{"id":10951,"date":"2014-02-28T00:00:00","date_gmt":"2014-02-28T00:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-every-mother-every-adolescent-girl\/"},"modified":"2017-08-21T18:08:51","modified_gmt":"2017-08-21T22:08:51","slug":"every-newborn-every-mother-every-adolescent-girl","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-every-mother-every-adolescent-girl\/","title":{"rendered":"Every newborn, every mother, every adolescent girl"},"content":{"rendered":"

This article was originally published in The Lancet<\/a><\/em><\/p>\n

With the launch of a new report<\/a> by Save the Children this week, the momentum to achieve substantial reductions in neonatal mortality is accelerating. Ending Newborn Deaths<\/i>: Ensuring Every Baby Survives<\/i> is a continuation of Save the Children’s No Child Born to Die campaign. The report presents a powerful reminder of the reasons for neonatal deaths, identifies eight essential areas for intervention, and proposes a five-point Newborn Promise plan to end all preventable newborn deaths, which governments and others should commit to this year. It argues that the focus on universal health coverage and the Every Newborn<\/em> Action Plan, which is part of the United Nations Secretary General’s Every Woman, Every Child<\/a> movement and will be presented to the World Health Assembly in May, provides an unprecedented opportunity not only to reduce but also to end preventable child and maternal mortality.<\/p>\n

Although the number of children younger than 5 years who die has been almost halved since 1990, the progress in the reduction of neonatal deaths has been much slower than that of children older than 4 weeks (average annual reduction of 2.1% vs <\/em>3.4%). The proportion of neonatal deaths among children younger than 5 years is now 44%, whereas in 2005 it was 38%. In 2012, 2.9 million newborn babies died within 28 days after birth—1 million on the first and only day of life—and there were an additional 1.2 million stillbirths shortly before or during labour. The most common reasons for deaths include complications of prematurity (34%); intrapartum-related complications (24%); sepsis, meningitis, or pneumonia (22%); and congenital abnormalities (9%). And while some countries have made substantial progress, most notably China and Egypt (both 60% reduction in newborn deaths) and Cambodia (51%), progress in sub-Saharan Africa has been slowest (28%). Inequalities within countries can be stark, for example in India, where 26 per 1000 livebirths die in the wealthiest quintile compared with 56 per 1000 in the poorest.<\/p>\n

The solutions and suggested interventions are obvious; their implementation needs concerted and integrated action plans, political will, and dedicated funding. The “N” in the reproductive, maternal, neonatal, and child health (RMNCH) agenda needs to be more than just a letter. The eight areas of interventions suggested in the report, drawn from the first Lancet Neonatal Suvival Series<\/a> published in 2005 and the <\/em>Every Newborn Bottleneck Analysis Tool<\/a>, <\/em>are skilled care at birth and emergency obstetric care; management of preterm births, including antenatal corticosteroids for lung maturation; basic neonatal care, such as general cleanliness, cord care, warmth, immediate breastfeeding, and recognition of danger signs; neonatal resuscitation; kangaroo mother care; early identification and antibiotic treatment of serious infections; inpatient care for small and sick newborns; and prevention of mother-to-child transmission of HIV.<\/p>\n

One area of dedicated and targeted intervention, although mentioned in passing in the report, deserves more attention. Those called “young mothers” in the report, but who are in fact children bearing children—16 million girls aged 15—19 years and 2 million younger than 15 years—have a higher risk of adverse maternal and birth outcomes, including stillbirths, neonatal deaths, preterm births, small-for-gestational-age babies, and complications during birth than do those older than 19 years. The interventions for this age group need to include prevention of child marriage and unwanted births, comprehensive access to sexual and reproductive education (including contraception), keeping girls in secondary education and therefore delaying age at the birth of the first child, and empowerment to make the right choices for health and wellbeing. The dividend will be not only an acceleration of progress towards ending maternal, neonatal, and child mortality, but also a better educated future generation of women who will contribute to the skilled workforce and so the economic development of their countries. In turn, their children will have a better start in life. The continuum of care needs to become a lifecycle of care.<\/p>\n

The second report of the independent Expert Review Group on Information and Accountability for Women’s and Children’s Health<\/a>, published in 2013, included as one of its six recommendations: “Take adolescents seriously: Include an adolescent indicator in all monitoring mechanisms for women’s and children’s health, and meaningfully involve young people on all policymaking bodies affecting women and children.” Prevention of stillbirths and neonatal mortality and morbidity must include greater attention to adolescent girls in particular. It is time to add the letter “A” to RMNCH. <\/p>\n","protected":false},"excerpt":{"rendered":"

The solutions and suggested interventions are obvious; their implementation needs concerted and integrated action plans, political will, and dedicated funding.<\/p>\n","protected":false},"author":7211,"featured_media":10952,"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\/every-newborn-every-mother-every-adolescent-girl\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Every newborn, every mother, every adolescent girl - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"The solutions and suggested interventions are obvious; their implementation needs concerted and integrated action plans, political will, and dedicated funding.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-every-mother-every-adolescent-girl\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2017-08-21T22:08:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/TheLancet_5.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=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-every-mother-every-adolescent-girl\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-every-mother-every-adolescent-girl\/\",\"name\":\"Every newborn, every mother, every adolescent girl - 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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":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":123,"post_author":"7211","post_date":"2015-10-21 15:18:46","post_date_gmt":"2015-10-21 15:18:46","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>Preventing mother-to-child HIV transmission is crucial to achieving an HIV-free generation and ending the global inequities in HIV diagnosis, treatment, and care.<\/h2>\r\nEarly HIV diagnosis, paired with treatment and care, allows people to live long, healthy lives and reduces the likelihood of their transmitting the virus to others. Vertical transmission, or mother-to-child transmission, of HIV is the leading cause of infection among children under 15. Globally, nearly\u00a0<a href=\"https:\/\/data.unicef.org\/topic\/hivaids\/emtct\/\">1.5 million deaths and 2.9 million<\/a> new HIV infections have been averted since 2000 as a result of the scale-up of programs to prevent mother-to-child-transmission of HIV. In 2021, <a href=\"https:\/\/www.unaids.org\/en\/resources\/fact-sheet\">81 percent of pregnant women<\/a> living with HIV had access to antiretroviral medication. While mother-to-child transmission of HIV has been nearly eliminated from high-income countries, progress has been slower in low- and middle-income countries. In sub-Saharan Africa, women and girls accounted for 63 percent of all new HIV infections in 2021, increasing the risk of transmission to their newborns. More work needs to be done to prevent HIV among women, girls, and children and close the gaps to achieve the global targets of <a href=\"https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/201506_JC2743_Understanding_FastTrack_en.pdf\">95-95-95 by 2025;<\/a> 95 percent of people living with HIV know their HIV status, 95 percent of people who know their status are on antiretroviral treatment, and 95 percent of people on HIV treatment have a suppressed viral load, reducing the risk of transmission.[\/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\">54<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666047176103{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of children in need <a href=\"https:\/\/www.theglobalfund.org\/media\/11304\/corporate_2021resultsreport_report_en.pdf\" target=\"_blank\" rel=\"noopener\">who receive life-saving treatment<\/a> for HIV<\/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;\"><b><span class=\"ticker\">63<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1652993131651{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of infants exposed to HIV <a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2022-01\/2021%20WAD%20Report-sm.pdf\" target=\"_blank\" rel=\"noopener\">tested within<\/a> two months of birth<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">2<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1652992737559{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage point increase in ART coverage for pregnant women living with HIV from 2016 to 2020; this <a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2022-01\/2021%20WAD%20Report-sm.pdf\" target=\"_blank\" rel=\"noopener\">rate has stalled<\/a> compared to the 38-percentage point increase in coverage from 2010-2015.<\/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=\"HIV Transmission\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Newborns can be infected with HIV by their mothers in a few ways, requiring a comprehensive, multi-level preventative approach. An HIV-positive mother can transmit HIV to her child during pregnancy, childbirth, or breastfeeding. Between 15 and 45 percent of infants born to HIV-positive women will become infected, if no preventative action is taken. Antiretroviral therapy (ART) can significantly reduce the risk of vertical transmission, as it decreases viral levels and makes it less transmittable. All pregnant women should be tested for HIV at their first antenatal visit, especially those in HIV-endemic regions, and all pregnant women living with HIV should be supported to initiate or continue ART during pregnancy. All children born to HIV-positive mothers should receive preventative antiretroviral drugs, with regular testing at two months and after the cessation of breastfeeding.\r\n\r\nMajor strides have been made to reduce the risk of mother-to-child transmission of HIV through global prioritization and commitments. A global multi-partner effort has decreased the rate of transmission in children by\u00a0<a href=\"https:\/\/www.unaids.org\/en\/resources\/fact-sheet\">53 percent since 2010<\/a>.\u00a0However, the COVID-19 pandemic led to noticeable declines in ART coverage among pregnant and breastfeeding women. Approximately <a href=\"https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/global-alliance-end-AIDS-in-children_en.pdf\">800,000 children under 15 years<\/a> of age are not on treatment, and the majority of global childhood infections, 4 out of 5, occurred in sub-Saharan Africa in 2021. With the launch of the new <a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2021\/2021-2026-global-AIDS-strategy\" target=\"_blank\" rel=\"noopener\">Global AIDS Strategy<\/a> in 2021 came an increased commitment to achieving the 2025 target of 95 percent coverage of services for eliminating mother-to-child transmission. The <a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2021\/2021-2026-global-AIDS-strategy\">Global Alliance to End AIDS in Children<\/a>, launched in 2022, will support these efforts through four pillars:\r\n<ul>\r\n \t<li>Early testing and optimized comprehensive, high-quality treatment and care for infants, children, and adolescents living with and exposed to HIV<\/li>\r\n \t<li>Closing the treatment gap for pregnant women living with HIV and optimizing continuity of treatment towards the goal of elimination of mother-to-child transmission<\/li>\r\n \t<li>Preventing and detecting new HIV infections among pregnant and breastfeeding adolescents and women<\/li>\r\n \t<li>Addressing rights, gender equality, and the social and structural barriers that hinder access to services<\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/vertical_transmission\" target=\"_blank\" rel=\"noopener\">Prevention of Vertical Transmission<\/a>, Children and AIDS Unicef (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/updated-recommendations-on-hiv-prevention-infant-diagnosis-antiretroviral-initiation-and-monitoring\/\" target=\"_blank\" rel=\"noopener\">WHO updated clinical and service delivery recommendations for HIV prevention, treatment and care<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/global-aids-strategy-2021-2026\/\" target=\"_blank\" rel=\"noopener\">Global AIDS Strategy 2021\u20132026: End Inequalities, End AIDS<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.theglobalfund.org\/en\/blog\/2021-11-03-20-years-of-progress-to-protect-mothers-and-babies-from-hiv\/\" target=\"_blank\" rel=\"noopener\">20 Years of Progress to Protect Mothers and Babies From HIV<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/start-free-stay-free-aids-free\/\" target=\"_blank\" rel=\"noopener\">Final report from the Start Free, Stay Free, AIDS Free initiative<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2020\/2020_women-adolescent-girls-and-hiv\" target=\"_blank\" rel=\"noopener\">We\u2019ve got the power \u2014 Women, adolescent girls and the HIV response<\/a> (2020)<\/li>\r\n \t<li><a href=\"https:\/\/www.unaids.org\/en\/resources\/documents\/2020\/prevailing-against-pandemics\" target=\"_blank\" rel=\"noopener\">Prevailing against pandemics by putting people at the centre \u2014 World AIDS Day report<\/a> (2020)<\/li>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2017-04\/IATT_Part-1-PMTCT-in-Humanitarian-Settings_2015.pdf\" target=\"_blank\" rel=\"noopener\">PMTCT in Humanitarian Settings Part I: Lessons Learned and Recommendations<\/a> (2015)<\/li>\r\n \t<li><a href=\"https:\/\/www.childrenandaids.org\/sites\/default\/files\/2017-04\/IATT_Part-2-PMTCT-in-Humanitarian-Settings_2015_0.pdf\" target=\"_blank\" rel=\"noopener\">PMTCT in Humanitarian Settings: Part II Implementation Guide<\/a> (2015)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Prevention of mother-to-child transmission of HIV (PMTCT)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"hiv-aids-prevention-mother-child-transmission","to_ping":"","pinged":"","post_modified":"2022-12-01 11:02:13","post_modified_gmt":"2022-12-01 16:02:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=123","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":126,"post_author":"7211","post_date":"2015-10-21 15:19:14","post_date_gmt":"2015-10-21 15:19:14","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Severe newborn infections\u2014including sepsis, meningitis, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/pneumonia\/\">pneumonia<\/a>\u2014are a major cause of morbidity and mortality among newborns in low- and middle-income countries.<\/h2>\r\nRecent analyses estimate that globally, approximately 400,000 newborns die each year as a result of severe infections, over one-sixth of the total burden of newborn deaths. Most of these deaths could be averted through:\r\n<ol>\r\n \t<li>preventive measures, such as improving hygiene practices, and<\/li>\r\n \t<li>timely and appropriate care for sick newborns.<\/li>\r\n<\/ol>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252549558{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of neonatal deaths caused by severe bacterial infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">400<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252596727{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of newborns who die each year as a result of severe infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">8<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1653422219529{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of neonatal deaths caused by pneumonia<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Prevention\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Preventive measures during the antenatal and intrapartum periods can reduce the risk of congenital and newborn infections while protecting the health of the mother. Before and during pregnancy, women can be screened and treated for syphilis and vaccinated against diseases like tetanus. In addition to preventing subsequent infection in the newborn, treating maternal infections during pregnancy \u2013 such as antibiotics for prolonged, preterm rupture of membranes or chorioamnionitis -- can also greatly reduce the risk for preterm birth, a leading cause of newborn mortality as well as prevent serious newborn infection.\r\n\r\nClean birth practices reduce the rate of newborn infections at home and implementation of consistent, high-quality infection control practices reduces newborn infections in facility settings. Hygienic umbilical cord care, including using a sterile instrument to cut the cord and, when appropriate and per national guidelines, <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/chlorhexidine-for-umbilical-cord-care\/\">applying chlorhexidine to the newborn cord stump<\/a>, can also reduce infection and preventable death. <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">Early and exclusive breastfeeding<\/a> also reduces the likelihood of newborn infections in several ways, including providing critical support to boost immune system development and avoiding the introduction of potentially harmful substances to the immature gut.\r\n\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Management\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]WHO recommends that newborns and young infants should be hospitalized when they have signs of possible <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/treatment-of-possible-severe-bacterial-infection\/\">serious bacterial infection, and treated<\/a> with 7 days of a combination of injectable antibiotics \u2013 gentaminin and ampicillin (or penicillin). In many or most low and middle-income countries (LMICs), such hospital-based treatment is not routinely feasible for many families for a number of cultural, geographic, and financial barriers. In these circumstances, recent evidence has led WHO to recommend outpatient antibiotics to such newborns and young infants to successfully treat the illness. The recommended antibiotic course is a combination of injectable and oral antibiotics: 2 days of once-daily gentamicin combined with 7 days of twice-daily oral amoxicillin. A follow up visit at 4 days of treatment is recommended to ensure adherence to the antibiotics and to ensure improvement in the newborn\u2019s condition. When referral from outpatient facility to hospital is accepted by families, the health center provider should ensure that the newborn or young infant is first given a dose of gentamicin and amoxicillin since even short delays in initiation of treatment can mean the difference between life and death.\r\n\r\nSaving newborn lives from life-threatening infections is now indeed feasible, acceptable, and effective in reducing preventable newborn and young infant deaths, and should be a top public health priority.\r\n\r\n<strong>Key Resources:\u00a0<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25274969\/\">Respiratory Distress in the Newborn <\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/SafeOxygen_english_7.6.17.pdf\">Safe and effective oxygen use for inpatient care of newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/InfectionPrevention_english_7.6.17.pdf\">Safe and effective infection prevention for inpatient newborn care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_MgmtNewbornInfection_7.15.19.pdf\">Management of newborn infections during inpatient care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013207\">Neonatal severe bacterial infection impairment estimates in South Asia, sub-Saharan Africa, and Latin America for 2010<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Severe infections","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"severe-infections","to_ping":"","pinged":"","post_modified":"2022-10-18 14:43:52","post_modified_gmt":"2022-10-18 18:43:52","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":116,"post_author":"7211","post_date":"2015-10-21 15:17:32","post_date_gmt":"2015-10-21 15:17:32","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Intrapartum-related complications are responsible for approximately one-quarter of newborn deaths and half of stillbirths.<\/h2>\n<p>When complications arise during childbirth and are not recognized or properly dealt with on a timely basis, the baby may emerge stillborn or be born alive but severely stressed and may not spontaneously begin to breathe. Unless stimulation and efforts to resuscitate are begun immediately, many of these babies quickly die of birth asphyxia.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">570<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456246957513{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of annual newborn deaths attributable to childbirth complications<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690478685637{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of intrapartum stillbirths (2015)<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">80<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690476768268{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women who give birth in a health facility globally from 2015 - 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456247366820{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of newborns that do not breathe at birth<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"What can be done?\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Most outcomes associated with complications of childbirth are preventable. The proportion of term deliveries that end in death during or shortly after labor is a sensitive and responsive measure of the quality of labor and delivery care. It is important in and of itself, but it also reflects readiness for managing other important complications for the mother or newborn.<\/p>\n<p>Pregnant women need a good assessment late in pregnancy to anticipate problems and ensure they receive any needed special care.Teaching expectant mothers about the importance of seeking healthcare can also prevent adverse birth outcomes. Giving birth in a center where assisted delivery or caesarian section can be provided quickly can also save a baby\u2019s life. Good monitoring of the mother and fetus throughout labor ensures that prompt action can be take to prevent conditions from evolving to a life-threatening state.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Ending dangerous practices, like augmenting labor with oxytocin under unsafe conditions or applying pressure on the mother\u2019s belly during labor, can prevent fetal deaths.<\/p>\n<p>And for those cases in which the baby emerges in a very stressed state and is unable to start breathing, competent action taken within the \u201cgolden minute\u201d can keep the baby alive until breathing begins. Finally, suitable equipment needs to be kept at the ready for all births, and provisions in place to ensure that health workers attending births are regularly practicing to maintain their resuscitation skills.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a> - interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe).<\/li>\n<li><a href=\"https:\/\/shop.laerdalglobalhealth.com\/product\/neonatalie-live\/\" target=\"_blank\" rel=\"noopener\">Neonathalie Live<\/a> \u2013 Newborn Ventilation Trainer<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">WHO guidelines Managing complications in pregnancy and childbirth: A guide for midwives and doctors <\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Helping Babies Survive<\/h4>\n<p><img class=\"alignnone size-full wp-image-352\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-helpingbabiesbreathe.jpg\" alt=\"small-helpingbabiesbreathe\" width=\"570\" height=\"252\" \/><\/p>\n<p><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/\">Helping Babies Survive<\/a> is a package of evidence-based training programs designed to teach the necessary skills to reduce neonatal mortality in resource-limited environments. The first program Helping Babies Breathe (HBB) was developed in 2010 by the American Academy of Pediatrics (AAP) in keeping with WHO recommendations. Studies have shown that it can reduce neonatal mortality by up to 47%; saving thousands of asphyxiated newborns. The success of HBB led to a global request for additional programs (such as Essential Care for Every Baby, Essential Care for Small Babies, and Improving Care of Mothers and Babies) addressing other leading causes of newborn death by equipping providers with the necessary skills and competencies to deliver high quality care to newborns during and after birth.\u200b<\/p>\n<p>The partnership is not only providing competency-based, hands-on training to service providers but working with ministries of health and their partners to provide functional resuscitation equipment for all health facilities where babies are born.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Essential Newborn Care Course<\/h4>\n<p><img class=\"wp-image-1614 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-essentialnewborncare2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p><em>Please note this section will be updated in 2022. See <a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\" target=\"_blank\" rel=\"noopener\">interim version of the second edition of the Essential Newborn Care Course (ENCC)<\/a> for more information.\u00a0<\/em><\/p>\n<p>The Essential Newborn Care Course (ENCC) is a WHO training program that works to ensure that health workers have the skills and knowledge to provide appropriate care at the most vulnerable period in a baby's life. Health workers are taught how to use the <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549356?msclkid=05ffb757d06d11ec8a219bb5009124b0\" target=\"_blank\" rel=\"noopener\">WHO's Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice.<\/a><\/p>\n<p>In particular, the course focuses on the sections concerned with newborn care, which provide up-to-date evidence-based information and management of babies with a range of needs in the initial newborn period. The course includes:[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Complications during childbirth","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"complications-during-childbirth","to_ping":"","pinged":"","post_modified":"2023-07-27 13:25:43","post_modified_gmt":"2023-07-27 17:25:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=116","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":128,"post_author":"7211","post_date":"2015-10-21 15:19:45","post_date_gmt":"2015-10-21 15:19:45","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]Transforming care for the 30 million newborns who require medical care, and who are currently being left behind, is a smart investment in the health and development of future generations. Kangaroo Mother Care (KMC) is one of the leading proven interventions that can radically improve inpatient care for small and sick newborns, leading to shorter hospitalizations and improved health outcomes.<\/p>\n<p>KMC refers to the practice of providing early, continuous, prolonged skin-to-skin contact between mother and baby, exclusive breastmilk feeding, and follow-up care with high-risk newborns. It has shown to decrease mortality and morbidity in preterm and low birthweight infants by providing protection from infection; regulating temperature, breathing, and brain activity; and encouraging mother-baby bonding. In many cases, newborns who receive KMC are able to be discharged early from the hospital and KMC can be continued at home. When delivered as a complete package, it is highly effective at reducing newborn mortality \u2013 up to 40% according to recent data.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">14.7<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690899267181{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants with low birthweight globally (2020)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">27<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666024070330{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants who were not weighed at birth globally (2014-2020)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">40<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1466618727036{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percentage reduction in mortality of low birthweight infants (<2000g) who receive KMC compared to conventional neonatal care*<\/h3>\n<p>[\/vc_column_text][vc_column_text css=\".vc_custom_1545998791435{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h6 style=\"text-align: center;\"><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002771.pub4\/full\"><span style=\"font-weight: 400; color: #808080;\">*\u00a0Conde\u2010Agudelo and Diaz\u2010Rossello. 2016<\/span><\/a><\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>KMC implementation<\/h4>\n<p><img class=\"wp-image-1622 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-kmcimplementation.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>The World Health Organization (WHO) <a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">recommends KMC<\/a> for the routine care of newborns weighing 2000 grams or less at birth, regardless of availability of incubator care. <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Recent studies<\/a> are showing a significant decrease (25%) in morbidity and mortality for newborns who begin KMC immediately after birth, especially in newborns weighing between 1 kg and 1.79 kg. KMC can and should be started as soon as possible following birth, and can occur while stabilizing care is provided to the mother and newborn (eg, newborn receiving continuous positive airway pressure (CPAP) for respiratory distress). Additionally, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-of-community-initiated-kangaroo-mother-care-on-postpartum-depressive-symptoms-and-stress-among-mothers-of-low-birth-weight-infants-a-randomized-clinical-trial\/\">recent studies<\/a> have shown that KMC can be effectively implemented at home for newborns who are born outside of a facility, although all small newborns should receive post-natal care and follow-up with health care providers.<\/p>\n<p>There is a global push advocating for skin-to-skin contact between mother and newborn for one hour immediately following birth for all newborns, regardless of size at birth. While skin-to-skin contact is a key component of KMC, skin-to-skin alone is not sufficient for small newborns. All small newborns should receive complete KMC care, depending on facility and national protocols.<\/p>\n<p>KMC is considered a part of family-centered, respectful newborn and maternal care. It can be implemented during the full continuum of care, and is especially effective transitioning from the facility to the household. Providers should be trained to educate mothers and fathers in home-based continued KMC, and encourage its use at the home following discharge. Additionally, early and immediate KMC can also support positive early development, beyond the physical health benefits and morbidity prevention.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Accelerating KMC uptake<\/h4>\n<p><img class=\"wp-image-1621 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-acceleratingthisintervention.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>Despite the many benefits of KMC, country-level adoption and implementation have been limited, and only a small proportion of newborns who could benefit from KMC receive it. Barriers to KMC implementation at the facility level include inadequate facilities and supplies for KMC, insufficient staffing in facilities, lack of training and prioritization of KMC by facility staff, and inadequate policy and professional commitment to KMC. At the family and community level, barriers include cultural norms that make practice of skin-to-skin care difficult, lack of family and financial support for mothers to practice KMC, limited understanding of KMC, and stressors related to extended hospitalization.<\/p>\n<p>The COVID-19 pandemic was and continues to be a barrier for implementation of KMC in most settings. Infection prevention measures during the pandemic led to more newborns being separated from their mothers immediately following birth, even low birthweight and preterm newborns who would benefit from KMC. It is critical that infection prevention policies and government agencies do not recommend separation of mother and newborn, so that all vulnerable newborns receive KMC, even during COVID-19 outbreaks and infections.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_cta h2=\"Small and Sick Newborn Community of Practice\" txt_align=\"center\" color=\"sandy-brown\"]KMC features prominently as one of the core elements of care for the small or sick newborn.\u00a0 A new community of practice, the Small and Sick Newborn CoP (SSNB CoP) is an interactive platform that enables practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence regarding KMC and the other essential interventions comprising quality care of small for sick newborns.\u00a0<a href=\"https:\/\/ibpnetwork.org\/topics\/14356\">Click here<\/a>\u00a0to register for SSNC CoP and access webinars, networking, resources, events and much more.[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"2\/3\"][vc_column_text]<strong>Guidance<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/global-position-paper-on-kangaroo-mother-care\/\" target=\"_blank\" rel=\"noopener\">Global Position Paper on Kangaroo Mother Care: A transformative innovation in healthcare (2023)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-strategy-for-scale-up-adaptable-to-different-country-contexts\/\" target=\"_blank\" rel=\"noopener\">Kangaroo Mother Care: Implementation strategy for scale-up adaptable to different country contexts (2023)\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight infant (2022)<\/a><\/li>\n<li><a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">Standards for improving the quality of care for small and sick newborns in health facilities (2020)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive: Transforming care for every small and sick newborn (2018)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/joint-statement-international-recommendations-interventions-improve-preterm-birth-outcomes\/\">Joint Statement: International WHO Recommendations on Interventions to Improve Preterm Birth Outcomes (2017)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kmcjointstatement\/\">Kangaroo Mother Care Joint Statement (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-challenge-brief\/\">Kangaroo Mother Care challenge brief (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-guide\/\">Kangaroo Mother Care Implementation Guide (2012)<\/a><\/li>\n<\/ul>\n<p><strong>Research<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-on-neonatal-sepsis-following-immediate-kangaroo-mother-care-in-a-newborn-intensive-care-unit\/\">Effect on neonatal sepsis following immediate kangaroo mother care in a newborn intensive care unit: a post-hoc analysis of a multicentre, open-label, randomised controlled trial (2023)<\/a><\/li>\n<li><a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-03646-3\">Barriers and facilitators of facility-based kangaroo mother care in sub-Saharan Africa: a systematic review (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)32223-8\/fulltext\">Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial (2019)<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4750435\/\">Kangaroo mother care: a systematic review of barriers and enablers (2015)<\/a><\/li>\n<\/ul>\n<p><strong>Country Specific Resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/scaling-up-kangaroo-mother-care-in-ethiopia-and-india-a-multi-site-implementation-research-study\/\">Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/mother-newborn-care-unit-mncu-experience-in-india-a-paradigm-shift-in-care-of-small-and-sick-newborns\/\">Mother\u2011Newborn Care Unit (MNCU) Experience in India: A Paradigm Shift in Care of Small and Sick Newborns (2022)<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"20053\" img_size=\"medium\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/kangaroo-mother-care-toolkit\/\"][vc_btn title=\"Kangaroo mother care toolkit\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fkangaroo-mother-care-toolkit%2F|||\"][\/vc_column][\/vc_row]<\/p>\n","post_title":"Kangaroo Mother Care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"kangaroo-mother-care","to_ping":"","pinged":"","post_modified":"2023-08-01 10:14:43","post_modified_gmt":"2023-08-01 14:14:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=128","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":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":136,"post_author":"7211","post_date":"2015-10-21 15:21:03","post_date_gmt":"2015-10-21 15:21:03","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Integrating postpartum family planning services and counseling into childbirth care is vital to newborn and maternal health and survival.<\/h2>\r\nOffering contraceptive counselling and a wide range of modern methods along the continuum of childbirth care has shown to increase contraception use, which enables women to choose when and if to have a baby. Family planning use is considered postpartum if the woman initiates and uses a method in the first twelve months after childbirth. Postpartum reproductive health and family planning also includes services initiated after miscarriage or abortion. Pregnancies that are spaced by at least two years after a live birth and six months after a miscarriage or induced abortion can reduce the risk of complications and adverse newborn outcomes. Maternal survival is also impacted as women who practice healthy timing and spacing of pregnancies are less likely to die in childbirth or from pregnancy complications. Integrating contraception counseling and services into quality antenatal, postnatal, and newborn care is a <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-postpartum-family-planning\/\">proven intervention<\/a> and should be included in both facility and community based services.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">163<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666117399105{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of women with <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(22)00936-9\/fulltext\">unmet need for modern contraception services in 2019<\/a><\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.7<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667922548234{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of fewer newborn deaths annually if <a href=\"https:\/\/www.guttmacher.org\/fact-sheet\/investing-sexual-and-reproductive-health-low-and-middle-income-countries\">unmet contraceptive need is met <\/a>in LMICs<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">700<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667922954092{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of stillbirths that could be averted annually if <a href=\"https:\/\/www.guttmacher.org\/report\/adding-it-up-investing-in-sexual-reproductive-health-2019\">unmet contraceptive need is met<\/a> in LMICS<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More on Family Planning\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Family planning methods:<\/strong> There are <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/family-planning-contraception\">many methods available<\/a>, under many different brand names. Modern methods include oral contraception pills, implants, injectable, intrauterine devices (IUDs), emergency contraception, male and female condoms, male and female sterilization, and lactational amenorrhea method (LAM). Additional methods include withdrawal, the calendar or rhythm method, and other fertility based methods. Some are more effective than others, and many rely on proper use to ensure effectiveness. Most of these contraceptives can be <a href=\"https:\/\/postpartumfp.srhr.org\/\">safely used immediately postpartum<\/a>; the rest can be initiated shortly after delivery, within a few weeks to six months.\r\n\r\nThe lactational amenorrhea method (LAM) is <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9678098\/\">98% effective<\/a> for the first six months postpartum. LAM prevents pregnancy while the mother is exclusively breastfeeding. It becomes less effective when other foods and liquids, like formula, are included, so women who are unable to exclusively breastfeed should consider other methods.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Spacing of pregnancy:<\/strong>\u00a0Use of family planning helps achieve healthy spacing of pregnancies, which is critical to a healthy pregnancy and delivery and to newborn survival. When pregnancies are too close together (less than 24 months between the last live birth and the next pregnancy), the risk of low birth weight, preterm birth, and newborn death increases; when pregnancy begins within six months of the last live birth, these complications are even more likely. Furthermore, when a mother who is still nursing an infant of any age becomes pregnant again, it is difficult to meet the nutritional needs of the mother, nursing baby, and fetus.\r\n\r\n<strong>Timing of pregnancy:<\/strong>\u00a0Studies have shown that both newborns and mothers have the healthiest outcomes when pregnancies occur after age 18. When mothers are <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4562289\/\">younger than 18<\/a>, they and their infants face increased risk of birth\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/complications-during-childbirth\/\">complications<\/a>, including stillbirth, low birth weight, and preterm birth. When possible, it is recommended to time pregnancies appropriately, especially by delaying first pregnancy until at least age 18. Adolescents, regardless of marital status, should have access to contraceptive methods to delay pregnancy.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_single_image image=\"56227\" add_caption=\"yes\"][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/training-resource-package-for-family-planning\/\">Training Resource Package for Family Planning\u00a0<\/a><\/li>\r\n \t<li><a href=\"https:\/\/fphandbook.org\/\">Family Planning Global Handbook for Providers<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-postpartum-family-planning\/\">High Impact Practices for Family Planning \u2013 Immediate Postpartum Family Planning<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/negative-effects-of-short-birth-interval-on-child-mortality-in-low-and-middle-income-countries-a-systematic-review-and-meta-analysis\/\">Negative effects of short birth interval on child mortality in low and middle income countries: a systematic review and meta analysis<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/family-planning-contraception\">WHO Family planning\/contraception methods<\/a><\/li>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9678098\/\">Postpartum contraception: the lactational amenorrhea method<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Reproductive health & family planning","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"reproductive-health-family-planning","to_ping":"","pinged":"","post_modified":"2023-02-07 16:00:38","post_modified_gmt":"2023-02-07 21:00:38","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=136","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":137,"post_author":"7211","post_date":"2015-10-21 15:21:12","post_date_gmt":"2015-10-21 15:21:12","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>More than 5,000 stillbirths occur each day, nearly half of which happen during labor and birth.<\/h2>\n<p>Stillbirths have been overlooked as a global public health crisis, in spite of the fact that often highly-preventable solutions overlap with maternal and newborn health interventions. Social taboos and stigma remain a challenge and are culturally variant. The stillbirth rate is a sensitive indicator of quality of care in pregnancy and at birth.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.9<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690996796159{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of stillbirths that occurred in 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">20<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666119375673{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">projected stillbirths by 2030 <a href=\"https:\/\/data.unicef.org\/resources\/a-neglected-tragedy-stillbirth-estimates-report\/\">if no progress is made<\/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\">45<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690997040986{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of stillbirths that <a href=\"https:\/\/data.unicef.org\/topic\/child-survival\/stillbirths\/\">occurred during labor in 2021<\/a><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_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_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_row_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>High number of preventable stillbirths<\/h4>\n<p>An estimated 1.9 million stillbirths occur annually, 89 percent of which occur in low- and lower-middle-income countries and 77 percent of which occur in sub-Saharan Africa and Southern Asia. Over <a href=\"https:\/\/data.unicef.org\/topic\/child-survival\/stillbirths\/\">45% of all stillbirths occur during labor and birth<\/a>. The most common causes of stillbirth are similar to those that also kill mothers and newborns, such as maternal infections (notably syphilis and malaria), non-communicable diseases, and obstetric complications. Only 7 percent are due to congenital disorders, but some of these are also preventable*.<\/p>\n<h6>*All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Heavy burden of psychosocial and economic cost on families and nations<\/h4>\n<p>The burden of stillbirth affects women, families, caregivers, communities, and society. Parents experience various psychological symptoms that often persist long after the death of their baby but could be mitigated by respectful maternity services, including bereavement care. An estimated 4\u00b72 million women are living with depression associated with a previous stillbirth. Stigma and taboo further exacerbate trauma for families, and fatalism impedes stillbirth prevention.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<h4>Most stillbirths are preventable with health system improvements<\/h4>\n<p>Stillbirths are preventable through high-quality antenatal and intrapartum care within the continuum of care for women and children. Such inputs result in a quadruple return on investment by preventing maternal and newborn deaths and stillbirths, plus improving child development. The stillbirth rate is a sensitive marker of quality and equity of health care.<\/p>\n<p>Opportunities to integrate stillbirths within women's and children's health programs must be seized more systematically. Some initiatives, such as the multi-stakeholder <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan<\/a>, within the <a href=\"https:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener\">Every Woman Every Child<\/a> umbrella, have included stillbirths. Data for tracking stillbirths has increased. However, mentions of stillbirth remain limited in most relevant policies, research, and funding; these are missed opportunities to integrate and act to ensure progress.<\/p>\n<p>More information can be accessed in either the UNIGME 2023 Report - <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/never-forgotten-the-situation-of-stillbirth-around-the-globe\/\"><em>Never Forgotten - The situation of stillbirth around the globe<\/em> <\/a>or in <em>The Lancet\u00a0<\/em><a href=\"http:\/\/www.thelancet.com\/series\/ending-preventable-stillbirths\" target=\"_blank\" rel=\"noopener\">Ending Preventable Stillbirths Series<\/a>, published January 2016. The Series presents the state of stillbirths, highlights missed opportunities, and identifies actions for accelerated progress to end preventable stillbirths[\/vc_column_text][vc_row_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/never-forgotten-the-situation-of-stillbirth-around-the-globe\/\">UNIGME 2023 Report - Never Forgotten - The situation of stillbirth around the globe<\/a><\/li>\n<li><a href=\"https:\/\/data.unicef.org\/resources\/a-neglected-tragedy-stillbirth-estimates-report\/\">UNIGME 2020 Report - A Neglected Tragedy: The global burden of stillbirths<\/a><\/li>\n<li><a href=\"http:\/\/www.thelancet.com\/series\/ending-preventable-stillbirths\" target=\"_blank\" rel=\"noopener\">The Lancet Series \u201cEnding Preventable Stillbirths\u201d 2016<\/a><\/li>\n<li><a href=\"https:\/\/www.mamaye.org\/blog\/preventing-stillbirths-stronger-perinatal-death-review\" target=\"_blank\" rel=\"noopener\">Mamaye - Preventing Stillbirths with Stronger Perinatal Death Review<\/a><\/li>\n<li>The Lancet Ending Preventable Stillbirth <a href=\"http:\/\/stillbirthalliance.org\/news\/lancet-series-launch\/\" target=\"_blank\" rel=\"noopener\">Lay Summary<\/a> (in English, Spanish, French, Italian, Portuguese, Arabic, Hindi and Chinese)<\/li>\n<li>Ending Preventable Stillbirth <a href=\"https:\/\/www.youtube.com\/watch?v=ZGvMWnO1O08\" target=\"_blank\" rel=\"noopener\">Video<\/a><\/li>\n<li>The Lancet Ending Preventable Stillbirths <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(15)00954-X\/abstract\" target=\"_blank\" rel=\"noopener\">Campaign<\/a><\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=FRObOlP3M94\" target=\"_blank\" rel=\"noopener\">Video <\/a>of The Lancet Ending Preventable Stillbirths main launch event<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text] <\/p>\n<p><iframe src=\"https:\/\/www.youtube.com\/embed\/ZGvMWnO1O08?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Stillbirths","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"stillbirths","to_ping":"","pinged":"","post_modified":"2023-08-02 13:32:12","post_modified_gmt":"2023-08-02 17:32:12","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=137","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"}],"additional_authors":"","authors":false,"other_organizations":"","language":["en"],"type":"articles","external_links":[{"link":"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)60388-3\/fulltext"}],"files":false,"regions":[{"ID":251,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Asia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"asia","to_ping":"","pinged":"","post_modified":"2016-02-11 21:51:07","post_modified_gmt":"2016-02-11 21:51:07","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&p=251","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":247,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Africa","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"africa","to_ping":"","pinged":"","post_modified":"2016-02-11 21:42:43","post_modified_gmt":"2016-02-11 21:42:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&p=247","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[{"ID":159,"post_author":"7211","post_date":"2015-10-21 21:54:40","post_date_gmt":"2015-10-21 21:54:40","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Cambodia (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%220%25%20Diarrhoea%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23f79468%22%7D%2C%7B%22title%22%3A%225%25%20Pneumonia%22%2C%22value%22%3A%225%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2244%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2244%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2220%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2220%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%225%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%225%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%2216%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%2216%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%229%25%20Other%20conditions%22%2C%22value%22%3A%229%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1685643314645{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from<a href=\"http:\/\/data.unicef.org\"> http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685643628401{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">12.8<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685643613333{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">4.8<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1651069918949{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">51<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685643598985{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">11.4<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1484234367642{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">89\r\n<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1484234354996{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">63<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698691962408{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">6.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births <37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685643545833{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">218<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1453307990481{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Cambodia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"cambodia","to_ping":"","pinged":"","post_modified":"2023-10-30 14:51:16","post_modified_gmt":"2023-10-30 18:51:16","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=159","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":164,"post_author":"7211","post_date":"2015-10-21 21:55:18","post_date_gmt":"2015-10-21 21:55:18","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in China (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%220%25%20Diarrhoea%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%236ab165%22%7D%2C%7B%22title%22%3A%226%25%20Pneumonia%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2231%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2231%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2228%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2228%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%222%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%222%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%2218%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%2218%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2215%25%20Other%20conditions%22%2C%22value%22%3A%2215%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1685644883200{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&source=gmail&ust=1551964625737000&usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644669394{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">3.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644711282{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">9<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644806510{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">39<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644768378{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">4.9<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644847115{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">99.9<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1578833679804{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">29<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698692080910{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">6.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births <37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685644827638{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">23<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1453307990481{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"China","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"china","to_ping":"","pinged":"","post_modified":"2023-10-30 14:53:20","post_modified_gmt":"2023-10-30 18:53:20","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=164","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":171,"post_author":"7211","post_date":"2015-10-21 21:56:33","post_date_gmt":"2015-10-21 21:56:33","post_content":"[vc_row][vc_column css=\".vc_custom_1453305596740{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_text_separator title=\"Leading causes of neonatal deaths in Egypt (2020)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%220%25%20Diarrhoea%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23f7f7f7%22%7D%2C%7B%22title%22%3A%222%25%20Pneumonia%22%2C%22value%22%3A%222%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2247%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2247%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2217%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2217%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%224%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%224%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%2223%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%2223%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%226%25%20Other%20conditions%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1685731341237{padding-right: 30px !important;padding-left: 30px !important;background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}\"][\/vc_column_inner][\/vc_row_inner][vc_column_text]\r\n<h6 style=\"text-align: left;\">Source: Estimates for causes of death 2000-2020 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2023 and downloaded from <a href=\"http:\/\/data.unicef.org\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/data.unicef.org&source=gmail&ust=1551964625737000&usg=AFQjCNFsFTtu9FzS8H64YC88NPOzQVbPwQ\">http:\/\/data.unicef.org<\/a><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"5\" css=\".vc_custom_1453306441839{background-image: url(\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/country-stat-bkgr.jpg?id=389) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}\"][vc_column css=\".vc_custom_1453306493120{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_text_separator title=\"key indicators\" el_class=\"transform:uppercase text-white\"][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1650382261124{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Newborn mortality rate (deaths per 1,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685731244087{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">3.8<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Annual reduction in newborn mortality rate 2000-2021 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1551900282840{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">53<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685731259763{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">9.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Stillbirth rate (deaths per 1,000 births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685731313792{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">91.5\r\n<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Skilled birth attendance (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1484329610650{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">27\r\n<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Early initiation of breastfeeding (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1698692475166{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">8.9<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births <37 weeks per 100 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1685731291916{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Maternal mortality ratio (deaths per 100,000 live births)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text css=\".vc_custom_1453307990481{margin-top: 20px !important;}\"]\r\n<h5 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Visit our<\/span> <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> <span style=\"color: #ffffff;\">page to explore the most recent data further<\/span><\/h5>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Egypt","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"egypt","to_ping":"","pinged":"","post_modified":"2023-10-30 14:59:49","post_modified_gmt":"2023-10-30 18:59:49","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&p=171","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"partners":[{"ID":793,"post_author":"7211","post_date":"2009-11-18 19:01:52","post_date_gmt":"2009-11-18 19:01:52","post_content":"Save the Children is the world's leading independent organization for children. Our vision is a world in which every child attains the right to survival, protection, development and participation. Our mission is to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.\r\n<h2>What we do<\/h2>\r\n<img class=\"aligncenter size-full wp-image-795\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/2.-Parth-Sanyal.jpg\" alt=\"2. Parth Sanyal\" width=\"800\" height=\"533\" \/>\r\n\r\n \r\n\r\nPhoto: Parth Sanyal\/ Save the Children\r\n\r\n<strong>Saving Newborn Lives (SNL) Program:<\/strong>\r\n\r\nSave the Children's Saving Newborn Lives (SNL) program, supported by the Bill & Melinda Gates Foundation, is a globally recognized leader in newborn health and a respected voice in many low-resource countries. Since 2000, Save the Children\u2019s SNL program has worked as a catalyst towards ensuring that newborn health and survival is on global and national agendas. SNL seeks to achieve equitable and effective coverage of high-impact newborn services and practices institutionalized at scale.\r\n\r\nSNL currently works in partnership with 7 countries to reduce newborn mortality, improve newborn health and bring high-impact interventions to scale. In 4 countries \u2013 Bangladesh, Malawi, Nepal, and Uganda - the program works through partnerships with government and stakeholders to achieve and document the scale-up of newborn health interventions. These countries have achieved substantial policy and system readiness for scale-up and are positioned for accelerated change in service delivery and health outcomes. In 3 additional countries \u2013 Ethiopia, India, and Nigeria \u2013 SNL coordinates with government and partners to develop policies, program experience, and evidence in order to promote the effective and sustainable scale-up of key interventions. SNL collaborates closely with governments and implementing partners, and provides direct support to the design, development and implementation of national strategies and policies to improve the quality and availability of care for mothers and newborns. For more information on Save the Children\u2019s Newborn Health program, <a href=\"http:\/\/www.savethechildren.org\/site\/c.8rKLIXMGIpI4E\/b.6234293\/k.7FC1\/Newborn_Health.htm\">visit our website<\/a>.\r\n\r\nSNL currently maintains the Healthy Newborn Network and strives to establish the site as the \u201cgo-to\u201d resource for newborn health information, data and resources.\r\n\r\nSave the Children also offers technical assistance and support as the newborn health leading partner under USAID\u2019s Maternal and Child Survival Program (MCSP). MCSP is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries with the ultimate goal of ending preventable maternal and child deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives.\r\n\r\n<strong>Save the Children Campaigns:<\/strong>\r\n\r\nAs an independent and global organization, Save the Children has a powerful voice in campaigning for long-term change, and a track record of success. Save the Children encourages its supporters to put pressure on decision makers and opinion formers to change policies and practices, locally and globally, to ensure children's rights become reality.\r\n\r\n<strong><img class=\"alignleft size-full wp-image-796\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryOne-Thumb.jpg\" alt=\"EveryOne - Thumb\" width=\"160\" height=\"160\" \/>The EveryOne Campaign<\/strong>: Save the Children has launched a global campaign to ensure governments provide basic health and nutrition services to millions of children who might not otherwise live to see their fifth birthday. EVERY ONE is Save the Children\u2019s global campaign to ensure no child under the age of five dies from preventable causes, and that public attitudes do not tolerate a return to high levels of child deaths. By 2015, the campaign aims to have catalyzed a breakthrough in governments' policies and practices that dramatically accelerates sustainable progress towards MDG 4. Follow the <a href=\"http:\/\/everyone.savethechildren.net\/news\">Every One campaign via their blog. <\/a>\r\n\r\n<strong><img class=\"alignleft size-full wp-image-797\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryBeatMatters-Thumb.jpg\" alt=\"EveryBeatMatters - Thumb\" width=\"160\" height=\"160\" \/>Every Beat Matters<\/strong>: Through this campaign, Save the Children aims to raise awareness among the American public of the key issues related to child survival, engage and foster champions who are willing to raise their voices for children in need around the world, and create a movement which demands that we increase access to lifesaving care so that no parent suffers the unnecessary loss of a child. Every child deserves the chance to grow up healthy, happy and able to reach their potential. Take a look at <a href=\"http:\/\/www.everybeatmatters.org\/\">Save the Children\u2019s Action Network <\/a>for more information.","post_title":"Save the Children","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"save-the-children","to_ping":"","pinged":"","post_modified":"2016-12-12 10:03:13","post_modified_gmt":"2016-12-12 15:03:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=793","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}]},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/10951"}],"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=10951"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/10951\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/10952"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=10951"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=10951"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}