{"id":10953,"date":"2014-03-05T00:00:00","date_gmt":"2014-03-05T00:00:00","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/resource\/applying-science-to-strengthen-and-improve-systems\/"},"modified":"2017-08-21T18:08:50","modified_gmt":"2017-08-21T22:08:50","slug":"applying-science-to-strengthen-and-improve-systems","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/applying-science-to-strengthen-and-improve-systems\/","title":{"rendered":"Applying Science to Strengthen and Improve Systems"},"content":{"rendered":"<p> Despite the availability of evidence-based, simple, high-impact interventions capable of saving lives and alleviating suffering, many patients and clients are not benefiting from them. Evidence-based care is not reaching the people who most need it, despite an abundance of evidence-based guidelines and consensus on what should be done.<\/p>\n<p>Much of this implementation gap is related to weak health systems and processes of care delivery. Such weakness manifests itself in various aspects of the quality of care, including effectiveness, efficiency, patient\/client-centeredness, equity, safety, accessibility, timeliness, community involvement, and inability to achieve targets set for the Millennium Development Goals.Despite the availability of evidence-based, simple, high-impact interventions capable of saving lives and alleviating suffering, many patients and clients are not benefiting from them. Evidence-based care is not reaching the people who most need it, despite an abundance of evidence-based guidelines and consensus on what should be done.<\/p>\n<p>Much of this implementation gap is related to weak health systems and processes of care delivery. Such weakness manifests itself in various aspects of the quality of care, including effectiveness, efficiency, patient\/client-centeredness, equity, safety, accessibility, timeliness, community involvement, and inability to achieve targets set for the Millennium Development Goals.<\/p>\n<p>The USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project is a five-year project of the Office of Health Systems of the USAID Global Health Bureau designed to address this challenge by improving health care in USAID-assisted countries, strengthening their health systems, and advancing the frontier of improvement science.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\nDespite the availability of evidence-based, simple, high-impact interventions capable of saving lives and alleviating suffering, many patients and clients are not benefiting from them.<\/p>\n","protected":false},"author":7211,"featured_media":10955,"comment_status":"open","ping_status":"open","template":"","toolkit":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - 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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&#038;p=114","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":117,"post_author":"7211","post_date":"2015-10-21 15:17:43","post_date_gmt":"2015-10-21 15:17:43","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>Within the continuum of care, childbirth care is provided during labor and delivery. Interventions include skilled care at birth, basic and comprehensive obstetric care, and management of preterm births.<\/h2>\n<p>It is important that the childbirth care interventions for mother and newborn are seen as a functional unit delivered in a narrow time window by the same healthcare provider (or team) and in the same place, with referral for management of complications including mother and baby together.[\/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\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666029713081{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of intrapartum stillbirths globally in 2015<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">66<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690994883939{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of births attended by a skilled health professional in least developed countries (2016-2023)<\/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\">18<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690994111505{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of cesarean section deliveries globally (2016 - 2021)<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][\/vc_column_inner][\/vc_row_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][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]The interaction between skilled healthcare workers and mothers before, during, and just after labor is critical for saving lives and ensuring good, healthy birth outcomes. Best practices include ensuring mothers are involved in the decision-making (including where they will give birth) and are provided with supportive care at all stages and that the birth proceeds without intervention as long as labor progresses normally and the woman and baby are well. When complications arise, health workers must be ready to respond appropriately.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.unfpa.org\/sowmy\">State of the World\u2019s Midwifery Report<\/a><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0<\/a>(2021)<\/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\u00a0<\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course<\/a>\u00a0\u2013 interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/ending-preventable-stillbirths-requires-improving-quality-of-care\/\" target=\"_blank\" rel=\"noopener\">Ending Preventable Stillbirths requires improving quality of care<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Childbirth care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"childbirth-care","to_ping":"","pinged":"","post_modified":"2023-08-02 12:48:31","post_modified_gmt":"2023-08-02 16:48:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=117","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&#038;p=123","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":135,"post_author":"7211","post_date":"2015-10-21 15:20:52","post_date_gmt":"2015-10-21 15:20:52","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>Many countries, even those that have achieved improvements in the last 15 years, still experience high rates of maternal and newborn deaths due to poor quality services.<\/h2>\r\nPoor quality can affect the demand for care from communities. Accelerating reduction of preventable deaths and poor outcomes depends on service quality improvements, including addressing health system challenges such as infrastructure, supplies, skilled and appropriately deployed health providers, and management. Quality improvement systems that address both the content and standards as well as the process and experience of care should be an important area of investment during the period of the new <a href=\"http:\/\/www.un.org\/sustainabledevelopment\/sustainable-development-goals\/\" target=\"_blank\">Sustainable Development Goals<\/a>.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_single_image image=\"13784\"][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space height=\"16px\"][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Quality improvement","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"quality-improvement","to_ping":"","pinged":"","post_modified":"2016-02-25 15:58:05","post_modified_gmt":"2016-02-25 20:58:05","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=135","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&#038;p=136","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":124,"post_author":"7211","post_date":"2015-10-21 15:18:57","post_date_gmt":"2015-10-21 15:18:57","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>In order to meet our maternal and newborn health objectives, we need health professionals and community health workers that:<\/h2>\n<ul>\n<li>Are readily available where and when needed<\/li>\n<li>Have the necessary knowledge and skills for the services they are providing<\/li>\n<li>Are appropriately motivated to provide the needed service<\/li>\n<li>Are adequately supported and enabled with supervision, support systems (supply chain and\u00a0information systems), necessary infrastructure (space, water, electricity, and communications), and more<\/li>\n<\/ul>\n<p>Ensuring that this set of conditions is met depends on adequate human resources policy and management.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">82<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1691004009799{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of global births that were assisted by suitably qualified health workers between 2016 and 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">66<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1691004076215{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women in least developed countries that were assisted by suitably qualified health workers during birth between 2016 and 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][vc_row_inner content_placement=\"middle\"][vc_column_inner][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]Over the past decade and a half, considerable emphasis within global maternal-newborn health programs has been placed on \u201cskilled birth attendance,\u201d i.e., births assisted by suitably qualified health workers. This reflects the observation that for women delivering at home without ready access to emergency obstetrical care, support from traditional birth attendants proved inadequate to substantially reduce risk of death for the mother or newborn. Considerable effort has been expended in many settings to help ensure that women give birth with the assistance of qualified human resources, specifically a health worker, and generally in a health facility.<\/p>\n<p>However, in many instances there has not\u00a0been equal attention given to the actual substance of the care provided or the necessary supports to enable health workers to provide adequate care. In recent years, there has been increasing attention in program work to the quality and content of maternal-newborn services, particularly around the time of birth. This is reflected in current work at the World Health Organization on improving quality of maternal-newborn health care.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]Part of what is implied in the \u201cskilled birth attendance\u201d strategy is that assisting in childbirth does not necessarily require a physician. Many interventions related to maternal-newborn health can be competently delivered by categories of health workers with comparatively modest training.<\/p>\n<p>Accordingly, certain maternal-newborn services can be provided by categories of health workers labelled as \u201ccommunity health workers\u201d (CHWs). This is a broad designation that includes:<\/p>\n<ul>\n<li>Health auxiliaries with training sometimes approaching that of registered nurses<\/li>\n<li>Paid full-time workers with several months of basic training<\/li>\n<li>Non-salaried but financially \u201cincentivized\u201d workers, typically working less than full-time<\/li>\n<li>Volunteers providing services on a periodic or intermittent basis with little or no financial incentives<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_single_image image=\"13796\" add_caption=\"yes\" alignment=\"center\" css_animation=\"appear\"][vc_column_text]In some settings, there is more than one tier of CHWs.\u00a0When robustly supported (as they can be under project conditions), non-salaried and volunteer CHWs have been demonstrated as effective for various maternal- and newborn-related services. There are fewer examples of such work being effectively delivered at national scale, under non-project conditions. A very important but frequently neglected factor is the supports needed for effective programs.<\/p>\n<p>The issue is not so much,<\/p>\n<ul>\n<li><em><strong>can <\/strong>CHWs be effective for a particular service?<\/em><\/li>\n<\/ul>\n<p>But rather,<\/p>\n<ul>\n<li><em><strong>what supports are necessary<\/strong> for effectiveness?<\/em><\/li>\n<\/ul>\n<p>And,<\/p>\n<ul>\n<li><em><strong>are such supports feasible at scale<\/strong> under normal, non-project conditions?<\/em><\/li>\n<\/ul>\n<p>Program efforts commonly address health worker knowledge and skills. This is typically done primarily by training. Motivation is less often given focused attention. Certainly, some aspects of performance can be positively affected by financial incentives, although such incentives can also have unintended negative consequences. However, motivation is more than just a matter of incentives.<\/p>\n<p>In many settings, legitimate and illegitimate absences from work significantly undermine reliable access to services. This can be a consequence, for example, of frequent off-site trainings. There are also many settings where health workers are either frequently away from their posts without authorization or where they offer services only for very limited periods of time each day.<\/p>\n<p>Even when health workers are at their posts, their practices are affected not only by material they may have been exposed to in training but also by other influences on what they consider appropriate care. For example, health workers may be well aware of what treatments are recommended or authorized in national treatment guidelines but may -- for any number of reasons -- prefer to offer treatments not reflected in official protocols. For human resources program efforts to be effective in ensuring availability of appropriate care, they need to respond to the actual factors influencing health worker practices.<\/p>\n<p>Supervision is often mentioned as an important performance factor in health worker practices. Certainly under project conditions, there are numerous examples of \u201csupportive technical supervision\u201d or \u201cmentoring\u201d that appear to have made a positive contribution to quality of care. There are, however, far fewer examples of this function being effectively delivered under non-project conditions. Health-facility-level quality improvement efforts can serve a somewhat similar function, whereby groups of health staff work collectively to improve performance, holding each other accountable.[\/vc_column_text][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/77764\">WHO Recommendations: Optimizing health worker roles for maternal and newborn health<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Human resources for health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"human-resources","to_ping":"","pinged":"","post_modified":"2023-08-02 15:22:01","post_modified_gmt":"2023-08-02 19:22:01","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=124","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":121,"post_author":"7211","post_date":"2015-10-21 15:18:30","post_date_gmt":"2015-10-21 15:18:30","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]While the Millennium Development Goals were silent on the issue of equity, achieving the Sustainable Development Goals will require an explicit commitment to underserved and excluded population groups.<br \/>\nGrowing numbers of countries now have repeated surveys that allow for analysis of trends in health service coverage, especially disaggregated by the poorest and richest quintiles. Recent research suggests that persistent gaps between rich and poor mothers and children are narrowing. Nevertheless, equity in access to essential services remains a challenge for all countries to achieve.[\/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\">81<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690997850103{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of countries that account for more than <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29395268\/#:~:text=Building%20upon%20the%20successes%20of,of%20all%20child%20deaths%20worldwide.\">90 percent of the world\u2019s maternal, newborn, and child deaths<\/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][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_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key equity resources\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.countdown2030.org\/pdf\/Countdown-2030-complete-with-profiles.pdf\">Countdown to 2030 - Tracking progress towards universal coverage for women\u2019s, children\u2019s and adolescents\u2019 health<\/a><\/li>\n<li><a href=\"https:\/\/www.countdown2030.org\/tools-for-analysis\/equity-data-analysis-center-2\">Countdown to 2030 - Equity: Data &amp; Analysis Center<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Equity","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"equity","to_ping":"","pinged":"","post_modified":"2023-08-02 13:38:11","post_modified_gmt":"2023-08-02 17:38:11","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=121","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":129,"post_author":"7211","post_date":"2015-10-21 15:19:54","post_date_gmt":"2015-10-21 15:19:54","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>Digital health refers to the use of mobile information and communications technology devices, including basic cell phones, smart phones, tablets, and devices that can attach to any of those, to support health programming.<\/h2>\n<p>Digital health projects around the world have demonstrated the potential of this technology to expand access to medical education and training for health workers, increase efficiency and decrease cost of service delivery, and extend the reach of health information and services to hard-to-reach populations.[\/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\">5.44<\/span>b<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690998507553{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of unique mobile phone users on the planet by January 2023 (68% of world population)<\/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\">92<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1652469746388{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of users accessing the internet via mobile phones<\/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\">3.2<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690998580805{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent growth of total mobile phone users over the last year, with 168 million new mobile users.<\/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><a href=\"https:\/\/datareportal.com\/reports\/digital-2023-global-overview-report\" target=\"_blank\" rel=\"noopener\">Source<\/a> for above as of January 2023. <\/em><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>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row 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=\"There are at least 11 ways digital health is used globally\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li>Client education and behavior change<\/li>\n<li>Sensors and point of care diagnostics<\/li>\n<li>Registries and vital events tracking<\/li>\n<li>Electronic health records<\/li>\n<li>Electronic decision support for providers, such as algorithms for community healthy workers\u00a0who are diagnosing and treating disease<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<ul>\n<li>Provider-to-provider communication<\/li>\n<li>Provider work planning and scheduling<\/li>\n<li>Provider training and education<\/li>\n<li>Human resources management<\/li>\n<li>Supply chain management<\/li>\n<li>Financial transactions and incentives<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]<b>Digital Health<\/b><b> Tools &amp; Resources<\/b><\/p>\n<ul>\n<li><a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.globaldigitalhealthnetwork.org%2F&amp;data=05%7C01%7Ceshea%40savechildren.org%7C9036cf10d8a74161c46e08da37585921%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637883149827824081%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=q%2BgMxttjjGtQmVL3HyKFcLWZfPqAc%2BMdxlOuq%2FFyvvo%3D&amp;reserved=0\" target=\"_blank\" rel=\"noopener\">Global Digital Health Network<\/a><\/li>\n<li><a href=\"https:\/\/datareportal.com\/reports\/digital-2022-global-overview-report\">DIGITAL 2022: GLOBAL OVERVIEW REPORT<\/a><\/li>\n<li><a href=\"http:\/\/digitalprinciples.org\/wp-content\/uploads\/2015\/05\/Principles-Overview.pdf\">Principles for Digital Development\u00a0<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Digital Health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mhealth","to_ping":"","pinged":"","post_modified":"2023-08-02 13:50:51","post_modified_gmt":"2023-08-02 17:50:51","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=129","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"additional_authors":"","authors":false,"other_organizations":"","language":["en"],"type":"briefs","external_links":false,"files":[{"file":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/USAID-ASSIST-Overview_Jan2014_usltr.pdf"}],"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&#038;p=251","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":250,"post_author":"7211","post_date":"2015-10-21 22:10:30","post_date_gmt":"2015-10-21 22:10:30","post_content":"","post_title":"Latin America and Caribbean","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"latin-america-and-caribbean","to_ping":"","pinged":"","post_modified":"2016-02-11 21:52:01","post_modified_gmt":"2016-02-11 21:52:01","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&#038;p=250","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":249,"post_author":"7211","post_date":"2015-11-22 21:37:22","post_date_gmt":"2015-11-22 21:37:22","post_content":"","post_title":"Middle East","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"middle-east","to_ping":"","pinged":"","post_modified":"2016-02-11 21:49:15","post_modified_gmt":"2016-02-11 21:49:15","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&#038;p=249","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&#038;p=247","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":246,"post_author":"7211","post_date":"2015-10-21 22:09:55","post_date_gmt":"2015-10-21 22:09:55","post_content":"","post_title":"Europe","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"europe","to_ping":"","pinged":"","post_modified":"2016-02-11 21:52:48","post_modified_gmt":"2016-02-11 21:52:48","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=region&#038;p=246","menu_order":0,"post_type":"region","post_mime_type":"","comment_count":"0","filter":"raw"}],"countries":[],"partners":[{"ID":460,"post_author":"7211","post_date":"2011-03-30 20:49:42","post_date_gmt":"2011-03-30 20:49:42","post_content":"<p>The USAID Office of Health Systems&rsquo; ASSIST Project is a five-year global project that supports Millennium Development Goals and Post-MDGs by:<\/p>\r\n<ul>\r\n    <li>&nbsp;&nbsp; Testing  and implementing innovative, cutting-edge quality improvement and service delivery approaches in MNCH, such as collaborative improvement, process redesign, and integrating routine and complications care across system levels<\/li>\r\n    <li>&nbsp;&nbsp; Developing, testing, and disseminating technical frameworks, approaches, and tools that can increase the efficiency, effectiveness, cost-effectiveness and sustainability of health system strengthening and quality improvement initiatives in support of the USAID EPCMD strategy, including strategies to integrate gender considerations in care delivery<\/li>\r\n    <li>&nbsp;&nbsp; Building government and implementing partner capacity to apply improvement methods across health system levels (community, clinic, hospital, district, regional, central) to improve, scale up, and sustain high-impact, low-cost, people-centered MNCH and family planning services for leading causes of maternal newborn and child morbidity and mortality in USAID priority countries<\/li>\r\n    <li>&nbsp;&nbsp; Strengthening frontline health worker and manager skills, motivation, and performance through integrated clinical and quality improvement capacity building and through engagement of health workers in making improvements in their local health care systems and processes<\/li>\r\n    <li>&nbsp;&nbsp; Supporting the development and testing of MNCH quality of care indicators, strengthening routine health information systems to enable regular tracking of quality measures at service delivery level, and promoting accountability at global, national, and sub-national levels<\/li>\r\n<\/ul>\r\n<p>Currently operating in 21 countries, the project supports the application of modern improvement methods by host country providers and managers in USAID-assisted countries and seeks to generate new knowledge to increase the effectiveness and cost-effectiveness of applying improvement methods in low- and middle-income countries. These activities seek to implement evidence-based practices, not only for antenatal, intra- and post-partum, postnatal, and early childhood care, but also to prevent and treat the leading causes of death across the life course at all levels of health service delivery system. The project also works to strengthen community-based services and community linkages with facility-based care as well as continuity of care across different levels of health service delivery.<\/p>\r\n<p><strong>Learn more about our work to improve maternal and newborn health in this<\/strong><a href=\"https:\/\/www.healthynewbornnetwork.org\/sites\/default\/files\/resources\/ASSIST%20MNCH%20Results%20and%20Activities_May2015.pdf\"><strong> <\/strong>short report<\/a>.<\/p>\r\n<p><strong>Visit our USAID&nbsp;ASSIST Knowledge Portal<\/strong> <a href=\"https:\/\/www.usaidassist.org\/topics\/maternal-newborn-and-child-health\">MNCH&nbsp;Page<\/a><strong> for more information abour work to improve health outcomes for mothers,newborns and children in low- and middle-income countries.<\/strong><\/p>\r\n","post_title":"ASSIST Project - USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"assist-project-usaid-applying-science-strengthen-and-improve-systems-assist-project","to_ping":"","pinged":"","post_modified":"2016-01-20 21:00:16","post_modified_gmt":"2016-01-20 21:00:16","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&#038;p=460","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\/10953"}],"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=10953"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/10953\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/10955"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=10953"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=10953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}