1. Version April 2014 Advocacy and Campaigning on Child and Newborn Survival in South Africa Mary Kinney Saving Newborn Lives/Save the Children Managing editor for ENAP

2. Why do we need a Every Newborn Action Plan? What is the Every Newborn Action Plan? Action with a plan Opportunities for South Africa to link to global effort Three million newborns are dying globally every year

3. We Stand for Newborns! The Global Newborn Health Conference All participants made a commitment to stand for newborns – WILL YOU? We Stand for Newborns!

4. 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.

5. 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

6. There are proven interventions within RMNCH continuum of care Source: Adapted from The Lancet Every Newborn Series

7. 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, May 2014

8. NEW NEONATAL MORTALITY GOAL Unless 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.

9. 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)

10. What to do differently? Every Newborn’s guiding principles Country leadership Good governance, community participation, partner alignment Integration Integrated service delivery, continuum of care, programme coordination Equity Universal coverage, closing the equity gap Human rights Principles, standards Accountability Transparency, oversight Innovation Interventions, delivery approaches, technologies

11. 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

12. National Service Delivery Agreement Strategic plan for MNCWH+N in South Africa 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

13. 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 “Every Mother, Every Newborn package”  Civil society advocacy to change social norms Potential for major change in countries

14. Movement with a plan Who 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 GNHC, 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 +50 member states, professional associations, academics, NGOs, individuals  WHO executive board and on main agenda at WHA AU MNCH conference

15. Every Newborn timeline 2014 February November June September EVERY NEWBORN ACTION PLAN LAUNCH! EVERY NEWBORN ACTION PLAN LAUNCH! May UNGA State of the World’s Midwifery WHO World Health Assembly State of the World’s Mothers Countdown report 2014 Every Newborn 2014 Canada MNCH summit Canada MNCH summit Action all at country and global level for newborns & stillbirths Launch 20 th May Dr. Yogan Pillay author on paper South Africa on WHA Executive Board South Africa hosting Partners Forum, launching nati’l CD South Africans taking action and being a voice for change

16. We are building a movement… BE PART OF THE ACTION For more information visit www.everynewborn.orgwww.everynewborn.org #EveryNewborn

17. 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 67 th World Health Assembly June 2014  Action Plan launched at PMNCH Partners’ Forum, Johannesburg Every Newborn Process Photo credit: Save the Children