Diapositive 1

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Advocacy and Campaigning on Child and Newborn
Survival in South Africa
Mary Kinney Saving Newborn Lives/Save the
Children Managing editor for ENAP
Version April 2014
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Three million newborns are dying globally every
year

• Why do we need a Every Newborn Action Plan?
• What is the Every Newborn Action Plan?
• Action with a plan
• Opportunities for South Africa to link to global
  effort

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We Stand for Newborns!
We Stand for Newborns!

• The Global Newborn Health Conference
• All participants made a commitment to stand for
  newborns WILL YOU?

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Why Every Newborn?

• Huge burden, yet huge potential for rapid change
  with high impact, feasible interventions
• Country demand for guidance and action to
  accelerate progress towards MDGs 4 and 5,
  universal health coverage, and towards ending
  preventable deaths among women and children
• For greater effectiveness we must accelerate and
  harmonize global response and link to existing
  initiatives for reproductive, maternal, child and
  adolescent health care.

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We have the knowledge and tools to reduce the
main causes of death
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Prioritised by the UN Commission on Life Saving
Commodities for Women and Children
Over two-thirds of newborn deaths preventable
actionable now without intensive care
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There are proven interventions within RMNCH
continuum of care
Source Adapted from The Lancet Every Newborn
Series
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The vision for Every Newborn Action Plan

• 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.
• Vision statement, May 2014

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NEW NEONATAL MORTALITY GOAL Unless we greatly
accelerate newborn survival efforts, goal to end
preventable child deaths by 2035 unreachable
Source Special analysis detailed in The Lancet
Every Newborn Series based on country and
official online consultations and using neonatal
mortality rate data from the UN Inter-agency
Group for Child Mortality Estimation 2013 .
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NEW goal for stillbirths
Source Special analysis detailed in The Lancet
Every Newborn Series based on country and
official online consultations and using
stillbirth rate data from The Lancet Stillbirth
Series (Cousens S et al Lncet 2011)
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What to do differently?Every Newborns guiding
principles
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What to do differently?Every Newborns Five
strategic objectives

1. Strengthen and invest in care during labour,
   birth and the first day and week of life
2. Improve the quality of maternal and newborn care
3. Reach every woman and every newborn reduce
   inequities
4. Harness the power of parents, families and
   communities
5. Count every newborn measurement, tracking and
   accountability

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Every Newborn prioritizes focus on birth within
existing national strategies and plans not a new
stand alone plan
National Service Delivery Agreement
Strategic plan for MNCWHN in South Africa
Increasing access and use of FP
Ending preventable deaths from pneumonia and
diarrhoea (GAPPD)
Ending preventable newborn deaths
Ending preventable maternal deaths
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Potential for major change in countries

• Progress is possible targets getting traction
• Neonatal survival unfinished agenda, stillbirths
  still missing, but count for families
• Synergies of newborn survival with demographic
  transition
• Country consultations and ownership over 1 yr
  process
• Programmatic focus is clear and evidence-based
• Time around birth, triple return on investment
• Priority attention to small babies to reduce
  deaths, disability and risk of non communicable
  diseases (NCDs)
• Urgent improvements for programmatic coverage
  data
• Partnerships and alliances
• UN leadership
• Maternal alliances especially re service delivery
  eg Every Mother, Every Newborn package
• Civil society advocacy to change social norms

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Movement with a planWho has been involved?Every
Newborn consultation process

• Alliance
• 50 global partners on Advisory group
• Steering team and management group (led by WHO
  UNICF)
• ENAP presented and discussed at many global
  meetings in 2013 including GNHC, Women Deliver,
  AU MNCH, IPA, and NYC mtg
• Countries
• 17 country consultations between April-September
  2013
• 2 regional workshops
• Completed bottleneck analyses conducted in 10
  countries
• Official WHO consultation
• More than 300 official comments including 50
  member states, professional associations,
  academics, NGOs, individuals
• WHO executive board and on main agenda at WHA

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Every Newborn timeline 2014
May
February
September
November
June
State of the Worlds Mothers
Canada MNCH summit
State of the Worlds Midwifery
Countdown report 2014
UNGA
Launch 20th May
Dr. Yogan Pillay author on paper
South Africa on WHA Executive Board
South Africa hosting Partners Forum, launching
natil CD
South Africans taking action and being a voice
for change
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We are building a movement BE PART OF THE
ACTION For more information visit
www.everynewborn.org
EveryNewborn
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Every Newborn Process

• April 2013 June 2014
• National and regional consultation and technical
  inputs to the development of the plan
• 20-25 January 2014
• Discussed at the WHO Executive Board
• February 2014
• Open consultation on draft Every Newborn by
  stakeholders and inputs incorporated into final
  draft
• May 2014
• Lancet series (update from 2005 and giving the
  analyses which are the basis for the Every
  Newborn)
• Draft plan presented to the 67th World Health
  Assembly
• June 2014
• Action Plan launched at PMNCH Partners Forum,
  Johannesburg