{"id":10514,"date":"2013-11-15T00:00:00","date_gmt":"2013-11-15T00:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/"},"modified":"2017-08-21T18:12:21","modified_gmt":"2017-08-21T22:12:21","slug":"born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/","title":{"rendered":"Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon"},"content":{"rendered":"

Abstract<\/span><\/strong><\/p>\n

<\/p>\n

Preterm birth complication is the leading cause of neonatal death resulting in over one million deaths each year of the 15 million babies born preterm. To accelerate change, we provide an overview of the comprehensive strategy required, the tools available for context-specific health system implementation now, and the priorities for research and innovation. There is an urgent need for action on a dual track: (1) through strategic research to advance the prevention of preterm birth and (2) improved implementation and innovation for care of the premature neonate. We highlight evidence-based interventions along the continuum of care, noting gaps in coverage, quality, equity and implications for integration and scale up. Improved metrics are critical for both burden and tracking programmatic change. Linked to the United Nation’s Every Women Every Child strategy, a target was set for 50% reduction in preterm deaths by 2025. Three analyses informed this target: historical change in high-income countries, recent progress <\/o_p><\/span>in best performing countries, and modelling of mortality reduction with high coverage of existing interventions. If universal coverage of selected interventions were to be achieved, then 84% or more than 921,000 preterm neonatal deaths could be prevented annually, with antenatal corticosteroids and Kangaroo Mother Care having the highest impact. Everyone has a role to play in reaching this target including government leaders, professionals, private sector, and of course families who are affected the most and whose voices have been critical for change in many of the countries with the most progress.<\/o_p><\/span><\/p>\n

Declaration<\/span><\/strong><\/o_p><\/span><\/p>\n

This article is part of a supplement jointly funded by Save the Children’s Saving Newborn Lives <\/o_p><\/span>programme through a grant from The Bill & Melinda Gates Foundation and March of Dimes Foundation and published in collaboration with the Partnership for Maternal, Newborn and Child Health and the World Health Organization (WHO). The original article was published in PDF format in the WHO Report “Born Too Soon: the global action report on preterm birth” (ISBN 978 92 4 150343 30), which involved collaboration from more than 50 organizations. The article has been reformatted for journal publication and has undergone peer review according to Reproductive Health’s standard process for supplements and may feature some variations in content when compared to the original report. This co-publication makes the article available to the community in a full-text format.<\/o_p><\/span><\/p>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

To accelerate change, we provide an overview of the comprehensive strategy required, the tools available for context-specific health system implementation now, and the priorities for research and innovation.<\/p>\n","protected":false},"author":7211,"featured_media":10515,"comment_status":"open","ping_status":"open","template":"","toolkit":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"To accelerate change, we provide an overview of the comprehensive strategy required, the tools available for context-specific health system implementation now, and the priorities for research and innovation.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2017-08-21T22:12:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/ReproductiveHealth_6.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"160\" \/>\n\t<meta property=\"og:image:height\" content=\"160\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/born-too-soon-accelerating-actions-for-prevention-and-care-of-15-million-newborns-born-too-soon\/\",\"name\":\"Born Too Soon: Accelerating actions for prevention and care of 15 million newborns born too soon - 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The Every Newborn Action Plan Measurement Improvement Roadmap details the challenges in measurement and provides a multi-year, multi-partner pathway to improving metrics, including testing and standardizing indicator definitions and developing new tools.[\/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\">71\r\n<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1513274052338{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of newborn deaths that are preventable with access to quality health care\r\n<\/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<\/span>\/<span class=\"ticker\">3<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1517246179677{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">babies do not have a birth certificate by their first\u00a0birthday<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456360643415{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of priority Every Newborn indicators identified<\/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;\"><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>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]See <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> for more newborn health specific epidemiology including rates, trends, and causes of death.\r\n\r\nEpidemiology is the \u201cstudy of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.\u201d Epidemiology examines how health conditions are distributed among a population and seeks to understand the risks or causes associated with those conditions.[\/vc_column_text][vc_column_text]The numbers of stillbirths and neonatal deaths, and the causes, are generated through modeled estimates using information from national civil registration databases, household surveys, surveillance systems, and special studies. High-quality, universal birth and death registration are required to provide nationally representative, timely data, and to signify a shift in social norms to value counting every newborn baby and stillbirth. Increasing global momentum to improve the data is important, and highlights the human face of those who are counted the least\u2014newborn babies and stillbirths.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Report Cards<\/a><\/li>\r\n \t<li><a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/supplements\/volume-15-supplement-2\" target=\"_blank\" rel=\"noopener\">Count every newborn, a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/series\/everynewborn\" target=\"_blank\" rel=\"noopener\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">The Every Newborn Action Plan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/184225\" target=\"_blank\" rel=\"noopener\">The WHO Technical consultation on newborn health indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/153544\" target=\"_blank\" rel=\"noopener\">Strategies toward ending preventable maternal mortality (EPMM)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthdatacollaborative.org\/fileadmin\/uploads\/hdc\/Documents\/the-roadmap-for-health-measurement-and-accountability.pdf\" target=\"_blank\" rel=\"noopener\">The Roadmap for Health Measurement and Accountability<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/epidemiology-monitoring-and-evaluation\/maternal-health\" target=\"_blank\" rel=\"noopener\">WHO Maternal, Newborn, Child and Adolescent Health and Ageing (Maternal and newborn health monitoring)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Epidemiology","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"data-epidemiology","to_ping":"","pinged":"","post_modified":"2022-10-19 17:59:04","post_modified_gmt":"2022-10-19 21:59:04","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=120","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":310,"post_author":"7211","post_date":"2016-01-12 16:23:30","post_date_gmt":"2016-01-12 16:23:30","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453371307046{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>According to the <a href=\"https:\/\/www.thelancet.com\/journals\/lanchi\/article\/PIIS2352-4642(21)00311-4\/fulltext\">most recent estimates<\/a>, preterm birth is a leading cause of under-5 mortality, claiming nearly 1 million lives every year.<\/h2>\r\nThe World Health Organization defines preterm birth as babies born alive before 37 weeks of pregnancy are completed. While many preterms survive in high-income countries, in low- and middle-income countries a lack of adequate newborn care puts the lives of many preterm babies at risk.[\/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\">15<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023383014{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of babies born prematurely (2014)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10.6<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023354144{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">rate of premature babies worldwide (2014)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">89<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667425699228{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8850944\/pdf\/jogh-12-04011.pdf\">preterm births<\/a> that occur in sub-Saharan Africa and South-Asia (2012 - 2016)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][vc_empty_space][\/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=\"Preventing preterm birth\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]\r\n<p style=\"text-align: center;\">Although we still do not have a full understanding of the causes of preterm birth, several interventions may reduce the risk of a woman delivering early, including high-quality\u00a0antenatal care; good nutrition; screening and management of maternal infections, diabetes, and hypertension; smoking cessation; family planning; and prenatal care for adolescents. If a woman presents in preterm labor, administration of antenatal corticosteroids may\u00a0reduce mortality from respiratory distress, and antibiotics can reduce a baby\u2019s risk for infection.<\/p>\r\n[\/vc_column_text][vc_column_text]<strong>Key resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight newborn (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/joint-statement-international-recommendations-interventions-improve-preterm-birth-outcomes\/\" target=\"_blank\" rel=\"noopener noreferrer\">Joint Statement: International WHO Recommendations on Interventions to Improve Preterm Birth Outcomes<\/a><\/li>\r\n \t<li><a href=\"http:\/\/dx.doi.org\/10.1016\/S2214-109X(18)30565-5\">National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis<\/a><\/li>\r\n \t<li><a href=\"http:\/\/dx.doi.org\/10.1016\/S2214-109X(19)30041-5\">Low birthweight: will new estimates accelerate progress?<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/Nurturing-Care-Evidence-Review-and-Case-Studies-13Aug2019.pdf\">Nurturing care for small and sick newborns: Evidence review and country case studies<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_HumanMilkFeeding_7.9.19Final.pdf\">Safe and effective human milk feeding for small and sick newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013204\">Preterm birth\u2013associated neurodevelopmental impairment estimates at regional and global levels for 2010<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/BornTooSoon-Report-April2012.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Born too soon<\/a><\/li>\r\n \t<li><a href=\"http:\/\/ptb.srhr.org\/\">Latest global, regional and national estimates of levels of preterm birth<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/series\/preterm-birth\" target=\"_blank\" rel=\"noopener noreferrer\">Lancet preterm birth series<\/a>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960074-4\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Epidemiology and causes of preterm birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960108-7\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Primary, secondary, and tertiary interventions to reduce the morbidity and mortality of preterm birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960136-1\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">An overview of mortality and sequelae of preterm birth from infancy to adulthood<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/initiatives\/every-newborn-action-plan\" target=\"_blank\" rel=\"noopener noreferrer\">Every Newborn Action Plan<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/9789241508988_eng.pdf\">WHO recommendations on interventions to improve preterm birth outcomes (2015)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Preterm birth complications","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"preterm-birth-complications","to_ping":"","pinged":"","post_modified":"2022-11-16 18:35:44","post_modified_gmt":"2022-11-16 23:35:44","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=310","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":323,"post_author":"7211","post_date":"2016-01-12 17:55:54","post_date_gmt":"2016-01-12 17:55:54","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453922923730{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>As reflected in Millennium Development Goals 4 and 5 and now the Sustainable Development Goals, our objective is to <strong>reduce the global burden of preventable deaths<\/strong>.<\/h2>\n<p>In the case of newborn work, we focus particularly on stillbirths, maternal deaths, and newborn deaths. Meeting our objectives at the level of whole populations requires that we do much better in ensuring that the highest proportion possible adopt key practices and receive specific interventions. We need <strong>high effective coverage at scale<\/strong> for key behaviors and specific high-impact elements of care. While \u201cscaling-up\u201d may be part of how we achieve sustained impact at scale, we must guard against scale-up as an end in itself. It is easy to fall into the \u201cempty scale-up\u201d trap.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">287<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690998058971{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of women who died due to pregnancy or childbirth-related complications in 2020<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">5<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1651603452364{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of children under age 5 who died in 2020<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">47<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1651603474028{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of all under-5 deaths that occurred during the first 28 days of life in 2020<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Where effective coverage is low, program efforts need to contribute to increasing and sustaining improved coverage. In some instances the interventions are already available and in use but at low effective coverage. In these cases improved delivery is needed \u2013 which may entail strengthened implementation or new delivery strategies. In situations where effective interventions are novel and not yet widely introduced, these methods may require some kind of scaling-up process to increase coverage. Because there are important differences between settings, a specific strategy or package will not be the answer for all settings.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong>:<\/p>\n<ul>\n<li><a href=\"http:\/\/www.expandnet.net\/tools.htm\" target=\"_blank\" rel=\"noopener noreferrer\">Expandnet scale-up resources<\/a><\/li>\n<li><a href=\"https:\/\/www.msiworldwide.com\/sites\/default\/files\/additional-resources\/2018-11\/ScalingUp_3rdEdition.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Scaling Up\u2014From Vision to Large-scale Change: A Management Framework for Practitioners<\/a><\/li>\n<li><a href=\"http:\/\/implementationscience.biomedcentral.com\/articles\/10.1186\/s13012-016-0374-x\" target=\"_blank\" rel=\"noopener noreferrer\">A framework for scaling up health interventions: lessons from large-scale improvement initiatives in Africa.<\/a><\/li>\n<li><a href=\"http:\/\/www.mcsprogram.org\/resources\/lessons-learned-from-the-scale-up-experience-of-six-high-impact-interventions-in-reproductive-maternal-newborn-and-child-health\/\" target=\"_blank\" rel=\"noopener noreferrer\">Lessons Learned from the Scale-Up Experience of Six High-Impact Interventions in Reproductive, Maternal, Newborn, and Child Health<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text]<strong>Related\u00a0resources<\/strong>:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Empty-Scale-up-Meeting-Report.pdf\">Empty Scale-Up Meeting Report<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Empty-Scale-Up-Working-Paper_Dec2016.pdf\">Empty Scale-Up\u00a0Draft Working Paper<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_btn title=\"Scaling Up Substance Working Group\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fworking-group%2Fscaling-up-substance%2F||\"][vc_column_text]<\/p>\n<h3>Note: This working group is for members only. If you are a member on HNN, please log in <a href=\"https:\/\/www.healthynewbornnetwork.org\/login\/\">here<\/a> and email <strong><a href=\"mailto:info@healthynewbornnetwork.org\">info@healthynewbornnetwork.org<\/a> <\/strong>to join this working group. If you are not a member, please register <a href=\"https:\/\/www.healthynewbornnetwork.org\/join-the-network\/\">here<\/a> and tell us in your short bio that you\u2019d like to join this working group.<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Scale-up","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"scale-up","to_ping":"","pinged":"","post_modified":"2023-08-02 13:42:00","post_modified_gmt":"2023-08-02 17:42:00","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=323","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"additional_authors":"Joy E Lawn, Mary V Kinney, Jos\u00e9 M Belizan, Elizabeth Mary Mason, Lori McDougall, Jim Larson, Eve Lackritz, Ingrid K Friberg, Christopher P Howson and the Born Too Soon Preterm Birth Action Group","authors":[{"ID":767,"user_firstname":"","user_lastname":"","nickname":"Eraree Wrebyi","user_nicename":"eraree-wrebyi","display_name":"ErareeWrebyi","user_email":"ErareeWrebyi@gmail.com","user_url":"","user_registered":"2011-04-19 15:12:00","user_description":"","user_avatar":"<img alt='' src='https:\/\/secure.gravatar.com\/avatar\/ca83b8b619f0b9389a91a6e199bb9803?s=96&d=mm&r=g' srcset='https:\/\/secure.gravatar.com\/avatar\/ca83b8b619f0b9389a91a6e199bb9803?s=192&d=mm&r=g 2x' class='avatar avatar-96 photo' height='96' width='96' decoding='async'\/>"}],"other_organizations":"","language":["en"],"type":"articles","external_links":[{"link":"http:\/\/www.reproductive-health-journal.com\/content\/10\/S1\/S6"}],"files":false,"regions":[],"countries":[],"partners":[]},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/10514"}],"collection":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/types\/resource"}],"author":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/users\/7211"}],"replies":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/comments?post=10514"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/10514\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/10515"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=10514"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=10514"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}