u201d)<\/li>\r\n \t<li>hygiene practices (including cord-care and caregiver handwashing)<\/li>\r\n<\/ul>\r\nThere is good evidence that adherence to these recommended practices substantially reduces mortality risk, especially for very small newborns. Health service contacts (notably associated with antenatal care and the hospital admission for childbirth) are important opportunities to influence these practices. In some settings, community health workers (CHWs) can serve as important channels to influence adoption of these practices among pregnant women.[\/vc_column_text][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a>\u00a0\u2013 interim version of the second edition (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">\u00a0<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe). (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/no-harm-technical-briefs\/\" target=\"_blank\" rel=\"noopener\">Every Preemie\u2014SCALE: Do No Harm Technical Briefs<\/a> (2019)<\/li>\r\n \t<li><a href=\"http:\/\/www.who.int\/nutrition\/topics\/bfhi\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Baby-friendly Hospital Initiative (WHO) <\/a>(2018)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Essential newborn care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"essential-newborn-care","to_ping":"","pinged":"","post_modified":"2022-11-02 17:44:19","post_modified_gmt":"2022-11-02 21:44:19","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=408","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":124,"post_author":"7211","post_date":"2015-10-21 15:18:57","post_date_gmt":"2015-10-21 15:18:57","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>In order to meet our maternal and newborn health objectives, we need health professionals and community health workers that:<\/h2>\n<ul>\n<li>Are readily available where and when needed<\/li>\n<li>Have the necessary knowledge and skills for the services they are providing<\/li>\n<li>Are appropriately motivated to provide the needed service<\/li>\n<li>Are adequately supported and enabled with supervision, support systems (supply chain and\u00a0information systems), necessary infrastructure (space, water, electricity, and communications), and more<\/li>\n<\/ul>\n<p>Ensuring that this set of conditions is met depends on adequate human resources policy and management.[\/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\">82<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1691004009799{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of global births that were assisted by suitably qualified health workers between 2016 and 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-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_1691004076215{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women in least developed countries that were assisted by suitably qualified health workers during birth between 2016 and 2021<\/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_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 width=\"1\/2\"][vc_column_text]Over the past decade and a half, considerable emphasis within global maternal-newborn health programs has been placed on \u201cskilled birth attendance,\u201d i.e., births assisted by suitably qualified health workers. This reflects the observation that for women delivering at home without ready access to emergency obstetrical care, support from traditional birth attendants proved inadequate to substantially reduce risk of death for the mother or newborn. Considerable effort has been expended in many settings to help ensure that women give birth with the assistance of qualified human resources, specifically a health worker, and generally in a health facility.<\/p>\n<p>However, in many instances there has not\u00a0been equal attention given to the actual substance of the care provided or the necessary supports to enable health workers to provide adequate care. In recent years, there has been increasing attention in program work to the quality and content of maternal-newborn services, particularly around the time of birth. This is reflected in current work at the World Health Organization on improving quality of maternal-newborn health care.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]Part of what is implied in the \u201cskilled birth attendance\u201d strategy is that assisting in childbirth does not necessarily require a physician. Many interventions related to maternal-newborn health can be competently delivered by categories of health workers with comparatively modest training.<\/p>\n<p>Accordingly, certain maternal-newborn services can be provided by categories of health workers labelled as \u201ccommunity health workers\u201d (CHWs). This is a broad designation that includes:<\/p>\n<ul>\n<li>Health auxiliaries with training sometimes approaching that of registered nurses<\/li>\n<li>Paid full-time workers with several months of basic training<\/li>\n<li>Non-salaried but financially \u201cincentivized\u201d workers, typically working less than full-time<\/li>\n<li>Volunteers providing services on a periodic or intermittent basis with little or no financial incentives<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_single_image image=\"13796\" add_caption=\"yes\" alignment=\"center\" css_animation=\"appear\"][vc_column_text]In some settings, there is more than one tier of CHWs.\u00a0When robustly supported (as they can be under project conditions), non-salaried and volunteer CHWs have been demonstrated as effective for various maternal- and newborn-related services. There are fewer examples of such work being effectively delivered at national scale, under non-project conditions. A very important but frequently neglected factor is the supports needed for effective programs.<\/p>\n<p>The issue is not so much,<\/p>\n<ul>\n<li><em><strong>can <\/strong>CHWs be effective for a particular service?<\/em><\/li>\n<\/ul>\n<p>But rather,<\/p>\n<ul>\n<li><em><strong>what supports are necessary<\/strong> for effectiveness?<\/em><\/li>\n<\/ul>\n<p>And,<\/p>\n<ul>\n<li><em><strong>are such supports feasible at scale<\/strong> under normal, non-project conditions?<\/em><\/li>\n<\/ul>\n<p>Program efforts commonly address health worker knowledge and skills. This is typically done primarily by training. Motivation is less often given focused attention. Certainly, some aspects of performance can be positively affected by financial incentives, although such incentives can also have unintended negative consequences. However, motivation is more than just a matter of incentives.<\/p>\n<p>In many settings, legitimate and illegitimate absences from work significantly undermine reliable access to services. This can be a consequence, for example, of frequent off-site trainings. There are also many settings where health workers are either frequently away from their posts without authorization or where they offer services only for very limited periods of time each day.<\/p>\n<p>Even when health workers are at their posts, their practices are affected not only by material they may have been exposed to in training but also by other influences on what they consider appropriate care. For example, health workers may be well aware of what treatments are recommended or authorized in national treatment guidelines but may -- for any number of reasons -- prefer to offer treatments not reflected in official protocols. For human resources program efforts to be effective in ensuring availability of appropriate care, they need to respond to the actual factors influencing health worker practices.<\/p>\n<p>Supervision is often mentioned as an important performance factor in health worker practices. Certainly under project conditions, there are numerous examples of \u201csupportive technical supervision\u201d or \u201cmentoring\u201d that appear to have made a positive contribution to quality of care. There are, however, far fewer examples of this function being effectively delivered under non-project conditions. Health-facility-level quality improvement efforts can serve a somewhat similar function, whereby groups of health staff work collectively to improve performance, holding each other accountable.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/77764\">WHO Recommendations: Optimizing health worker roles for maternal and newborn health<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Human resources for health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"human-resources","to_ping":"","pinged":"","post_modified":"2023-08-02 15:22:01","post_modified_gmt":"2023-08-02 19:22:01","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=124","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"}],"regions":[],"countries":[],"about_the_author":"","author_image":false},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/47018"}],"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=47018"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/47018\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/47021"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=47018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/categories?post=47018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/tags?post=47018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}