4. Additional Indicators
Core ENAP Indicators
Additional Indicators
Impact
1. Maternal Mortality Ratio
2. Stillbirth Rate
Intrapartum Stillbirth Rate
3. Neonatal Mortality Rate
Low 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 birth
Early initiation of exclusive breastfeeding
5. Early postnatal care for mothers and babies
6. Exclusive breast feeding to 6 months
Complications and extra care
Antenatal corticosteroid use
Caesarean section rate
Newborn resuscitation
Kangaroo mother care, feeding support
10. Treatment of neonatal sepsis
Counting
Birth registration
Death registration including cause of death
ENAP service delivery packages
Every Mother Every Newborn
Quality Initiative
Care of small and sick newborn
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

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

20. CLICK HERE or visit https://www.youtube.com/watch?v=edgsMw_0jEw
<iframe width="560" height="315" src=" Mw_0jEw" frameborder=
CLICK HERE or visit
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
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. HOSPITAL
TOOLKIT

29. $39.95 $37.95 $35.95 $32.95 $29.95 Order Quantity Hospital Price
0 - 49
$39.95
$37.95
$35.95
$32.95
750+
$29.95
Retail Price of the Pocket is $60.

32. REFERENCES + LINKS
Hospitals work to prevent tragedy of dropped babies
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
The Surgeon General’s Call to Action to Support Breastfeeding
Balancing Family Bonding with Newborn Safety
Pa Patient Saf Advis 2014 Sep;11(3):  
  ry/2014/Sep;11(3)/Pages/102.aspx
Skin-to-skin (Kangaroo Care) with newborns cuts down procedural pain
Skin-to-skin care for procedural pain in neonates. Johnston C1, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R.
Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards
Maternity Practices in Infant Nutrition & Care (mPINC) Survey