{"id":35244,"date":"2019-03-11T15:31:31","date_gmt":"2019-03-11T19:31:31","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=resource&#038;p=35244"},"modified":"2022-07-27T09:29:36","modified_gmt":"2022-07-27T13:29:36","slug":"expanding-maternal-and-neonatal-survival-opportunities-in-indonesia","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/","title":{"rendered":"Expanding Maternal and Neonatal Survival Opportunities in Indonesia"},"content":{"rendered":"<p>This supplement of the <em>International Journal of Gynecology and Obstetrics<\/em> includes a series of nine papers that describe the achievements of the USAID-funded Expanding Maternal and Neonatal Survival (EMAS) Program in Indonesia from September 2011 to March 2017. The EMAS program impacted quality of emergency obstetric and neonatal care and efficiency and effectiveness of referrals, and increased accountability through mentoring in six Indonesian provinces. The culmination of the program\u2019s approaches led to impressive results, including:<\/p>\n<ul>\n<li>The obstetric case fatality rate (CFR) from any maternal complications decreased significantly by 50% at EMAS intervention hospitals. On average, the CFR decreased from 5.4 to 2.6 deaths per 1,000 cases of obstetric complications admitted.<\/li>\n<li>The very early neonatal mortality rate (deaths within 24 hours of birth) decreased by 21%.<\/li>\n<li>In a comparison of the mean differences in quality scores between EMAS intervention hospitals and comparison sites, EMAS sites showed significantly better performance: 14 points higher for labor monitoring, 38 points higher for newborn resuscitation readiness, and 33 points higher for infection prevention practices.<\/li>\n<li>Monitoring data demonstrated improvements in intervention areas for stabilization of pre-eclampsia\/eclampsia (24% vs. 61%) and treatment of newborns with suspected severe infection (30% vs. 54%).<\/li>\n<li>EMAS intervention facilities were associated with significantly higher levels of communication, advanced notification, back referral, and hospital emergency readiness and staff preparedness than the comparison arm.<\/li>\n<\/ul>\n<p>View the press release <a href=\"https:\/\/eurekalert.org\/pub_releases\/2019-02\/jhub-lil022819.php\">here<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This supplement of the International Journal of Gynecology and Obstetrics includes a series of nine papers that describe the achievements of the USAID-funded Expanding Maternal and Neonatal Survival (EMAS) Program in Indonesia from September 2011 to March 2017. The EMAS program impacted quality of emergency obstetric and neonatal care and efficiency and effectiveness of referrals, &hellip; <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\">Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":35245,"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\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Expanding Maternal and Neonatal Survival Opportunities in Indonesia - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"This supplement of the International Journal of Gynecology and Obstetrics includes a series of nine papers that describe the achievements of the USAID-funded Expanding Maternal and Neonatal Survival (EMAS) Program in Indonesia from September 2011 to March 2017. The EMAS program impacted quality of emergency obstetric and neonatal care and efficiency and effectiveness of referrals, &hellip; Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"article:modified_time\" content=\"2022-07-27T13:29:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png\" \/>\n\t<meta property=\"og:image:width\" content=\"419\" \/>\n\t<meta property=\"og:image:height\" content=\"554\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\",\"name\":\"Expanding Maternal and Neonatal Survival Opportunities in Indonesia - Healthy Newborn Network\",\"isPartOf\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png\",\"datePublished\":\"2019-03-11T19:31:31+00:00\",\"dateModified\":\"2022-07-27T13:29:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png\",\"contentUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png\",\"width\":419,\"height\":554},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.healthynewbornnetwork.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Expanding Maternal and Neonatal Survival Opportunities in Indonesia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/\",\"name\":\"Healthy Newborn Network\",\"description\":\"Addressing critical knowledge gaps in newborn health.\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Healthy Newborn Network","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/","og_locale":"en_US","og_type":"article","og_title":"Expanding Maternal and Neonatal Survival Opportunities in Indonesia - Healthy Newborn Network","og_description":"This supplement of the International Journal of Gynecology and Obstetrics includes a series of nine papers that describe the achievements of the USAID-funded Expanding Maternal and Neonatal Survival (EMAS) Program in Indonesia from September 2011 to March 2017. The EMAS program impacted quality of emergency obstetric and neonatal care and efficiency and effectiveness of referrals, &hellip; Continued","og_url":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/","og_site_name":"Healthy Newborn Network","article_modified_time":"2022-07-27T13:29:36+00:00","og_image":[{"width":419,"height":554,"url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/","url":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/","name":"Expanding Maternal and Neonatal Survival Opportunities in Indonesia - Healthy Newborn Network","isPartOf":{"@id":"https:\/\/www.healthynewbornnetwork.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage"},"image":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage"},"thumbnailUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png","datePublished":"2019-03-11T19:31:31+00:00","dateModified":"2022-07-27T13:29:36+00:00","breadcrumb":{"@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#primaryimage","url":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png","contentUrl":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png","width":419,"height":554},{"@type":"BreadcrumbList","@id":"https:\/\/www.healthynewbornnetwork.org\/resource\/expanding-maternal-and-neonatal-survival-opportunities-in-indonesia\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.healthynewbornnetwork.org\/"},{"@type":"ListItem","position":2,"name":"Expanding Maternal and Neonatal Survival Opportunities in Indonesia"}]},{"@type":"WebSite","@id":"https:\/\/www.healthynewbornnetwork.org\/#website","url":"https:\/\/www.healthynewbornnetwork.org\/","name":"Healthy Newborn Network","description":"Addressing critical knowledge gaps in newborn health.","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.healthynewbornnetwork.org\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"featured_image":"<img width=\"419\" height=\"554\" src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png\" class=\"attachment-medium_large size-medium_large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal.png 419w, https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/FIGOSupplementExpandingMaternal-227x300.png 227w\" sizes=\"(max-width: 419px) 100vw, 419px\" \/>","author_name":"HNN Team","author_image":"<img src=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/themes\/hnn\/dist\/images\/member-default.jpg\" alt=\"\" class=\"avatar avatar-32 photo\" height=\"32\" width=\"32\"\/>","acf_custom_fields":{"publication_date":"20190227","authors":false,"additional_authors":"Guest Editor: Saifuddin Ahmed. Managing Editor: Judith Fullerton. IJGO Supplement Editor: Timothy R.B. Johnson.","type":"articles","language":["en"],"external_links":[{"link":"https:\/\/obgyn.onlinelibrary.wiley.com\/toc\/18793479\/2019\/144\/S1"}],"files":[{"file":"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/2019-International_Journal_of_Gynecology__Obstetrics.pdf"}],"partners":[{"ID":834,"post_author":"2613","post_date":"2010-10-25 19:41:46","post_date_gmt":"2010-10-25 19:41:46","post_content":"<p>The U.S. Agency for International Development (USAID) is an independent agency that provides economic, development and humanitarian assistance around the world in support of the foreign policy goals of the United States.<\/p>\r\n<p>U.S. foreign assistance has always had the twofold purpose of furthering America's foreign policy interests in expanding democracy and free markets while improving the lives of the citizens of the developing world. Spending less than one-half of 1 percent of the federal budget, USAID works around the world to achieve these goals.<\/p>\r\n<p>USAID's history goes back to the Marshall Plan reconstruction of Europe after World War Two and the Truman Administration's Point Four Program. In 1961, the Foreign Assistance Act was signed into law and USAID was created by executive order.<\/p>\r\n<p>Since that time, USAID has been the principal U.S. agency to extend assistance to countries recovering from disaster, trying to escape poverty, and engaging in democratic reforms.<\/p>\r\n<p>USAID is an independent federal government agency that receives overall foreign policy guidance from the Secretary of State. <a href=\"http:\/\/www.usaid.gov\/our_work\/\">Our Work <\/a>supports long-term and equitable economic growth and advances U.S. foreign policy objectives by supporting:<\/p>\r\n<ul>\r\n    <li>&nbsp;&nbsp;economic growth, agriculture and trade;<\/li>\r\n    <li>&nbsp;&nbsp;global health; and,<\/li>\r\n    <li>&nbsp;&nbsp;democracy, conflict prevention and humanitarian assistance. <\/li>\r\n<\/ul>\r\n<p>We provide assistance in five regions of the world:<\/p>\r\n<ul>\r\n    <li>&nbsp;&nbsp;<a href=\"http:\/\/www.usaid.gov\/locations\/sub-saharan_africa\/\">Sub-Saharan Africa<\/a>;<\/li>\r\n    <li>&nbsp;&nbsp;<a href=\"http:\/\/www.usaid.gov\/locations\/asia\/\">Asia<\/a>;<\/li>\r\n    <li>&nbsp;<a href=\"http:\/\/www.usaid.gov\/locations\/latin_america_caribbean\/\">&nbsp;Latin America and the Caribbean<\/a>,<\/li>\r\n    <li>&nbsp;<a href=\"http:\/\/www.usaid.gov\/locations\/europe_eurasia\/\">&nbsp;Europe and Eurasia<\/a>; and<\/li>\r\n    <li>&nbsp;&nbsp;<a href=\"http:\/\/www.usaid.gov\/locations\/middle_east\/\">The Middle East<\/a>. <\/li>\r\n<\/ul>\r\n<p>With headquarters in Washington, D.C., USAID's strength is its field offices around the world. We work in close partnership with private voluntary organizations, indigenous organizations, universities, American businesses, international agencies, other governments, and other U.S. government agencies. USAID has working relationships with more than 3,500 American companies and over 300 U.S.-based private voluntary organizations.<\/p>\r\n<h2>What we do<\/h2>\r\n<p>The objective of USAID&rsquo;s neonatal program is to reduce neonatal mortality by building on and strengthening neonatal interventions within existing maternal and child health programs and linking with prevention of mother-to-child transmission (PMTCT) in high HIV\/AIDS prevalence countries.<\/p>\r\n<p>Key program strategies include treating the mother and baby as a dyad by integrating maternal and newborn programs to support the full continuum of care during pregnancy, labor and birth, and after the birth of the baby with evidence-based perinatal and newborn interventions. USAID programs strengthen community-based approaches and empower families and communities to care for the newborn with simple preventive interventions such as warmth, hygienic cord care, early and exclusive breastfeeding, and to recognize and refer for complications such as infection. The program links communities to facilities, strengthens health systems, trains health providers, and improves quality of care in health facilities.<\/p>\r\n<p>By putting a spotlight on postpartum care, USAID has renewed its program efforts to strengthen the weakest link in the continuum of care to reach new mothers and their newborns for health services and information when most maternal and neonatal deaths occur. In a relatively new and evolving field, USAID&rsquo;s newborn care program supports operations research to guide the identification, bundling, and scaling up of interventions and emphasizes the support of global and regional leadership and advocacy.<\/p>","post_title":"U.S. Agency for International Development","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"us-agency-international-development","to_ping":"","pinged":"","post_modified":"2016-01-21 19:44:00","post_modified_gmt":"2016-01-21 19:44:00","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&#038;p=834","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":646,"post_author":"4388","post_date":"2014-10-23 00:42:05","post_date_gmt":"2014-10-23 00:42:05","post_content":"The Maternal and Child Survival Program 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 (EPMCD) within a generation. This new program will build on the successes of the six-year Maternal and Child Health Integrated Program (MCHIP).\r\n\r\n&nbsp;\r\n\r\nThe Maternal and Child Survival Program supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water\/sanitation\/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment.\r\n\r\n&nbsp;\r\n\r\nThe 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&nbsp;\r\n\r\n* USAID's high-priority countries are Afghanistan, Bangladesh, Democratic Republic of Congo, Ethiopia, Ghana, Haiti, India, Indonesia, Kenya, Liberia, Madagascar, Malawi, Mali, Mozambique, Nepal, Nigeria, Pakistan, Rwanda, Senegal, South Sudan, Tanzania, Uganda, Yemen, and Zambia.\r\n<h2>What we do<\/h2>\r\nAwarded in the spring of 2014, the Maternal and Child Survival Program engages governments, policymakers, private sector leaders, health care providers, civil society, faith-based organizations and communities in adopting and accelerating proven approaches to address the major causes of maternal, newborn and child mortality such as postpartum hemorrhage, birth asphyxia, and diarrhea, respectively, and improve the quality of health services from household to hospital. The Program will tackle these issues through approaches that also focus on health systems strengthening, household and community mobilization, gender integration and eHealth, among others.\r\n\r\n&nbsp;\r\n\r\nWith approaches tailored to meet individual country needs, the Program seeks to empower countries to design effective approaches, develop technical skills, apply analytical tools, manage workforce capacity and devote resources to reduce inequities in care and build sustainable health systems to keep mothers, newborns and children alive and healthy.","post_title":"Maternal and Child Survival Program (MCSP)","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"maternal-and-child-survival-program-mcsp","to_ping":"","pinged":"","post_modified":"2016-04-05 12:01:50","post_modified_gmt":"2016-04-05 16:01:50","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&#038;p=646","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"The International Federation of Gynecology and Obstetrics (FIGO)","issues":[{"ID":116,"post_author":"7211","post_date":"2015-10-21 15:17:32","post_date_gmt":"2015-10-21 15:17:32","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Intrapartum-related complications are responsible for approximately one-quarter of newborn deaths and half of stillbirths.<\/h2>\n<p>When complications arise during childbirth and are not recognized or properly dealt with on a timely basis, the baby may emerge stillborn or be born alive but severely stressed and may not spontaneously begin to breathe. Unless stimulation and efforts to resuscitate are begun immediately, many of these babies quickly die of birth asphyxia.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">570<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456246957513{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of annual newborn deaths attributable to childbirth complications<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690478685637{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of intrapartum stillbirths (2015)<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">80<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690476768268{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women who give birth in a health facility globally from 2015 - 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456247366820{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of newborns that do not breathe at birth<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"What can be done?\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Most outcomes associated with complications of childbirth are preventable. The proportion of term deliveries that end in death during or shortly after labor is a sensitive and responsive measure of the quality of labor and delivery care. It is important in and of itself, but it also reflects readiness for managing other important complications for the mother or newborn.<\/p>\n<p>Pregnant women need a good assessment late in pregnancy to anticipate problems and ensure they receive any needed special care.Teaching expectant mothers about the importance of seeking healthcare can also prevent adverse birth outcomes. Giving birth in a center where assisted delivery or caesarian section can be provided quickly can also save a baby\u2019s life. Good monitoring of the mother and fetus throughout labor ensures that prompt action can be take to prevent conditions from evolving to a life-threatening state.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Ending dangerous practices, like augmenting labor with oxytocin under unsafe conditions or applying pressure on the mother\u2019s belly during labor, can prevent fetal deaths.<\/p>\n<p>And for those cases in which the baby emerges in a very stressed state and is unable to start breathing, competent action taken within the \u201cgolden minute\u201d can keep the baby alive until breathing begins. Finally, suitable equipment needs to be kept at the ready for all births, and provisions in place to ensure that health workers attending births are regularly practicing to maintain their resuscitation skills.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a> - interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe).<\/li>\n<li><a href=\"https:\/\/shop.laerdalglobalhealth.com\/product\/neonatalie-live\/\" target=\"_blank\" rel=\"noopener\">Neonathalie Live<\/a> \u2013 Newborn Ventilation Trainer<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">WHO guidelines Managing complications in pregnancy and childbirth: A guide for midwives and doctors <\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Helping Babies Survive<\/h4>\n<p><img class=\"alignnone size-full wp-image-352\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-helpingbabiesbreathe.jpg\" alt=\"small-helpingbabiesbreathe\" width=\"570\" height=\"252\" \/><\/p>\n<p><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/\">Helping Babies Survive<\/a> is a package of evidence-based training programs designed to teach the necessary skills to reduce neonatal mortality in resource-limited environments. The first program Helping Babies Breathe (HBB) was developed in 2010 by the American Academy of Pediatrics (AAP) in keeping with WHO recommendations. Studies have shown that it can reduce neonatal mortality by up to 47%; saving thousands of asphyxiated newborns. The success of HBB led to a global request for additional programs (such as Essential Care for Every Baby, Essential Care for Small Babies, and Improving Care of Mothers and Babies) addressing other leading causes of newborn death by equipping providers with the necessary skills and competencies to deliver high quality care to newborns during and after birth.\u200b<\/p>\n<p>The partnership is not only providing competency-based, hands-on training to service providers but working with ministries of health and their partners to provide functional resuscitation equipment for all health facilities where babies are born.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Essential Newborn Care Course<\/h4>\n<p><img class=\"wp-image-1614 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-essentialnewborncare2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p><em>Please note this section will be updated in 2022. See <a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\" target=\"_blank\" rel=\"noopener\">interim version of the second edition of the Essential Newborn Care Course (ENCC)<\/a> for more information.\u00a0<\/em><\/p>\n<p>The Essential Newborn Care Course (ENCC) is a WHO training program that works to ensure that health workers have the skills and knowledge to provide appropriate care at the most vulnerable period in a baby's life. Health workers are taught how to use the <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549356?msclkid=05ffb757d06d11ec8a219bb5009124b0\" target=\"_blank\" rel=\"noopener\">WHO's Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice.<\/a><\/p>\n<p>In particular, the course focuses on the sections concerned with newborn care, which provide up-to-date evidence-based information and management of babies with a range of needs in the initial newborn period. The course includes:[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Complications during childbirth","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"complications-during-childbirth","to_ping":"","pinged":"","post_modified":"2023-07-27 13:25:43","post_modified_gmt":"2023-07-27 17:25:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=116","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":408,"post_author":"7211","post_date":"2016-01-20 17:59:41","post_date_gmt":"2016-01-20 17:59:41","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>While the term \u201cessential newborn care\u201d can be used in a variety of ways, the Healthy Newborn Network uses the term to refer to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at home.<\/h2>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">800<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667425498849{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of children under age 5 who <a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/the-lancet-breastfeeding-series\/\">might be saved every year<\/a> if optimally breastfed<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666041181328{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of babies who are exclusively breastfed during their first six months of life globally (2014-2020)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\"][vc_column_text]Essential newborn care includes:\r\n<ul>\r\n \t<li>early initiation and exclusive breastfeeding<\/li>\r\n \t<li>thermal care (including prompt drying and covering at birth, maximizing skin-to-skin contact, delayed bathing, maintaining \u201cwarm chain\u201d)<\/li>\r\n \t<li>hygiene practices (including cord-care and caregiver handwashing)<\/li>\r\n<\/ul>\r\nThere is good evidence that adherence to these recommended practices substantially reduces mortality risk, especially for very small newborns. Health service contacts (notably associated with antenatal care and the hospital admission for childbirth) are important opportunities to influence these practices. In some settings, community health workers (CHWs) can serve as important channels to influence adoption of these practices among pregnant women.[\/vc_column_text][vc_text_separator title=\"Key Resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a>\u00a0\u2013 interim version of the second edition (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">\u00a0<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe). (2022)<\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/no-harm-technical-briefs\/\" target=\"_blank\" rel=\"noopener\">Every Preemie\u2014SCALE: Do No Harm Technical Briefs<\/a> (2019)<\/li>\r\n \t<li><a href=\"http:\/\/www.who.int\/nutrition\/topics\/bfhi\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Baby-friendly Hospital Initiative (WHO) <\/a>(2018)<\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Essential newborn care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"essential-newborn-care","to_ping":"","pinged":"","post_modified":"2022-11-02 17:44:19","post_modified_gmt":"2022-11-02 21:44:19","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=408","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":395,"post_author":"7211","post_date":"2016-01-20 17:18:38","post_date_gmt":"2016-01-20 17:18:38","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Copy Needed<\/h2>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/4\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong>0<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1453410481084{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">stat needed<\/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>0<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1453410505868{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">stat needed<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Neonatal Resuscitation","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"neonatal-resuscitation","to_ping":"","pinged":"","post_modified":"2016-02-23 16:46:50","post_modified_gmt":"2016-02-23 21:46:50","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=395","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":131,"post_author":"7211","post_date":"2015-10-21 15:20:16","post_date_gmt":"2015-10-21 15:20:16","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>Access to reliable and timely data about the causes of death is essential for planning and implementing health services.<\/h2>\r\nA systematic analysis of mortality trends and events leading to deaths can help identify system breakdowns and address deficiencies in service delivery. This process shows a greater impact on practices and outcomes than other quality improvement strategies, particularly in settings where the audit process includes an action plan and clear targets. By establishing a multidisciplinary and no-blame environment, common problems and solutions can be identified.\r\n\r\nThe need to better understand why stillbirths and neonatal deaths occur, and what can be done to prevent them, has led to the development of <i><a href=\"http:\/\/www.who.int\/maternal_child_adolescent\/documents\/stillbirth-neonatal-death-review\/en\/\">Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/i>. It provides the\u00a0methodology and tools for developing a mortality audit system with links to surveillance, civil registration and vital statistics, with instruction on counting, classifying and investigating stillbirths and neonatal deaths in order to prevent future avoidable deaths, in facilities and communities. There is also\u00a0guidance on establishing a legal and ethical\u00a0environment in which to create quality improvement\u00a0processes, without fear of blame or punitive actions.\u00a0Many countries already use the <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">Maternal Death\u00a0Surveillance and Response\u00a0process<\/a> as a strategy for\u00a0addressing maternal mortality. This new WHO guide will enable countries to build on Maternal Death Surveillance and Response platforms in order to improve care for babies, within an overall framework of quality of care\u00a0improvement and aligned with <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-improving-quality-maternal-newborn-care-health-facilities\/\">WHO\u2019s quality of care initiative.<\/a>[\/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\">81<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046345167{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring notification all of maternal deaths within 24 hours.\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 el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">67<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046356459{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of\u00a0countries <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> for review of neonatal deaths.\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 el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">44<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046368034{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of countries that <a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/maternal-health\/maternal-and-perinatal-death-surveillance-and-response\">reported a national policy or guideline<\/a> requiring review of stillbirths.<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"More information\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]One of the key actions recommended in both the Every Newborn Action Plan (ENAP) and the Ending Preventable Maternal Mortality (EPMM) strategy is the institutionalization of maternal and perinatal death surveillance and response systems to enable a country\u2019s use of audit data to track and prevent maternal and early newborn deaths as well as stillbirths.\r\n\r\nThe process of routine identification and timely notification of deaths is a continuous action cycle, ideally linking quality improvement from the local to the national level. Although women and their babies share the same period of highest risk, often with the same health workers present, there has been little movement towards capturing information for stillbirths and neonatal deaths. Basic information for every birth and death is needed, along with a critical review of selected deaths. [\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Mortality audit can have multiple entry points into the health system, ranging from a single hospital to a nationally mandated program covering the community and facility levels. Generally, deaths that occur in facilities have more information available compared to those in communities, and future cases may be easier to identify and prevent. However, we\u00a0need to ensure all births and deaths are counted, no matter where they occur. We also\u00a0need strategies to determine\u00a0the number and causes of death among the 50 million births that take place in communities each year.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/maternal-and-perinatal-death-and-surveillance-and-response\/\">Maternal and perinatal death and surveillance and response<\/a> (2021)<\/li>\r\n \t<li><a href=\"https:\/\/www.up.ac.za\/centre-for-maternal-fetal-newborn-and-child-healthcare\/article\/2871749\/the-perinatal-problem-identification-programme\" target=\"_blank\" rel=\"noopener\">South Africa's Perinatal Problem Identification Programme<\/a><\/li>\r\n \t<li><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12904\/pdf\" target=\"_blank\" rel=\"noopener\">Towards greater effectiveness of perinatal death audit in low- and middle-income countries<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4577789\/\" target=\"_blank\" rel=\"noopener\">Counting every stillbirth and neonatal death through mortality audit to improve quality of care for every pregnant woman and her baby<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241511223\">Making Every Baby Count WHO audit guide<\/a><\/li>\r\n \t<li><a href=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCSP-PNDA-Brief_8.12.16.pdf\">Making Every Baby Count policy brief<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=cZ6L53EYXgQ\">Making Every Baby Count Video. Audit and Review of Stillbirths and Neonatal Deaths<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.youtube.com\/watch?v=aus5n0qQFgk\">Setting up a Death Review Committee Video<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Mortality audit","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mortality-audits","to_ping":"","pinged":"","post_modified":"2022-10-18 15:30:09","post_modified_gmt":"2022-10-18 19:30:09","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&#038;p=131","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"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"}],"countries":[{"ID":185,"post_author":"7211","post_date":"2015-10-21 21:58:28","post_date_gmt":"2015-10-21 21:58:28","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 Indonesia (2019)\" el_class=\"transform:upperclass\"][vc_row_inner][vc_column_inner][vc_round_chart type=\"doughnut\" stroke_width=\"1\" stroke_color=\"custom\" values=\"%5B%7B%22title%22%3A%220%25%20Diarrhoea%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22vista-blue%22%7D%2C%7B%22title%22%3A%220%25%20Tetanus%22%2C%22value%22%3A%220%25%22%2C%22color%22%3A%22mulled-wine%22%2C%22custom_color%22%3A%22%23ff9900%22%7D%2C%7B%22title%22%3A%224%25%20Pneumonia%22%2C%22value%22%3A%224%25%22%2C%22color%22%3A%22peacoc%22%7D%2C%7B%22title%22%3A%2244%25%20Preterm%20birth%20complications%22%2C%22value%22%3A%2244%25%22%2C%22color%22%3A%22blue%22%7D%2C%7B%22title%22%3A%2219%25%20Intrapartum%20related%20events%22%2C%22value%22%3A%2219%25%22%2C%22color%22%3A%22turquoise%22%7D%2C%7B%22title%22%3A%226%25%20Sepsis%20and%20other%20infectious%20conditions%20of%20the%20newborn%22%2C%22value%22%3A%226%25%22%2C%22color%22%3A%22pink%22%7D%2C%7B%22title%22%3A%2218%25%20Congenital%20abnormalities%5Ct%22%2C%22value%22%3A%2218%25%22%2C%22color%22%3A%22violet%22%7D%2C%7B%22title%22%3A%2210%25%20Other%20conditions%22%2C%22value%22%3A%2210%25%22%2C%22color%22%3A%22chino%22%7D%5D\" custom_stroke_color=\"#f6f6f4\" css=\".vc_custom_1651070865648{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 2000-2019 generated by the WHO and Maternal and Child Epidemiology Estimation Group (MCEE) 2022 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_1651070881197{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">12<\/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_1651070889622{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong>3.3<\/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 2000-2020 (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1578911101447{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">51<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Proportion of under-5 child deaths that are newborn (%)<\/h5>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/4\"][vc_column_text css=\".vc_custom_1651070910669{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">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_1651070921926{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">95<\/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_1578911121773{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #41aaab;\"><strong><span class=\"ticker\">58<\/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_1698696317804{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #e05533;\"><strong><span class=\"ticker\">13.2<\/span><\/strong><\/span><\/h1>\r\n[\/vc_column_text][vc_column_text el_class=\"text-white\"]\r\n<h5 style=\"text-align: center;\">Preterm birth rate (births &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_1578911130023{margin-bottom: -5px !important;}\"]\r\n<h1 style=\"text-align: center;\"><span style=\"color: #d9a23b;\"><strong><span class=\"ticker\">177<\/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":"Indonesia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"indonesia","to_ping":"","pinged":"","post_modified":"2023-10-30 16:03:54","post_modified_gmt":"2023-10-30 20:03:54","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=country&#038;p=185","menu_order":0,"post_type":"country","post_mime_type":"","comment_count":"0","filter":"raw"}],"views":"2122","ft_img_caption":""},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/35244"}],"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=35244"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/35244\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/35245"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=35244"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=35244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}