contact our team<\/a> to submit your resources, events and blogs to the network!<\/p>\n","protected":false},"excerpt":{"rendered":"This newsletter summarizes the latest research and resources that we think are noteworthy and may be of interest to our members. We have also highlighted some upcoming events and global days that are relevant to the newborn health community.\u00a0As always, we aim to share the latest information while connecting with our members to promote relevant … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":49400,"comment_status":"open","ping_status":"closed","template":"","toolkit":[],"acf":[],"yoast_head":"\nHealthy Newborn Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Healthy Newborn Network Quarterly Newsletter | Quarter One | 2021 - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"This newsletter summarizes the latest research and resources that we think are noteworthy and may be of interest to our members. We have also highlighted some upcoming events and global days that are relevant to the newborn health community.\u00a0As always, we aim to share the latest information while connecting with our members to promote relevant … Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/\" \/>\n<meta property=\"og:site_name\" content=\"Healthy Newborn Network\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Q1-2021.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"582\" \/>\n\t<meta property=\"og:image:height\" content=\"620\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"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\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/\",\"name\":\"Healthy Newborn Network Quarterly Newsletter | Quarter One | 2021 - Healthy Newborn Network\",\"isPartOf\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Q1-2021.jpg\",\"datePublished\":\"2021-07-23T20:58:25+00:00\",\"dateModified\":\"2021-07-23T20:58:25+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/#primaryimage\",\"url\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Q1-2021.jpg\",\"contentUrl\":\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/HNN-Q1-2021.jpg\",\"width\":582,\"height\":620,\"caption\":\"Photo credit: UNICEF\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.healthynewbornnetwork.org\/resource\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.healthynewbornnetwork.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Healthy Newborn Network Quarterly Newsletter | Quarter One | 2021\"}]},{\"@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\/healthy-newborn-network-quarterly-newsletter-quarter-one-2021\/","og_locale":"en_US","og_type":"article","og_title":"Healthy Newborn Network Quarterly Newsletter | Quarter One | 2021 - Healthy Newborn Network","og_description":"This newsletter summarizes the latest research and resources that we think are noteworthy and may be of interest to our members. 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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 \r\n\r\nPhoto: Parth Sanyal\/ Save the Children\r\n\r\n<strong>Saving Newborn Lives (SNL) Program:<\/strong>\r\n\r\nSave the Children's Saving Newborn Lives (SNL) program, supported by the Bill & Melinda Gates Foundation, is a globally recognized leader in newborn health and a respected voice in many low-resource countries. Since 2000, Save the Children\u2019s SNL program has worked as a catalyst towards ensuring that newborn health and survival is on global and national agendas. SNL seeks to achieve equitable and effective coverage of high-impact newborn services and practices institutionalized at scale.\r\n\r\nSNL currently works in partnership with 7 countries to reduce newborn mortality, improve newborn health and bring high-impact interventions to scale. In 4 countries \u2013 Bangladesh, Malawi, Nepal, and Uganda - the program works through partnerships with government and stakeholders to achieve and document the scale-up of newborn health interventions. These countries have achieved substantial policy and system readiness for scale-up and are positioned for accelerated change in service delivery and health outcomes. In 3 additional countries \u2013 Ethiopia, India, and Nigeria \u2013 SNL coordinates with government and partners to develop policies, program experience, and evidence in order to promote the effective and sustainable scale-up of key interventions. SNL collaborates closely with governments and implementing partners, and provides direct support to the design, development and implementation of national strategies and policies to improve the quality and availability of care for mothers and newborns. For more information on Save the Children\u2019s Newborn Health program, <a href=\"http:\/\/www.savethechildren.org\/site\/c.8rKLIXMGIpI4E\/b.6234293\/k.7FC1\/Newborn_Health.htm\">visit our website<\/a>.\r\n\r\nSNL currently maintains the Healthy Newborn Network and strives to establish the site as the \u201cgo-to\u201d resource for newborn health information, data and resources.\r\n\r\nSave the Children also offers technical assistance and support as the newborn health leading partner under USAID\u2019s Maternal and Child Survival Program (MCSP). MCSP is a global, USAID Cooperative Agreement to introduce and support high-impact health interventions with a focus on 24 high-priority countries with the ultimate goal of ending preventable maternal and child deaths within a generation. The Program is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives.\r\n\r\n<strong>Save the Children Campaigns:<\/strong>\r\n\r\nAs an independent and global organization, Save the Children has a powerful voice in campaigning for long-term change, and a track record of success. Save the Children encourages its supporters to put pressure on decision makers and opinion formers to change policies and practices, locally and globally, to ensure children's rights become reality.\r\n\r\n<strong><img class=\"alignleft size-full wp-image-796\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryOne-Thumb.jpg\" alt=\"EveryOne - Thumb\" width=\"160\" height=\"160\" \/>The EveryOne Campaign<\/strong>: Save the Children has launched a global campaign to ensure governments provide basic health and nutrition services to millions of children who might not otherwise live to see their fifth birthday. EVERY ONE is Save the Children\u2019s global campaign to ensure no child under the age of five dies from preventable causes, and that public attitudes do not tolerate a return to high levels of child deaths. By 2015, the campaign aims to have catalyzed a breakthrough in governments' policies and practices that dramatically accelerates sustainable progress towards MDG 4. Follow the <a href=\"http:\/\/everyone.savethechildren.net\/news\">Every One campaign via their blog. <\/a>\r\n\r\n<strong><img class=\"alignleft size-full wp-image-797\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/EveryBeatMatters-Thumb.jpg\" alt=\"EveryBeatMatters - Thumb\" width=\"160\" height=\"160\" \/>Every Beat Matters<\/strong>: Through this campaign, Save the Children aims to raise awareness among the American public of the key issues related to child survival, engage and foster champions who are willing to raise their voices for children in need around the world, and create a movement which demands that we increase access to lifesaving care so that no parent suffers the unnecessary loss of a child. Every child deserves the chance to grow up healthy, happy and able to reach their potential. Take a look at <a href=\"http:\/\/www.everybeatmatters.org\/\">Save the Children\u2019s Action Network <\/a>for more information.","post_title":"Save the Children","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"save-the-children","to_ping":"","pinged":"","post_modified":"2016-12-12 10:03:13","post_modified_gmt":"2016-12-12 15:03:13","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=793","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"","issues":[{"ID":128,"post_author":"7211","post_date":"2015-10-21 15:19:45","post_date_gmt":"2015-10-21 15:19:45","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]Transforming care for the 30 million newborns who require medical care, and who are currently being left behind, is a smart investment in the health and development of future generations. Kangaroo Mother Care (KMC) is one of the leading proven interventions that can radically improve inpatient care for small and sick newborns, leading to shorter hospitalizations and improved health outcomes.<\/p>\n<p>KMC refers to the practice of providing early, continuous, prolonged skin-to-skin contact between mother and baby, exclusive breastmilk feeding, and follow-up care with high-risk newborns. It has shown to decrease mortality and morbidity in preterm and low birthweight infants by providing protection from infection; regulating temperature, breathing, and brain activity; and encouraging mother-baby bonding. In many cases, newborns who receive KMC are able to be discharged early from the hospital and KMC can be continued at home. When delivered as a complete package, it is highly effective at reducing newborn mortality \u2013 up to 40% according to recent data.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">14.7<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690899267181{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants with low birthweight globally (2020)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">27<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666024070330{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of infants who were not weighed at birth globally (2014-2020)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">40<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1466618727036{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percentage reduction in mortality of low birthweight infants (<2000g) who receive KMC compared to conventional neonatal care*<\/h3>\n<p>[\/vc_column_text][vc_column_text css=\".vc_custom_1545998791435{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h6 style=\"text-align: center;\"><a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD002771.pub4\/full\"><span style=\"font-weight: 400; color: #808080;\">*\u00a0Conde\u2010Agudelo and Diaz\u2010Rossello. 2016<\/span><\/a><\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>KMC implementation<\/h4>\n<p><img class=\"wp-image-1622 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-kmcimplementation.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>The World Health Organization (WHO) <a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">recommends KMC<\/a> for the routine care of newborns weighing 2000 grams or less at birth, regardless of availability of incubator care. <a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Recent studies<\/a> are showing a significant decrease (25%) in morbidity and mortality for newborns who begin KMC immediately after birth, especially in newborns weighing between 1 kg and 1.79 kg. KMC can and should be started as soon as possible following birth, and can occur while stabilizing care is provided to the mother and newborn (eg, newborn receiving continuous positive airway pressure (CPAP) for respiratory distress). Additionally, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-of-community-initiated-kangaroo-mother-care-on-postpartum-depressive-symptoms-and-stress-among-mothers-of-low-birth-weight-infants-a-randomized-clinical-trial\/\">recent studies<\/a> have shown that KMC can be effectively implemented at home for newborns who are born outside of a facility, although all small newborns should receive post-natal care and follow-up with health care providers.<\/p>\n<p>There is a global push advocating for skin-to-skin contact between mother and newborn for one hour immediately following birth for all newborns, regardless of size at birth. While skin-to-skin contact is a key component of KMC, skin-to-skin alone is not sufficient for small newborns. All small newborns should receive complete KMC care, depending on facility and national protocols.<\/p>\n<p>KMC is considered a part of family-centered, respectful newborn and maternal care. It can be implemented during the full continuum of care, and is especially effective transitioning from the facility to the household. Providers should be trained to educate mothers and fathers in home-based continued KMC, and encourage its use at the home following discharge. Additionally, early and immediate KMC can also support positive early development, beyond the physical health benefits and morbidity prevention.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Accelerating KMC uptake<\/h4>\n<p><img class=\"wp-image-1621 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-acceleratingthisintervention.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p>Despite the many benefits of KMC, country-level adoption and implementation have been limited, and only a small proportion of newborns who could benefit from KMC receive it. Barriers to KMC implementation at the facility level include inadequate facilities and supplies for KMC, insufficient staffing in facilities, lack of training and prioritization of KMC by facility staff, and inadequate policy and professional commitment to KMC. At the family and community level, barriers include cultural norms that make practice of skin-to-skin care difficult, lack of family and financial support for mothers to practice KMC, limited understanding of KMC, and stressors related to extended hospitalization.<\/p>\n<p>The COVID-19 pandemic was and continues to be a barrier for implementation of KMC in most settings. Infection prevention measures during the pandemic led to more newborns being separated from their mothers immediately following birth, even low birthweight and preterm newborns who would benefit from KMC. It is critical that infection prevention policies and government agencies do not recommend separation of mother and newborn, so that all vulnerable newborns receive KMC, even during COVID-19 outbreaks and infections.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_cta h2=\"Small and Sick Newborn Community of Practice\" txt_align=\"center\" color=\"sandy-brown\"]KMC features prominently as one of the core elements of care for the small or sick newborn.\u00a0 A new community of practice, the Small and Sick Newborn CoP (SSNB CoP) is an interactive platform that enables practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence regarding KMC and the other essential interventions comprising quality care of small for sick newborns.\u00a0<a href=\"https:\/\/ibpnetwork.org\/topics\/14356\">Click here<\/a>\u00a0to register for SSNC CoP and access webinars, networking, resources, events and much more.[\/vc_cta][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"2\/3\"][vc_column_text]<strong>Guidance<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/global-position-paper-on-kangaroo-mother-care\/\" target=\"_blank\" rel=\"noopener\">Global Position Paper on Kangaroo Mother Care: A transformative innovation in healthcare (2023)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-strategy-for-scale-up-adaptable-to-different-country-contexts\/\" target=\"_blank\" rel=\"noopener\">Kangaroo Mother Care: Implementation strategy for scale-up adaptable to different country contexts (2023)\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight infant (2022)<\/a><\/li>\n<li><a href=\"https:\/\/cdn.who.int\/media\/docs\/default-source\/mca-documents\/nbh\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities-2020.pdf?sfvrsn=f2da583c_1\">Standards for improving the quality of care for small and sick newborns in health facilities (2020)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive: Transforming care for every small and sick newborn (2018)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/joint-statement-international-recommendations-interventions-improve-preterm-birth-outcomes\/\">Joint Statement: International WHO Recommendations on Interventions to Improve Preterm Birth Outcomes (2017)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kmcjointstatement\/\">Kangaroo Mother Care Joint Statement (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-challenge-brief\/\">Kangaroo Mother Care challenge brief (2016)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-implementation-guide\/\">Kangaroo Mother Care Implementation Guide (2012)<\/a><\/li>\n<\/ul>\n<p><strong>Research<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/effect-on-neonatal-sepsis-following-immediate-kangaroo-mother-care-in-a-newborn-intensive-care-unit\/\">Effect on neonatal sepsis following immediate kangaroo mother care in a newborn intensive care unit: a post-hoc analysis of a multicentre, open-label, randomised controlled trial (2023)<\/a><\/li>\n<li><a href=\"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-021-03646-3\">Barriers and facilitators of facility-based kangaroo mother care in sub-Saharan Africa: a systematic review (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2026486\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)32223-8\/fulltext\">Effect of community-initiated kangaroo mother care on survival of infants with low birthweight: a randomised controlled trial (2019)<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4750435\/\">Kangaroo mother care: a systematic review of barriers and enablers (2015)<\/a><\/li>\n<\/ul>\n<p><strong>Country Specific Resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/scaling-up-kangaroo-mother-care-in-ethiopia-and-india-a-multi-site-implementation-research-study\/\">Scaling up Kangaroo Mother Care in Ethiopia and India: a multi-site implementation research study (2021)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/mother-newborn-care-unit-mncu-experience-in-india-a-paradigm-shift-in-care-of-small-and-sick-newborns\/\">Mother\u2011Newborn Care Unit (MNCU) Experience in India: A Paradigm Shift in Care of Small and Sick Newborns (2022)<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"20053\" img_size=\"medium\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/kangaroo-mother-care-toolkit\/\"][vc_btn title=\"Kangaroo mother care toolkit\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fkangaroo-mother-care-toolkit%2F|||\"][\/vc_column][\/vc_row]<\/p>\n","post_title":"Kangaroo Mother Care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"kangaroo-mother-care","to_ping":"","pinged":"","post_modified":"2023-08-01 10:14:43","post_modified_gmt":"2023-08-01 14:14:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=128","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":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&p=411","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":15762,"post_author":"7211","post_date":"2019-12-10 11:18:26","post_date_gmt":"2019-12-10 16:18:26","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]Across the world, many women, newborns and their families experience disrespectful, abusive, or neglectful treatment during childbirth, and this extends to the postpartum period. In recent years, the Respectful Maternity Care movement has focused more attention on newborn care as it was seen as a gap in the care and well-being of women\u2019s and children\u2019s rights and health.[\/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]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1575989047925{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">universal rights of women and newborns identified in the Respectful Maternity Care Charter<\/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\/4\"][vc_column_text css_animation=\"none\"]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">25<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"3\/4\"][vc_column_text css=\".vc_custom_1690998319718{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\">percent of children under the age 5 without birth registration (2011-2021)<\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/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]A small but growing amount of evidence suggests that newborns also do not always receive respectful, evidence-based care, which could have lasting implications on their health, and discourage their families from seeking subsequent care. This is especially important for small and sick newborns, who are at the highest risk of morbidity and mortality. Newborns\u2019 experiences with caregivers can have significant and lasting impact\u2014 newborn babies feel pain and discomfort, and can experience emotional distress, particularly when separated from their families in the first hours of life. Good early care, including attachment and breastfeeding, has a lasting positive impact on the health and well-being of newborns throughout their lives. More research is needed to determine how widespread these issues are, how to better define mistreatment of newborns, and how to provide better care for all families as well as support to health care providers.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]In October 2019, the Global Respectful Maternal Care Council, convened by the White Ribbon Alliance, launched <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/respectful-maternity-care-charter-universal-rights-of-women-and-newborns\/\">Respectful Maternal Care Charter: the universal rights of women and newborns<\/a>. The charter and new set of advocacy materials builds on the 2011 charter by emphasizing the shared needs of the maternal-child dyad, including zero separation between parents and newborns without consent, as well as recognizing newborn-specific elements such as the right to birth registration.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]<strong>Key resources:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/respectful-maternity-care-charter-universal-rights-of-women-and-newborns\/\" target=\"_blank\" rel=\"noopener noreferrer\">Respectful Maternity Care Charter: Universal Rights of Women and Newborns<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/recommendations-intrapartum-care-positive-childbirth-experience\/\">WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience<\/a> (2018)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/recommendations-antenatal-care-positive-pregnancy-experience\/\">WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience<\/a> (2016)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/defining-disrespect-abuse-newborns-review-evidence-expanded-typology-respectful-maternity-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">Defining disrespect and abuse of newborns: a review of the evidence and an expanded typology of respectful maternity care<\/a><\/li>\n<li><a href=\"https:\/\/nurturing-care.org\/?msclkid=595ce85acfd011ec85db28c2dbb4104b\">Nurturing Care Framework<\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive Report<\/a><\/li>\n<li><a href=\"https:\/\/www.ohchr.org\/en\/instruments-mechanisms\/instruments\/convention-rights-child\" target=\"_blank\" rel=\"noopener noreferrer\">Convention on the Rights of the Child<\/a><\/li>\n<\/ul>\n<p><strong>Other resources:<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/childbirth-a-bill-of-rights\/?msclkid=4ba1811ccfd111eca764c60460add5eb\">FIGO Statement: Childbirth: A Bill of Rights<\/a> (2021)<\/li>\n<li><a href=\"https:\/\/whiteribbonalliance.org\/stories\/movements\/respect-campaign\/\" target=\"_blank\" rel=\"noopener noreferrer\">WRA respectful maternity care resources<\/a><\/li>\n<li><a href=\"https:\/\/www.everypreemie.org\/twg-sept-26-2017\/\" target=\"_blank\" rel=\"noopener noreferrer\">Every Preemie meeting on Respectful Newborn Care<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","post_title":"Respectful care","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"respectful_care","to_ping":"","pinged":"","post_modified":"2023-08-02 13:44:51","post_modified_gmt":"2023-08-02 17:44:51","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=15762","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":135,"post_author":"7211","post_date":"2015-10-21 15:20:52","post_date_gmt":"2015-10-21 15:20:52","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Many countries, even those that have achieved improvements in the last 15 years, still experience high rates of maternal and newborn deaths due to poor quality services.<\/h2>\r\nPoor quality can affect the demand for care from communities. Accelerating reduction of preventable deaths and poor outcomes depends on service quality improvements, including addressing health system challenges such as infrastructure, supplies, skilled and appropriately deployed health providers, and management. Quality improvement systems that address both the content and standards as well as the process and experience of care should be an important area of investment during the period of the new <a href=\"http:\/\/www.un.org\/sustainabledevelopment\/sustainable-development-goals\/\" target=\"_blank\">Sustainable Development Goals<\/a>.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_single_image image=\"13784\"][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_empty_space height=\"16px\"][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Quality improvement","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"quality-improvement","to_ping":"","pinged":"","post_modified":"2016-02-25 15:58:05","post_modified_gmt":"2016-02-25 20:58:05","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=135","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":14757,"post_author":"7211","post_date":"2020-05-28 17:47:37","post_date_gmt":"2020-05-28 21:47:37","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1593021077725{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<h4>Nearly 750,000 newborns lives could be saved every year with specific interventions for small and sick newborns.<\/h4>\n<p>In order to achieve SDG 3 (to ensure healthy lives and promote well-being for all at all ages) focus is needed in improving care for every newborn, mainly in those who are born small (from prematurity or intrauterine growth restriction) or become ill. These babies are at high risk of dying or becoming disabled; an estimated 1 million of survivors in this group survive with a long-term disability.<\/p>\n<p>Approximately 80% of the 2.4 million newborn deaths globally every year, are in low-birth-weight (LBW); two thirds of deaths happen in those born prematurely. Care in facilities for newborns is needed for the most common conditions, such as complications from prematurity, intrapartum brain injury, severe bacterial infection, pathological jaundice, and congenital conditions. (1)[\/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\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">2<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">infants born with low birthweight who die globally (2015)<\/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\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong>1m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">premature babies (less than 37 completed weeks of gestation) who die globally every year<\/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\/2\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">30<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h3 style=\"text-align: center;\">newborns who <a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/276655\/WHO-FWC-MCA-18.11-eng.pdf?ua=1\">require care in facilities<\/a> globally every year<\/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_column_text]<\/p>\n<h4>Where is the improvement in care most needed?<\/h4>\n<p>Ninety-eight percent of neonatal deaths occur in low and middle-income countries, with 75% occurring in Southern Asia and sub-Saharan Africa (2). Of the 10 countries with the highest NMRs, eight are in Africa, where the majority have experienced a recent humanitarian crisis. In humanitarian settings, pregnant and post-partum women face enormous challenges to access care for themselves and for their newborns. These women are also at risk for malnutrition, sexual violence, poor mental health and unplanned pregnancies, as well as those related to births with no skilled attendants. (3)<\/p>\n<p>In high-income countries (HICs), the neonatal mortality rate is usually low, and most small newborns survive and thrive. In middle-income countries (MICs), the risk of disability for infants born between 28 and 32 weeks of gestation is nearly double that of HICs, due to deficiencies in the quality of care. In low-income countries (LICs), disability is uncommon since the smallest and sickest newborns, usually die due to lack of access to essential care or more advanced care when needed. (4)<\/p>\n<h4>What is the care needed?<\/h4>\n<p>Most newborns can survive and thrive when good quality health care, including appropriate inpatient care, is available. In order to provide appropriate care for small and sick newborns, LMICs require improvements in inpatient care to reduce mortality and avoid long-term complications. High-quality inpatient care requires an adequate space, competent professionals in all areas, and equipment and supplies to deliver the care. All newborns require essential care, particularly at the time of birth and during the first days of life, whether in a health facility or at home. Most small and sick newborns require special inpatient care, which can only be provided in a health facility. Intensive care in a high-level referral facility is only required by a third of sick newborns. In addition, the linkages between obstetric and neonatal services need to be protected and strengthened. The Survive and Thrive report provides a list of in-patient interventions proven effective in preventing newborn mortality and disability, by each level of care; and <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">WHO\u2019s standards for quality care of small and sick newborns in facilities<\/a> specify the various aspects of the health systems that need to be improved. Core interventions that should be available to all small or sick newborns beyond basic essential care for all newborns include:<\/p>\n<ol>\n<li>Kangaroo Mother Care started as soon as possible after birth for small newborns, provided as continuously as possible for at least 20 hours per day during the time the newborn is transitioning and receiving neonatal special care;<\/li>\n<li>Immediate and exclusive breastfeeding, including colostrum,\u00a0 provided by cup, spoon, or NG tube if baby is unable to breastfeed;<\/li>\n<li>Respiratory support when needed, guaranteeing safe oxygen use through blended air-oxygen and with oxygen saturation monitoring;<\/li>\n<li>CPAP for respiratory distress requiring positive airway pressure with guarantees of safe oxygen use and oxygen saturation monitoring;<\/li>\n<li>Appropriate and timely management of suspected serious infections (eg, sepsis, pneumonia, meningitis) with antibiotics and supportive care as needed;<\/li>\n<li>Family-centered care with families having continuous access to their babies in special care or neonatal intensive care, and participating in providing appropriate care of their baby;<\/li>\n<li>Developmentally supportive care for newborns and support for families to provide nurturing care in facilities and after discharge home;<\/li>\n<li>Discharge planning with parents to ensure their competence and confidence to provide essential nurturing care at home; and<\/li>\n<li>Follow up care after discharge from appropriate trained health care workers to monitor the baby\u2019s condition, support the family for KMC and nurturing care, and referral for any new danger signs or complications (including Retinopathy of Prematurity follow up for small babies receiving oxygen therapy).<\/li>\n<\/ol>\n<p>The WHO released <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">recommendations for care of the preterm or low-birth-weight infant\u00a0<\/a>in 2022 detailing some of these core interventions.<\/p>\n<p>(1,5)[\/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>The Nurturing Care Framework for ECD<\/h4>\n<p>The <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">Nurturing Care Framework for Early Childhood Development<\/a>, launched by WHO, UNICEF and the World Bank Group in 2018, demonstrates that focusing on ECD is one of the wisest investments a country can make to boost economic growth. Nurturing care is the provision of a stable environment that promotes children\u2019s health and nutrition and interactions that are responsive, emotionally supportive, and developmentally stimulating, while providing protection from threats.<\/p>\n<p>Neurosensory development begins in-utero and is responsive to positive and negative influences in the external environment from the time of birth. Hence early life exposure to hostile environment, including stress is linked to decreased brain density, with longer-term effects on learning outcomes. Newborns who are small \u2014 preterm, low birth weight, and\/or small for their gestational age \u2014 and\/or are sick \u2014 from infections, intrapartum related complications and pathological jaundice \u2014 are at heightened risk of neurodevelopmental delays and disabilities.<\/p>\n<p>Traditional inpatient care facilities expose vulnerable newborns to excess sound and light conditions in the units, potential harm from unsafe oxygen use, separation of the mother-infant dyad, leading to parental stress and negative psychological effects in addition to delayed feeding and difficulties breastfeeding which can persist after discharge. Of the 13 million preterm newborns who survive globally each year, an estimated 2.7% have moderate to severe impairments and 4.4% have mild neurodevelopmental impairments.<\/p>\n<p><span style=\"font-weight: lighter;\">Nurturing care for small and sick newborns is possible. Several evidence-based interventions can create a healing physical and sensory environment. These include Family Centered Care that allows for non-separation of the mother from her newborn; Kangaroo Care, including immediate initiation even when the newborn is receiving special care in the SCU\/NICU; the Baby-Friendly Hospital Initiative that supports the mother for breastmilk feeding; safety and security through infection prevention and control; judicious use of antibiotics; and safe oxygen use when needed.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/span><\/p>\n<h4>Use of data for action<\/h4>\n<p>Countries are required to improve the measurement of the care of small and sick newborns, and their later development and health in order to achieve the goal of ending all preventable deaths by 2030.<\/p>\n<p>It is of utmost importance to collect and analyze data on coverage and quality of care, including long-term outcomes in the most at-risk. In order to guide programs and investments, the continuous monitoring of data on quality of care is a key element for better results for newborns\u2019 survival and thriving.<\/p>\n<p>It is also important to establish good measurement for innovations implemented in LMICs for the care of high-risk newborns. Some examples are simpler and affordable technologies, such as bubble CPAP (continuous positive airway pressure), or innovative implementation approaches, such as task-shifting roles for various cadres of health workers.<\/p>\n<p> <\/p>\n<p><img class=\"wp-image-43882 \" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/kangaroo-mother-care-2020-1-300x225.jpg\" alt=\"\" width=\"546\" height=\"409\" \/>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1593021721082{padding-top: 30px !important;padding-bottom: 30px !important;}\"][vc_column][vc_column_text]<\/p>\n<h4>Cost of care and return on investment<\/h4>\n<p>The Survive and Thrive report mentions that the increased investment by LMICs to improve access to inpatient quality care for small and sick newborns is currently at US$ 0.20 per person and US$ 1,700 per newborn death averted. The investment in health and development of all newborns, providing a good start in the life cycle, and in particular for the most at-risk, will potentially increase economic development in such countries.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"43329\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/preterm-birth-complications\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Every Newborn Tracking Progress toward SDG Targets<\/h4>\n<p>The Every Newborn Action Plan set concrete goals regarding newborn mortality and stillbirths in general and the care for small and sick newborns specifically. Interim goals and targets for 2025 were developed in 2020 through a multi-partnered consultative process by global and country leaders and experts. The four goals are to 1)eliminate preventable newborn and stillbirth deaths by 2025, 2) that 90% of mothers have four or more antenatal visits, 3) 90% of births are attended by trained health personnel, and that 4) 80% of mothers receive routine postnatal care within two days of birth, and <strong>80% of districts in all countries have <\/strong><strong>at least 1 inpatient newborn care unit (level 2) care to provide small and sick\/or newborns<\/strong>.[\/vc_column_text][vc_btn title=\"More on ENAP\" color=\"1\" link=\"url:https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fissue%2Fevery-newborn%2F||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_separator color=\"custom\" css=\".vc_custom_1453408765156{margin-bottom: 50px !important;}\" accent_color=\"#cccccc\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_single_image image=\"40699\" onclick=\"custom_link\" link=\"https:\/\/www.healthynewbornnetwork.org\/issue\/complications-during-childbirth\/\"][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Care of the Small and Sick Newborn Community of Practice (SSNB CoP)<\/h4>\n<p>The Care of the Small and Sick Newborn Community of Practice (SSNB CoP), is an interactive platform that allows practitioners and experts to exchange ideas, share lessons learned, disseminate and discuss implementation research results and evidence in the area of newborn health.<\/p>\n<p>The Care of SSNB provides a space for dissemination of the standards and the implementation toolkit, including country experiences shared in <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.healthynewbornnetwork.org%2Fsearch-global%2F%3F_sf_s%3Dssnb%2520cop&data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=roR04RmJrTTzTgsKVoE6v4UWcN8rcgGMOFm%2BruWhDkA%3D&reserved=0\">webinars<\/a>.<\/p>\n<p><strong>REQUEST<\/strong>\u202fto join the SSNB CoP email list serve by emailing <a href=\"mailto:SSNB+subscribe@groups.ibpnetwork.org\">SSNB+subscribe@groups.ibpnetwork.org<\/a><\/p>\n<p><strong>REQUEST\u202f<\/strong>to join the SSNB CoP Online IBP Exchange Group <a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed&data=05%7C01%7Ceshea%40savechildren.org%7Cb74cd511435543cf02ab08da33566f65%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637878743576252255%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=WSEjIXQVSHXs7Je08Eddbx0x5LD8Zuon6xi9mvo2heM%3D&reserved=0\">here<\/a>.[\/vc_column_text][vc_btn title=\"More on the Care of the Small & Sick Newborn\" color=\"1\" link=\"url:https%3A%2F%2Fibpnetwork.org%2Ftopics%2F14356%2Ffeed||target:%20_blank|\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Sources:<\/p>\n<ol>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">UNICEF, WHO. Survive and thrive: transforming care for every small and sick newborn. Geneva: World Health Organization; 2019<\/a><\/li>\n<li><a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/newborns-reducing-mortality\">WHO.Newborns: improving survival and well-being;2020<\/a><\/li>\n<li><a href=\"https:\/\/www.unfpa.org\/sites\/default\/files\/resource-pdf\/MMR_in_humanitarian_settings-final4_0.pdf\">United Nations Population Fund (UNFPA). Maternal Mortality in Humanitarian Crises and in Fragile Settings<span style=\"font-weight: lighter;\">; 2015<\/span><\/a><\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Caring-for-Mothers-and-Newborns-in-Humanitarian-Emergencies-1.pdf\">\u00a0IAWG. Surviving Day One: Caring for Mothers and Newborns in Emergencies on the Day of Childbirth; 2019<\/a><\/li>\n<li>\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/categorising-interventions-to-levels-of-inpatient-care-for-small-and-sick-newborns-findings-from-a-global-survey\/\">Moxon et al. Categorising interventions to levels of inpatient care for small and sick newborns: Findings from a global survey; 2019<\/a><\/li>\n<\/ol>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_column][\/vc_column][vc_column_text][\/vc_column_text][vc_column][\/vc_column][ultimate_exp_section title=\"Key Resources\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-small-vulnerable-newborns-series\/\" target=\"_blank\" rel=\"noopener\">The Lancet Small Vulnerable Newborns Series (2023)<\/a> - This Series presents a new conceptual framework that brings preterm birth, small for gestational age (SGA), and low birthweight (LBW) together under the term \u201csmall vulnerable newborns\u201d (SVN) in order to contribute to healthier and thriving women, newborns, children, adults, and societies.<\/li>\n<li>WHO <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/standards-for-improving-the-quality-of-care-for-small-and-sick-newborns-in-health-facilities\/\">Standards for improving the quality of care for small and sick newborns in health facilities<\/a> \u2014 Theses standards for the care of small and sick newborns in health facilities define, standardize and mainstream inpatient care of small and sick newborns, building on essential newborn care and ensuring consistency with the WHO quality of care framework.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Survive and Thrive: transforming care for every small and sick newborn<\/a> \u2014 This report maps out a pathway towards 2030. It is built upon epidemiology, historical trends, lessons learnt and evidence-based interventions.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/blog\/every-preemie-scale-launches-no-harm-technical-briefs-improve-safe-effective-use-key-inpatient-newborn-care-interventions\/\">Every Preemie Do No Harm Technical Briefs<\/a> \u2014 This series of briefs was developed between 2017-2019 and highlights the safe and effective use of specific inpatient newborn care interventions, with the guiding principle of \u201cDo No Harm.\u201d<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-every-newborn\/\">Nurturing Care for Every Newborn<\/a>\u00a0\u2014 This brief summarizes why nurturing care is essential for every newborn to survive and thrive. It outlines the five components of nurturing care and contains examples of practical actions to create and strengthen nurturing environments for newborns, including those who are born too soon, small or sick.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/nurturing-care-for-early-childhood-development-a-framework-for-helping-children-survive-and-thrive-to-transform-health-and-human-potential\/\">The Nurturing Care Framework for Early Childhood Development<\/a> \u2014 This framework draws on state-of-the-art evidence on how ECD unfolds to set out the most effective policies and services that will help parents and caregivers provide nurturing care for babies.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/implementation-toolkit-for-small-and-sick-newborn-care\/\">Implementation Toolkit for Small and Sick Newborn Care<\/a> \u2014Released on World Prematurity Day 2021, this Implementation Toolkit brings together readings, tools and learnings to provide a one-stop shop for implementers to act, use, share and learn. Information in support of WHO norms and standards from more than 300 implementers around the world is systematically organised to enable implementation and reach every newborn.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Guidelines and Statements\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/newborn-health-standards.org\/\">European Standards of Care for Newborn Health<\/a> \u2014 The ESCNH project aims to address disparities in the care of preterm and ill infants by developing standards for a wide range of topics in newborn health.<\/li>\n<li><a href=\"https:\/\/nicudesign.nd.edu\/nicu-care-standards\">Consensus Standards on Infant and Family-Centered Developmental Care<\/a> \u2014 This web document is the full report of the Consensus Committee of the Standards, Competencies, and Best Practices for Infant and Family-Centered Developmental Care in the ICU.<\/li>\n<li><a href=\"https:\/\/journals.lww.com\/advancesinneonatalcare\/Fulltext\/2019\/02000\/Guidelines_for_the_Institutional_Implementation_of.4.aspx\">Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU: A Joint Position Statement from CANN, CAPWHN, NANN, and COINN (2019)<\/a> \u2014 This position statement provides an evidence-based framework for the institutional implementation of developmentally supportive, neuroprotective care in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/nidcap.org\/\">Newborn Individualized Developmental Care and Assessment Program<\/a> \u2014 NIDCAP is an organization that supports development, enhances strengths and minimizes stress for infants, family and staff who care for them.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/newborn-individualized-developmental-care-and-assessment-program-nidcap-an-education-and-training-program-for-health-care-professionals\/\">NIDCAP Program Guide<\/a> \u2014 Educational and consultative support and assistance to NICU and special care nursery settings towards effective delivery of intensive and special care in a neurodevelopmentally supportive, individualized, and family-centered framework.<\/li>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">Integrated Family Delivered Neonatal Care<\/a> \u2014 Online resources by the Imperial College Healthcare NHS Trust to create a consistent, nurturing environment for parents to feel engaged, enabled, educated and empowered as the primary caregivers to their babies.<\/li>\n<li><a href=\"https:\/\/fundacioncanguro.co\/en\/fundacion-canguro-english\/\">Kangaroo Foundation training kit (English, Spanish, French)<\/a> \u2014 This site hosts online resources to encourage the use, development and dissemination of Kangaroo Mother Care (KMC), a methodology based on scientific evidence.<\/li>\n<li><a href=\"https:\/\/nurturescienceprogram.org\/family-nurture-intervention\/\">Family Nurture Intervention<\/a> \u2014 This program helps families re-establish emotional connection and autonomic co-regulation if they are interrupted, with significant short- and long-term benefits for both baby and mother.<\/li>\n<li><a class=\"Hyperlink SCXW255313088 BCX8\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8063066\/?report=printable\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\" data-ccp-charstyle=\"Hyperlink\">Post Partum Depression in NICU<\/span><\/span><\/a><span class=\"TextRun SCXW255313088 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255313088 BCX8\"> \u2014 This resource highlights important results from a community KMC study in India indicating that postpartum depression was reduced in mothers when KMC was used.<\/span><\/span><span class=\"EOP SCXW255313088 BCX8\" data-ccp-props=\"{"201341983":1,"335559739":160,"335559740":405}\">\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/www.marchofdimes.org\/nursing\/index.bm2?cid=00000003\">March of Dimes Education for Nurses <\/a>\u2014This site includes resources to equip nurses with the information they need to provide the highest quality care to newborns and mothers.<\/li>\n<li><a href=\"http:\/\/www.familyintegratedcare.com\/\">Family Integrated Care<\/a> \u2014 FICare is a model that integrates families as partners in the NICU care team, and provides a structure that supports the implementation of family-centered care. This website provides helpful tools and resources to support this model.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Educational Materials for Professionals\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/53398\/\">Psychosocial standards for NICU Parents<\/a> \u2014 This article provides a rationale for and brief description of the process of developing recommendations for program standards for psychosocial support of parents with babies in the neonatal intensive care unit (NICU).<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3697041\/\">National Perinatal Association Multidisciplinary Guidelines for the Care of Late Preterm Infants \u2014<\/a> This supplement was published on behalf of the Late Preterm Infant Guidelines Steering Committee with permission from The National Perinatal Association.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/small-and-sick-newborn-care-during-the-covid-19-pandemic-global-survey-and-thematic-analysis-of-healthcare-providers-voices-and-experiences\/\">Small and sick newborn care during the COVID-19 pandemic: global survey and thematic analysis of healthcare providers\u2019 voices and experiences<\/a> \u2014 This study surveyed reported disruptions to small and sick newborn care worldwide and analyzed healthcare providers\u2019 experiences and proposed mitigation strategies<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/immediate-kangaroo-mother-care-and-survival-of-infants-with-low-birth-weight\/\">Immediate \u201cKangaroo Mother Care\u201d and Survival of Infants with Low Birth Weight<\/a> \u2014 This research published in 2021 shows evidence that immediate KMC dramatically improves survival rates of small and sick newborns.<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/kangaroo-mother-care-had-a-protective-effect-on-the-volume-of-brain-structures-in-young-adults-born-preterm\/\">Kangaroo mother care had a protective effect on the volume of brain structures in young adults born preterm<\/a> \u2014 This study is one of the first to show evidence of the long-term benefits of KMC.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][ultimate_exp_section title=\"Parent Education and Integrated Family Delivered Neonatal Care\" icon=\"Defaults-circle\" new_icon=\"Defaults-circle-o\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/ifdc-familyintegratedcare.com\/\">NHS Imperial College Healthcare \u2013 Parent NICU App<\/a> \u2014 This app helps parents through their NICU journey in the ethos of family integrated care.<\/li>\n<li><a href=\"https:\/\/www.bliss.org.uk\/health-professionals\/information-and-resources\/resources-for-parents\">Bliss Resources for Parents (in conjunction with IFDC Care Bundle)<\/a> \u2014 Downloadable resources to give to parents on neonatal units or you can direct them to the information on this website.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/ultimate_exp_section][vc_row][\/vc_row][vc_column][\/vc_column]<\/p>\n","post_title":"Care of small and sick newborns","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"care-of-small-and-sick-newborns","to_ping":"","pinged":"","post_modified":"2023-08-02 12:39:31","post_modified_gmt":"2023-08-02 16:39:31","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=14757","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"views":"1262"},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/49399"}],"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=49399"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/49399\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/49400"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=49399"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=49399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}