Overview of the Presentation The presentation aims to answer 4 basic questions 1.What 1.What is the Every Newborn action plan? 2.Why 2.Why the need for a global action plan? 3.Who 3.Who is involved? 4.When 4.When will we have the plan?

A roadmap for change A platform for harmonised action by all partners Setting out a clear vision with mortality target, strategic directions, and innovative actions within the continuum of care Supported by evidence on epidemiology, effective interventions, delivery mechanisms and accelerators to progress What is the Every Newborn Action Plan?

Country demand for guidance and action Large problem but huge potential for rapid change since we know what to do and can develop clear context specific guidance on HOW Harmonize global response which so far has been slow and needs to link to many existing initiatives for reproductive, maternal, child and adolescent health care, scaling up global attention and action Why Every Newborn ?

No baby stillborn Our delivery goal No newborn is born to die 2.9 million die~ 280,000 die 2.6 million die No child stunted or dying 3 million die 3.5 million within a few days of birth 10 million deaths

Source: Lawn J,E. et al Newborn survival: a multi-country analysis of a decade of change. Health Policy and Planning. 27(Suppl. 3): iii6-ii28. Data sources: UNICEF UN MMR estimates 2012www.childinfo.org Global progress for reducing maternal, newborn and child deaths has accelerated with the MDGs Average rate reduction Maternal mortality ratio4.2% Mortality for children months 2.5% Neonatal mortality (<1 month)1.8% At least 30% slower for newborn survival 7

8 3 reasons why the past does not have to be our future for newborn survival 1.We know the causes 2.We have high impact interventions that integrate within health systems 3.We know it can be done as some low income countries are succeeding

43% We now know why newborns die CHANGE 1 Source: Liu et al Global, regional and national causes of child mortality in :. The Lancet. DOI: /SO million 9 Global causes of child deaths for , ,000 1,077,800 Preterm complications Intrapartum events Neonatal infection Newborn deaths invisible in global estimates until 2005 – now visible

We can reduce the main causes of death We can reduce the main causes of death 3 by Newborn Survival Solutions – 3 by Preterm birth 1.Preterm labor management including antenatal corticosteroids 2.Care including Kangaroo mother care, essential newborn care Birth complications (and intrapartum stillbirths) 1.Prevention with obstetric care 2.Care - essential newborn care, resuscitation Neonatal infections 1.Prevention, essential care, breastfeeding, Chlorhexidine 2.Case management of neonatal sepsis+ BASIC NEWBORN CARE FOR ALL CHANGE 2 Over two-thirds of newborn deaths preventable – actionable now without intensive care

MDG 4MDG 5Neonatal mortality rate Av annual change Rwanda Progressing 6.2% Bangladesh 4.0% Nepal 3.6% Malawi Progressing 3.5% We have proof of change at scale Some countries are “bending the curve” for newborn survival despite low income Source: Newborn survival decade of change analysis: Health Policy and Planning. 27(Suppl. 3) papers 3 to 7 CHANGE 3 Over the last decade 77 countries reduced NMR by >25% including at least 13 low income countries Bangladesh, Bolivia, Eritrea, Guatemala, Indonesia, Nepal, Madagascar, Malawi, Morocco, Senegal, Rwanda, Tanzania, Vietnam

WHO WHO is involved in building this movement? Global partnership with multiple organizations including: – Country governments and parliamentarians – United Nations – NGOs – Universities and Professional organizations – Donors and foundations – All the PMNCH 500+ constituencies NATIONAL action by professionals, policymakers and parents = ALL OF US !! 12

We are all building a movement Building on Born Too Soon, A Promise Renewed for Child Survival Outreach: Senior policymakers, parliamentarians, civil society, media Reaching across communities: reproductive, maternal + newborn and child Advocacy and communications through all partners: National, regional, global – 500+ PMNCH partners

2013/2014 – A tipping point for newborns? May September State of the World’s Mothers report (Mother’s day, Save the Children) Women Deliver Conference The MDG 4 & 5 Investment Framework (to be presented at UNGA) Global Moments Global Newborn Action Plan process November World Prematurity Day May 2014 EN launch WHA Lancet papers Global launch May 2014 Global launch May 2014 linked to the World Health Assembly AprilOctober Submit to WHA EB