Working Strategies of Chinese Newborn Healthcare Chinese Center for Disease Control and Prevention National Center for Women and Children's Health Wang Huishan

Why to focus on healthcare for newborns? Neonatal mortality accounts for more than half of deaths of children aged under 5; Two-thirds of newborn deaths occur within 3 days after birth; A large number of causes of neonatal death are avoidable; Technologies to reduce neonatal mortality are simple and economic; Reducing neonatal mortality is the goal of Women and Children's Health in the next 10 years.

Transition from MDG to SDG Millennium Development Goals MDG4: From 2000 to 2015, reducing neonatal mortality SDG3: From 2016 to 2020, eliminating preventable neonatal mortality

WHO Action Plan for Newborn Infants in the Western Pacific Region WHO launched the campaign First Embrace in December 2015 Introducing the latest Early Essential Newborn Care (EENC)

Measures beneficial to newborns Immediate wipe dry, Delayed clamping and cutting of umbilical cord Skin-to-skin contact 5

Measures beneficial to newborns Kangaroo Mother Care for premature infants Early initiating of breastfeeding, Breast-feeding 6

Strategies coping with newborn death Strengthening development & management of Obstetrics & Neonatology Improving service network for pregnant/prenatal women and newborns Extensive implementation of Neonatal Resuscitation Program

Management mode of Neonatal Resuscitation program National Center for Women and Children's Health National Healthand Family Planning Commission Department of Maternal and Child Health Implementation Strategies Organizational Management Policy Support Chinese Society of Perinatal Medicine Chinese Nursing Association Technical Support Johnson & Johnson Pediatric Institute American Academy of Pediatrics Implementation Strategies Financial Support Technical Support Project Development Provincial Health and Family Planning Departments Provincial Medical Institutions Specific implementations Policy and Financial Support

Newborn Healthcare Services Providing 1. Newborn disease screening (two diseases, hearing, etc.) 2. Newborn family visits 3. Newborn disease treatment

Maternal and Child Health Care System, China

Basic Health Institutions Providing Services Name of Organization Number of Organizations (10,000) Community Health Service Center 0.8 Community Health Service Station 2.5 Township Hospital 3.8 Village Clinic 66.3

Objectives One children‘s hospital in every prefecture-level city One pediatrics department in a general hospitalin every county Every one thousand children under 5 years old shall be equipped with 2.5 healthcare providers Objectives Every one thousand newborns shall be equipped with 2.5 maternal and child healthcare providers. Providing free medical insurance for newborns

National variation trend of mortality rates of newborn and children aged under 5 from 2000 to 2014

Types of birth defects Congenital heart disease has been the No. 1 malformation for perinatal infants

Birth Defect Countermeasures Strengthening responsibilitis of the government Government leadership, departmental collaboration and social participation Enhancing establishment of integrated prevention and treatment system of birth defects Prenatal screening, prenatal diagnosis, newborn disease screening Implementing integrated prevention and treatment measures for birth defects Primary prevention, secondary prevention, tertiary prevention

Status Quo of Children Disease Acute respiratory infection and diarrhea: 8.62% and 0.58% Infectious disease MTCT of HIV lowering from 34.8% to 6.1% in 2014 Rate of Newborns with Congenital Syphilis is 61.6 per 100,000 Live Birth in 2014, dropping by 22% as of 2011 Prevalence Rate of Disabled Children is 1.69%

Strategies Coping with Child Diseases National Essential Public Health Services Policies Free Regular Antenatal Examination for Pregnant Women Free Regular Health Examination for Children Free Folic acid supplementation before and during pregnancy Blockage of perinatal transmission diseases such as ADIS, syphilis and HBV Free nutrition supplementation for infants of 6- 24 months old in rural areas Promotion of prevention of child common diseases and harms Screening and rehabilitation of disabled children of 0-6 years old

Ultimate Objective Reducing child mortality Improving population quality at birth

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