Group 1

Focus on care at birthPrioritize high impact, cost-effective interventions for mother and baby

togetherCountries represented:

Afghanistan, Bangladesh, India, Indonesia, Nepal, Pakistan and Thailand

Governments, UNICEF, WHO, USAID, Save the Children,

Vision : Option 2Goal: Option 2 reviseAchieve equitable and high level essential quality interventions, commodities and behaviour change for universal maternal and newborn health coverage.

Focus on care at time of birth and the first days of life

• Change ‘Birthday’ in para1 to first day of life• Change sequence: first still births and then newborns• Need for clear messaging on deaths that can be prevented at what time by

which intervention?• Last sentence not clear … drive for change … change for what? • Time of birth is critical time for mothers too but no mention of mother• Plan needs to focus on mothers, still births and newborns ( put in

definitions : still birth; peri-natal…)• Define window of opportunity• Action 2 should come first…..more emphasis on leadership and harmonized

action and mobilization of partners and add word ‘equitable’ and add focus on ‘accountability’

• Does the plan cover still-births? (at least fresh still births)

Prioritize package of high impact intervention

• Para 2 : reword- pre-conception care including family planning….include PMTCT; mention post-natal care; Instead of mother-baby please write mother-newborn throughout the document

• Full listing of interventions with packages and impact should be added• In box 2 : - Add birth preparedness and complication readiness- Add prevent still birth and reduce neonatal mortality rate- Add ‘N” in Basic EmOC and Comprehensive EmOC (specify newborn signal

function)• Hand washing with soap and respectful maternity care – safe birth check list

(status of toilets, running water, bed space, electricity)• In Action 2 : add + A for adolescents; add monitoring and supportive supervision

after implementation• Clarify small babies ( separate out premature, small for gestational age and both) • Prematurity and “complications of prematurity” should be separated out• Add in last action : communication for development and innovative approaches