Version April 2014

A roadmap for change in countries…

A platform for harmonized action by all partners…

Sets out a clear vision with mortality goals, strategic objectives, innovative actions within the continuum of care

Supported by new evidence

Inputs from more than 2,000 individuals

A movement for greater action and accountability…

The Every Newborn Action Plan: building a movement

Photo credit: Save the Children

Why Every Newborn?

• Huge burden, yet huge potential for rapid change with high impact, feasible interventions

• Country demand for guidance and action to accelerate progress towards MDGs 4 and 5, universal health coverage, and towards ending preventable deaths among women and children

• For greater effectiveness we must accelerate and harmonize global response and link to existing initiatives for reproductive, maternal, child and adolescent health care.

More than 3 million babies and women could be saved each year through investing in quality care

around the time of birth.

Photo credit: Save the Children

Source: Adapted from Lawn J,E. et al. 2012. Newborn survival: a multi-country analysis of a decade of change. Health Policy and Planning. 27(Suppl. 3): iii6-ii28. Data sources: UNICEF 2012 www.childinfo.org , UN MMR estimates 2012* Maternal mortality ratio annual rate reduction 190-2010

We’ve made significant progress toward MDGs 4 & 5, but newborn survival is lagging behind

Average annual rate reduction 1990-2012

Maternal mortality ratio* 4.2%

Children aged 1- 59 months 3.4%

Neonatal mortality (newborn, first 4 weeks after birth)

2.1%

Stillbirths (last 3 months of pregnancy)

1.0%(1995-2009)

At least 40% slower for newborn survival and

slower still for stillbirths

4

Causes of under five deaths 44% are from neonatal causes

Data source: Cause of death - WHO. Global Health Observatory http://www.who.int/gho/child_health/en/index.html); Child deaths - UN Inter-agency Group for Child Mortality Estimates. Levels and Trends in Child Mortality. Report 2013; Stillbirths - Lawn et al The Lancet stillbirth series 2011. 377 (9775) p1448 – 1463

5

3 main killers to address: 1. Preterm birth 2. Birth complications 3. Neonatal infections

Two-thirds of neonatal deaths are preventable

We have the knowledge and tools to reduce the main causes of death

Preterm birth

• Preterm labor management including antenatal corticosteroids*

• Care including Kangaroo mother care, essential newborn care

Birth complications

(and intrapartum stillbirths)

• Prevention with obstetric care *• Essential newborn care, and resuscitation*

Neonatal infections

• Prevention, essential newborn care especially breastfeeding, Chlorhexidine where appropriate*

• Case management of neonatal sepsis *

1

2

* Prioritised by the UN Commission on Life Saving Commodities for Women and Children

Over two-thirds of newborn deaths preventable – actionable now without intensive care

3

There are proven interventions within RMNCH continuum of care

Source: Adapted from The Lancet Every Newborn Series

Source: Special analysis detailed in The Lancet Every Newborn Series - forthcomingThe lives of more than 3 million babies and women could be saved each year with high coverage of quality care around birth and care for small and sick babies

Care around birth gives a triple return on investments by reducing maternal and newborn deaths and stillbirths

The vision for Every Newborn Action Plan

A world in which there are no preventable deaths of newborns or stillbirths, where every pregnancy is wanted, every birth celebrated, and women, babies and children survive, thrive and reach their full potential.

Vision statement in draft ENAP, March 2014

NEW NEONATAL MORTALITY GOALUnless we greatly accelerate newborn survival efforts, goal to end

preventable child deaths by 2035 unreachable

Source: Special analysis detailed in The Lancet Every Newborn Series based on country and official online consultations and using neonatal mortality rate data from the UN Inter-agency Group for Child Mortality Estimation 2013 .

NEW goal for stillbirths

Source: Special analysis detailed in The Lancet Every Newborn Series based on country and official online consultations and using stillbirth rate data from The Lancet Stillbirth Series (Cousens S et al Lncet 2011)

Lancet GH Sept 2013 : The Lancet Global Health 2013; 1:e176-e177 (DOI:10.1016/S2214-109X(13)70059-7)

Maternal mortality goal in process and will need to be linked with action

What to do differently?Every Newborn’s guiding principles

Country leadershipGood governance, community

participation, partner alignment

IntegrationIntegrated service delivery, continuum

of care, programme coordination

EquityUniversal coverage, closing the equity

gap

Human rightsPrinciples, standards

InnovationInterventions, delivery approaches,

technologies

What to do differently?Every Newborn’s Five strategic objectives

1. Strengthen and invest in care during labour, birth and the first day and week of life

2. Improve the quality of maternal and newborn care

3. Reach every woman and every newborn; reduce inequities

4. Harness the power of parents, families and communities

5. Count every newborn – measurement, tracking and accountability

What we aim to achieve?End preventable maternal, newborn and child

deaths and stillbirthsStillbirths and newborn deaths are not inevitable Women and babies deserve access to quality care

around the time of birth

Each year save the lives of 3 million newborns, stillbirths and women

1. Include newborn and stillbirth in post-2015 framework along with maternal and child health

2. Attention and funding to newborns and stillbirths within the context of and linking to the RMNCH continuum

3. Sharpen national plans and improve demand and delivery of care at the time of birth in countries

4. Improve the quality of care for mothers and newborns by implementing high-impact interventions , including through a “Mother-Baby Friendly” Initiative

5. More trained and equipped health workers6. Improve programmatic and impact data and use

this for action in countries

Long term

In sight

NOW

Health Sector Strategic & Investment Plan

Integrated National RMNCH Plan

Increasing access and use of FP

Ending preventable

newborn deaths

Ending preventable deaths from pneumonia and

diarrhoea (GAPPD)

Ending preventable

maternal deaths

Every Newborn prioritizes focus on birth within existing national strategies and plans; not a new stand alone plan

Every Newborn’s impact framework

How will we track progress?Every Newborn milestones

Every Newborn sets out concrete and

measurable global and national level

milestones from now to 2020, coverage

targets to 2025 and mortality goals to

2035

How will we track progress?Every Newborn indicators

A clear monitoring plan is

an important milestone. ENAP proposes a core set of indicators

and maternal/newborn service delivery

packages

• Progress is possible – targets getting traction Neonatal survival unfinished agenda, stillbirths still missing,

but count for families Synergies of newborn survival with demographic transition Country consultations and ownership over 1 yr process

• Programmatic focus is clear and evidence-based Time around birth, triple return on investment Priority attention to small babies to reduce deaths, disability

and risk of non communicable diseases (NCDs) Urgent improvements for programmatic coverage data

• Partnerships and alliances UN leadership Maternal alliances especially re service delivery eg “Mother-

Baby friendly package” Civil society advocacy to change social norms

Potential for major change in countries

Movement with a planWho has been involved?

Every Newborn consultation process

Alliance: 50+ global partners on Advisory group; Steering team and management group (led by WHO & UNICF) ENAP presented and discussed at many global meetings in

2013 including Women Deliver, AU MNCH, IPA, and NYC mtg

Countries: 17 country consultations between April-September 2013 2 regional workshops Completed bottleneck analyses conducted in 10 countries

Official WHO consultation: More than 300 official comments including +40 member states,

professional associations, academics, NGOs, individuals WHO executive board and on main agenda at WHA

AU MNCH conference

April 2013 – June 2014 National and regional consultation and technical

inputs to the development of the plan

20-25 January 2014 Discussed at the WHO Executive Board

February 2014 Open consultation on draft Every Newborn by

stakeholders and inputs incorporated into final draft

May 2014 Lancet series (update from 2005 and giving the

analyses which are the basis for the Every Newborn)

Draft plan presented to the 67th World Health Assembly

June 2014 Action Plan launched at PMNCH Partners’ Forum,

Johannesburg

Every Newborn Process

Photo credit: Save the Children

We are building a movement…

BE PART OF THE ACTION

For more informationvisit www.everynewborn.org

#EveryNewborn