The links between Neonatal Care and achieving national targets for Infant Mortality Rates in PICs...
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![Page 1: The links between Neonatal Care and achieving national targets for Infant Mortality Rates in PICs Rufina Latu WHO Country Office, Port Vila, Vanuatu 10.](https://reader031.fdocuments.in/reader031/viewer/2022032722/56649ced5503460f949b98b8/html5/thumbnails/1.jpg)
The links between Neonatal Care and achieving national targets for Infant Mortality Rates in PICs
Rufina LatuWHO Country Office, Port Vila, Vanuatu
10th July, Apia, Samoa
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The faces behind the statistics
Many newborns die from preventable causes
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Reproductive AgeAntenatal
period
Adolescent
School age
Preschool
Continuum of the Life Cycle
Intra-partumDeliveryImmediate Newborn•First Embrace•Care for LBW/Preterm•Care for Sick Newborn
Postneonatal
Lateneonatal
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NEONATAL DEATHS
Neonatal death = within first 28days of lifeEarly Neonatal death = first 7 days
What do the statistics show?- Global - Pacific countries
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MDG 4: reduce under-5 mortality by 2/3
Target Indicators
• Under-five mortality rate
• Infant mortality rate
• Neonatal mortality rate
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Causes of Deaths: under-5
Western Pacific Region, 2010
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Neonatal mortality as % of under-5 mortality
REGION Proportion due to Neonatal mortality
Global 41%
Western Pacific Region 54%
Pacific Island countries 48%
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Neonatal, Infant and Child Mortality- contribution to under-5 mortality
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Neonatal deaths
48%infant deaths
24%
1-5 yrs
28%
DHS in 7 Pacific Is countries: 2006-2009
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Causes of Neonatal Deaths
Preterm38%
Birth As-
phyxia26%
Severe Infection19%
Congenital Anomalies
9%
Others7%
Neonatal Tetanus1%
WHO Report
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Up to 50% of neonatal
deaths occur in1 st 24 hrs
75% of neonatal deaths - first week
Age at death for NeonatesAge at death for Neonates
Interventions affect the rest of their lives
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1990 1994 1999 2004 2006 2007 20150
20
40
60
80
100
120
4840 38
31 3025
16
62
5048
38 36
30
20
Infant and Under-5 Mortality (Vanuatu)
U5MR
IMR
Accelerated Action
Source: MICS 2007, UNICEF, MOH
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We can prevent newborn deaths
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Reduce Neonatal deaths - through continuum of care at all levels
Antenatal
7– 14%reduction of NMR
Intrapartum
19 – 34%reduction of NMR
Postnatal 10 – 27%reduction of NMR
Communitybased care
14 - 32% reduction of NMR
Primary Health Care
10 - 30%reduction of NMR
Secondary Care - hosp
26- 51%reduction of NMR
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Neonatal care – moving forward
3. Document progress
2. Specific Interventions- eg perinatal mortality review
1. Review current practices
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Let’s not allow missed opportunities for saving newborns
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Reaching remote communities
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