Mwebesa abwao newborn_health
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CORE Group Fall Meeting 2010. WHO/UNICEF - Joint Statement Service Delivery & Program Implications, - Winnie Mwebesa & Stella Abwao, Save the Children.
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Mwebesa abwao newborn_health
- 1. WHO/UNICEF - Joint Statement Service Delivery & Program Implications Dr. Winnie Mwebesa Dr. Stella Abwao CORE Group Fall Meeting September 14-15, 2010
- 3. Rationale 1: Neonatal deaths & MDG 4 Almost 40% of under 5 deaths are neonatal – 4 million a year MDG4 can be achieved if neonatal deaths are reduced Source: Lawn JE et al Lancet 2005 0 50 100 150 Mortality per 1000 births (global av) 1960 1980 2000 2020 Year Under-5 mortality rate Late neonatal mortality Early neonatal mortality Target for MDG-4
- 4. Rationale 2: When do newborn deaths occur? Up to 50% of neonatal deaths are in the first 24 hours 75% of neonatal deaths are in the first week – 3 million deaths Source: Lawn JE et al Lancet 2005, Based on analysis of 47 DHS datasets (1995-2003), 10,048 neonatal deaths)
- 6. Direct causes of 3.72 million neonatal deaths - almost all are due to preventable conditions Source: Lawn JE, Cousens SN, Zupan J Lancet 2005. 60 to 90% of neonatal deaths are in low birth weight babies, mostly preterm Rationale 4: What causes newborn deaths?
- 7. Evidence of Home Visits for Newborn Care
- 15. Saving Newborn Lives: Home Visits Within National Delivery Platforms Bangladesh GoB and BRAC community health workers ANCC, PNC visits Pakistan GoP Lady Health Workers CM, ANCC, PNC; attendance home births (resus, LBW extra care, identify infection and begin antibiotics Nepal National Neonatal Health Strategy Female community health volunteers (FCHV) Indonesia GoI Community Midwives ( Bidan di desa ) Bidan di desas (community midwives) Malawi MOH policy; OR demonstrating “how” Health Surveillance Assistants Ethiopia National MOH standards Health Extension Workers LAC Regional Neonatal Health Strategy; OR demonstrating “how” Various cadres (CHWs, ANMs )
- 18. Causes of neonatal death (estimated for 2005) Source : Lawn JE et al. 2006 MALAWI: Three causes account for ~84% of neonatal deaths in Malawi
- 19. Coverage of key packages along the continuum of care Source: MICS 2006 Gap in coverage between poorest and least poor MALAWI:
- 33. Thank you!
Editor's Notes
- Data from DHS surveys in 47 countries, 10,048 neonatal deaths. A very high proportion of deaths occur in the first hours and days after birth. Prevention of these early neonatal deaths will require improvements in care at the time of birth and improvements in care in the early neonatal period.
- One slide that outlines research question, intervention, key outcomes
- 2 slides
- This was immediately followed by a scale-up program in 4 districts namely Rumphi, Nkhotakota, Machinga and Phalombe Now additional districts implementing CBMNC include: Ntcheu, Balaka In the pipeline: Nkhatabay, Mchinji, Dedza, Mangochi and Chiradzulu
- Periodic task force meetings for planning (2007-2009) Development of CBMNC proposal – 2007 Formative research, HFA and baseline survey (2007 - 2008) Adaptation of training manual & development of job aids, development of M&E system and costing tool (2008) TOT in CBMNC & community mobilization (2008)
- 2 slides