Newborn Care

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Overview

Each year an estimated 2.7 million babies die during the first 28 days of life and over a million children survive with impairment following neonatal conditions.  The main causes of neonatal death are complications of prematurity (36%), infections (23%), and intrapartum complications (23%). Many of these deaths are preventable. To prevent newborn death and disability requires health systems to deliver routine newborn care (cleanliness, thermal care and support for breastfeeding) for all babies, newborn resuscitation and prevention of mother to child transmission of HIV (PMTCT) within all facilities for all babies who need it; and timely provision of high quality inpatient care for babies born small and sick. 

The CHIFA Newborn Care Project convenes all stakeholders to explore and address how to improve quality of care for newborns within the overall care continuum, particularly for those born small and sick in low and middle-income countries. This work thereby aims to contribute to global efforts such as the World Health Organization led Quality, Equity Dignity (QED) efforts for women and newborns that build on technical and advocacy work of Every Newborn Action Plan (ENAP). The ENAP, a multi-partner initiative backed by a World Health Assembly Resolution, has set national targets of <12 neonatal deaths per 1000 live births, and <12 stillbirths per 1000 total births by 2030 as part of the Sustainable Development Goals.

Activities

A. Survey (led by ENAP metrics) to invite contributions from CIFA members (and others) on levels and measures of inpatient care for small and sick newborns. The survey will be available in English, French and Spanish, and will be open from August - October 2017.

B. A series of thematic discussions on the CHIFA forum (October 2017 to June 2018) to explore the following questions

  1. What is the size of the problem?
  2. What do we know about quality of care? 
  3. What are the main gaps in care for newborns at different levels of the health system? 
  4. How can we address these gaps more effectively?
  5. What are we doing to ensure family centred care?
  6. What are the available standards, guidelines and models of care?
  7. How do we tackle newborn health in humanitarian settings?
  8. How to improve access to existing interventions? 
  9. How can innovations and technologies improve care for small and sick newborns?
Publications
2018

CHIFA Discussion on Newborn Care 2: Who is caring for the newborn? SHORT EDIT

This version provides a short edited version (9 pages) of the 2nd CHIFA discussion on Newborn Care, structured under subheadings.

2018

CHIFA Discussion on Newborn Care 2: Who is caring for the newborn? FULL TEXT

This version provides the full text of all 99 messages.

2018

CHIFA Discussion on Newborn Care 2: Who is caring for the newborn? LONG EDIT

This version provides an edited version (38 pages) of the 99 messages, structured under subheadings.

2018

CHIFA Discussion on Newborn Care 1 FULL TEXT

16 October to 25 November 2017

What is the size of the problem? What do we know about quality of care at different levels?

This version provides the full text of all messages.

 

2018

CHIFA Discussion on Newborn Care 1 LONG EDIT

16 October to 25 November 2017

What is the size of the problem? What do we know about quality of care at different levels?

This version provides a long edited version of  the discussion.

2018

CHIFA Discussion on Newborn Care #1 SHORT EDIT

16 October to 25 November 2017

What is the size of the problem? What do we know about quality of care at different levels?

This version provides a short edited version of  the discussion.

2017

With thanks to Ruth Davidge, South Africa. This publication is available here temporarily to enable CHIFA members to view it in the context of the current discussion on Newborn Care (Oct/Nov 2017)

Members
Name Country
Neil Pakenham-Walsh United Kingdom
Andre Ndayambaje Rwanda
Christabel Enweronu-Laryea Ghana
David Gathara Kenya
Geralyn Sue Prullage Rwanda
Indira Narayanan United States
Joy Lawn United Kingdom
Judy Hitchcock New Zealand
Kimberly Peven United Kingdom
Lily Kak United States
Lisa Hinton United Kingdom
Mary Kinney South Africa
Mike English Kenya
Miriam Chickering United States
Peter Waiswa Uganda
Susan Niermeyer United States
Tijen Eren United Kingdom