{"id":49275,"date":"2021-07-12T12:12:48","date_gmt":"2021-07-12T16:12:48","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?p=49275"},"modified":"2022-12-06T17:50:51","modified_gmt":"2022-12-06T22:50:51","slug":"every-woman-every-child-but-not-everywhere-the-unfinished-agenda-for-maternal-and-newborn-health-in-humanitarian-settings","status":"publish","type":"post","link":"https:\/\/www.healthynewbornnetwork.org\/blog\/every-woman-every-child-but-not-everywhere-the-unfinished-agenda-for-maternal-and-newborn-health-in-humanitarian-settings\/","title":{"rendered":"Every Woman, Every Child \u2013 but not Everywhere: The Unfinished Agenda for Maternal and Newborn Health in Humanitarian Settings"},"content":{"rendered":"

By HRH Princess Sarah Zeid, WFP Special Advisor, Maternal & Child Health and Nutrition, UNHCR Patron for Maternal and Newborn Health, and Elaine Scudder, <\/em>IAWG Senior Advisor, Maternal and Newborn Health.\u00a0<\/em><\/p>\n

\n

\u2018\u2019No woman, child or adolescent should face a greater risk of preventable death because of where they live or who they are\u2019\u2019<\/em>. This audacious vision underpinned Every Woman Every Child<\/span><\/a> (EWEC), a movement to mobilize collective action to reduce preventable mortality and morbidity. Yet, with less than 10 years remaining for governments to deliver on the promises made in the SDGs, being born in a humanitarian or fragile setting is still, all too often, a death sentence for women, girls, and their newborn babies.<\/i><\/p>\n

\"\"<\/a>
https:\/\/protect.everywomaneverychild.org\/<\/a><\/figcaption><\/figure>\n

On 28 June 2021, the UN Secretary General Antonio Guterres announced the appointment<\/a> of a Global Advocate for Every Woman Every Child. During the next two years, H.E. Kersti Kaljulaid, the President of Estonia, is tasked to work across and alongside numerous global platforms to accelerate progress against the Global Strategy for Women, Children\u2019s, and Adolescent\u2019s Health<\/em> and to advance 3 key goals:\u00a0reducing maternal mortality, increasing nutritional security, and enhancing innovation and the use of digital solutions.<\/p>\n

President Kaljulaid has an ambitious and challenging agenda ahead of her. The COVID-19 pandemic has had a devastating impact<\/a> on the health and well-being of women, children, and adolescents, with 50% of EWEC countries reporting partial or severe disruptions in routine immunization services, malaria prevention campaigns, family planning, and antenatal care services. While the pandemic has revealed the dire need for more protection of health services for women and children, we cannot let the calls for action to strengthen global health security detract from the continuing – and largely unmet – critical needs of the most vulnerable: women and babies in humanitarian settings.<\/p>\n

\"\"<\/a>
https:\/\/www.unhcr.org\/news\/press\/2021\/6\/60ca09a74\/unhcr-world-leaders-must-act-reverse-trend-soaring-displacement.html<\/a><\/figcaption><\/figure>\n

 <\/p>\n

Every year, increasing numbers of women, children and adolescents are impacted by crises. Despite the pandemic, violence and persecution continued this year, with UNHCR reporting<\/a> on World Refugee Day that\u00a082.4 million people have been forcibly displaced from home<\/a>; a 4% increase from the record-breaking numbers in 2019.<\/p>\n

President Kaljulaid states up front in the 2020 progress report<\/a> for EWEC that progress has been unequal and unjust, noting that \u201c[h]umanitarian crises are a major source of injustice. Maternal and child mortality rates are substantially higher in countries chronically affected by conflict, and 40% of under-5 deaths globally occur in fragile contexts.\u201d One million children<\/a> were born as refugees between 2018 and 2020, many at risk of remaining in exile for years. <\/em><\/strong>\u00a0The numbers are hard to grasp; the scale is overwhelming and disheartening. But the good news, for President Kaljulaid, governments, stakeholders and those whose lives and wellbeing are dependent upon action, is that there is a path forward.<\/p>\n

\"\"<\/a>
https:\/\/www.unicef.org\/press-releases\/29-million-babies-born-conflict-2018<\/a><\/figcaption><\/figure>\n

 <\/p>\n

The Roadmap & IAWG Newborn Initiative<\/h2>\n

In April 2020, a shared vision and global strategy was launched to save and improve lives: the Roadmap to Accelerate Progress for Every Newborn in Humanitarian Settings 2020 \u2013 2024<\/a>. Convened by HRH Princess Sarah Zeid, WHO, UNICEF, UNHCR, and Save the Children, it was developed in collaboration with more than 100 stakeholders, practitioners, researchers, and representatives from governments, donors, private sector, and professional associations. The Roadmap lays out objectives, guiding principles, and indicators to reduce newborn deaths in humanitarian crises, and works toward global targets to reduce neonatal mortality and stillbirths. It builds upon existing tools to prevent maternal and newborn deaths, such as national Every Newborn Action Plans<\/a>, the Newborn Health in Humanitarian Settings: Field Guide<\/a>, and the Inter-Agency Field Manual for Reproductive Health in Crises<\/a>, to scale up evidence-based interventions and invest in research agendas to improve service delivery.<\/p>\n

\"\"
HRH Princess Sarah Zeid with a newborn delivered on the roadside (November 2020, Burundi)<\/figcaption><\/figure>\n

A thoughtful and strategic process was undertaken to design a strategy that pushes against the silos so commonly seen in the health sector and to achieve the goal of providing holistic and comprehensive services to women and children throughout each stage of the humanitarian cycle of preparedness, response, and resilience. The process and priorities within were recently published in a journal commentary<\/a>.<\/p>\n

While we\u2019re proud of the process, the real progress<\/u><\/em> has come in what we\u2019ve done since. To hold the global community accountable to moving this Roadmap off the shelves and reaching those in need on the ground, a dedicated time-limited secretariat has been established to coordinate around, advocate for, and direct resources to the priorities identified in the Roadmap. Thus, the IAWG Newborn Initiative (INI) was established in October 2020. It collaborates closely with partners and networks across the humanitarian-development nexus to jointly advance an evidence-based agenda aimed at delivering a continuum of care across the life course.<\/p>\n

Current progress<\/h2>\n

What does this actually mean in practice? When developing the Roadmap, we consistently asked ourselves, \u201cwill this save the lives of babies in Yemen?\u201d It served as our North Star, if you will \u2013 consistently pushing ourselves past jargon and buzzwords to ensure that the actions outlined in the document will lead to meaningful change for those who need it. Grand Bargain Eminent Person, Jan Egeland<\/a>, has his own version called the \u201cKivu test.\u201d He believes that the \u201cendless bureaucracy of the aid system\u201d has often failed to actually impact the lives of people living in the North and South Kivu provinces of the DRC.<\/p>\n

Current activities include supporting WHO and UNICEF to make maternal and newborn health guidance more accessible through digital technologies; working with professional associations, Ministries of Health, and implementing partners to elevate the voices of frontline health care workers<\/a>; supporting the Global Health Cluster to strength maternal and newborn heath content within humanitarian funding appeals; and collaborating with IAWG and WRA to advance agendas for safe and effective practice of self-care<\/a> for maternal health needs so that women have tools and support to better manage their own health.<\/p>\n

In addition, the fifth key action of the Roadmap is focused on strengthening linkages with key humanitarian sectors across the continuum of care, with necessary emphasis placed on cross-sectoral integration with early childhood development, infant and young child feeding, nutrition, immunization, WASH, protection, cash\/voucher programs, mental health and psychosocial support, and sexual and reproductive health. This is perhaps the crux of the Roadmap \u2013 where the true multi-sectoral work has the potential to change the way humanitarian aid is delivered. Success is dependent upon ensuring every sector, every player, every actor knows they have a role to play in improving the lives of women and babies.<\/p>\n

Take the sexual and reproductive health sector. A recent OpEd published in Devex<\/a> advocates for the need for increased access to contraceptives, noting that \u201cfor women and girls affected by crises like conflict\u2026 the need for contraceptive access is particularly acute.\u202fThey\u202fface an increased risk of unintended pregnancy, maternal death and disability, and sexual violence.\u201d The maternal health benefits that arise from access to contraceptives are clear, and thus advocating for increased investments can be even more pronounced when delivered on behalf of both agendas. But we shouldn\u2019t stop there \u2013 improving access to contraceptives will help to decrease unintended pregnancies, but stronger investments in high-quality maternal and newborn care will also help to improve health during antenatal and postnatal care, and will support women with family planning and birth spacing, ensuring the children they choose to have will survive. A joint agenda here is needed to move the needle.<\/p>\n

To ensure those children then thrive, linkages are needed with the nutrition community. A second Devex OpEd<\/a> draws attention to a critical priority agenda on maternal nutrition, noting that globally,\u00a040%<\/a>\u00a0of pregnant women and 42%\u00a0of children under 5 are anemic, that anemia is linked to\u00a0about 20%<\/a>\u00a0of all maternal deaths, and that children born to anemic mothers are more likely to be born too early or too small, and face an increased risk of death. The article calls for \u201curgent and renewed emphasis must be placed on cost-effective and proven nutrition interventions and actions during the first 1,000-day window, the critical period between a woman\u2019s pregnancy and the baby\u2019s second birthday.\u201d<\/p>\n

In humanitarian settings, where access to sufficient nutrition is nearly impossible, the time to act could not be more critical. In Cabo Delgado, Mozambique, stunting affects more than half of all children under 5 years of age<\/a>, deemed a \u201cticking time bomb<\/a>\u201d by WFP. WFP and UNICEF note that to address this crisis, \u201cmulti-sectoral approaches are needed \u2013 in nutrition, agriculture, health, and water and sanitation \u2013 to ensure that when the insecurity ends, Cabo Delgado\u2019s children have the future they deserve.\u201d Indeed, maternal and newborn health services should be delivered in lockstep with nutrition services, ensuring that when a woman receives antenatal care, or she and her baby receive postnatal care, she is screened for signs of undernutrition and immediately provided appropriate support and services. This proactive approach not only likely saves lives, but may also be more resource efficient and improve care seeking.<\/p>\n

\"\"
Ikram Ismail from Syria, holds her daughter, Myria at the Lesvos RIC. Photo Credit: Louisa Gouliamaki<\/figcaption><\/figure>\n

These solutions sound simple and common-sense \u2013 and rightfully so.\u00a0 The improvements needed for large-scale change are surprisingly small, but they take commitment, collaboration, and a willingness to push long-standing norms.\u00a0 This includes changing the financing structure for humanitarian aid to allow for more flexible, predictable, and multi-year funding. We look forward to President Kaljulaid joining forces with Grand Bargain Eminent Person, Jan Egeland<\/a> to make this happen.<\/p>\n

Time to Act<\/h2>\n

The EWEC 2020 progress report highlights the troubling investments gaps in humanitarian and fragile settings: in 2019, 34 million were reached<\/a> with services by nongovernmental actors with EWEC commitments. Conversely, in\u00a02019, global\u00a0humanitarian needs\u00a0grew to their highest levels ever with more than 1 in every 45\u00a0people\u00a0in the world<\/a> \u2013 nearly 168 million\u00a0people\u00a0\u2013 needing urgent\u00a0humanitarian\u00a0assistance. (In 2020, that number grew to 1 in every 33 people<\/a>.) In other words, a mere 20% of those living on the edge of humanity received lifesaving care to ensure their health and wellbeing.<\/p>\n

We are failing the world\u2019s most vulnerable at their time of their greatest need. A global declaration released in 2019<\/a> by numerous leading partners calls for action, advocating for the dignity, health, and wellbeing of every woman, every child, and every newborn \u2013 in humanitarian and fragile settings \u2013 to be urgently upheld and prioritized.<\/p>\n

The attention that Her Excellency Kersti Kaljulaid can draw to this agenda as the first Global Advisor of the UN SG for Every Woman Every Child is invaluable: we look to her and colleagues to elevate the issues, to demand accountability from donors, to push the humanitarian sector and the UN to rethink how they work to bring more coordinated actions to those in need, and to bring equal attention to acute and protracted crises – to ensure the needs of women in Tigray are as important as those of babies in Cox\u2019s Bazar, children in Cabo Delgado, and adolescents in Venezuela.<\/p>\n

But attention alone is not enough. With answers available for why<\/em> and how <\/em>to save these mothers and babies, the global actors that have committed to this agenda must address the Roadmap\u2019s objectives and work with diverse partners to realize the vision of EWEC. Is their work passing the Kivu test every day? Is it saving babies in Yemen?<\/p>\n

Those in crises have no time to wait. The IAWG Newborn Initiative stands ready to support.<\/p>\n","protected":false},"excerpt":{"rendered":"

By HRH Princess Sarah Zeid, WFP Special Advisor, Maternal & Child Health and Nutrition, UNHCR Patron for Maternal and Newborn Health, and Elaine Scudder, IAWG Senior Advisor, Maternal and Newborn Health.\u00a0 \u2018\u2019No woman, child or adolescent should face a greater risk of preventable death because of where they live or who they are\u2019\u2019. 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In addition, she is a global champion for the White Ribbon Alliance for Safe Motherhood, and an advisory board member for the Women's Rights Division at Human Rights Watch.\r\nPrincess Sarah is a former UN staff member. She worked in the Department of Peacekeeping Operations and was the Desk Officer for Iraq in UNICEF's Office of Emergency Programmes.\u00a0\r\n\r\nShe holds a Bachelor of Arts in International Relations from the University of St. Thomas in Houston, Texas, and an MSc in Development Studies from the School of Oriental and African Studies, University of London.\r\n\r\nPrincess Sarah is married to HRH Prince Zeid Ra'ad Al Hussein. They have three children.","user_avatar":"<img alt='' src='https:\/\/secure.gravatar.com\/avatar\/f3743d4bb4b023ef683f40e1e4d20cb8?s=96&d=mm&r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/f3743d4bb4b023ef683f40e1e4d20cb8?s=192&d=mm&r=g 2x' class='avatar avatar-96 photo' height='96' width='96' decoding='async'\/>"},{"ID":3134,"user_firstname":"Elaine","user_lastname":"Scudder","nickname":"escudder","user_nicename":"elaine-scudder","display_name":"Elaine Scudder","user_email":"escudder@savechildren.org","user_url":"","user_registered":"2012-03-29 18:58:00","user_description":"","user_avatar":"<img alt='' src='https:\/\/secure.gravatar.com\/avatar\/8975bc8369f801490d68703a24c590b0?s=96&d=mm&r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/8975bc8369f801490d68703a24c590b0?s=192&d=mm&r=g 2x' class='avatar avatar-96 photo' height='96' width='96' decoding='async'\/>"}],"additional_authors":"","partners":[],"issues":[{"ID":14757,"post_author":"7211","post_date":"2020-05-28 17:47:37","post_date_gmt":"2020-05-28 21:47:37","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1593021077725{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Nearly 750,000 newborns lives could be saved every year with specific interventions for small and sick newborns.<\/h4>\n<p>In order to achieve SDG 3 (to ensure healthy lives and promote well-being for all at all ages) focus is needed in improving care for every newborn, mainly in those who are born small (from prematurity or intrauterine growth restriction) or become ill. These babies are at high risk of dying or becoming disabled; an estimated 1 million of survivors in this group survive with a long-term disability.<\/p>\n<p>Approximately 80% of the 2.4 million newborn deaths globally every year, are in low-birth-weight (LBW); two thirds of deaths happen in those born prematurely. Care in facilities for newborns is needed for the most common conditions, such as complications from prematurity, intrapartum brain injury, severe bacterial infection, pathological jaundice, and congenital conditions. (1)[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">infants born with low birthweight who die globally (2015)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong>1m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">premature babies (less than 37 completed weeks of gestation) who die globally every year<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">30<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">newborns who <a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/276655\/WHO-FWC-MCA-18.11-eng.pdf?ua=1\">require care in facilities<\/a> globally every year<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"What can be done?\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]<\/p>\n<h4>Where is the improvement in care most needed?<\/h4>\n<p>Ninety-eight percent of neonatal deaths occur in low and middle-income countries, with 75% occurring in Southern Asia and sub-Saharan Africa (2). Of the 10 countries with the highest NMRs, eight are in Africa, where the majority have experienced a recent humanitarian crisis. In humanitarian settings, pregnant and post-partum women face enormous challenges to access care for themselves and for their newborns. These women are also at risk for malnutrition, sexual violence, poor mental health and unplanned pregnancies, as well as those related to births with no skilled attendants. (3)<\/p>\n<p>In high-income countries (HICs), the neonatal mortality rate is usually low, and most small newborns survive and thrive. In middle-income countries (MICs), the risk of disability for infants born between 28 and 32 weeks of gestation is nearly double that of HICs, due to deficiencies in the quality of care. In low-income countries (LICs), disability is uncommon since the smallest and sickest newborns, usually die due to lack of access to essential care or more advanced care when needed. (4)<\/p>\n<h4>What is the care needed?<\/h4>\n<p>Most newborns can survive and thrive when good quality health care, including appropriate inpatient care, is available. In order to provide appropriate care for small and sick newborns, LMICs require improvements in inpatient care to reduce mortality and avoid long-term complications. High-quality inpatient care requires an adequate space, competent professionals in all areas, and equipment and supplies to deliver the care. All newborns require essential care, particularly at the time of birth and during the first days of life, whether in a health facility or at home. Most small and sick newborns require special inpatient care, which can only be provided in a health facility. Intensive care in a high-level referral facility is only required by a third of sick newborns. In addition, the linkages between obstetric and neonatal services need to be protected and strengthened. The Survive and Thrive report provides a list of in-patient interventions proven effective in preventing newborn mortality and disability, by each level of care; and <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">WHO\u2019s standards for quality care of small and sick newborns in facilities<\/a> specify the various aspects of the health systems that need to be improved. Core interventions that should be available to all small or sick newborns beyond basic essential care for all newborns include:<\/p>\n<ol>\n<li>Kangaroo Mother Care started as soon as possible after birth for small newborns, provided as continuously as possible for at least 20 hours per day during the time the newborn is transitioning and receiving neonatal special care;<\/li>\n<li>Immediate and exclusive breastfeeding, including colostrum,\u00a0 provided by cup, spoon, or NG tube if baby is unable to breastfeed;<\/li>\n<li>Respiratory support when needed, guaranteeing safe oxygen use through blended air-oxygen and with oxygen saturation monitoring;<\/li>\n<li>CPAP for respiratory distress requiring positive airway pressure with guarantees of safe oxygen use and oxygen saturation monitoring;<\/li>\n<li>Appropriate and timely management of suspected serious infections (eg, sepsis, pneumonia, meningitis) with antibiotics and supportive care as needed;<\/li>\n<li>Family-centered care with families having continuous access to their babies in special care or neonatal intensive care, and participating in providing appropriate care of their baby;<\/li>\n<li>Developmentally supportive care for newborns and support for families to provide nurturing care in facilities and after discharge home;<\/li>\n<li>Discharge planning with parents to ensure their competence and confidence to provide essential nurturing care at home; and<\/li>\n<li>Follow up care after discharge from appropriate trained health care workers to monitor the baby\u2019s condition, support the family for KMC and nurturing care, and referral for any new danger signs or complications (including Retinopathy of Prematurity follow up for small babies receiving oxygen therapy).<\/li>\n<\/ol>\n<p>The WHO released <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">recommendations for care of the preterm or low-birth-weight infant\u00a0<\/a>in 2022 detailing some of these core interventions.<\/p>\n<p>(1,5)[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>The Nurturing Care Framework for ECD<\/h4>\n<p>The <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">Nurturing Care Framework for Early Childhood Development<\/a>, launched by WHO, UNICEF and the World Bank Group in 2018, demonstrates that focusing on ECD is one of the wisest investments a country can make to boost economic growth. Nurturing care is the provision of a stable environment that promotes children\u2019s health and nutrition and interactions that are responsive, emotionally supportive, and developmentally stimulating, while providing protection from threats.<\/p>\n<p>Neurosensory development begins in-utero and is responsive to positive and negative influences in the external environment from the time of birth. Hence early life exposure to hostile environment, including stress is linked to decreased brain density, with longer-term effects on learning outcomes. Newborns who are small \u2014 preterm, low birth weight, and\/or small for their gestational age \u2014 and\/or are sick \u2014 from infections, intrapartum related complications and pathological jaundice \u2014 are at heightened risk of neurodevelopmental delays and disabilities.<\/p>\n<p>Traditional inpatient care facilities expose vulnerable newborns to excess sound and light conditions in the units, potential harm from unsafe oxygen use, separation of the mother-infant dyad, leading to parental stress and negative psychological effects in addition to delayed feeding and difficulties breastfeeding which can persist after discharge. Of the 13 million preterm newborns who survive globally each year, an estimated 2.7% have moderate to severe impairments and 4.4% have mild neurodevelopmental impairments.<\/p>\n<p><span style=\"font-weight: lighter;\">Nurturing care for small and sick newborns is possible. Several evidence-based interventions can create a healing physical and sensory environment. These include Family Centered Care that allows for non-separation of the mother from her newborn; Kangaroo Care, including immediate initiation even when the newborn is receiving special care in the SCU\/NICU; the Baby-Friendly Hospital Initiative that supports the mother for breastmilk feeding; safety and security through infection prevention and control; judicious use of antibiotics; and safe oxygen use when needed.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/span><\/p>\n<h4>Use of data for action<\/h4>\n<p>Countries are required to improve the measurement of the care of small and sick newborns, and their later development and health in order to achieve the goal of ending all preventable deaths by 2030.<\/p>\n<p>It is of utmost importance to collect and analyze data on coverage and quality of care, including long-term outcomes in the most at-risk. In order to guide programs and investments, the continuous monitoring of data on quality of care is a key element for better results for newborns\u2019 survival and thriving.<\/p>\n<p>It is also important to establish good measurement for innovations implemented in LMICs for the care of high-risk newborns. Some examples are simpler and affordable technologies, such as bubble CPAP (continuous positive airway pressure), or innovative implementation approaches, such as task-shifting roles for various cadres of health workers.<\/p>\n<p> <\/p>\n<p><img class=\"wp-image-43882 \" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/kangaroo-mother-care-2020-1-300x225.jpg\" alt=\"\" width=\"546\" height=\"409\" \/>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1593021721082{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_column][vc_column_text]<\/p>\n<h4>Cost of care and return on investment<\/h4>\n<p>The Survive and Thrive report mentions that the increased investment by LMICs to improve access to inpatient quality care for small and sick newborns is currently at US$ 0.20 per person and US$ 1,700 per newborn death averted. The investment in health and development of all newborns, providing a good start in the life cycle, and in particular for the most at-risk, will potentially increase economic development in such countries.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"43329\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/preterm-birth-complications\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Every Newborn Tracking Progress toward SDG Targets<\/h4>\n<p>The Every Newborn Action Plan set concrete goals regarding newborn mortality and stillbirths in general and the care for small and sick newborns specifically. Interim goals and targets for 2025 were developed in 2020 through a multi-partnered consultative process by global and country leaders and experts. The four goals are to 1)eliminate preventable newborn and stillbirth deaths by 2025, 2) that 90% of mothers have four or more antenatal visits, 3) 90% of births are attended by trained health personnel, and that 4) 80% of mothers receive routine postnatal care within two days of birth, and <strong>80% of districts in all countries have <\/strong><strong>at least 1 inpatient newborn care unit (level 2) care to provide small and sick\/or newborns<\/strong>.[\/vc_column_text][vc_btn title=\"More on ENAP\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fissue%2Fevery-newborn%2F||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=\"custom\" css=\".vc_custom_1453408765156{margin-bottom: 50px !important;}\" accent_color=\"#cccccc\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"40699\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/complications-during-childbirth\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Care of the Small and Sick Newborn Community of Practice (SSNB CoP)<\/h4>\n<p>The Care of the Small and Sick Newborn Community of Practice (SSNB CoP), is an interactive platform that allows practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence in the area of newborn health.<\/p>\n<p>The Care of SSNB provides a space for dissemination of the standards and the implementation toolkit, including country experiences shared in <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fsearch-global%2F%3F_sf_s%3Dssnb%2520cop&data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=roR04RmJrTTzTgsKVoE6v4UWcN8rcgGMOFm%2BruWhDkA%3D&reserved=0\">webinars<\/a>.<\/p>\n<p><strong>REQUEST<\/strong>\u202fto join the SSNB CoP email list serve by emailing <a href=\"mailto:SSNB+subscribe@groups.ibpnetwork.org\">SSNB+subscribe@groups.ibpnetwork.org<\/a><\/p>\n<p><strong>REQUEST\u202f<\/strong>to join the SSNB CoP Online IBP Exchange Group <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed&data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=WSEjIXQVSHXs7Je08Eddbx0x5LD8Zuon6xi9mvo2heM%3D&reserved=0\">here<\/a>.[\/vc_column_text][vc_btn title=\"More on the Care of the Small & Sick Newborn\" color=\"1\" link=\"url:https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Sources:<\/p>\n<ol>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">UNICEF, WHO. Survive and thrive: transforming care for every small and sick newborn. Geneva: World Health Organization; 2019<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/newborns-reducing-mortality\">WHO.Newborns: improving survival and well-being;2020<\/a><\/li>\n<li><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/MMR_in_humanitarian_settings-final4_0.pdf\">United Nations Population Fund (UNFPA). Maternal Mortality in Humanitarian Crises and in Fragile Settings<span style=\"font-weight: lighter;\">; 2015<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Caring-for-Mothers-and-Newborns-in-Humanitarian-Emergencies-1.pdf\">\u00a0IAWG. Surviving Day One: Caring for Mothers and Newborns in Emergencies on the Day of Childbirth; 2019<\/a><\/li>\n<li>\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/categorising-interventions-to-levels-of-inpatient-care-for-small-and-sick-newborns-findings-from-a-global-survey\/\">Moxon et al. Categorising interventions to levels of inpatient care for small and sick newborns: Findings from a global survey; 2019<\/a><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_column][\/vc_column][vc_column_text][\/vc_column_text][vc_column][\/vc_column][ultimate_exp_section title=\"Key Resources\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-small-vulnerable-newborns-series\/\" target=\"_blank\" rel=\"noopener\">The Lancet Small Vulnerable Newborns Series (2023)<\/a> - This Series presents a new conceptual framework that brings preterm birth, small for gestational age (SGA), and low birthweight (LBW) together under the term \u201csmall vulnerable newborns\u201d (SVN) in order to contribute to healthier and thriving women, newborns, children, adults, and societies.<\/li>\n<li>WHO <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">Standards for improving the quality of care for small and sick newborns in health facilities<\/a> \u2014 Theses standards for the care of small and sick newborns in health facilities define, standardize and mainstream inpatient care of small and sick newborns, building on essential newborn care and ensuring consistency with the WHO quality of care framework.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive: transforming care for every small and sick newborn<\/a> \u2014 This report maps out a pathway towards 2030. It is built upon epidemiology, historical trends, lessons learnt and evidence-based interventions.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/every-preemie-scale-launches-no-harm-technical-briefs-improve-safe-effective-use-key-inpatient-newborn-care-interventions\/\">Every Preemie Do No Harm Technical Briefs<\/a> \u2014 This series of briefs was developed between 2017-2019 and highlights the safe and effective use of specific inpatient newborn care interventions, with the guiding principle of \u201cDo No Harm.\u201d<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-every-newborn\/\">Nurturing Care for Every Newborn<\/a>\u00a0\u2014 This brief summarizes why nurturing care is essential for every newborn to survive and thrive. It outlines the five components of nurturing care and contains examples of practical actions to create and strengthen nurturing environments for newborns, including those who are born too soon, small or sick.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">The Nurturing Care Framework for Early Childhood Development<\/a> \u2014 This framework draws on state-of-the-art evidence on how ECD unfolds to set out the most effective policies and services that will help parents and caregivers provide nurturing care for babies.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/implementation-toolkit-for-small-and-sick-newborn-care\/\">Implementation Toolkit for Small and Sick Newborn Care<\/a> \u2014Released on World Prematurity Day 2021, this Implementation Toolkit brings together readings, tools and learnings to provide a one-stop shop for implementers to act, use, share and learn. Information in support of WHO norms and standards from more than 300 implementers around the world is systematically organised to enable implementation and reach every newborn.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Guidelines and Statements\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/newborn-health-standards.org\/\">European Standards of Care for Newborn Health<\/a> \u2014 The ESCNH project aims to address disparities in the care of preterm and ill infants by developing standards for a wide range of topics in newborn health.<\/li>\n<li><a href=\"https:\/\/nicudesign.nd.edu\/nicu-care-standards\">Consensus Standards on Infant and Family-Centered Developmental Care<\/a> \u2014 This web document is the full report of the Consensus Committee of the Standards, Competencies, and Best Practices for Infant and Family-Centered Developmental Care in the ICU.<\/li>\n<li><a href=\"https:\/\/journals.lww.com\/advancesinneonatalcare\/Fulltext\/2019\/02000\/Guidelines_for_the_Institutional_Implementation_of.4.aspx\">Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU: A Joint Position Statement from CANN, CAPWHN, NANN, and COINN (2019)<\/a> \u2014 This position statement provides an evidence-based framework for the institutional implementation of developmentally supportive, neuroprotective care in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/nidcap.org\/\">Newborn Individualized Developmental Care and Assessment Program<\/a> \u2014 NIDCAP is an organization that supports development, enhances strengths and minimizes stress for infants, family and staff who care for them.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-individualized-developmental-care-and-assessment-program-nidcap-an-education-and-training-program-for-health-care-professionals\/\">NIDCAP Program Guide<\/a> \u2014 Educational and consultative support and assistance to NICU and special care nursery settings towards effective delivery of intensive and special care in a neurodevelopmentally supportive, individualized, and family-centered framework.<\/li>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">Integrated Family Delivered Neonatal Care<\/a> \u2014 Online resources by the Imperial College Healthcare NHS Trust to create a consistent, nurturing environment for parents to feel engaged, enabled, educated and empowered as the primary caregivers to their babies.<\/li>\n<li><a href=\"https:\/\/fundacioncanguro.co\/en\/fundacion-canguro-english\/\">Kangaroo Foundation training kit (English, Spanish, French)<\/a> \u2014 This site hosts online resources to encourage the use, development and dissemination of Kangaroo Mother Care (KMC), a methodology based on scientific evidence.<\/li>\n<li><a href=\"https:\/\/nurturescienceprogram.org\/family-nurture-intervention\/\">Family Nurture Intervention<\/a> \u2014 This program helps families re-establish emotional connection and autonomic co-regulation if they are interrupted, with significant short- and long-term benefits for both baby and mother.<\/li>\n<li><a class=\"Hyperlink SCXW255313088 BCX8\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8063066\/?report=printable\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\" data-ccp-charstyle=\"Hyperlink\">Post Partum Depression in NICU<\/span><\/span><\/a><span class=\"TextRun SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\"> \u2014 This resource highlights important results from a community KMC study in India indicating that postpartum depression was reduced in mothers when KMC was used.<\/span><\/span><span class=\"EOP SCXW255313088 BCX8\" data-ccp-props=\"{"201341983":1,"335559739":160,"335559740":405}\">\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/www.marchofdimes.org\/nursing\/index.bm2?cid=00000003\">March of Dimes Education for Nurses <\/a>\u2014This site includes resources to equip nurses with the information they need to provide the highest quality care to newborns and mothers.<\/li>\n<li><a href=\"http:\/\/www.familyintegratedcare.com\/\">Family Integrated Care<\/a> \u2014 FICare is a model that integrates families as partners in the NICU care team, and provides a structure that supports the implementation of family-centered care. This website provides helpful tools and resources to support this model.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Educational Materials for Professionals\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/53398\/\">Psychosocial standards for NICU Parents<\/a> \u2014 This article provides a rationale for and brief description of the process of developing recommendations for program standards for psychosocial support of parents with babies in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3697041\/\">National Perinatal Association Multidisciplinary Guidelines for the Care of Late Preterm Infants \u2014<\/a> This supplement was published on behalf of the Late Preterm Infant Guidelines Steering Committee with permission from The National Perinatal Association.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/small-and-sick-newborn-care-during-the-covid-19-pandemic-global-survey-and-thematic-analysis-of-healthcare-providers-voices-and-experiences\/\">Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers\u2019 voices and experiences<\/a> \u2014 This study surveyed reported disruptions to small and sick newborn care worldwide and analyzed healthcare providers\u2019 experiences and proposed mitigation strategies<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-kangaroo-mother-care-and-survival-of-infants-with-low-birth-weight\/\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight<\/a> \u2014 This research published in 2021 shows evidence that immediate KMC dramatically improves survival rates of small and sick newborns.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-had-a-protective-effect-on-the-volume-of-brain-structures-in-young-adults-born-preterm\/\">Kangaroo mother care had a protective effect on the volume of brain structures in young adults born preterm<\/a> \u2014 This study is one of the first to show evidence of the long-term benefits of KMC.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Parent Education and Integrated Family Delivered Neonatal Care\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">NHS Imperial College Healthcare \u2013 Parent NICU App<\/a> \u2014 This app helps parents through their NICU journey in the ethos of family integrated care.<\/li>\n<li><a href=\"https:\/\/www.bliss.org.uk\/health-professionals\/information-and-resources\/resources-for-parents\">Bliss Resources for Parents (in conjunction with IFDC Care Bundle)<\/a> \u2014 Downloadable resources to give to parents on neonatal units or you can direct them to the information on this website.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][vc_row][\/vc_row][vc_column][\/vc_column]<\/p>\n","post_title":"Care of small and sick newborns","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"care-of-small-and-sick-newborns","to_ping":"","pinged":"","post_modified":"2023-08-02 12:39:31","post_modified_gmt":"2023-08-02 16:39:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=14757","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":132,"post_author":"7211","post_date":"2015-10-21 15:20:24","post_date_gmt":"2015-10-21 15:20:24","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>Early and exclusive breastfeeding for the first six months of a child\u2019s life reduces child mortality and has health benefits that extend into adulthood. Breastfeeding benefits not only the child but the mother and family also, as it is free of cost and reduces the risk of infection in newborns, enhances neurodevelopment, and reduces the risk of acquiring certain non-communicable illnesses in adulthood. Breastmilk substitutes and animal milk not only lack essential immune-building components, they also expose the infant to an increased risk of infection and morbidity.<\/h2>\n<p>[\/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\">44<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991173051{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of infants under six months of age who are exclusively breastfed (2015-2020)<\/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-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">800<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991296488{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of infant deaths that can be <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6735804\/\">attributed to suboptimal breastfeeding practices<\/a><\/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\">20<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690991361409{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage reduction in risk of newborn death when <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5025980\/#:~:text=About%2020%25%20of%20all%20neonatal,the%20neonatal%20period%20%5B17%5D.\">breastfeeding is initiated within one hour of birth<\/a><\/span><\/h3>\n<p>[\/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]<\/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=\"More information\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Human milk feeding and breastfeeding have immediate and long-term benefits for all babies, including the preterm and low birth weight. Feeding small and sick newborns is challenging because of immaturity or medical conditions that interfere with effective oral feeding. Moreover, small newborns are further affected by variation in the gut microbiome and increased risk for infections.<\/p>\n<p>They often need care in special or intensive care units, which commonly results in separation from their mothers, creating additional challenges to feeding. Care for small and sick newborns must include the promotion of safe and optimal use of human milk (with cup or nasogastric tube), and subsequent transition to breastfeeding, to achieve adequate gain weight and growth in these infants. Staff caring for these babies require specific knowledge and competencies, as well as sufficient supplies for feeding small and sick newborns.<\/p>\n<p>Studies have shown that Early Total Enteral Feeding (ETEF) is safe and decreases the incidence of infections, including necrotizing enterocolitis (NEC), enhances cognitive development, reduces days on parental nutrition, and helps shorten the time to achieve full feeds. Own mother\u2019s milk is the first choice for such babies. Delayed initiation of and infrequent breastmilk feeding can affect the establishment of milk supply and result in decreased milk supply and unnecessary use of breast milk substitutes. If the small baby cannot suckle at the breast, it is important to express, starting with the colostrum within an hour of birth to support the onset of lactation. Such mothers should continue to express every 2-3 hours for eight or more sessions during the day, including at night for ensuring no disruption of lactation and milk supply. To achieve low risk of contamination of expressed breast milk, it is very important to ensure hygienic milk collection, storage, and handling practices.<\/p>\n<p>When own mother\u2019s milk is not available, WHO and UNICEF promote the use of pasteurized donor human milk (PDHM) as the second option in preference to formulas. However, WHO has specified that, this \u201crecommendation (is) relevant for settings where safe and affordable milk-banking facilities are available or can be set up;\u201d The use of formulas as the next option requires counseling the mothers and families on their proper and clean preparation. The use of preterm formulas should only be recommended when the VLBW baby is not gaining weight on standard formula and if it can be afforded. For babies smaller than 1500gm, the WHO recommends adding vitamin D, calcium, phosphorus, and iron supplements.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/infant-and-young-child-feeding\">WHO Infant Feeding Recommendations<\/a><\/li>\n<li><a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/nutritionlibrary\/breastfeeding\/unicef-who-capture-the-moment-eibf-2018.pdf?sfvrsn=587210cf_2\" target=\"_blank\" rel=\"noopener noreferrer\">Early Initiation of Breastfeeding to Promote Exclusive Breastfeeding<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/coronavirus-disease-covid-19-breastfeeding\">Coronavirus disease (COVID-19): Breastfeeding Q&A (WHO)<\/a> + <a href=\"https:\/\/www.who.int\/news-room\/commentaries\/detail\/breastfeeding-and-covid-19\">Scientific Brief\u00a0<\/a><\/li>\n<li>Lancet Breastfeeding Series (2016)<\/li>\n<li><a href=\"http:\/\/www.who.int\/maternal_child_adolescent\/topics\/child\/nutrition\/breastfeeding\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">WHO Resources on Breastfeeding<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/breastfeeding-advocacy-toolkit\/\">Breastfeeding Advocacy Toolkit<\/a><\/li>\n<li>\n<p class=\"entry-title\"><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><\/p>\n<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Breastfeeding and feeding of small and sick newborns","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"breastfeeding-and-feeding-of-small-and-sick-newborns","to_ping":"","pinged":"","post_modified":"2023-11-21 12:34:55","post_modified_gmt":"2023-11-21 17:34:55","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=132","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":114,"post_author":"7211","post_date":"2015-10-21 00:24:21","post_date_gmt":"2015-10-21 00:24:21","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>The majority of maternal and newborn deaths and stillbirths occur around the time of birth. However, there are many opportunities during pregnancy to reduce these risks.<\/h2>\n<p>While traditional antenatal care (ANC) is understood mainly to focus on obstetrical issues, contacts with pregnant women also provide important opportunities to deliver other preventive clinical interventions as well as counseling and health education on birth preparedness, danger signs and appropriate response, key practices at household level during and after pregnancy, and family planning.[\/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\">88<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690993922335{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of women age 15-49 who received at lease one ANC visit during pregnancy globally (2016-2021)<\/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\">65<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690993939923{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of women age 15-49 who received four or more ANC visits during pregnancy globally (2016-2021)<\/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_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_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Opportunities for ANC\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]The prioritization of specific ANC interventions should vary by setting. For example, in areas of high malaria risk, intermittent presumptive treatment and use of insecticide-treated mosquito nets are very important. How we reach pregnant women with services and messages must also vary by setting. There are certainly advantages to having fully-qualified health professionals like nurses or nurse-midwives provide services; however many aspects of the needed services could be provided by cadres of health auxiliaries with less training. In some settings, greater reach is achieved by providing services on an outreach basis. Over the past 15 years, the standard model for ANC has been \u201cfocused ANC,\u201d a four-visit schedule. In 2016 the World Health Organization reviewed this model and issued new recommendations.[\/vc_column_text][vc_text_separator title=\"Key Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/news-item\/updated-who-recommendations-for-malaria-chemoprevention-among-children-and-pregnant-women-who\/\" target=\"_blank\" rel=\"noopener\">Updated WHO recommendations for malaria chemoprevention among children and pregnant women<\/a> (2022)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-maternal-mortality-epmm-a-renewed-focus-for-improving-maternal-and-newborn-health-and-wellbeing\/\" target=\"_blank\" rel=\"noopener\">Ending Preventable Maternal Mortality (EPMM): A Renewed Focus for Improving Maternal and Newborn Health and Wellbeing<\/a> (2021)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/recommendations-antenatal-care-positive-pregnancy-experience\/\">WHO recommendations on antenatal care for a positive pregnancy experience<\/a> (2016) + Executive Summary<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Antenatal care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"antenatal-care","to_ping":"","pinged":"","post_modified":"2023-08-02 12:32:20","post_modified_gmt":"2023-08-02 16:32:20","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=114","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":424,"post_author":"7211","post_date":"2016-01-20 18:08:33","post_date_gmt":"2016-01-20 18:08:33","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>Originally launched in 2010, <a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a> is an unprecedented global movement that mobilizes and intensifies international action by governments, multilaterals, private sector institutions, and civil society to address the major health challenges facing women and children.<\/h2>\n<p>The Every Woman Every Child movement puts into action the UN Secretary-General\u2019s <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a> 2016-2030, which presents a roadmap on how to enhance financing, strengthen policy, and improve service on the ground.[\/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\">10<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667418172520{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">fold <a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/chapter2\/\">return on investments<\/a> in the health and\u00a0<\/span><span style=\"font-weight: 400;\">nutrition of women, children, and adolescents<\/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\">100<\/span>b<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667418200862{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of US dollars in <a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/chapter2\/\">demographic dividends from investments<\/a> in early childhood and adolescent health and development <\/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\">7<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456365806694{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of years remaining in the 2030 Agenda for Sustainable Development<\/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_text]<\/p>\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>\n<p>[\/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=\"Global Strategy for Women\u2019s, Children\u2019s and Adolescents\u2019 Health 2016-2030\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4><img class=\"wp-image-1630 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-ewec1.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/h4>\n<p>[\/vc_column_text][vc_column_text]The ambition of the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a> is to end preventable deaths among all women, children, and adolescents; to greatly improve their health and well-being; and to bring about the transformative change needed to shape a more prosperous and sustainable future. Fulfilling the Global Strategy and achieving the Sustainable Development Goals (SDGs) will require new evidence-based approaches backed by innovative and sustainable financing mechanisms. The three overarching objectives of the updated Global Strategy are survive, thrive, and transform. With its full implementation\u2014supporting country priorities and plans and building the momentum of Every Woman Every Child\u2014no woman, child, or adolescent should face a greater risk of preventable death because of where they live or who they are.<\/p>\n<p>The previous Global Strategy spurred stakeholders to achieve great things between 2010 and 2015. It galvanized political leadership, attracted billions of dollars in new financial commitments, and created <a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a>. The United Nations Commission on Information and Accountability for Women\u2019s and Children\u2019s Health resulted in a landmark Accountability Framework and an independent Expert Review Group (iERG), and the United Nations Commission on Life-Saving Commodities for Women\u2019s and Children\u2019s Health strengthened the availability and supply of essential interventions. Several global action plans and reports were launched to address and bring attention to neglected areas with support for country implementation. Millions of lives were saved, and progress toward the health Millennium Development Goals (MDGs) was accelerated. Strides were made in areas such as increasing access to contraception and essential interventions; reducing maternal and child mortality and malnutrition; and combating HIV\/AIDS, malaria, and tuberculosis.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4><img class=\"wp-image-1631 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-ewec2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/h4>\n<p>[\/vc_column_text][vc_column_text]However, far too many women, children, and adolescents worldwide still have little or no access to essential, good-quality health services, education, clean air and water, adequate sanitation, and good nutrition. They face violence and discrimination, are unable to participate fully in society, and encounter other barriers to realizing their human rights. The new Global Strategy is needed in order to complete the unfinished work of the MDGs, to address inequities within and between countries, and to help countries begin implementing the 2030 Agenda for Sustainable Development.<\/p>\n<p>By March 2015 more than 50 new commitments for newborn health\u00a0had been\u00a0made toward the Every Woman Every Child movement as part of the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Newborn movement<\/a>, an effort to end preventable newborn deaths and stillbirths in support of the Global Strategy.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Woman Every Child<\/a><\/li>\n<li><a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">The Global Strategy for Women\u2019s, Children\u2019s and Adolescent\u2019s Health (2016-2030)<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Every Woman Every Child","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"every-woman-every-child","to_ping":"","pinged":"","post_modified":"2023-08-02 15:37:57","post_modified_gmt":"2023-08-02 19:37:57","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=424","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"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":122,"post_author":"7211","post_date":"2015-10-21 15:18:38","post_date_gmt":"2015-10-21 15:18:38","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>Every Newborn is a joint action platform for the reduction of preventable newborn deaths and stillbirths.<\/h2>\r\nIt aims to support countries in ending preventable newborn deaths and stillbirths in support of <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a>. The EveryNewborn.org webpage has merged with HNN in order to streamline knowledge management \u2013 please find more details in the related events, blogs and resources below.[\/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\">3<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366510023{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of babies and women that could be saved each year through investing in quality care around birth and care for small and sick newborns<\/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\">1.15<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366541065{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of US dollars per capita required to save 3 million babies and women each year<\/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>\u2264<span class=\"ticker\">12<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1457016567251{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">the target number of newborn deaths and stillbirths per 1000 live births in every country by 2030<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data above from the <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a>, based on research in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn series.<\/a><\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"2\" css=\".vc_custom_1482959354326{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column width=\"2\/3\"][vc_column_text]\r\n<h2><strong>Overview<\/strong><\/h2>\r\nNewborn deaths account for 47% of deaths among children under the age of five globally, resulting in 2.4 million lives lost each year. In addition, 2 million babies die in the last 3 months of pregnancy or during childbirth (stillbirths) and 295,000 maternal deaths occur each year*. We have the knowledge and tools to prevent at least two-thirds of these deaths. The global <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a> (ENAP), launched in 2014, provides a road map of strategic actions for ending preventable newborn mortality and stillbirth and contributing to reducing maternal mortality and morbidity.\r\n<h6>*Most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page to explore the data further (May 2022).<\/h6>\r\n<h2><b>The Plan<\/b><\/h2>\r\nThe ENAP presents evidence-based solutions to prevent newborn deaths and stillbirths. It sets out a clear path to 2020 with specific global and national milestones. The plan was based on evidence presented in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\"><em>The Lancet<\/em> Every Newborn series<\/a>, and developed within the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a> framework.\r\n\r\nIn 2014, 194 member states of the Sixty-seventh World Health Assembly endorsed the action plan (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/resolution-wha-67-10-newborn-health-action-plan\/\">Resolution WHA 67.10<\/a>). Led by UNICEF and the World Health Organization, ENAP was guided by the advice of experts and partners and by multistakeholder consultations and a web-based consultation with over 300 comments from stakeholders. The WHO Director-General has been requested to monitor progress towards the achievement of the global goal and targets, reporting periodically to the World Health Assembly until 2030.\r\n<h2><strong>The Action<\/strong><\/h2>\r\nThe Every Newborn partnership enhances and supports coordinated, comprehensive planning and implementation of newborn-specific actions. These efforts have been coordinated by a management team with focused work streams: metrics, country implementation and advocacy. Other related partnerships have formed in support of <em>Every Women Every Children<\/em> including the\u00a0<a href=\"http:\/\/www.qualityofcarenetwork.org\/\">Quality of Care Network<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/public-private-partnership-to-prevent-preterm-birth-presentation\/\">Partnership to Prevent Preterm Birth<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/breastfeeding-advocacy-initiative-call-action\/\">Breastfeeding Advocacy Initiative<\/a>, and others.\r\n\r\nSuccess of ENAP will come through links with global and national plans, measurement structures and accountability. By 2017, global agencies have set targets based on the shared goal to end preventable child and maternal deaths by 2030 including the Sustainable Development Goals and the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. By 2017, at least 48 countries have established national newborn plans or integrated newborn content into their national health plans. As of 2016, over 50 countries had completed the Every Newborn tracking tool to facilitate country support in assessing progress, barriers, and resourcing technical assistance for newborn health in line with recommendations.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"22210\" alignment=\"center\"][vc_column_text]\r\n<h2><strong>Key Resources<\/strong><\/h2>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\">Every Newborn 2025 Targets and Milestones<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-advocacy-toolkit-guidance-manual-ending-preventable-deaths\/\">Every Newborn Advocacy Toolkit<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-progress-report-2019\/\">Every Newborn progress report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Small and Sick Newborn report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-webinar\/\"> Every Newborn Webinar (2013 - 2016)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn action plan (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-plans-newborn-health\/\">National plans for newborn health<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]\r\n<h2><strong><span style=\"color: #000000;\"><img class=\"alignleft wp-image-20071\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/twitter-logo-transparent-small.png\" alt=\"twitter-logo-transparent-small\" width=\"30\" height=\"24\" \/>Join the conversation<\/span><\/strong><\/h2>\r\n[\/vc_column_text][vc_raw_html]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[\/vc_raw_html][\/vc_column][\/vc_row]","post_title":"Every Newborn","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"every-newborn","to_ping":"","pinged":"","post_modified":"2022-11-02 15:50:12","post_modified_gmt":"2022-11-02 19:50:12","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=122","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":15761,"post_author":"7211","post_date":"2020-08-03 15:39:12","post_date_gmt":"2020-08-03 19:39:12","post_content":"[vc_row][vc_column][vc_column_text]Beginning in 2000, Saving Newborn Lives (SNL) was the first newborn health program of its kind, elevating the contribution of Save the Children and its partners in this area. This impulse generated a movement for newborn health and an <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-legacy\/\" target=\"_blank\" rel=\"noopener noreferrer\">unprecedented legacy<\/a>, shared by SNL partners around the world.\r\n\r\nOver the last two decades, the program has worked in 32 countries,\u00a0building close partnerships with governments, multilateral agencies, nongovernmental organizations\u00a0and stakeholders,\u00a0as well as health professionals\u00a0through extensive newborn and perinatal research, advocacy, and program implementation.\r\n\r\nAs more than two-thirds of newborn deaths can be prevented by increasing the coverage of\u00a0existing\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/issues\/\" target=\"_blank\" rel=\"noopener noreferrer\">newborn health interventions<\/a>,\u00a0it is imperative to increase\u00a0the\u00a0allocation of\u00a0existing\u00a0resources to ensure quality newborn and maternal health care.\r\n\r\nA series of <a href=\"https:\/\/www.healthynewbornnetwork.org\/event\/saving-newborn-lives-legacy-e-talks\/\" target=\"_blank\" rel=\"noopener noreferrer\">e-Talks <\/a>to be held in September and October 2020 will mark the 20th anniversary of SNL, offering an opportunity for the global community to discuss the unfinished agenda for newborn and perinatal health and priorities for the future.[\/vc_column_text][vc_single_image image=\"46541\" title=\"SNL Newborn Health Legacy Timeline\"][\/vc_column][vc_column][vc_column_text]\r\n<h2>Newborn Health Legacy Literature<\/h2>\r\nThe table below includes publications produced through the Saving Newborn Lives program, with a focus on the final two phases of the program: SNL 3 (2013-2018) and SNL 4 (2019-2020). Over the past 20 years, SNL and partners produced numerous briefs, articles, reports, and other documents, about 300 of which during SNL 3 and SNL 4.\r\n\r\nWe are pleased to share some of these seminal publications as background documents in support of the Legacy e-Talks. The table also includes key newborn health literature produced by SNL partners over the years, critical for the understanding of achievements, lessons learned, challenges and future priorities in this issue area.\r\n\r\nDocuments are organized per e-Talks Days and Sessions, and can be searched using keywords and tags available on the table. Scroll down and across the columns and rows to see all documents.[\/vc_column_text][vc_raw_html]JTNDaWZyYW1lJTIwY2xhc3MlM0QlMjJhaXJ0YWJsZS1lbWJlZCUyMiUyMHNyYyUzRCUyMmh0dHBzJTNBJTJGJTJGYWlydGFibGUuY29tJTJGZW1iZWQlMkZzaHJCcnpIY25CeE8wN0M4aiUzRmJhY2tncm91bmRDb2xvciUzRGN5YW4lMjZ2aWV3Q29udHJvbHMlM0RvbiUyMiUyMGZyYW1lYm9yZGVyJTNEJTIyMCUyMiUyMG9ubW91c2V3aGVlbCUzRCUyMiUyMiUyMHdpZHRoJTNEJTIyMTAwJTI1JTIyJTIwaGVpZ2h0JTNEJTIyNTMzJTIyJTIwc3R5bGUlM0QlMjJiYWNrZ3JvdW5kJTNBJTIwdHJhbnNwYXJlbnQlM0IlMjBib3JkZXIlM0ElMjAxcHglMjBzb2xpZCUyMCUyM2NjYyUzQiUyMiUzRSUzQyUyRmlmcmFtZSUzRQ==[\/vc_raw_html][\/vc_column][\/vc_row][vc_section][vc_row][vc_column][vc_column_text]\r\n<h1 id=\"call-to-action\"><strong>CALL TO ACTION<\/strong><\/h1>\r\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/saving-newborn-lives-legacy\/\"><strong>Save the Children\u2019s Saving Newborn Lives<\/strong><\/a> (SNL) initiative is celebrating 20 years of targeted action in newborn health, reflecting global, regional, national, and local partner support and commitment around the world. \u00a0Despite this progress, too many women and their newborns\u2014including stillborn babies\u2014die every year due to complications in pregnancy, childbirth, and the first 30 days of life. In 2019, as highlighted in the <a href=\"https:\/\/www.unicef.org\/media\/79371\/file\/UN-IGME-child-mortality-report-2020.pdf.pdf\">IGME child mortality report<\/a>, there were 5.2 million deaths in children under 5, with 2.4 million (46 percent) in neonates and millions more in need of <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/care-of-small-and-sick-newborns\/\">small and sick<\/a> inpatient newborn care in order to survive and <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Survive-and-Thrive_Final.pdf\">thrive<\/a>. In this time of pandemic crisis, our mission as a global community of stakeholders committed to reaching mothers and their newborns with high-impact interventions along the continuum of care is more important than ever. This is especially true as we redouble our efforts to accelerate progress toward <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\">Every Newborn<\/a> targets and milestones and the <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.who.int%2Fsdg%2Ftargets%2Fen%2F&data=02%7C01%7Ccrodrigues%40savechildren.org%7C20fe7cae90cd47a9bf8808d86af90f59%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637376965215756704&sdata=yHc8Q3%2FHv753zBJ4%2B0Ug%2FHBXvmdkx9enNP7PCDv%2FUrU%3D&reserved=0\">Sustainable Development Goals (SDGs) targets 3.1 and 3.2<\/a>, for maternal, newborn, and child health.\r\n\r\n \r\n<h2><strong>Saving Newborn Lives \u2013 Newborn Health Legacy Call to Action<\/strong><\/h2>\r\n<ol>\r\n \t<li><strong>Advance <\/strong><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\"><strong>Every Newborn Action Plan<\/strong><\/a><strong> 2025 coverage targets and milestones and the SDGs <\/strong>by working collaboratively with Ministries of Health and other key stakeholders to ensure investment and political will lead to actions that amplify progress.<\/li>\r\n \t<li><strong>Accelerate universal provision of respectful high quality care <\/strong>that is family-centered and supports a nurturing environment for newborns and their mothers in all settings while improving access to family planning and other reproductive health services.<strong>\u00a0<\/strong><\/li>\r\n \t<li><strong>Prioritize the mother and child dyad <\/strong>and integrate early childhood development, WASH\/infection prevention and control, and other MNH interventions that babies and their mothers, including young and first time mothers, need to survive and thrive.<\/li>\r\n \t<li><strong>Support universal access to high quality care for small and sick newborns <\/strong>by testing and scaling nascent opportunities while ramping up proven solutions like kangaroo mother care through advocacy, standard indicators, facilitative infrastructure, country specific plans, and an increased focus on follow up care following facility discharge.<\/li>\r\n \t<li><strong>Improve MNH reach and coverage equity <\/strong>in fragile, humanitarian, and hard to reach settings and with marginalized groups in urban areas where mortality is often highest.<\/li>\r\n \t<li><strong>Measure and report MNH progress and outcomes <\/strong>while strengthening partner capacities to use data for continuous quality improvement.<\/li>\r\n<\/ol>\r\nOver the last 20 years, Save the Children and a broad and deep coalition of partners representing government, donors, civil society, and the communities and families we serve have worked collaboratively to elevate newborn health and survival as a public health priority, firmly anchoring the \u201cN\u201d in MNH. We have accomplished a great deal, but more needs to be done. We invite you to champion the agenda for mothers and newborns in your conversations, through platforms to share experience, knowledge, and evidence, and in meaningful engagement with and support to local partners and stakeholders. We all have a role to play in galvanizing global and local action for mothers and their children\u2014please join us.\u00a0 Learn more at the <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\">Healthy Newborn Network<\/a>.[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section][vc_section][vc_row][vc_column][vc_row_inner][vc_column_inner][gravityform id=\"6\" title=\"true\" description=\"true\" ajax=\"false\"][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][\/vc_section]","post_title":"Saving Newborn Lives Legacy","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"saving-newborn-lives-legacy","to_ping":"","pinged":"","post_modified":"2022-10-07 17:40:50","post_modified_gmt":"2022-10-07 21:40:50","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=15761","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":133,"post_author":"7211","post_date":"2015-10-21 15:20:35","post_date_gmt":"2015-10-21 15:20:35","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>Many countries experiencing humanitarian crises, including civil conflict, recurring natural disasters, or both, also have severe newborn and maternal mortality. For countries already burdened with poor maternal and newborn health outcomes, emergencies exacerbate existing challenges.<\/h2>\n<p>Population movements, insecurity, increased burden on health systems, poor or damaged infrastructure and limited availability of qualified health workers can restrict access to quality care. Recent analyses have indicated that roughly 60% of maternal deaths and 45% of newborn deaths occur in countries affected by a humanitarian\u00a0 crisis or fragile conditions. The highest rates of stillbirth occur in conflict and emergency settings. Further studies and efforts to improve measurements are encouraged in order to better track progress and increase accountability.[\/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\">29<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655835486516{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">babies were <a href=\"https:\/\/www.who.int\/news\/item\/13-01-2021-early-childhood-development-in-conflict-affected-countries-is-key-to-life-long-health-wellbeing-and-prosperity-says-who-and-partners\" target=\"_blank\" rel=\"noopener\">born into conflict-affected areas<\/a> in 2018<span style=\"font-weight: 400;\"><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\">500<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655835996933{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/pub-pdf\/UNFPA_HumanitAction_2019_PDF_Online_Version_16_Jan_2019.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">number of women and girls who die <\/a>from complications due to pregnancy and childbirth every day in countries facing humanitarian and fragile contexts<span style=\"font-weight: 400;\"><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\">40<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1655836784867{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unhcr.org\/refugee-statistics\/\" target=\"_blank\" rel=\"noopener noreferrer\">percentage of refugees<\/a> who are children<br \/>\nunder the age of 18<span style=\"font-weight: 400;\"><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-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">45<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1576100716179{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/pub-pdf\/Humanitarian_2017_Overview-Final_updated-11_Jan_2017_web.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">percentage of newborn deaths<\/a> occurring in countries affected by humanitarian crises and fragility<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\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>\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_column_text]<\/p>\n<h4 style=\"text-align: center;\">Newborn Health in Humanitarian Settings Field Guide<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-humanitarian-settings-field-guide\/\" target=\"_blank\" rel=\"noopener\">English\u00a0<\/a>|\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-in-humanitarian-settings-field-guide-french\/\" target=\"_blank\" rel=\"noopener\">Fran\u00e7ais<\/a>\u00a0|\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-in-humanitarian-settings-field-guide-spanish\/\" target=\"_blank\" rel=\"noopener\">Espa\u00f1ol\u00a0<\/a>| <a href=\"https:\/\/newbornfieldguide.com\/en\/\" target=\"_blank\" rel=\"noopener\">Web portal (2022)<\/a>*<\/p>\n<h3 style=\"text-align: center;\"><em>*The web portal brings together essential guidance and tools that healthcare providers will find useful in designing, managing, monitoring, and evaluating newborn health services within humanitarian settings.<\/em><\/h3>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/arabic-newborn-health-humanitarian-settings-field-guide\/\">\u0639\u0631\u0628\u0649<\/a><b><\/b><i><\/i><u><\/u><\/p>\n<h4 style=\"text-align: center;\">Manual: Newborn Care Supply Kits for Humanitarian Settings<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/manual-newborn-care-supply-kits-for-humanitarian-settings\/\" target=\"_blank\" rel=\"noopener noreferrer\">English<\/a><\/p>\n<h4 style=\"text-align: center;\">Global Commitments<\/h4>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/a-declaration-to-accelerate-newborn-health-in-humanitarian-settings\/\">A Declaration to Accelerate Newborn Health in Humanitarian Settings (2019)<\/a><br \/>\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newbornroadmap\/\" target=\"_blank\" rel=\"noopener noreferrer\">Roadmap to Accelerate Progress for Every Newborn in Humanitarian Settings 2020-2024<\/a><br \/>\n<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/surviving-day-one-caring-for-mothers-and-newborns-in-humanitarian-emergencies-on-the-day-of-childbirth\/\">\u00a0Surviving Day One: Caring for Mothers and Newborns in Humanitarian Emergencies on the Day of Childbirth<\/a>[\/vc_column_text][vc_text_separator title=\"More on Newborn Health in Emergencies\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<span style=\"color: #000000; font-family: Calibri;\">It is no coincidence that countries affected by humanitarian crises and conflict are the riskiest for mothers and babies. Access to essential services before, during, and after pregnancy in these settings is severely restricted. As the number of people affected by conflict, natural disasters, and other emergencies increases, the gap between needs and resources is growing. There is a growing demand from responders and governments to provide for the most vulnerable groups. When a baby is born in an emergency setting, the number of risks that are encountered in the first days of life may seem insurmountable \u2014 but even in these precarious situations, many of the deaths that occur around the time of birth are preventable. We can do something to help.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<span style=\"color: #000000; font-family: Calibri;\">The global health cluster that is led by the World Health Organization has agreed on and recently revised the <a href=\"https:\/\/iawg.net\/resources\/misp-calculator\" target=\"_blank\" rel=\"noopener noreferrer\">Minimum Initial Service Package<\/a> for reproductive health in crisis situations. The <a href=\"https:\/\/iawgfieldmanual.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Inter-Agency Field Manual and MISP reference sheet<\/a> are also available. Recognizing the gap for newborns, an inter-agency group of stakeholders and UN agencies developed additional evidence and guidelines, and coordinate advocacy for newborn health in humanitarian emergencies. They aim to galvanize efforts to ensure that life-saving care is available even in the most difficult of circumstances.<\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Additional Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/toolkit\/\">Newborn Health in Humanitarian Settings: Implementation Toolkit <\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-health-resources-trainings-and-tools-for-improving-newborn-health-in-humanitarian-settings\/\" target=\"_blank\" rel=\"noopener noreferrer\">Newborn Health Resources: Trainings and Tools for Improving Newborn Health in Humanitarian Settings<\/a><\/li>\n<li><a href=\"http:\/\/conflictandhealth.biomedcentral.com\/articles\/10.1186\/1752-1505-8-8\" target=\"_blank\" rel=\"noopener noreferrer\">Neonatal survival in complex humanitarian emergencies: setting an evidence-based research agenda<\/a><\/li>\n<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3488319\/\" target=\"_blank\" rel=\"noopener noreferrer\">Neonatal survival interventions in humanitarian emergencies: a survey of current practices and programs<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][\/vc_row]<\/p>\n","post_title":"Newborn Health in Emergencies","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"emergencies","to_ping":"","pinged":"","post_modified":"2023-08-02 15:18:08","post_modified_gmt":"2023-08-02 19:18:08","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=133","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":49497,"post_author":"7211","post_date":"2021-08-04 20:35:27","post_date_gmt":"2021-08-05 00:35:27","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][vc_column_text]\r\n<h2>COVID-19 disease<\/h2>\r\nAccording to the World Health Organization, the COVID-19 virus spreads primarily through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. Current evidence indicates that COVID-19 does not appear to directly impact newborns. Few novel coronavirus infections have been reported in newborns, and these were almost uniformly asymptomatic. The few that had symptoms were reported to have mild illness.\r\n<h2><strong>There is no evidence of vertical mother-to-newborn transmission during pregnancy or via breastfeeding.<\/strong><\/h2>\r\n[\/vc_column_text][vc_column_text]\r\n<h2>Indirect adverse effects of COVID-19 on pregnancy and newborns<\/h2>\r\nWhereas the <strong>direct effects of COVID-19 on pregnancy and newborns are minimal, indirect adverse effects are becoming increasingly apparent<\/strong> and important areas of concern. These include potential disruptions of routine maternal and newborn health (MNH) care that is essential for the health and survival of mothers and newborns. Countries\u2019 responses to the pandemic \u2013 such as social distancing measures \u2013 can pose threats to continuing best practices by health care providers, as well as to home caregiver practices that are essential to newborn health and survival. Leading <strong>examples of these threats to best MNH practices<\/strong> include:\r\n<ul>\r\n \t<li>separation of mothers and newborns instead of promoting immediate skin-to-skin contact and rooming in, in facilities, and<\/li>\r\n \t<li>immediate and exclusive <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">breastfeeding<\/a>, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/kangaroo-mother-care\/\">Kangaroo Mother Care (KMC)<\/a> for preterm and small babies.<\/li>\r\n<\/ul>\r\nThus, pandemic mitigation by social distancing should not result in unintended harm to mothers and their newborns.\r\n\r\nThere is also a risk to mothers and babies that pandemic responses limit needed psychosocial support to mothers during pregnancy, delivery, and in the postpartum period. Additionally, the economic toll of the pandemic response poses serious risks to many families \u2013 especially mothers and newborns \u2013 living in poverty or near-poverty. Policies and programs must recognize and take steps to prevent or ameliorate these important risks which may otherwise be overlooked. These can include food insecurity, loss of livelihoods, misinformation, and lockdown-induced social isolation and loss of vital community\/family support.\r\n\r\nThe World Health Organization (WHO) and partners continue to monitor the evidence and provide guidance accordingly.[\/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_column_text]<strong>Key Resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/WHO-2019-nCoV-clinical-2021-2\">Living guidance for clinical management of COVID-19<\/a>\u00a0(WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/questions-and-answers-covid-19-vaccines-and-pregnancy\/\">Questions and Answers: COVID-19 vaccines and pregnancy<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.unicef.org\/coronavirus\/navigating-pregnancy-during-coronavirus-disease-covid-19-pandemic\">Navigating pregnancy during the COVID-19 pandemic \u2013 How to best protect yourself and your baby<\/a> (UNICEF)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/event\/maintaining-essential-mnch-services-during-the-covid-19-pandemic-lessons-from-19-countries\/\" target=\"_blank\" rel=\"noopener\">Maintaining essential MNCH services during the COVID-19 pandemic: Lessons from 19 countries<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/technical-guidance\">View WHO Technical and Country Guidance<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/q-a-on-covid-19-pregnancy-and-childbirth\">COVID-19, pregnancy & childbirth<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/action\/showPdf?pii=S1473-3099%2820%2930157-2\">Guideline for pregnant women with suspected SARS-CoV-2 infection<\/a> (Lancet)<\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/coronavirus?dgcid=kr_pop-up_tlcoronavirus20\">Covid-19 Resource Center\u00a0<\/a>(Lancet)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\/question-and-answers-hub\/q-a-detail\/q-a-on-covid-19-and-breastfeeding\">COVID-19 & breastfeeding<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news-room\/commentaries\/detail\/breastfeeding-and-covid-19\">Breastfeeding and COVID-19 Scientific Brief<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/guidelines-for-continued-newborn-healthcare-during-the-covid-19-pandemic\/\">Guidelines for continued newborn healthcare during the COVID-19 pandemic: compiled programmatic information for implementers and project managers<\/a> (WHO)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/covid-19-technical-brief-for-antenatal-care-services\/\">COVID-19 Technical Brief for Antenatal Care Services<\/a> (UNFPA)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/covid-19-technical-brief-for-maternal-services\/\">COVID-19 Technical Brief for Maternal Service<\/a> (UNFPA)<\/li>\r\n \t<li><a href=\"https:\/\/www.advancingnutrition.org\/news-events\/2020\/04\/24\/infant-and-young-child-feeding-recommendations-when-covid-19-suspected-or\">Infant and Young Child Feeding Recommendations When COVID-19 is Suspected or Confirmed<\/a> (USAID, UNICEF & IFE)<\/li>\r\n \t<li><a href=\"https:\/\/resourcecentre.savethechildren.net\/library\/iycf-tools-context-covid-19\">Infant and Young Child Feeding Tools in the Context of COVID-19<\/a> (Save the Children)<\/li>\r\n \t<li>Additional resources are regularly updated on the <a href=\"https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019\">WHO website<\/a>.<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"COVID-19","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"covid-19","to_ping":"","pinged":"","post_modified":"2022-09-30 17:57:07","post_modified_gmt":"2022-09-30 21:57:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=49497","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"about_the_author":"<p><em>The\u00a0<strong>IAWG Newborn Initiative\u00a0(INI)\u00a0<\/strong>was\u00a0established\u00a0in 2020 to accelerate global preparedness and response to deliver high quality (maternal and) newborn health care, and to improve newborn health and well-being in humanitarian and fragile settings. The\u00a0INI\u00a0has a mandate to hold the global community accountable to progressing the priorities agreed upon within the multi-sectoral Roadmap to Accelerate Progress for Every Newborn in Humanitarian Settings 2020-2024.\u00a0<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/iawg.net\/about\/sub-working-groups\/maternal-newborn-health\">Learn more about the IAWG Maternal and Newborn Health sub-working group<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/emergencies\/'\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Learn more about newborn health in emergencies\u00a0<\/span><\/a><span data-ccp-props=\"{\">\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/twitter.com\/BornIntoCrisis\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Follow the<\/span><span data-contrast=\"none\">\u00a0IAWG Newborn Initiative on Twitter<\/span><\/a><\/li>\n<\/ul>\n<p><em>Follow HRH Princess Sarah Zeid on Twitter at <a href=\"https:\/\/twitter.com\/PrincessSarahZR\" target=\"_blank\" rel=\"noopener\"><span class=\"NoneA\">@PrincessSarahZR<\/span><\/a>\u00a0and the IAWG (Maternal and) Newborn Initiative at <a href=\"https:\/\/twitter.com\/BornIntoCrisis\" target=\"_blank\" rel=\"noopener\"><span class=\"NoneA\">@BornIntoCrisis<\/span><\/a> or contact Elaine at <\/em><span class=\"NoneA\"><em>elaine.scudder@rescue.org<\/em><\/span><\/p>\n<p> <\/p>\n<p class=\"BodyA\">\n","author_image":false},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/49275"}],"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\/7991"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=49275"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/posts\/49275\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=49275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/categories?post=49275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/tags?post=49275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}