1. Newborn Health Scale Up Framework for Zambia
Dr. Penelope Kalesha
Child Health Specialist
Ministry of Com. Dev. Mother and Child Health

2. Births and Deaths and inequity.
Greetings Ladies and Gentlemen.
My name is Mary Kaoma from Zambia. I am the Community and EPI Specialist at the Health Services and Systems Program. It is both a privilege and pleasure to represent my country at this august gathering. I am pleased to present this paper as entitled above.

3. Ra Trends of under five and infant mortality rates in Zambia
NNR
Child Health Overview
4/15/2017

4. The Information Problem?
Source WHO
The majority of with the minority deaths… of information

5. Goal and Objectives of Scale Up
Goal: To accelerate the reduction of neonatal morbidity and mortality
The scale up of newborn health care will focus on 3 strategic objectives that will guide programming and selection of interventions 

6. Rationale for Scale Up
Two thirds of newborn deaths could be prevented with a higher coverage of essential maternal newborn and child health (MNCH) service packages that are already articulated within policies and plans. The strengthening of some specific newborn healthcare aspects could save a large number of newborn lives every day.
Critical time periods:
Pre-pregnancy , Pregnancy, Labour, delivery and the first 1-2 hours of life, Early neonatal period (week 1), Late neonatal period (weeks 2-4)

7. Newborn Health Scale up Framework
Strategic Objective 1: To strengthen capacity to improve newborn health care at all levels of the health care delivery system
1.1 Strengthen capacity to increase and improve essential newborn care
1.2 Strengthen national, provincial, district and community level planning, management and supervision
1.3 Strengthen Reporting, Monitoring and Evaluation
Strategic Objective 2: To increase the availability, access and utilization of quality newborn health care services
2.1 Improve health care facilities and service delivery sites
2.2 Improve provision and access to quality newborn health care and services
2.3 Strengthen referral and outreach systems
2.4 Strengthen advocacy towards increased commitment, resources and integrated newborn health policy and programming
2.5 Foster and Strengthen Partnerships
Strategic Objective 3: To empower communities to improve community maternal and newborn health care practices, and support the continuum of care
3.1: Influence behaviour change towards healthy newborn care practices and strengthen community involvement and support
3.2: Strengthen community involvement and support for the continuum of care
3.3: Establish and strengthen Home Based Newborn Care (HBNC)
3.4: Establish and strengthen community IMCI strategy
3.5: Strengthen multisectoral community response to newborn health

8. Most important interventions?
World Health Organization
15 April 2017
Most important interventions?
PREVENTIVE (Skilled care at birth)
Labour, birth and 1-2 hours after birth
Monitoring progress of labour, maternal and foetal well-being with partograph
Social support (companion) during birth
Immediate newborn care (resuscitation if required, thermal care, hygienic cord care, early initiation of breastfeeding)
Emergency obstetric and newborn care for complications
Antibiotics for preterm premature rupture of membranes
Antenatal corticosteroids for preterm labour
Prevention of mother-to-child transmission of HIV+
TREATMENT (Postnatal care for all newborns)
Newborn period (after the first 1-2 hours after birth up to 1 month)
Exclusive breastfeeding
Thermal care
Hygienic cord care
Prompt care-seeking for illness
Extra care of low-birth-weight (LBW) infants
Immunization
Management of newborn illness
Prevention of mother-to-child transmission of HIV+
Read the text on the slide
Adapted by WHO/CAH from the Lancet Neonatal Survival series, Lancet Child Survival series

9. Prioritization/ Selection of Strategies/Interventions
Opportunities for Scale-Up
Policy and Planning
National Pre-service and In-service Training
Promising National Interventions and Pilot Programs
Community and Facility Based Strategies
Key opportunities in policy and programmes to save newborn lives
Prioritization and Selection of Strategies/Interventions
Prioritization/ Selection of Strategies/Interventions
Situation analysis
Prioritizing and choosing interventions
Intervention delivery
Monitoring and evaluation

10. the lowest coverage of care
The hours and days
of highest risk have
the lowest coverage of care
Progress to Child Health

12. We can work together to make a big difference for mothers, newborns and the future?
Thank you!