Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
An Action Plan To End Preventable Deaths
EVERY NEWBORN
#globalmnh #EveryNewborn
Measurement improvement
roadmap
www.everynewborn.org #EveryNewborn
Overview of panel Moderator Suzanne Fournier 5mins
1 Count every newborn: a 5-‐year measurement improvement roadmap Joy Lawn 15 min
IMPACT
2 Coun>ng births, neonatal deaths and cause of death: Improving measurement especially in vital registra>on
Peter Waiswa
15 min
COUNTING COVERAGE AND QUALITY AND LINKING TO ACTION
3 Care for all mothers and newborns: Measuring coverage and content of care
Agbessi Amouzou
12mins
4 Care for newborns with complica>ons: Measuring coverage and content of care
Sarah Moxon 12 mins
5 Coun>ng every s>llbirth and neonatal death: Perinatal audit tools and implementa>on for improving quality of care linked to maternal death surveillance and response
Kate Kerber 10 mins
DISCUSSION PANEL Tanzania and improving and using the data, links to scorecards Bangladesh and improving and using the data WHO’s role in co-‐ordina>ng maternal and newborn metrics
Georgina Msemo Shams El Arifeen Ma^hews Mathai
3 mins each
Discussion from the floor Close
10mins
5 mins
www.everynewborn.org #EveryNewborn
Where to get more information Lancet Every Newborn series: http://www.thelancet.com/series/everynewborn
Every Newborn Action Plan (ENAP): http://www.who.int/maternal_child_adolescent/topics/newborn/enap_consultation/en/
BMC Pregnancy and Childbirth series: http://www.biomedcentral.com/bmcpregnancychildbirth/supplements/15/s2
ENAP WHO meeting report: http://www.who.int/maternal_child_adolescent/documents/newborn-health-indicators/en/
MARCH MOOC: http://www.lshtm.ac.uk/study/freeonlinecourses/women-children-health/index.html
UNICEF: www.childmortality.org
Healthy Newborn Network: http://www.healthynewbornnetwork.org/page/newborn-numbers
INDEPTH: http://www.indepth-network.org/
@joylawn @katekerber
An Action Plan To End Preventable Deaths
EVERY NEWBORN
#globalmnh #EveryNewborn
Count Every Newborn: A measurement
improvement roadmap
Professor Joy Lawn
@joylawn
www.everynewborn.org #EveryNewborn
Lancet GH Sept 2013 : The Lancet Global Health 2013; 1:e176-e177 (DOI:10.1016/S2214-109X(13)70059-7)
Ending preventable maternal deaths Maternal mortality target also included in Every Newborn Ac:on Plan
Global average MMR of 70 per 100,000 with different targets for different countriesAlso target for sexual and reproductive health
www.everynewborn.org #EveryNewborn
Ending preventable child and newborn deaths Mortality targets in Every Newborn Ac>on Plan and A Promise Renewed
Source: Lancet Every Newborn series, paper 2 From 2.8 to 0.8 million neonatal deaths
~100 countries have already met the target – focus on equity gapsAbout 29 countries will have to more than double their rates of progress
Every Newborn target by 2030: National NMR of 12 or less
www.everynewborn.org #EveryNewborn
Source: Lancet Every Newborn series, paper 2 From 2.6 to 1.1 million stillbirths
Aligned with NMR target but more ambitious change neededStill NOT MENTIONED in any SDG document…
Also ending preventable stillbirths
Every Newborn target by 2030: National SBR of 12 or less
www.everynewborn.org #EveryNewborn
Lawn et al h*p://www.nature.com/pr/journal/v74/n1s/index.html/
In low income countries the major challenge is s>ll survival BUT in middle income countries disability is increasing
Must track and minimise disability as we scale up more complex neonatal care
Beyond newborn survival The world you are born into determines your survival and your risk of disability
www.everynewborn.org #EveryNewborn
Every Newborn Series 5 papers 6 comments 55 authors from 18+ countries 60+ partner organisaGons
Every Newborn Action Plan Main funders: Bill & Melinda Gates Foundation, USAID, Children’s Investment Fund Foundation
Ending preventable
maternal mortality
Launched by WHO
February 2015
#EPMM
Co-‐led by UNICEF & WHO ConsultaGon >60 governments >80 organisaGons, >1000 individuals World Health Assembly 2014 resoluGon
One year aaer, already policy and program change in at least 20 high burden countries
www.everynewborn.org #EveryNewborn
Source: The Lancet Every Newborn series, paper 3
2 of the 3 MILLION POTENTIAL LIVES SAVED / YEAR
Yet lowest coverage and highest equity gap
What return on investment? 3 million lives could be saved per year with universal coverage
www.everynewborn.org #EveryNewborn
Implementa>on with Innova>on
Address health system boSlenecks, innovate for
Quality of Care
Increase the voice of women
Women’s rights, and their voices for accountability, aSenGon to bereavement
care
Integrated Plans, invest for impact Integrated service
delivery, conGnuum of care, coordinaGon, partner alignment
Inten>onal leadership development
Especially in countries with highest burden
Indicators & metrics Targets in post 2015 Measurement of
progress and impact
Five things to do differently
@joylawn
www.everynewborn.org #EveryNewborn
Indicators to track progress of Every Newborn Ac>on Plan
www.everynewborn.org #EveryNewborn
ENAP Milestones regarding measurement
• Count births and deaths in CVRS (women, newborns and s>llbirths) • ENAP core indicators to be defined , incorporated in na>onal metrics plagorms and used • Perinatal mortality audit and minimum perinatal dataset being widely used in countries
World Health
Assembly
Metrics testing and use in countries
for programme improvement and accountability
Wide use in countries, linking data sources. tesGng E-‐health-‐ based min perinatal dataset
Jan 2019-‐ Dec 2020
Test indicators and tools in various data plaXorms (CVRS, audit facility HMIS, surveys)
Jan 2016-‐ Dec 2018
Scope ENAP metrics definiGons, research gaps (including WHO meeGng)
Sep-‐May 2015
Refine Roadmap, assess current work, consult etc
June-‐ Dec 2015
DEFINE PLAN TEST VALIDITY TEST FEASIBILITY
Every Newborn measurement improvement roadmap 2030
End Preventable Maternal
and Newborn Deaths including S>llbirths
Effec>ve use of data in na>onal health
informa>on systems to improve coverage, quality and
equity
2020
www.everynewborn.org #EveryNewborn
Conclusion: How will the ENAP measurement improvement roadmap be opera:onalised?
§ MulG-‐partner 5 year plan to meet Every Newborn milestones related to measurement improvement • Improve the data (validity, feasibility tesGng) • InsGtuGonalise improved metrics at scale within 5 years • Increased capacity and leadership
§ ENAP metrics coordinaGon group led by WHO and LSHTM and linked to WHO MNH Measurement Expert Reference Group • AnGcipate a range of partnerships and investments • CIFF have made a major 3 year investment for
− Facility based tesGng in two countries − MulGsite research with INDEPTH maternal newborn working group
Opportunity for rapid change ..... BUT also need more rapid change and support for people to use data and lead change in programmes and countries