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

2. 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.

3. 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

4. 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)

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

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

7. 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

8. 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

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

10. Maternal and Child Health Care System, China

11. 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

12. 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

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

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

17. 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

18. 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 per 100,000 Live Birth in 2014, dropping by 22% as of 2011
Prevalence Rate of Disabled Children is 1.69%

19. 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 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

20. Ultimate Objective Reducing child mortality
Improving population quality at birth

21. Thank you for listening!