Session 1: Newborn
Survival and Health within
Global Initiatives

Dr Hanifah Sengendo
Imperial Royale Hotel, Kampala
26 Ju...
Outline
Why focus on newborn?
What are some of the linked RMNCH global initiatives?
Every Woman Every Child
Born Too Soon
...
Uganda’s delivery goal

No
newborn
born to
die
4,700 die

43,000 die

No baby
stillborn
38,00 die

147,000 deaths each yea...
Progress for reducing maternal, newborn and child
deaths in Uganda has accelerated with the MDGs
Average rate
reduction
20...
Strong link between maternal and newborn:
essential interventions
The UN Secretary-General's Global Strategy for
Women's and Children's Health is the first
comprehensive roadmap to acceler...
• 4 lead organizations, 50 partner
organizations
• 45 authors from 11 countries
• Linked to Every Woman Every
Child
• Acti...
1. Evidence-based country plans
Participating governments will lead the effort to sharpen country plans.
Milestones for ma...
UN Commission on Life-Saving Commodities
•
•
•
•
•

10 recommendations
Shaping global markets
Shaping local delivery marke...
Family Planning 2020
• FP2020 builds on the partnerships launched at the
London Summit on Family Planning in June 2012
whe...
UN Commission on Information and
Accountability

Launched in 2011, the Commission sets out a
framework for global reportin...
• Countdown to 2015 tracks
coverage of health
interventions proven to reduce
maternal, newborn and child
mortality.
• Call...
‘Every Newborn’ supports existing global initiatives

Country leadership & Implementation
Key catalytic initiatives in sup...
Why Every Newborn?
• Country demand for guidance and
action
• Large problem but huge potential
for rapid change since we k...
Every Newborn Bottleneck Analysis Process
• Stimulate national dialogue and action
to accelerate progress for newborn
heal...
How it all fits together
Health Sector Strategic Plan
RMNCH Strategic Plan - APR

Increased
access and
use of FP

Ending
E...
Who is involved to build this movement?
• Global plan for country action linked to Every Woman
Every Child, and to A Promi...
Every newborn-in-context-of-global-initiatives-hanifah-sengendo
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  • First, why do we need this sort of concise roadmap for change?There are three main reasons:First, countries are asking for guidance on scaling up key interventions and strategies to reduce these deaths and to prevent stillbirths.Second, we have the evidence on what works. Last year, PMNCH issued its consensus on essential interventions for RMNCH – those commodities and services proven to save lives of women and children. This year, we have heard from the UN Commission on Life-Saving Commodities for Women and Children, which highlight the importance of greater advocacy and action on corticosteroids, chlorohexidrine, injectible antibiotics and recussitation equipment to prevent newborn deaths. We need to work together, across all constituencies, to deliver these solutions at scale and drive greater public demand for essential newborn care.Third, we need to drive global action and greater harmonization between maternal and child health initiatives and strategies. Newborns, bringing together maternal and child health concerns, can help unite our work and root it more firmly in the continuum of care.
  • Every newborn-in-context-of-global-initiatives-hanifah-sengendo

    1. 1. Session 1: Newborn Survival and Health within Global Initiatives Dr Hanifah Sengendo Imperial Royale Hotel, Kampala 26 June 2013
    2. 2. Outline Why focus on newborn? What are some of the linked RMNCH global initiatives? Every Woman Every Child Born Too Soon A Promise Renewed UN Commission on Life Saving Commodities Family Planning 2020 Commission on Information & Accountability Countdown to 2015 for MNCH Where does the EVERY NEWBORN action plan fit in? What does this mean for Uganda?
    3. 3. Uganda’s delivery goal No newborn born to die 4,700 die 43,000 die No baby stillborn 38,00 die 147,000 deaths each year 33,000 within a few days of birth (intrapartum stillbirths and first day neonatal deaths) No child stunted or dying 88,000 die
    4. 4. Progress for reducing maternal, newborn and child deaths in Uganda has accelerated with the MDGs Average rate reduction 2000-2010 Maternal mortality ratio 5.2% Children aged 1- 59 months 4.1% Neonatal mortality (newborn, first 4 weeks after birth) Stillbirths (global) (last 3 months of pregnancy) 2.2% Source: Mbonye et al, 2012. Lawn J,E. et al. 2012. Decade of change for Newborn Health in Uganda. Health Policy and Planning. 27(Suppl. 3). Data sources: UNICEF 2011 www.childinfo.org , UN MMR estimates 2012 1.0% (1995-2009) At least 30% slower for newborn survival 4
    5. 5. Strong link between maternal and newborn: essential interventions
    6. 6. The UN Secretary-General's Global Strategy for Women's and Children's Health is the first comprehensive roadmap to accelerate progress, deliver results, and ensure accountability for women's and children's health by: • Galvanizing commitments and action from partners • Prioritizing women’s and children’s health in national health plans • Ensuring access to a comprehensive, integrated package of essential services and interventions • Addressing critical health system gaps, including human resources • Holding ourselves accountable for results • Addressing social determinants
    7. 7. • 4 lead organizations, 50 partner organizations • 45 authors from 11 countries • Linked to Every Woman Every Child • Action agenda for professionals, policymakers and parents • Uganda is a champion country for preterm birth care Born Too Soon The Global Action Report on Preterm Birth
    8. 8. 1. Evidence-based country plans Participating governments will lead the effort to sharpen country plans. Milestones for maternal, newborn and child survival will be identified to track and hasten declines in child mortality. 2. Transparency and mutual accountability Governments and partners from civil society, the U.N. and the private sector will track and report the global progress of child survival strategies. 2035 target for U5MR for all countries: 20 deaths per 1000 live births. 3. Global communication and social mobilization Social media, publications, and other communication channels will be used to sustain the focus on and generate momentum for the goal to end preventable deaths. Uganda’s launch of A Promise Renewed: comprehensive RMNCH plan with Presidential commitment planned for August 2013
    9. 9. UN Commission on Life-Saving Commodities • • • • • 10 recommendations Shaping global markets Shaping local delivery markets Innovative financing Strengthening quality Making regulation efficient • • • • • Increasing supply and awareness Increasing demand and utilisation Reaching the poorest Improving performance Prioritizing and funding innovation 13 commodities • • • • • • Female condoms Implants Emergency contraception Oxytocin Misoprostol Magnesium sulphate • • • • • • • Injectable antibiotics Antenatal Corticosteroids Chlorhexidine Resuscitation equipment Amoxicillin Oral Rehydration Salts Zinc
    10. 10. Family Planning 2020 • FP2020 builds on the partnerships launched at the London Summit on Family Planning in June 2012 where global leaders committed to provide 120 million women in the world's poorest countries with access to contraceptives by 2020 • It will sustain the momentum from London and ensure all partners are working together to achieve and support the goals and commitments announced at the Summit • In Uganda, the President has pledged to provide an additional US$5m annually for reproductive health supplies
    11. 11. UN Commission on Information and Accountability Launched in 2011, the Commission sets out a framework for global reporting and oversight on women’s and children’s health. There are 10 recommendations for strengthening accountability and reporting mechanisms at country level In May 2013, one page MNCH accountability data profiles were released linked to Countdown to 2015 for MNCH.
    12. 12. • Countdown to 2015 tracks coverage of health interventions proven to reduce maternal, newborn and child mortality. • Calls on governments and development partners to be accountable, identifies knowledge gaps, and proposes new actions to reach MDG 4 and 5. • District-level Countdown being phased in for priority districts in Uganda linked to the Commission on Information & Accountability
    13. 13. ‘Every Newborn’ supports existing global initiatives Country leadership & Implementation Key catalytic initiatives in support of Every Woman Every Child Family Planning Summit Every Newborn A Promise Renewed Global action plans: scaling up nutrition, global action plan for pneumonia & diarrhea, Born Too Soon, WASH for all Commission on Live-saving Commodities Who? Global mechanisms for coordinated action and advocacy Some examples: Commission of Information and Accountability Recommendations 10-part framework for global reporting, oversight and accountability on women's and children's health Independent Expert Review Group Reviewing progress on the Global Strategy and the Commission’s recommendations www.everywomaneverychild.org
    14. 14. Why Every Newborn? • Country demand for guidance and action • Large problem but huge potential for rapid change since we know what to do and can develop clear context specific guidance on HOW • Harmonize global response which so far has been slow and needs to link to many existing initiatives for reproductive, maternal, child and adolescent health care, scaling up global attention and action
    15. 15. Every Newborn Bottleneck Analysis Process • Stimulate national dialogue and action to accelerate progress for newborn health and stillbirth reduction by all key country stakeholders • Systematically assess status for high impact interventions and plan how to overcome bottlenecks for scale-up and ensure reflected in government plans with adequate funding • Linked to RAIC and district bottleneck process with a specific focus on barriers to scaling up newborn care
    16. 16. How it all fits together Health Sector Strategic Plan RMNCH Strategic Plan - APR Increased access and use of FP Ending Ending Ending preventable preventable preventable maternal deaths newborn deaths child deaths COMMODITIES, HUMAN RESOURCES etc.
    17. 17. Who is involved to build this movement? • Global plan for country action linked to Every Woman Every Child, and to A Promise Renewed, following Born Too Soon report and World Prematurity Day movement • Global partnership with multiple organizations including: – Country governments and parliamentarians – United Nations – NGOs – Universities and Professional organizations – Donors and foundations – All the PMNCH 500+ constituencies Country consultations and global communities Global launch May 2014 linked to the World Health Assembly NATIONAL action by professionals, policymakers and parents = ALL OF US !! 1 7

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