{"id":27008,"date":"2017-07-27T09:44:54","date_gmt":"2017-07-27T13:44:54","guid":{"rendered":"http:\/\/www.healthynewbornnetwork.org\/?post_type=resource&#038;p=27008"},"modified":"2017-08-21T17:55:56","modified_gmt":"2017-08-21T21:55:56","slug":"ethiopia-referral-adherence-sick-newborns-possible-severe-bacterial-infection-quality-care-health-facilities","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/ethiopia-referral-adherence-sick-newborns-possible-severe-bacterial-infection-quality-care-health-facilities\/","title":{"rendered":"Ethiopia: Referral adherence for sick newborns with possible severe bacterial infection and quality of care at health facilities"},"content":{"rendered":"<p>A core element of Ethiopia\u2019s Community-Based Newborn Care (CBNC) program is early identification and management of young infants with very severe disease. Appropriate treatment of such cases requires a well-functioning and responsive referral system. This brief describes a study on referral adherence, undertaken by Save the Children in support of the Federal Ministry of Health in 2016, to understand the existing referral system and families\u2019 adherence to referral of newborns with very severe disease.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A core element of Ethiopia\u2019s Community-Based Newborn Care (CBNC) program is early identification and management of young infants with very severe disease. Appropriate treatment of such cases requires a well-functioning and responsive referral system. This brief describes a study on referral adherence, undertaken by Save the Children in support of the Federal Ministry of Health &hellip; <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ethiopia-referral-adherence-sick-newborns-possible-severe-bacterial-infection-quality-care-health-facilities\/\">Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":27010,"comment_status":"open","ping_status":"closed","template":"","toolkit":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Healthy 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\/ethiopia-referral-adherence-sick-newborns-possible-severe-bacterial-infection-quality-care-health-facilities\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ethiopia: Referral adherence for sick newborns with possible severe bacterial infection and quality of care at health facilities - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"A core element of Ethiopia\u2019s Community-Based Newborn Care (CBNC) program is early identification and management of young infants with very severe disease. Appropriate treatment of such cases requires a well-functioning and responsive referral system. 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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&nbsp;\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 &amp; 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&#038;p=793","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"","issues":[{"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&#038;p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26286,"post_author":"7211","post_date":"2017-05-30 15:31:59","post_date_gmt":"2017-05-30 19:31:59","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]<b>While the rate of skilled care during childbirth has increased from 58% in 1990 to 83% in 2020, mostly due to increases in facility-based births, giving birth in a health facility does not equate with a safe birth. The World Health Organization (WHO) estimates that 295,000 mothers and 2.4 million newborn infants die annually around the time of childbirth, and many more are affected by preventable illness. A further 2 million babies are stillborn each year*.<\/b>\r\n\r\nImproving quality of care \u2013 to a point where health care is safe, effective, timely, efficient, equitable and people-centred - and patient safety is therefore critical if we want to accelerate reductions in maternal and newborn mortality and meet the Sustainable Development Goals.\r\n<h6>* Unless otherwise stated, 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>\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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">9<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1496171418017{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">the number of countries currently leading the Quality of Care Network<\/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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">4.7<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1496328636033{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">women and babies die due to complications in pregnancy, childbirth and in the first month of life<\/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\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">50<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1666119533563{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent reduction of maternal and newborn mortality and intrapartum stillbirths in facilities - the network's target<\/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;\"><em>Source: <a href=\"https:\/\/www.who.int\/docs\/default-source\/gho-documents\/world-health-statistic-reports\/world-heatlth-statistics-2016.pdf\">WHO<\/a><\/em><\/h6>\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=\"What can be done?\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]In response to this imperative, nine countries - Bangladesh, C\u00f4te d\u2019Ivoire, Ethiopia, Ghana, India, Malawi, Nigeria, Tanzania, and Uganda<span style=\"color: #000000;\">[1]-<\/span> are leading <a href=\"http:\/\/www.qualityofcarenetwork.org\">the Network for Improving Quality of Care for Maternal, Newborn and Child Health<\/a> (Quality of Care Network), launched in February 2017, to ensure that every pregnant woman and newborn receives good quality care throughout pregnancy, childbirth and the postnatal period. It addresses quality of care both in the way it is delivered by health workers, and experienced by patients, with the ambitious goal to halve maternal and newborn deaths and stillbirths in health facilities within five years in the participating countries and to improve the experience of care.\r\n\r\nThe Quality of Care Network is supported by the World Health Organization, UNICEF and UNFPA, and a growing partnership of development organisations, NGOs, professional associations and universities.\r\n\r\nThe Quality of Care Network is underpinned by the values of quality, equity and dignity and contributes to achieving the targets of the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\">Every Woman Every Child Global Strategy for Women\u2019s, Children\u2019s and Adolescents\u2019 Health<\/a>.\r\n<h6><em>[1] More countries will join the Quality of Care Network from 2020.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]The Quality of Care Network will support implementation of national plans for quality improvement and pursues four strategic objectives:\r\n<ul>\r\n \t<li>Focus on national leadership by strengthening national and district governance quality of care structures, and helping develop national plans and advocacy strategies for improving quality of care.<\/li>\r\n \t<li>Accelerate action by adapting and adopting <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241511216?msclkid=e16d714bcfd211ecb28cda53ed99d029\" target=\"_blank\" rel=\"noopener\">WHO\u2019s eight Standards<\/a> for improving quality of maternal and newborn care in health facilities at country level, creating national packages of quality improvement interventions and develop, strengthen and sustain clinical and managerial capabilities to support quality of care improvement.<\/li>\r\n \t<li>Foster learning and generate evidence on quality of care through a Learning Platform - a community of health practitioners from around the world co-developing and sharing knowledge, country data and research to inform maternal and newborn quality of care improvement work in countries.\u00a0 The Learning Platform\u2019s outcomes will feed into the WHO-led Global Learning Laboratory for Quality Universal Health Coverage.<\/li>\r\n \t<li>Develop and support institutions and mechanisms for accountability for quality of care by designing a national accountability framework, and monitoring the progress of the Network for Improving Quality of Care for Maternal, Newborn and Child Health.<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241511216?msclkid=e16d714bcfd211ecb28cda53ed99d029\" target=\"_blank\" rel=\"noopener\">WHO Standards of Care to Improve Maternal and Newborn Quality of Care in Facilities<\/a> (2016)<\/li>\r\n \t<li><a href=\"https:\/\/www.qualityofcarenetwork.org\/about\" target=\"_blank\" rel=\"noopener\">A Network for Improving Quality of Care for Maternal, Newborn and Child Health (about)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.qualityofcarenetwork.org\/knowledge-library\/statement-first-meeting-network-improving-quality-care-maternal-newborn-and-child?msclkid=8ac73687cfd311ec973fed59c35a5627\" target=\"_blank\" rel=\"noopener\">Communique - Statement of the first meeting of the Network to Improve Quality of Care for Maternal, Newborn and Child Health<\/a> (2017)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"The Network for Improving Quality of Care for Maternal, Newborn and Child Health","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"network-improving-quality-care-maternal-newborn-child-health","to_ping":"","pinged":"","post_modified":"2022-10-18 15:01:57","post_modified_gmt":"2022-10-18 19:01:57","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=26286","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":411,"post_author":"7211","post_date":"2016-01-20 18:01:00","post_date_gmt":"2016-01-20 18:01:00","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>Identification of possible serious bacterial infection (PSBI) and timely initiation of appropriate antibiotic treatment can dramatically increase a newborn\u2019s chance of survival.<\/h2>\r\nRecent research has shown that when hospitalization is not possible, a safe, effective, and simpler antibiotic treatment can be provided in lower-level facilities.[\/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\">600<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666120914939{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241512930\">neonatal deaths attributed to severe infections<\/a> annually<\/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<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666120847543{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of newborns who <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241512930\">develop signs of PSBI and require treatment<\/a>\u00a0<\/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 css=\".vc_custom_1455919301204{margin-top: 30px !important;margin-bottom: 30px !important;}\"][vc_column][vc_column_text]\r\n<h2><b>PSBI Community of Practice <\/b><strong>(CoP)<\/strong><\/h2>\r\nThe PSBI CoP defines itself as \u201cgroups of people who share a concern or passion for something they do and learn how to do it better as they interact regularly.\u201d These groups facilitate the collective pursuit of a shared interest through relationship building, learning and information sharing about a specific practice area or need. They also stimulate dialogue, capture and diffuse existing knowledge, support collaboration, organize members around purposeful action, generate new knowledge and help to connect people who might not ordinarily interact. Given these features, COPs are uniquely positioned to help drive the research-to-use process by supporting stakeholder engagement, knowledge management, research translation, and research dissemination.[\/vc_column_text][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/181426\/1\/9789241509268_eng.pdf\">Managing possible serious bacterial infection in young infants when referral is not feasible.<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/operationalizing-management-of-sick-young-infants-with-possible-serious-bacterial-infection-psbi-when-referral-is-not-feasible-in-the-context-of-existing-maternal-newborn-and-child-health-programm\/\">Operationalizing management of sick young infants with possible serious bacterial infection (PSBI) when referral is not feasible in the context of existing maternal, newborn, and child health programmes<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/pdfs\/journals\/langlo\/PIIS2214-109X(14)70347-X.pdf\">Safety and efficacy of alternative antibiotic regimens compared with 7-day injectable procaine benzyl penicillin and gentamicin for outpatient treatment of neonates and young infants with clinical signs of severe infection when referral is not possible: a randomized, open-label, equivalence trial.<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)62284-4\/abstract\">Simplified antibiotic regimens compared with injectable procaine benzyl penicillin plus gentamicin for treatment of neonates and young infants with clinical signs of possible serious bacterial infection when referral is not possible: a randomized, open-label, equivalence trial.<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)62285-6\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Oral amoxicillin compared with injectable procaine benzyl penicillin plus gentamicin for treatment of neonates and young infants with fast breathing when referral is not possible: a randomized, open-label, equivalence trial<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)62285-6\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\"> Outpatient treatment for neonates and young infants with clinically suspected severe infection<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/institutionalizing-the-management-of-sick-young-infants-kenyas-experience-in-revising-national-guidelines-on-integrated-management-of-newborn-and-childhood-illnesses\/\">Institutionalizing the Management of Sick Young Infants: Kenya\u2019s Experience in Revising National Guidelines on Integrated Management of Newborn and Childhood Illnesses<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column][\/vc_column][\/vc_row]","post_title":"Treatment of possible severe bacterial infection (PSBI)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"treatment-of-possible-severe-bacterial-infection","to_ping":"","pinged":"","post_modified":"2023-11-13 11:49:50","post_modified_gmt":"2023-11-13 16:49:50","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=411","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[{"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"}],"countries":[{"ID":9,"post_author":"7211","post_date":"2015-09-29 14:31:18","post_date_gmt":"2015-09-29 14:31:18","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 Ethiopia (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%222%25%20Diarrhoea%22%2C%22value%22%3A%222%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%23ff9900%22%7D%2C%7B%22title%22%3A%2212%25%20Pneumonia%22%2C%22value%22%3A%2212%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2236%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2236%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2226%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2226%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%227%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%227%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%225%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%225%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2211%25%20Other%20conditions%22%2C%22value%22%3A%2211%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1685990079292{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&amp;source=gmail&amp;ust=1551964625737000&amp;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_1685989919562{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">26.2<\/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_1685989936549{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">2.9<\/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_1685989982771{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">57<\/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_1685989962626{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">20.6<\/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_1685990024862{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">49.8<\/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_1650465472020{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">72\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_1698694270558{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">12.9<\/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 &lt;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_1685989998281{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">267<\/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":"Ethiopia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"ethiopia","to_ping":"","pinged":"","post_modified":"2023-10-30 15:29:58","post_modified_gmt":"2023-10-30 19:29:58","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&#038;p=9","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}]},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/27008"}],"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=27008"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/27008\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/27010"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=27008"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=27008"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}