{"id":57997,"date":"2023-01-12T10:24:40","date_gmt":"2023-01-12T15:24:40","guid":{"rendered":"https:\/\/www.healthynewbornnetwork.org\/?post_type=resource&p=57997"},"modified":"2023-01-12T10:24:40","modified_gmt":"2023-01-12T15:24:40","slug":"levels-and-trends-in-child-mortality-2022","status":"publish","type":"resource","link":"https:\/\/www.healthynewbornnetwork.org\/resource\/levels-and-trends-in-child-mortality-2022\/","title":{"rendered":"Levels and trends in child mortality – 2022"},"content":{"rendered":"

United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME), Report 2022<\/em><\/p>\n

\n

In total, more than 5.0 million children under age 5, including 2.3 million newborns, along with 2.1 million children and youth aged 5 to 24 years \u2013 43 per cent of whom are adolescents \u2013 died in 2021. This tragic and massive loss of life, most of which was due to preventable or treatable causes, is a stark reminder of the urgent need to end preventable deaths of children and young people. Sadly, these deaths were mostly preventable with widespread and effective interventions like improved care around the time of birth, vaccination, nutritional supplementation and water and sanitation programmes.<\/p>\n

Timely, high-quality and disaggregated data \u2013 which allow the most vulnerable children to be identified \u2013 are critical to achieving the goal of ending preventable deaths of children. Yet as the COVID-19 pandemic has put into stark light, data of this nature are more the exception than the rule: Just 36 countries have high-quality nationally representative data on under-five mortality for 2021, while about half the world\u2019s countries have no data on child mortality in the last five years. These substantial data gaps pose enormous challenges to policy- and decision-making and prolong the need for modelling mortality from what little data are available. To improve the availability, quality and timeliness of data for monitoring the health and survival situation of children and youth, much greater investments must be made to strengthen data systems.<\/p>\n

Almost everywhere in the world, a child born today has a better chance at surviving to age 5 than in 1990, but inequities persist among and within countries<\/h2>\n

Globally, the under-five mortality rate (U5MR) fell to 38 deaths per 1,000 live births in 2021, while under-five deaths dropped to 5.0 million. This immense, intolerable and mostly preventable loss of life was carried unequally around the world however, and children continue to face widely differing chances of survival based on where they are born. In contrast to the global rate, children born in sub-Saharan Africa are subject to the highest risk of childhood death in the world with a 2021 U5MR of 74 deaths per 1,000 live births \u2013 15 times higher than the risk for children in Europe and Northern America and 19 times higher than in the region of Australia and New Zealand<\/p>\n

Children born in poorer countries are also more likely to die before reaching age 5. Children born in low-income countries, where the 2021 U5MR was 67 deaths per 1,000 live births, were 14 times more likely to die before reaching age 5 than children born in high-income countries, where the 2021 U5MR was just 5 deaths per 1,000 live births. At the country level, U5MRs in 2021 ranged from 2 deaths per 1,000 live births to 115 deaths per 1,000 live births, 67 times higher than in the lowest mortality country.<\/p>\n

Divergent chances of survival start from the earliest ages<\/h2>\n

While the global neonatal mortality rate (NMR) in 2021 was 18 deaths per 1,000 live births<\/strong>, regionally, sub-Saharan Africa had the highest NMR in the world at 27 deaths per 1,000 live births: A child born in sub-Saharan Africa is 11 times more likely to die in the first month of life than a child born in the region of Australia and New Zealand, which has the lowest regional NMR in the world. Sub-Saharan Africa is followed by Central and Southern Asia at 22 deaths per 1,000 live births. The risk of death in the first month of life for a child born in a high-income country was one tenth the risk for a child born in a low-income country. At the country level, the risk of dying during the first 28 days of life for a child born in the highest mortality country was about 53 times higher than in the lowest-mortality country.<\/p>\n

Read more here.\u00a0<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME), Report 2022 In total, more than 5.0 million children under age 5, including 2.3 million newborns, along with 2.1 million children and youth aged 5 to 24 years \u2013 43 per cent of whom are adolescents \u2013 died in 2021. This tragic and massive loss … Continued<\/a><\/p>\n","protected":false},"author":7211,"featured_media":58000,"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\/levels-and-trends-in-child-mortality-2022\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Levels and trends in child mortality - 2022 - Healthy Newborn Network\" \/>\n<meta property=\"og:description\" content=\"United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME), Report 2022 In total, more than 5.0 million children under age 5, including 2.3 million newborns, along with 2.1 million children and youth aged 5 to 24 years \u2013 43 per cent of whom are adolescents \u2013 died in 2021. 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Working through offices in more than 150 countries, WHO staff work side by side with governments and other partners to ensure the highest attainable level of health for all people.\r\n\r\nTogether we strive to combat diseases \u2013 infectious diseases like influenza and HIV and noncommunicable ones like cancer and heart disease. We help mothers and children survive and thrive so they can look forward to a healthy old age. We ensure the safety of the air people breathe, the food they eat, the water they drink \u2013 and the medicines and vaccines they need.","post_title":"World Health Organization","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"world-health-organization","to_ping":"","pinged":"","post_modified":"2017-10-02 14:54:45","post_modified_gmt":"2017-10-02 18:54:45","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=21084","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":838,"post_author":"12","post_date":"2013-04-29 19:44:10","post_date_gmt":"2013-04-29 19:44:10","post_content":"","post_title":"UNICEF","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"unicef","to_ping":"","pinged":"","post_modified":"2016-01-21 19:45:06","post_modified_gmt":"2016-01-21 19:45:06","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=partner&p=838","menu_order":0,"post_type":"partner","post_mime_type":"","comment_count":"0","filter":"raw"}],"other_organizations":"United Nations Inter-agency Group for Child Mortality Estimation (UN IGME); World Bank Group;","issues":[{"ID":120,"post_author":"7211","post_date":"2015-10-21 15:18:23","post_date_gmt":"2015-10-21 15:18:23","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>Information on the number, timing, and causes of stillbirth and neonatal death, as well as the care received by each mother and baby, is crucial for planning and delivering high-quality health services.<\/h2>\r\nWhile data availability and quality have improved in recent years, there are still big gaps in indicators for newborn care. The Every Newborn Action Plan Measurement Improvement Roadmap details the challenges in measurement and provides a multi-year, multi-partner pathway to improving metrics, including testing and standardizing indicator definitions and developing new tools.[\/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\">71\r\n<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1513274052338{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of newborn deaths that are preventable with access to quality health care\r\n<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1<\/span>\/<span class=\"ticker\">3<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1517246179677{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">babies do not have a birth certificate by their first\u00a0birthday<\/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\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456360643415{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of priority Every Newborn indicators identified<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><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>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"More information\"][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]See <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> for more newborn health specific epidemiology including rates, trends, and causes of death.\r\n\r\nEpidemiology is the \u201cstudy of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems.\u201d Epidemiology examines how health conditions are distributed among a population and seeks to understand the risks or causes associated with those conditions.[\/vc_column_text][vc_column_text]The numbers of stillbirths and neonatal deaths, and the causes, are generated through modeled estimates using information from national civil registration databases, household surveys, surveillance systems, and special studies. High-quality, universal birth and death registration are required to provide nationally representative, timely data, and to signify a shift in social norms to value counting every newborn baby and stillbirth. Increasing global momentum to improve the data is important, and highlights the human face of those who are counted the least\u2014newborn babies and stillbirths.[\/vc_column_text][vc_text_separator title=\"Key resources\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Report Cards<\/a><\/li>\r\n \t<li><a href=\"http:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/supplements\/volume-15-supplement-2\" target=\"_blank\" rel=\"noopener\">Count every newborn, a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/series\/everynewborn\" target=\"_blank\" rel=\"noopener\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">The Every Newborn Action Plan<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/184225\" target=\"_blank\" rel=\"noopener\">The WHO Technical consultation on newborn health indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/153544\" target=\"_blank\" rel=\"noopener\">Strategies toward ending preventable maternal mortality (EPMM)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthdatacollaborative.org\/fileadmin\/uploads\/hdc\/Documents\/the-roadmap-for-health-measurement-and-accountability.pdf\" target=\"_blank\" rel=\"noopener\">The Roadmap for Health Measurement and Accountability<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/epidemiology-monitoring-and-evaluation\/maternal-health\" target=\"_blank\" rel=\"noopener\">WHO Maternal, Newborn, Child and Adolescent Health and Ageing (Maternal and newborn health monitoring)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Epidemiology","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"data-epidemiology","to_ping":"","pinged":"","post_modified":"2022-10-19 17:59:04","post_modified_gmt":"2022-10-19 21:59:04","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=120","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":310,"post_author":"7211","post_date":"2016-01-12 16:23:30","post_date_gmt":"2016-01-12 16:23:30","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453371307046{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>According to the <a href=\"https:\/\/www.thelancet.com\/journals\/lanchi\/article\/PIIS2352-4642(21)00311-4\/fulltext\">most recent estimates<\/a>, preterm birth is a leading cause of under-5 mortality, claiming nearly 1 million lives every year.<\/h2>\r\nThe World Health Organization defines preterm birth as babies born alive before 37 weeks of pregnancy are completed. While many preterms survive in high-income countries, in low- and middle-income countries a lack of adequate newborn care puts the lives of many preterm babies at risk.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">15<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023383014{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of babies born prematurely (2014)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10.6<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666023354144{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">rate of premature babies worldwide (2014)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">89<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1667425699228{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8850944\/pdf\/jogh-12-04011.pdf\">preterm births<\/a> that occur in sub-Saharan Africa and South-Asia (2012 - 2016)<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"Preventing preterm birth\" color=\"custom\" accent_color=\"#cccccc\"][vc_column_text]\r\n<p style=\"text-align: center;\">Although we still do not have a full understanding of the causes of preterm birth, several interventions may reduce the risk of a woman delivering early, including high-quality\u00a0antenatal care; good nutrition; screening and management of maternal infections, diabetes, and hypertension; smoking cessation; family planning; and prenatal care for adolescents. If a woman presents in preterm labor, administration of antenatal corticosteroids may\u00a0reduce mortality from respiratory distress, and antibiotics can reduce a baby\u2019s risk for infection.<\/p>\r\n[\/vc_column_text][vc_column_text]<strong>Key resources:<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/who-recommendations-for-care-of-the-preterm-or-low-birth-weight-infant\/\">WHO recommendations for care of the preterm or low-birth-weight newborn (2022)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/joint-statement-international-recommendations-interventions-improve-preterm-birth-outcomes\/\" target=\"_blank\" rel=\"noopener noreferrer\">Joint Statement: International WHO Recommendations on Interventions to Improve Preterm Birth Outcomes<\/a><\/li>\r\n \t<li><a href=\"http:\/\/dx.doi.org\/10.1016\/S2214-109X(18)30565-5\">National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis<\/a><\/li>\r\n \t<li><a href=\"http:\/\/dx.doi.org\/10.1016\/S2214-109X(19)30041-5\">Low birthweight: will new estimates accelerate progress?<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/Nurturing-Care-Evidence-Review-and-Case-Studies-13Aug2019.pdf\">Nurturing care for small and sick newborns: Evidence review and country case studies<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_HumanMilkFeeding_7.9.19Final.pdf\">Safe and effective human milk feeding for small and sick newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013204\">Preterm birth\u2013associated neurodevelopmental impairment estimates at regional and global levels for 2010<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/BornTooSoon-Report-April2012.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Born too soon<\/a><\/li>\r\n \t<li><a href=\"http:\/\/ptb.srhr.org\/\">Latest global, regional and national estimates of levels of preterm birth<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.thelancet.com\/series\/preterm-birth\" target=\"_blank\" rel=\"noopener noreferrer\">Lancet preterm birth series<\/a>\r\n<ul>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960074-4\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Epidemiology and causes of preterm birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960108-7\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">Primary, secondary, and tertiary interventions to reduce the morbidity and mortality of preterm birth<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2808%2960136-1\/abstract\" target=\"_blank\" rel=\"noopener noreferrer\">An overview of mortality and sequelae of preterm birth from infancy to adulthood<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a href=\"https:\/\/www.who.int\/initiatives\/every-newborn-action-plan\" target=\"_blank\" rel=\"noopener noreferrer\">Every Newborn Action Plan<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/9789241508988_eng.pdf\">WHO recommendations on interventions to improve preterm birth outcomes (2015)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Preterm birth complications","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"preterm-birth-complications","to_ping":"","pinged":"","post_modified":"2022-11-16 18:35:44","post_modified_gmt":"2022-11-16 23:35:44","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=310","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":126,"post_author":"7211","post_date":"2015-10-21 15:19:14","post_date_gmt":"2015-10-21 15:19:14","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Severe newborn infections\u2014including sepsis, meningitis, and <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/pneumonia\/\">pneumonia<\/a>\u2014are a major cause of morbidity and mortality among newborns in low- and middle-income countries.<\/h2>\r\nRecent analyses estimate that globally, approximately 400,000 newborns die each year as a result of severe infections, over one-sixth of the total burden of newborn deaths. Most of these deaths could be averted through:\r\n<ol>\r\n \t<li>preventive measures, such as improving hygiene practices, and<\/li>\r\n \t<li>timely and appropriate care for sick newborns.<\/li>\r\n<\/ol>\r\n[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252549558{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of neonatal deaths caused by severe bacterial infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">400<\/span>k<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456252596727{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of newborns who die each year as a result of severe infections<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><b><span class=\"ticker\">8<\/span><\/b><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1653422219529{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\">percentage of neonatal deaths caused by pneumonia<\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner][vc_column_inner][vc_column_text]\r\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Prevention\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]Preventive measures during the antenatal and intrapartum periods can reduce the risk of congenital and newborn infections while protecting the health of the mother. Before and during pregnancy, women can be screened and treated for syphilis and vaccinated against diseases like tetanus. In addition to preventing subsequent infection in the newborn, treating maternal infections during pregnancy \u2013 such as antibiotics for prolonged, preterm rupture of membranes or chorioamnionitis -- can also greatly reduce the risk for preterm birth, a leading cause of newborn mortality as well as prevent serious newborn infection.\r\n\r\nClean birth practices reduce the rate of newborn infections at home and implementation of consistent, high-quality infection control practices reduces newborn infections in facility settings. Hygienic umbilical cord care, including using a sterile instrument to cut the cord and, when appropriate and per national guidelines, <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/chlorhexidine-for-umbilical-cord-care\/\">applying chlorhexidine to the newborn cord stump<\/a>, can also reduce infection and preventable death. <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/breastfeeding-and-feeding-of-small-and-sick-newborns\/\">Early and exclusive breastfeeding<\/a> also reduces the likelihood of newborn infections in several ways, including providing critical support to boost immune system development and avoiding the introduction of potentially harmful substances to the immature gut.\r\n\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1453407008439{padding-top: 0px !important;padding-bottom: 0px !important;background-color: #f6f6f6 !important;}\"][vc_column][vc_text_separator title=\"Management\"][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]WHO recommends that newborns and young infants should be hospitalized when they have signs of possible <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/treatment-of-possible-severe-bacterial-infection\/\">serious bacterial infection, and treated<\/a> with 7 days of a combination of injectable antibiotics \u2013 gentaminin and ampicillin (or penicillin). In many or most low and middle-income countries (LMICs), such hospital-based treatment is not routinely feasible for many families for a number of cultural, geographic, and financial barriers. In these circumstances, recent evidence has led WHO to recommend outpatient antibiotics to such newborns and young infants to successfully treat the illness. The recommended antibiotic course is a combination of injectable and oral antibiotics: 2 days of once-daily gentamicin combined with 7 days of twice-daily oral amoxicillin. A follow up visit at 4 days of treatment is recommended to ensure adherence to the antibiotics and to ensure improvement in the newborn\u2019s condition. When referral from outpatient facility to hospital is accepted by families, the health center provider should ensure that the newborn or young infant is first given a dose of gentamicin and amoxicillin since even short delays in initiation of treatment can mean the difference between life and death.\r\n\r\nSaving newborn lives from life-threatening infections is now indeed feasible, acceptable, and effective in reducing preventable newborn and young infant deaths, and should be a top public health priority.\r\n\r\n<strong>Key Resources:\u00a0<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25274969\/\">Respiratory Distress in the Newborn <\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/SafeOxygen_english_7.6.17.pdf\">Safe and effective oxygen use for inpatient care of newborns<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/09\/InfectionPrevention_english_7.6.17.pdf\">Safe and effective infection prevention for inpatient newborn care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.everypreemie.org\/wp-content\/uploads\/2019\/07\/DNH_TechBrief_MgmtNewbornInfection_7.15.19.pdf\">Management of newborn infections during inpatient care<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.nature.com\/articles\/pr2013207\">Neonatal severe bacterial infection impairment estimates in South Asia, sub-Saharan Africa, and Latin America for 2010<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]","post_title":"Severe infections","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"severe-infections","to_ping":"","pinged":"","post_modified":"2022-10-18 14:43:52","post_modified_gmt":"2022-10-18 18:43:52","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=126","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":137,"post_author":"7211","post_date":"2015-10-21 15:21:12","post_date_gmt":"2015-10-21 15:21:12","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>More than 5,000 stillbirths occur each day, nearly half of which happen during labor and birth.<\/h2>\n<p>Stillbirths have been overlooked as a global public health crisis, in spite of the fact that often highly-preventable solutions overlap with maternal and newborn health interventions. Social taboos and stigma remain a challenge and are culturally variant. The stillbirth rate is a sensitive indicator of quality of care in pregnancy and at birth.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.9<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690996796159{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of stillbirths that occurred in 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">20<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666119375673{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">projected stillbirths by 2030 <a href=\"https:\/\/data.unicef.org\/resources\/a-neglected-tragedy-stillbirth-estimates-report\/\">if no progress is made<\/a><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">45<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690997040986{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percent of stillbirths that <a href=\"https:\/\/data.unicef.org\/topic\/child-survival\/stillbirths\/\">occurred during labor in 2021<\/a><\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_row_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>High number of preventable stillbirths<\/h4>\n<p>An estimated 1.9 million stillbirths occur annually, 89 percent of which occur in low- and lower-middle-income countries and 77 percent of which occur in sub-Saharan Africa and Southern Asia. Over <a href=\"https:\/\/data.unicef.org\/topic\/child-survival\/stillbirths\/\">45% of all stillbirths occur during labor and birth<\/a>. The most common causes of stillbirth are similar to those that also kill mothers and newborns, such as maternal infections (notably syphilis and malaria), non-communicable diseases, and obstetric complications. Only 7 percent are due to congenital disorders, but some of these are also preventable*.<\/p>\n<h6>*All data on this page represents the most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page and download the Excel spreadsheet to explore the data further.<\/h6>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Heavy burden of psychosocial and economic cost on families and nations<\/h4>\n<p>The burden of stillbirth affects women, families, caregivers, communities, and society. Parents experience various psychological symptoms that often persist long after the death of their baby but could be mitigated by respectful maternity services, including bereavement care. An estimated 4\u00b72 million women are living with depression associated with a previous stillbirth. Stigma and taboo further exacerbate trauma for families, and fatalism impedes stillbirth prevention.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<h4>Most stillbirths are preventable with health system improvements<\/h4>\n<p>Stillbirths are preventable through high-quality antenatal and intrapartum care within the continuum of care for women and children. Such inputs result in a quadruple return on investment by preventing maternal and newborn deaths and stillbirths, plus improving child development. The stillbirth rate is a sensitive marker of quality and equity of health care.<\/p>\n<p>Opportunities to integrate stillbirths within women's and children's health programs must be seized more systematically. Some initiatives, such as the multi-stakeholder <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan<\/a>, within the <a href=\"https:\/\/www.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener\">Every Woman Every Child<\/a> umbrella, have included stillbirths. Data for tracking stillbirths has increased. However, mentions of stillbirth remain limited in most relevant policies, research, and funding; these are missed opportunities to integrate and act to ensure progress.<\/p>\n<p>More information can be accessed in either the UNIGME 2023 Report - <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/never-forgotten-the-situation-of-stillbirth-around-the-globe\/\"><em>Never Forgotten - The situation of stillbirth around the globe<\/em> <\/a>or in <em>The Lancet\u00a0<\/em><a href=\"http:\/\/www.thelancet.com\/series\/ending-preventable-stillbirths\" target=\"_blank\" rel=\"noopener\">Ending Preventable Stillbirths Series<\/a>, published January 2016. The Series presents the state of stillbirths, highlights missed opportunities, and identifies actions for accelerated progress to end preventable stillbirths[\/vc_column_text][vc_row_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<strong>Key resources<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/never-forgotten-the-situation-of-stillbirth-around-the-globe\/\">UNIGME 2023 Report - Never Forgotten - The situation of stillbirth around the globe<\/a><\/li>\n<li><a href=\"https:\/\/data.unicef.org\/resources\/a-neglected-tragedy-stillbirth-estimates-report\/\">UNIGME 2020 Report - A Neglected Tragedy: The global burden of stillbirths<\/a><\/li>\n<li><a href=\"http:\/\/www.thelancet.com\/series\/ending-preventable-stillbirths\" target=\"_blank\" rel=\"noopener\">The Lancet Series \u201cEnding Preventable Stillbirths\u201d 2016<\/a><\/li>\n<li><a href=\"https:\/\/www.mamaye.org\/blog\/preventing-stillbirths-stronger-perinatal-death-review\" target=\"_blank\" rel=\"noopener\">Mamaye - Preventing Stillbirths with Stronger Perinatal Death Review<\/a><\/li>\n<li>The Lancet Ending Preventable Stillbirth <a href=\"http:\/\/stillbirthalliance.org\/news\/lancet-series-launch\/\" target=\"_blank\" rel=\"noopener\">Lay Summary<\/a> (in English, Spanish, French, Italian, Portuguese, Arabic, Hindi and Chinese)<\/li>\n<li>Ending Preventable Stillbirth <a href=\"https:\/\/www.youtube.com\/watch?v=ZGvMWnO1O08\" target=\"_blank\" rel=\"noopener\">Video<\/a><\/li>\n<li>The Lancet Ending Preventable Stillbirths <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(15)00954-X\/abstract\" target=\"_blank\" rel=\"noopener\">Campaign<\/a><\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=FRObOlP3M94\" target=\"_blank\" rel=\"noopener\">Video <\/a>of The Lancet Ending Preventable Stillbirths main launch event<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text] <\/p>\n<p><iframe src=\"https:\/\/www.youtube.com\/embed\/ZGvMWnO1O08?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Stillbirths","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"stillbirths","to_ping":"","pinged":"","post_modified":"2023-08-02 13:32:12","post_modified_gmt":"2023-08-02 17:32:12","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=137","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":50387,"post_author":"7211","post_date":"2021-11-09 17:44:00","post_date_gmt":"2021-11-09 22:44:00","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>Childhood pneumonia is arguably the world\u2019s single most neglected disease. Every year, the illness claims the lives of some 800,000 children, making it the single biggest killer of children. That shocking figure \u2013 a life lost every 39 seconds \u2013 is falling more slowly than for other major killers, and too slowly for the world to achieve the Sustainable Development Goal (SDG) of an end to preventable child deaths.<\/h2>\r\nPneumonia is one of the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/severe-infections\/\">serious infectious diseases<\/a> leading to newborn death. The greatest risk of death from pneumonia in childhood is actually during the neonatal period. It is estimated that <strong>pneumonia contributes to ~190,000 neonatal deaths annually<\/strong>, accounting for 3% of global under-5 child mortality.\r\n\r\nEtiology of pneumonia among newborn varies widely because of several modes of acquisition of infecting agents. A newborn may develop pneumonia in utero as a part of a congenital infection; however, more often, neonates are exposed to potential pathogens in the perinatal and postnatal periods. The management of neonates with pneumonia should include diagnostic evaluation and evidence-based treatment.[\/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\">8<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of neonatal deaths caused by pneumonia<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<\/span><a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\"><span style=\"font-style: italic;\">Newborn Numbers<\/span><\/a><span style=\"font-style: italic;\">\u00a0page and download the Excel spreadsheet to explore the data further.<\/span><\/h6>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner][vc_column_text]\r\n<h2>Management of possible serious bacterial infection in newborns and young infants, including pneumonia<\/h2>\r\nThe latest <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/management-of-the-sick-young-infant-aged-up-to-2-months\/\">2019 Integrated Management of Childhood Illness (IMCI): management of the sick young infant aged up to 2 months, chart booklet<\/a> by WHO includes diagnosis and management of serious infection in newborns and young infants 0-59 days.\u00a0This change enables the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/treatment-of-possible-severe-bacterial-infection\/\">management of serious newborns infections<\/a> (e.g., possible serious bacterial infection, PSBI) to be integrated with IMCI outpatient management of illnesses in older infants and children up to the age of 5 years.\u00a0Previously, IMNCI guidelines did not include newborns and young infants 0-59 days. With these changes, health systems \u2013 including health workers, drugs and commodities, mentoring, monitoring\/supervision, and data use for quality improvement can be a part of a more sustainable, effective, and efficient integrated system to care for ill newborns and young children.\u00a0The current guidelines call for outpatient treatment of uncomplicated pneumonia with seven (7) days of amoxicillin without referral for hospital-based treatment.\r\n\r\nWhile many or most cases of pneumonia in newborns and young infants commonly have viral, and fewer bacterial etiologies, and almost all of these present as milder disease and can be managed in outpatient settings, there are always cases of vertical transmission and acquired serious bacterial infection from home and community. These present with serious complications of pneumonia that require hospitalization. Often supportive care, such as supplemental oxygen or possibly continuous positive airway pressure (CPAP), guided by pulse oximetry, are necessary to prevent the most serious mortality and morbidity outcomes, in addition to injectable antibiotics.[\/vc_column_text][vc_empty_space][\/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:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fresourcecentre.savethechildren.net%2Flibrary%2Fprogress-childhood-pneumonia-2017-2021&data=04%7C01%7Ceshea%40savechildren.org%7C3cc71f5bd0864c99376a08d99e3be81f%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637714802406904452%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=27Lb0ZtbsrJr9JsynuKhJCaN2%2FZgSFGHc2dER4KiUpw%3D&reserved=0\">Progress on Childhood Pneumonia 2017-2021 (Save the Children)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/community-based-amoxicillin-treatment-for-fast-breathing-pneumonia-in-young-infants-7-59-days-old-a-cluster-randomised-trial-in-rural-bangladesh-ethiopia-india-and-malawi\/\">Community-based amoxicillin treatment for fast breathing pneumonia in young infants 7\u201359 days old: a cluster randomised trial in rural Bangladesh, Ethiopia, India and Malawi (2021)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/management-of-the-sick-young-infant-aged-up-to-2-months\/\">Integrated Management of Childhood Illness (IMCI): management of the sick young infant aged up to 2 months, chart booklet (2019)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.everypreemie.org%2Fwp-content%2Fuploads%2F2019%2F09%2FSafeOxygen_english_7.6.17.pdf&data=04%7C01%7Ceshea%40savechildren.org%7C3cc71f5bd0864c99376a08d99e3be81f%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637714802406894496%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=b9iQcnSSRnvuR%2FB192HYmVGudzym2FtDWVAmyxyvzfE%3D&reserved=0\">Safe and effective oxygen use for inpatient care of newborns (2019)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/nam12.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F25274969%2F&data=04%7C01%7Ceshea%40savechildren.org%7C3cc71f5bd0864c99376a08d99e3be81f%7Cd1934b2d792c47cca2f5fc634183cd2d%7C0%7C0%7C637714802406884539%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=2d0t73P9YhGT%2BP%2Bi4bOUWyp32jsTqLadaZuq2Bm4tyE%3D&reserved=0\">Respiratory Distress in the Newborn (2014)<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" equal_height=\"yes\" disable_element=\"yes\" css=\".vc_custom_1636144512636{margin-bottom: -60px !important;padding-bottom: 60px !important;background-color: #ffffff !important;}\"][vc_column el_class=\"uppercase\" css=\".vc_custom_1452732475813{padding-top: 50px !important;}\"][vc_column_text][issues_related_content][\/vc_column_text][\/vc_column][\/vc_row]","post_title":"Pneumonia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"pneumonia","to_ping":"","pinged":"","post_modified":"2022-10-17 18:46:26","post_modified_gmt":"2022-10-17 22:46:26","post_content_filtered":"","post_parent":0,"guid":"https:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=50387","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&p=131","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":116,"post_author":"7211","post_date":"2015-10-21 15:17:32","post_date_gmt":"2015-10-21 15:17:32","post_content":"<p>[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]<\/p>\n<h2>Intrapartum-related complications are responsible for approximately one-quarter of newborn deaths and half of stillbirths.<\/h2>\n<p>When complications arise during childbirth and are not recognized or properly dealt with on a timely basis, the baby may emerge stillborn or be born alive but severely stressed and may not spontaneously begin to breathe. Unless stimulation and efforts to resuscitate are begun immediately, many of these babies quickly die of birth asphyxia.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">570<\/span>k<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456246957513{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of annual newborn deaths attributable to childbirth complications<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.3<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690478685637{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of intrapartum stillbirths (2015)<br \/>\n<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">80<\/span><\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1690476768268{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">percentage of women who give birth in a health facility globally from 2015 - 2021<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-green\" width=\"1\/3\"][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">10<\/span>m<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456247366820{padding-top: 10px !important;padding-bottom: 10px !important;}\"]<\/p>\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">estimated number of newborns that do not breathe at birth<\/span><\/h3>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em>All data on this page represents the most recent data available, unless otherwise noted. Please visit our\u00a0<a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a>\u00a0page and download the Excel spreadsheet to explore the data further.<\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452696349804{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column][vc_text_separator title=\"What can be done?\" color=\"custom\" accent_color=\"#cccccc\"][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]Most outcomes associated with complications of childbirth are preventable. The proportion of term deliveries that end in death during or shortly after labor is a sensitive and responsive measure of the quality of labor and delivery care. It is important in and of itself, but it also reflects readiness for managing other important complications for the mother or newborn.<\/p>\n<p>Pregnant women need a good assessment late in pregnancy to anticipate problems and ensure they receive any needed special care.Teaching expectant mothers about the importance of seeking healthcare can also prevent adverse birth outcomes. Giving birth in a center where assisted delivery or caesarian section can be provided quickly can also save a baby\u2019s life. Good monitoring of the mother and fetus throughout labor ensures that prompt action can be take to prevent conditions from evolving to a life-threatening state.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]Ending dangerous practices, like augmenting labor with oxytocin under unsafe conditions or applying pressure on the mother\u2019s belly during labor, can prevent fetal deaths.<\/p>\n<p>And for those cases in which the baby emerges in a very stressed state and is unable to start breathing, competent action taken within the \u201cgolden minute\u201d can keep the baby alive until breathing begins. Finally, suitable equipment needs to be kept at the ready for all births, and provisions in place to ensure that health workers attending births are regularly practicing to maintain their resuscitation skills.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_text_separator title=\"Key Resources\"][vc_column_text]<\/p>\n<ul>\n<li><a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\">Essential Newborn Care Course (WHO)<\/a> - interim version of the second edition (2022)<\/li>\n<li><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/enc-now\/\" target=\"_blank\" rel=\"noopener\">ENC Now! (American Academy of Pediatrics (AAP) and Laerdal Global Health)<\/a> \u2013 a digital version of the new WHO Essential Newborn Care 1 Basic Course (ENC) (formerly Helping Babies Breathe).<\/li>\n<li><a href=\"https:\/\/shop.laerdalglobalhealth.com\/product\/neonatalie-live\/\" target=\"_blank\" rel=\"noopener\">Neonathalie Live<\/a> \u2013 Newborn Ventilation Trainer<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/MCPC-2nd-ed.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">WHO guidelines Managing complications in pregnancy and childbirth: A guide for midwives and doctors <\/a>(2017)<\/li>\n<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" css=\".vc_custom_1452735746534{padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column][vc_row_inner equal_height=\"yes\"][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Helping Babies Survive<\/h4>\n<p><img class=\"alignnone size-full wp-image-352\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-helpingbabiesbreathe.jpg\" alt=\"small-helpingbabiesbreathe\" width=\"570\" height=\"252\" \/><\/p>\n<p><a href=\"https:\/\/www.aap.org\/en\/aap-global\/helping-babies-survive\/\">Helping Babies Survive<\/a> is a package of evidence-based training programs designed to teach the necessary skills to reduce neonatal mortality in resource-limited environments. The first program Helping Babies Breathe (HBB) was developed in 2010 by the American Academy of Pediatrics (AAP) in keeping with WHO recommendations. Studies have shown that it can reduce neonatal mortality by up to 47%; saving thousands of asphyxiated newborns. The success of HBB led to a global request for additional programs (such as Essential Care for Every Baby, Essential Care for Small Babies, and Improving Care of Mothers and Babies) addressing other leading causes of newborn death by equipping providers with the necessary skills and competencies to deliver high quality care to newborns during and after birth.\u200b<\/p>\n<p>The partnership is not only providing competency-based, hands-on training to service providers but working with ministries of health and their partners to provide functional resuscitation equipment for all health facilities where babies are born.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"1\/2\"][vc_column_text]<\/p>\n<h4>Essential Newborn Care Course<\/h4>\n<p><img class=\"wp-image-1614 size-full alignnone\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/small-essentialnewborncare2.jpg\" alt=\"\" width=\"570\" height=\"230\" \/><\/p>\n<p><em>Please note this section will be updated in 2022. See <a href=\"https:\/\/www.who.int\/tools\/essential-newborn-care-training-course\" target=\"_blank\" rel=\"noopener\">interim version of the second edition of the Essential Newborn Care Course (ENCC)<\/a> for more information.\u00a0<\/em><\/p>\n<p>The Essential Newborn Care Course (ENCC) is a WHO training program that works to ensure that health workers have the skills and knowledge to provide appropriate care at the most vulnerable period in a baby's life. Health workers are taught how to use the <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789241549356?msclkid=05ffb757d06d11ec8a219bb5009124b0\" target=\"_blank\" rel=\"noopener\">WHO's Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice.<\/a><\/p>\n<p>In particular, the course focuses on the sections concerned with newborn care, which provide up-to-date evidence-based information and management of babies with a range of needs in the initial newborn period. The course includes:[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","post_title":"Complications during childbirth","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"complications-during-childbirth","to_ping":"","pinged":"","post_modified":"2023-07-27 13:25:43","post_modified_gmt":"2023-07-27 17:25:43","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=116","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":122,"post_author":"7211","post_date":"2015-10-21 15:18:38","post_date_gmt":"2015-10-21 15:18:38","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>Every Newborn is a joint action platform for the reduction of preventable newborn deaths and stillbirths.<\/h2>\r\nIt aims to support countries in ending preventable newborn deaths and stillbirths in support of <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a>. The EveryNewborn.org webpage has merged with HNN in order to streamline knowledge management \u2013 please find more details in the related events, blogs and resources below.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\" el_class=\"issue-stats\"][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-red\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">3<\/span>m<\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366510023{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of babies and women that could be saved each year through investing in quality care around birth and care for small and sick newborns<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-yellow\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong><span class=\"ticker\">1.15<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1456366541065{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of US dollars per capita required to save 3 million babies and women each year<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator][vc_row_inner content_placement=\"middle\"][vc_column_inner el_class=\"text-blue\" width=\"1\/3\"][vc_column_text]\r\n<h1 style=\"text-align: center;\"><strong>\u2264<span class=\"ticker\">12<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1457016567251{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">the target number of newborn deaths and stillbirths per 1000 live births in every country by 2030<\/span><\/h3>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=\"middle\"][vc_column_inner][vc_separator][vc_column_text]\r\n<h6 style=\"text-align: center;\"><span style=\"font-style: italic;\">All data above from the <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a>, based on research in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn series.<\/a><\/span><\/h6>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=\"stretch_row\" gap=\"2\" css=\".vc_custom_1482959354326{margin-top: 30px !important;margin-bottom: 30px !important;background-color: #f6f6f4 !important;}\"][vc_column width=\"2\/3\"][vc_column_text]\r\n<h2><strong>Overview<\/strong><\/h2>\r\nNewborn deaths account for 47% of deaths among children under the age of five globally, resulting in 2.4 million lives lost each year. In addition, 2 million babies die in the last 3 months of pregnancy or during childbirth (stillbirths) and 295,000 maternal deaths occur each year*. We have the knowledge and tools to prevent at least two-thirds of these deaths. The global <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn Action Plan<\/a> (ENAP), launched in 2014, provides a road map of strategic actions for ending preventable newborn mortality and stillbirth and contributing to reducing maternal mortality and morbidity.\r\n<h6>*Most recent data available. Please visit our <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">Newborn Numbers<\/a> page to explore the data further (May 2022).<\/h6>\r\n<h2><b>The Plan<\/b><\/h2>\r\nThe ENAP presents evidence-based solutions to prevent newborn deaths and stillbirths. It sets out a clear path to 2020 with specific global and national milestones. The plan was based on evidence presented in <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\"><em>The Lancet<\/em> Every Newborn series<\/a>, and developed within the <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-woman-every-child\/\">Every Woman Every Child<\/a> framework.\r\n\r\nIn 2014, 194 member states of the Sixty-seventh World Health Assembly endorsed the action plan (<a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/resolution-wha-67-10-newborn-health-action-plan\/\">Resolution WHA 67.10<\/a>). Led by UNICEF and the World Health Organization, ENAP was guided by the advice of experts and partners and by multistakeholder consultations and a web-based consultation with over 300 comments from stakeholders. The WHO Director-General has been requested to monitor progress towards the achievement of the global goal and targets, reporting periodically to the World Health Assembly until 2030.\r\n<h2><strong>The Action<\/strong><\/h2>\r\nThe Every Newborn partnership enhances and supports coordinated, comprehensive planning and implementation of newborn-specific actions. These efforts have been coordinated by a management team with focused work streams: metrics, country implementation and advocacy. Other related partnerships have formed in support of <em>Every Women Every Children<\/em> including the\u00a0<a href=\"http:\/\/www.qualityofcarenetwork.org\/\">Quality of Care Network<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/public-private-partnership-to-prevent-preterm-birth-presentation\/\">Partnership to Prevent Preterm Birth<\/a>, <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/breastfeeding-advocacy-initiative-call-action\/\">Breastfeeding Advocacy Initiative<\/a>, and others.\r\n\r\nSuccess of ENAP will come through links with global and national plans, measurement structures and accountability. By 2017, global agencies have set targets based on the shared goal to end preventable child and maternal deaths by 2030 including the Sustainable Development Goals and the <a href=\"http:\/\/globalstrategy.everywomaneverychild.org\/\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. By 2017, at least 48 countries have established national newborn plans or integrated newborn content into their national health plans. As of 2016, over 50 countries had completed the Every Newborn tracking tool to facilitate country support in assessing progress, barriers, and resourcing technical assistance for newborn health in line with recommendations.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_single_image image=\"22210\" alignment=\"center\"][vc_column_text]\r\n<h2><strong>Key Resources<\/strong><\/h2>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/ending-preventable-newborn-deaths-and-stillbirths-by-2030\/\">Every Newborn 2025 Targets and Milestones<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-advocacy-toolkit-guidance-manual-ending-preventable-deaths\/\">Every Newborn Advocacy Toolkit<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-progress-report-2019\/\">Every Newborn progress report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/survive-and-thrive-transforming-care-for-every-small-and-sick-newborn\/\">Small and Sick Newborn report 2019<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-webinar\/\"> Every Newborn Webinar (2013 - 2016)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/every-newborn-action-plan\/\">Every Newborn action plan (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-lancet-every-newborn-series\/\">The Lancet Every Newborn Series (2014)<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/national-plans-newborn-health\/\">National plans for newborn health<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][vc_column_text]\r\n<h2><strong><span style=\"color: #000000;\"><img class=\"alignleft wp-image-20071\" src=\"\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/twitter-logo-transparent-small.png\" alt=\"twitter-logo-transparent-small\" width=\"30\" height=\"24\" \/>Join the conversation<\/span><\/strong><\/h2>\r\n[\/vc_column_text][vc_raw_html]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[\/vc_raw_html][\/vc_column][\/vc_row]","post_title":"Every Newborn","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"every-newborn","to_ping":"","pinged":"","post_modified":"2022-11-02 15:50:12","post_modified_gmt":"2022-11-02 19:50:12","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=122","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":130,"post_author":"7211","post_date":"2015-10-21 15:20:03","post_date_gmt":"2015-10-21 15:20:03","post_content":"[vc_row full_width=\"stretch_row\" css=\".vc_custom_1453403441710{margin-top: -60px !important;padding-top: 30px !important;padding-bottom: 30px !important;background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h2>It is crucial to use tested and standardized indicators for tracking and monitoring trends in neonatal health over time and making comparisons between districts, countries, or regions.<\/h2>\r\nUsing standard measurements should ensure collection of data that can be meaningfully analyzed and employed to inform program and policy decisions.[\/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\">10<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046459295{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of identified priority Every Newborn indicators<\/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\">17<\/span><\/strong><\/h1>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\"2\/3\"][vc_column_text css=\".vc_custom_1666046469073{padding-top: 10px !important;padding-bottom: 10px !important;}\"]\r\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">number of Sustainable Development Goals<\/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][vc_column][vc_text_separator title=\"More information\"][vc_column_text]Several global bodies have developed recommended indicators for global tracking and use at country level. The <a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every_Newborn_Action_Plan-ENGLISH_updated_July2014.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Action Plan (ENAP)<\/a> has proposed a list of 10 core indicators and 10 additional indicators of impact and coverage of evidence-based newborn interventions. The World Health Organization (WHO) is compiling a list of core indicators aligned with the UN\u2019s <a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/the-global-strategy-for-womens-childrens-and-adolescents-health-2016-2030-survive-thrive-transform\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women\u2019s, Children\u2019s, and Adolescents\u2019 Health<\/a>. This list has been informed by efforts to standardize indicators for the <a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goals (SDGs)<\/a>, Ending Preventable Maternal Mortality (EPMM), ENAP, and the <a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">WHO\u2019s Global Reference List of 100 Core Health Indicators<\/a>.\r\n\r\nEfforts are also underway to develop standardized indicators for monitoring the implementation strength and coverage of priority newborn health interventions:\r\n<ul>\r\n \t<li><strong>Kangaroo mother care (KMC)<\/strong>: The KMC Acceleration Partnership developed a measurement framework and 10 core indicators covering service readiness and service delivery.<\/li>\r\n \t<li><strong>Treatment of neonatal infections:<\/strong> Following the recent release of new WHO guidelines on managing possible severe bacterial infections in young infants when referral is not possible, WHO and implementing partners in early-adopter countries are currently working on a measurement framework with indicators. More information will be available soon.<\/li>\r\n \t<li><strong>Chlorhexidine for umbilical cord care<\/strong>: The global Chlorhexidine Working Group recommended indicators for inclusion in Demographic and Health Surveys (see information below on the new DHS optional newborn module) and is tracking indicators collected across countries.<\/li>\r\n<\/ul>\r\nBelow are descriptions and links to useful data collection tools, which include questions on newborn care. More information on mortality audits can be found on <a href=\"https:\/\/www.healthynewbornnetwork.org\/numbers\/\">this page<\/a>.[\/vc_column_text][vc_text_separator title=\"Household surveys\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/DHS-Questionnaires.cfm\" target=\"_blank\" rel=\"noopener\">Demographic and Health Surveys (DHS)<\/a><\/h4>\r\nUSAID-supported Demographic and Health Surveys (DHS) are nationally-representative household surveys that provide data for a wide range of monitoring and impact evaluation indicators in the areas of population, health, and nutrition. The DHS Phase 7 model women\u2019s questionnaire now includes questions on pre- and post-discharge contacts for newborns, the content of postnatal care for newborns, and newborn care practices. In addition, an optional newborn module is under development with additional questions on newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/mics.unicef.org\/\" target=\"_blank\" rel=\"noopener\">Multiple Indicator Cluster Surveys (MICS)<\/a><\/h4>\r\nUNICEF-supported Multiple Indicator Cluster Surveys (MICS) are nationally-representative household surveys that provide estimates of a range of indicators in the areas of health, education, child protection, and HIV\/AIDS. The MICS questionnaire now includes questions on the pre- and post-discharge postnatal contacts for mothers and newborns.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mcsprogram.org\/resource\/knowledge-practice-coverage-tool\/\" target=\"_blank\" rel=\"noopener\">Knowledge Practices and Coverage Survey (KPC)<\/a><\/h4>\r\nThe Knowledge Practices and Coverage Survey (KPC) is a small population-based survey originally developed by Johns Hopkins University and used by grantees of USAID's Child Survival and Health Grants Program (CSHGP) since 1991. The KPC tool was revised to collect more data on newborn care practices.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358177910{background-color: #ffffff !important;}\"][vc_column][vc_text_separator title=\"Health facility assessment tools\"][\/vc_column][\/vc_row][vc_row css=\".vc_custom_1456358191657{background-color: #ffffff !important;}\"][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.who.int\/data\/data-collection-tools\/service-availability-and-readiness-assessment-(sara)?ua=1\" target=\"_blank\" rel=\"noopener\">Service Availability and Readiness Assessment (SARA)<\/a><\/h4>\r\nThe WHO-supported SARA is a health facility assessment tool designed to assess and monitor the service availability and readiness of the health sector and to generate evidence to support the planning and managing of a health system. It includes a section on service availability for maternal and newborn health.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mchip.net\/qocsurveys\/\" target=\"_blank\" rel=\"noopener\">Maternal and Newborn Quality of Care Surveys<\/a><\/h4>\r\nThese health facility surveys, developed by the Maternal and Child Health Integrated Program (MCHIP), focus on the frequency and quality of interventions that address the direct causes of maternal and newborn deaths and can be key sources of information for policymakers and other stakeholders in country.[\/vc_column_text][\/vc_column][vc_column width=\"1\/2\"][vc_column_text]\r\n<h4><a href=\"http:\/\/dhsprogram.com\/What-We-Do\/Survey-Types\/SPA.cfm\" target=\"_blank\" rel=\"noopener\">Service Provision Assessment (SPA)<\/a><\/h4>\r\nThe USAID-supported SPA is a health facility assessment tool that provides a comprehensive overview of a country\u2019s health service delivery. It includes a section on delivery and newborn care in the inventory questionnaire, as well as additional questions related to services for newborns.[\/vc_column_text][vc_column_text]\r\n<h4><a href=\"https:\/\/www.mailman.columbia.edu\/research\/averting-maternal-death-and-disability-amdd\/toolkit\" target=\"_blank\" rel=\"noopener\">Emergency Obstetric and Neonatal Care Needs Assessment<\/a><\/h4>\r\nCreated by Averting Maternal Death and Disability (AMDD) at Columbia University, the\r\nEmergency Obstetric and Neonatal Care (EmONC) Needs Assessment is a health facility assessment tool that provides detailed data for planning to address gaps or problems in EmONC services. The tool is currently being revised to include more information on newborn services and quality of care.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][\/vc_column][vc_column width=\"2\/3\"][vc_text_separator title=\"Other tools\"][\/vc_column][\/vc_row][vc_row][vc_column width=\"1\/3\"][vc_single_image image=\"13807\"][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/resource\/saving-newborn-lives-tools-newborn-health-qualitative-research-improve-newborn-care-package\" target=\"_blank\" rel=\"noopener\">Guide to Qualitative Research to Improve Newborn Care Practices<\/a><\/h4>\r\nSave the Children\u2019s Guide to Qualitative Research to Improve Newborn Care Practices provides a reference tool for conducting qualitative (or formative) research and planning a behavior change communications strategy to improve newborn care practices.[\/vc_column_text][\/vc_column][vc_column width=\"1\/3\"][vc_column_text]\r\n<h4><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">ENAP Tools<\/a><\/h4>\r\nENAP has also compiled <a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">an overview of tools<\/a> that can be used to sharpen existing reproductive, maternal, newborn, and child health (RMNCH) policies and plans, incorporating available evidence and data.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_text_separator title=\"Key resources\"][vc_column_text]\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/hnn-content\/uploads\/Every-Newborn-Metrics-Cards_3.pdf\" target=\"_blank\" rel=\"noopener\">Every Newborn Metrics Data Cards<\/a><\/li>\r\n \t<li><a href=\"https:\/\/www.healthynewbornnetwork.org\/issue\/every-newborn\/\" target=\"_blank\" rel=\"noopener\">Every Newborn Tool Kit<\/a><\/li>\r\n \t<li><a href=\"http:\/\/journals.plos.org\/plosmedicine\/article?id=10.1371\/journal.pmed.1001340\" target=\"_blank\" rel=\"noopener\">New Signal Functions to Measure the Ability of Health Facilities to Provide Routine and Emergency Newborn Care<\/a><\/li>\r\n \t<li><a href=\"http:\/\/collections.plos.org\/measuring-coverage-in-mnch\" target=\"_blank\" rel=\"noopener\">Measuring Coverage in Maternal, Newborn, and Child Health<\/a><\/li>\r\n \t<li><a href=\"http:\/\/www.biomedcentral.com\/content\/pdf\/1471-2393-15-S2-S8.pdf\" target=\"_blank\" rel=\"noopener\">Count every newborn; a measurement improvement roadmap for coverage data<\/a><\/li>\r\n \t<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/259951\" target=\"_blank\" rel=\"noopener\">Global Reference List of 100 Core Health Indicators, 2015<\/a><\/li>\r\n \t<li><a href=\"http:\/\/unstats.un.org\/sdgs\/\" target=\"_blank\" rel=\"noopener\">Sustainable Development Goal indicators<\/a><\/li>\r\n \t<li><a href=\"https:\/\/globalstrategy.everywomaneverychild.org\/\" target=\"_blank\" rel=\"noopener\">Global Strategy for Women's, Children's and Adolescent's Health 2016-2030<\/a><\/li>\r\n<\/ul>\r\n[\/vc_column_text][\/vc_column][vc_column][\/vc_column][vc_column][\/vc_column][\/vc_row]","post_title":"Monitoring & evaluation","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"monitoring-evaluation","to_ping":"","pinged":"","post_modified":"2022-10-20 16:44:30","post_modified_gmt":"2022-10-20 20:44:30","post_content_filtered":"","post_parent":0,"guid":"http:\/\/www.healthynewbornnetwork.org\/?post_type=issue&p=130","menu_order":0,"post_type":"issue","post_mime_type":"","comment_count":"0","filter":"raw"}],"regions":[],"countries":[],"views":"719"},"_links":{"self":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/57997"}],"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=57997"}],"version-history":[{"count":0,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/resource\/57997\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media\/58000"}],"wp:attachment":[{"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/media?parent=57997"}],"wp:term":[{"taxonomy":"toolkit","embeddable":true,"href":"https:\/\/www.healthynewbornnetwork.org\/wp-json\/wp\/v2\/toolkit?post=57997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}