4. Shaded = not currently routinely tracked. Bold = indicator requiring additional evaluation for consistent measurement Teal = input package requiring norms and standards to be defined All indicators to be tracked so that they can be broken down to assess equity, e.g. urban/rural, regional, wealth quintile We need to advance definitions and measurement for 10 core Every Newborn indicators, so countries and partners can track programmatic action Core ENAP IndicatorsAdditional Indicators Impact 1. Maternal Mortality Ratio 2. Stillbirth RateIntrapartum Stillbirth Rate 3. Neonatal Mortality RateLow birth weight rate Preterm birth rate Small for gestational age Neonatal morbidity rates, eg infection Rates of disability after neonatal conditions Coverage: Care for all mothers and newborns 4. Skilled attendant at birthEarly initiation of exclusive breastfeeding 5. Early postnatal care for mothers and babies 6. Exclusive breast feeding to 6 months Coverage: Complications and extra care 7. Antenatal corticosteroid useCaesarean section rate 8. Newborn resuscitation 9. Kangaroo mother care, feeding support 10. Treatment of neonatal sepsis Counting Birth registrationDeath registration including cause of death ENAP service delivery packages Every Mother Every Newborn Quality Initiative Care of small and sick newborn

6. http:www.nursingcenter.com/cearticle?an=00005721-201311000-00007#TT1

10. Less than 2 hours of age Between 2 - 24 hours of age Between 24 - 72 hours of age Between 4 - 7 days of life 36%29%24%9%

14. http://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/newborninjuries/Documents/photo.pdf

20. <iframe width="560" height="315" src="https://www.youtube.com/embed/edgs Mw_0jEw" frameborder= CLICK HERE or visit https://www.youtube.com/watch?v=edgsMw_0jEwHERE TO WATCH VIDEO (enable audio)

21. Safely Kangaroo in your Mother/Baby Unit

22. The practice of Skin-to-Skin is so valuable to mom + baby....THAT IT’S WIDELY RECOMMENDED BY LEADING HEALTH ORGANIZATIONS, such as:

26. HOSPITAL IMPLEMENTATION STEPS

27. http://www.nuroobaby.com/hospital HOSPITAL TOOLKIT

29. Order QuantityHospital Price 0-48 $39.95 51-249 $37.95 252-498 $35.95 501-750 $32.95 750+ $29.95 Retail Price of the Pocket is $60.

32. REFERENCES + LINKS Hospitals work to prevent tragedy of dropped babies http://articles.philly.com/2015-01- 17/news/58153780_1_nurse-manager-newborns-hospital- reports http://articles.philly.com/2015-01- 17/news/58153780_1_nurse-manager-newborns-hospital- reports Infant Assessment and Reduction of Sudden Unexpected Postnatal Collapse Risk During Skin to Skin Contact. Susan M. Ludington Hoe, PhD, RN, CNM, CKC, FAAN, Kathy Morgan, BSN, RN, CKC, NNPBC http://www.nainr.com/article/S1527-3369(13)00138-4/fulltext http://www.nainr.com/article/S1527-3369(13)00138-4/fulltext The Surgeon General’s Call to Action to Support Breastfeeding http://www.cdc.gov/breastfeeding/pdf/actionguides/health _care_leaders_in_action.pdf http://www.cdc.gov/breastfeeding/pdf/actionguides/health _care_leaders_in_action.pdf Balancing Family Bonding with Newborn Safety Pa Patient Saf Advis 2014 Sep;11(3):102-8. http://patientsafetyauthority.org/ADVISORIES/AdvisoryLib ra ry/2014/Sep;11(3)/Pages/102.aspxhttp://patientsafetyauthority.org/ADVISORIES/AdvisoryLib ra ry/2014/Sep;11(3)/Pages/102.aspx Skin-to-skin (Kangaroo Care) with newborns cuts down procedural pain http://www.cochrane.org/CD008435/NEONATAL_skin-to- skin-kangaroo-care-with-newborns-cuts-down- procedural-pain http://www.cochrane.org/CD008435/NEONATAL_skin-to- skin-kangaroo-care-with-newborns-cuts-down- procedural-pain Skin-to-skin care for procedural pain in neonates. Johnston C 1, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Johnston CCampbell-Yeo MFernandes AInglis DStreiner DZee R http://www.ncbi.nlm.nih.gov/pubmed/24459000 Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards http://www.firstcandle.org/~candle/cms/wp- content/uploads/2014/05/Thatch-Deaths-and-Near-Deaths- Bed-Sharing-on-Matermity-Wards.pdf http://www.firstcandle.org/~candle/cms/wp- content/uploads/2014/05/Thatch-Deaths-and-Near-Deaths- Bed-Sharing-on-Matermity-Wards.pdf Maternity Practices in Infant Nutrition & Care (mPINC) Survey http://www.cdc.gov/breastfeeding/data/mpinc/maternity- care-practices.htm http://www.cdc.gov/breastfeeding/data/mpinc/maternity- care-practices.htm Texas Ten Step Star Achiever Program http://texastenstep.org/starachiever- texastenstep/Star_Achiever_Ten_Step_Modules/resource s-and- tools/docs/Texas%20Ten%20Step%20Star%20Achiever%2 0Training%20Toolkit_Step%204.pdf http://texastenstep.org/starachiever- texastenstep/Star_Achiever_Ten_Step_Modules/resource s-and- tools/docs/Texas%20Ten%20Step%20Star%20Achiever%2 0Training%20Toolkit_Step%204.pdf WHO Early skin-to-skin contact for mothers and their healthy newborn infants http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003 519.pub3/full http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003 519.pub3/full Maternity Practices in Infant Nutrition & Care (mPINC) Survey http://www.cdc.gov/breastfeeding/data/mpinc/maternity- care-practices.htm http://www.cdc.gov/breastfeeding/data/mpinc/maternity- care-practices.htm CDC shows more hospitals are banning bags! http://banthebags.org/ http://banthebags.org/ eNeonatal Review VOLUME 10, ISSUE 5 NEW PERSPECTIVES ON KANGAROO CARE http://eneonatalreview.org/newsletters/2015/volume10_issue0 5.pdf http://eneonatalreview.org/newsletters/2015/volume10_issue0 5.pdf The Every Newborn action plan led by WHO and UNICEF, http://www.everynewborn.org/Documents/Every_Newborn _Action_Plan-EXECUTIVE_SUMMARY- ENGLISH_updated_July2014.pdf http://www.everynewborn.org/Documents/Every_Newborn _Action_Plan-EXECUTIVE_SUMMARY- ENGLISH_updated_July2014.pdf Baby-Friendly USA, The Ten Steps To Successful Breastfeeding http://www.babyfriendlyusa.org/about- us/baby-friendly-hospital-initiative/the-ten-stepshttp://www.babyfriendlyusa.org/about- us/baby-friendly-hospital-initiative/the-ten-steps Herlenius, Eric, and Pierre Kuhn. "Sudden unexpected postnatal collapse of newborn infants: a review of cases, definitions, risks, and preventive measures." Translational stroke research 4.2 (2013): 236-247. http://link.springer.com/article/10.1007/s12975-013-0255-4 http://link.springer.com/article/10.1007/s12975-013-0255-4