1. An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN EVERY NEWBORN UPDATE 3 December 2014

2. www.everynewborn.org #EveryNewborn Agenda  Current status History, structure, activities  Working group updates Country Implementation Metrics Advocacy  Moving forward Next steps and roles of partners  Questions and discussion

3. www.everynewborn.org #EveryNewborn Building a movement x World Health Assembly The end of MDGs brings new clarity about what is left behind on the agenda – newborns, stillbirths, adolescents Country action for newborn health

4. www.everynewborn.org #EveryNewborn Main funders: Bill & Melinda Gates Foundation, USAID, Children’s Investment Fund Foundation Every Newborn Series 5 papers, 6 comments 55 authors from 18+ countries 60+ partner organizations Published May 2014 www.thelancet.com/series/everynewborn Every Newborn Action Plan Based on the evidence from the Series Co-led by UNICEF & WHO World Health Assembly 2014 resolution Over 300 experts consulted 60+ partner organization Launched 30 th June 2014 40+ commitments to EWEC Building from evidence to action

5. www.everynewborn.org #EveryNewborn This is where we get the biggest bang for our buck. - Kim Dixon, Co-Chair ENAP, UNICEF Our efforts have meaning only if those who are born today can enjoy them. - Cyril Ramaphosa, Deputy Vice President of South Africa Progress is still too slow, especially for newborns. Today we launch the Every to speed up our response and save more lives. - Ban Ki-Moon, UN Secretary General Graça Machel and other world leaders launched the Every Newborn action plan Partners Forum, South Africa, June 2014 Newborn was a gap. The World Health Assembly agreed and passed ENAP. - Margaret Chan, World Health Organization This plan demonstrates that together we can achieve the vision of a world in which there are no preventable deaths of newborns or stillbirths, where every pregnancy is wanted, every birth celebrated, and women, babies and children survive, thrive and reach their full potential – Graça Machel

6. EVERY NEWBORN Commitments www.lancet/series/everynewborn www.everynewborn.org #EveryNewborn World Health Assembly Resolution 194 member states endorsed the Every Newborn Action Plan in May 2014 Now 40 new commitments, largest collection since launch of Every Woman, Every Child in 2010

7. www.everynewborn.org #EveryNewborn The partnerships forged during the development process for ENAP will work together on three main streams of activities: 1.Country implementation: to identify and respond to technical support needs to ensure that the proposed strategies and evidence are translated into action 2.Data and metrics: to improve and institutionalize metrics to track coverage and impact based on the goals and targets of the ENAP and the five strategic objectives 3.Advocacy: to strengthen and track maternal and newborn health advocacy efforts globally and in countries. Every Newborn priority activities Research

8. www.everynewborn.org #EveryNewborn New ENAP structure  New management structure set up to strengthen the support to the three main streams of activities  Members include: Three working groups co-leads: WHO, UNICEF, LSHTM, UN Foundation, PMNCH, Save the Children Chairs: WHO and UNICEF Other core partners: BMGF, UNFPA, MHTF, USAID  Channels of communication for wider group of stakeholders: Participation in one or more of the work streams either as core member or wider group member Regular updates from ENAP management team though different outreach mechanisms e.g. email updates, discussion fora, webinars, global and national meetings.

9. www.lancet.com/series/everynewborn #EveryNewborn An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN ENAP COUNTRY IMPLEMENTATION GROUP Kim Dickson and Bernadette Daelmans on behalf of team

10. www.everynewborn.org #EveryNewborn Purpose:  To identify and respond to technical support needs to ensure that the proposed strategies and evidence are translated into action Goals: 1.To strengthen technical support coordination 2.To strengthen monitoring of country implementation and track progress 3.To provide technical assistance for EMEN development, implementation and assessment Team  Leads: WHO (Bernadette Daelmans) and UNICEF (Kim Dickson)  Core partners: UNICEF, Save the Children, CIFF, BMGF, USAID Country Implementation Group

11. www.everynewborn.org #EveryNewborn 1.To orient and support action in countries by providing technical country support and facilitate coordination including mapping partners activities, available tools and engagement of partners as well as support in the development and launch of national action plans and capacity building for effective interventions Mapping of technical assistance currently available within countries underway and development of a repository of TA. Inter-country meetings on Every Newborn e.g. Sri Lanka WHO/UNICEF regional meeting held in November 2014 Country Implementation Group Activity

12. www.everynewborn.org #EveryNewborn 2.Monitor and track progress of country implementation Progress tracking tool has been shared by facilitating partners in many countries and countries have started returning completed tools. Data analysis to be completed by end December 2014 3.Develop, implement and evaluate the Every Mother Every Newborn Quality Improvement Initiative Literature review of accreditation programmes, country quality improvement activities and incentives programmes underway Country Implementation Group Activity

13. www.everynewborn.org #EveryNewborn Country Implementation Group Next steps/plan  Development of pre-term guidelines (for 2015) and guidelines for the management of possible severe bacterial infection (for 2015)  Progress report on newborn health to be prepared next year  Eastern Mediterranean Region meetings planned for Q1 2015  Stakeholders meeting on EMEN – date TBC

14. www.lancet.com/series/everynewborn #EveryNewborn An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN ENAP METRICS GROUP Matthews Mathai and Joy Lawn on behalf of team

15. ENAP Milestones by 2020 Count births and deaths in CVRS (women, newborns and stillbirths) Minimum perinatal dataset & perinatal mortality audit being widely used in countries ENAP core indicators to be defined, incorporated in national metrics platforms and widely used Improving, institutionalising & using ENAP metrics for action x World Health Assembly Metrics testing and use in countries for programme improvement and accountability May/June 2014 Dec 2014 Meeting To scope ENAP Metrics improvement plan Jan- May 2015 Refining and consulting on metrics plan & ENAP monitoring FW June 2015 - May 2018 Testing indicators and tools in limited number of countries June 2018 - May 2020 Wide use in many countries CVRS, facility HMIS, surveys 2020

16. Every Newborn action plan core indicators 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 Disability after neonatal conditions Coverage: Care for all mothers and newborns 4. Skilled attendant at birth Immediate breastfeeding 5. Early postnatal care for mothers and babies 6. Exclusive breast feeding to 6 months Coverage: Complications and extra care 7. Antenatal corticosteroid use Caesarean section rate 8. Newborn resuscitation 9. Kangaroo mother care, feeding support Chlorhexidine cord cleansing 10. Treatment of neonatal sepsis Counting Birth registrationDeath registration, cause of death ENAP service delivery packages "MotherBaby" high quality care at birth Care of small and sick newborn Source: Every Newborn: From evidence to action to deliver a healthy start for the next generation. Mason E., McDougall L, Lawn JE, Gupta G, Claeson M, Pillay Y, Presern C, Baye Lukong, M, Mann, G, Wijnroks M, Azad K, Taylor K, Beattie A, Bhutta ZA, Chopra M for the Lancet Every Newborn Study Group. Lancet 2014.

17. CO CHAIRS WHO: Matthews Mathai LSHTM: Joy Lawn COORDINATION GROUP (purpose to link to existing metrics work, and institutionalise) UNICEF: Holly Newby plus alternate UNFPA: Sennen Hounton SNL/NBITWG: Lara Vaz CIFF: Suzanne Fournier Gates: John Grove USAID: Allisyn Moran TASK TEAMS (working on specific metrics, linked with existing initiatives) Task teams Initial focus on the 4+1 specific newborn care interventions WIDER INTEREST GROUP Very inclusive >100 people drawn from wider metrics community including Newborn indicators technical working group INSTITUTIONAL PARTNERS to build capacity especially Africa & Asia Aim to have 2-4 academic institutional partners in high burden countries linked to EMEN pilot sites (Ghana, Tz, Bangladesh, Kenya) Every Newborn Management team work streams Every newborn management including ENAP Metrics 3. Advocacy & mobilisation 1. Country Implementation 2. ENAP Metrics group UNF/PMNCH & Save the Children UNICEF & WHO WHO & LSHTM Research working group (Cross cutting) Every Newborn Steering Group Light touch secretariat ENAP Metrics group:

18. Three tracks of work for ENAP metrics Initial focus on testing 4 + 1 priority treatment interventions 1.KMC (coordinated with KMC acceleration gp and LSHTM with SNL) 2.Resuscitation (USAID/MCS, SNL Bangladesh, WHO, HBB, UNCoLSC, etc) 3.Antenatal Corticosteroids (WHO and UNCoLSC TRT etc) 4.Sepsis case mx (WHO, UNCoLSC etc) 5.CHX cord cleansing (UNCoLSC, SNL etc) Coverage/ content maternal & newborn care (with NBITWG & ICM) Impact indicators including disability (LSHTM & WHO) Priority research agenda for HMIS, surveys, and related tools, work in progress and gaps (LSHTM & WHO) Technical mapping & planning of indicators, tools & work in progress 1 Improve & institutionalise tools in national data collection platforms & global metrics architecture, accountability 2 Capacity development to improve & use the data for action 3 Birth and perinatal death certificates, coverage & quality Develop and test Minimum Perinatal Dataset Perinatal Mortality audit tool, to link to maternal death surveillance and response, led by WHO Household surveys modules and Verbal autopsy tools (eg birth/pregnancy history, improved birthweight and GA assessment) Standard data collection in facility HMIS and facility assessments (eg SPA,SARA) Improving birthweight and GA assessment tools User friendly formats, intentional links to accountability and parent voices (eg partnerships with E4A and WRA) Testing linked to EMEN work (~4 countries) Southern institutions & INDEPTH as centres of excellence Integrated l oversight especially with maternal community

19. www.lancet.com/series/everynewborn #EveryNewborn An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN ENAP ADVOCACY GROUP Anita Sharma, Lori McDougall, Mike Kiernan on behalf of team

20. www.everynewborn.org #EveryNewborn Purpose :  To strengthen the linkages and track maternal and newborn health advocacy efforts globally and in countries. Goals: 1.Under the Every Woman Every Child umbrella support national coalitions advocating for maternal-newborn health 2.Maintain and strengthen global and regional commitments building on growing ENAP support at country level 3.Ensure strong accountability for commitments made to ENAP 4.Continue to raise awareness and bring new partners on-board with a special focus on strengthening integration of MNCH Team:  Leads: UN Foundation, Save the Children, PMNCH  Core partners: BMGF, UNICEF, World Vision, March of Dimes, Save the Children, FCI, Johnson & Johnson, White Ribbon Alliance, MamaYe, Well Being Foundation and others Advocacy Group

21. www.everynewborn.org #EveryNewborn Focus on country progress Lead from behind (ENAP is a goal, not a brand) Build on existing networks, coalitions at country level Leverage global efforts to deepen, sharpen country commitments (EG: World Prematurity Day) Use evidence to guide policy, practice (EG: Lancet Every Newborn launches in country) Support integration of maternal-newborn health Our Operating Principles

22. www.everynewborn.org #EveryNewborn  Work plan 2015 currently under development  Support dissemination opportunities for the Lancet Every Newborn Series and/or national maternal- newborn action plans Priorities for advocacy  Engagement with the development of the updated Global Strategy for Women’s and Children’s Health.  Support the next development agenda, including the Sustainable Development Goals, targets, indicators and means of implementation to ensure inclusion of stillbirths and newborn.  Support and promote key advocacy moments. A calendar of upcoming events is maintained at www.everynewborn.org

23. www.lancet.com/series/everynewborn #EveryNewborn An Action Plan To End Preventable Deaths #EveryNewborn EVERY NEWBORN MOVING FORWARD Kim Dickson and Rajiv Bahl on behalf of team

24. www.everynewborn.org #EveryNewborn  Country launch events for the Lancet Every Newborn Series and/or national maternal-newborn action plans  Implementation of national action plans with an emphasis on saving both mothers and newborns  Global and national tracking of benchmarks, milestones and outcomes with a special focus on identifying significant progress in specific countries or regions  Annual reporting to World Health Assembly  Engagement with the development of the updated Global Strategy for Women’s and Children’s Health and the next development agenda  Support and promote key maternal and newborn resources and events. Information available at www.everynewborn.org Next steps Every Newborn opportunities for action

25. www.everynewborn.org #EveryNewborn Actions of all stakeholders  Every stakeholder has committed to the actions in the ENAP  We would love to hear what are you doing and how can we work better together to deliver for every newborn?  Open to discussion

26. www.lancet.com/series/everynewborn #EveryNewborn An Action Plan To End Preventable Deaths EVERY NEWBORN We are still building a movement… BE PART OF THE ACTION For more information visit www.everynewborn.org www.everynewborn.org