Version April 2014

Advocacy and Campaigning on Child and Newborn Survival in South Africa

Mary KinneySaving Newborn Lives/Save the Children

Managing editor for ENAP

• 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

Three million newborns are dying globally every year

We Stand for Newborns!

The Global Newborn Health ConferenceAll participants made a commitment to stand for newborns – WILL YOU?

We Stand for Newborns!

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.

We have the knowledge and tools to reduce the main causes of death

1

2

* 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

3

There are proven interventions within RMNCH continuum of care

Source: Adapted from The Lancet Every Newborn Series

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

NEW NEONATAL MORTALITY GOALUnless 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 .

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)

What to do differently?Every Newborn’s guiding principles

What to do differently?Every Newborn’s 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

National Service Delivery Agreement

Strategic plan for MNCWH+N in South Africa

Increasing access and use of FP

Ending preventable

newborn deaths

Ending preventable deaths from pneumonia and diarrhoea (GAPPD)

Ending preventable

maternal deaths

Every Newborn prioritizes focus on birth within existing national strategies and plans; not a new stand alone plan

• 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

Potential for major change in countries

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

AU MNCH conference

Every Newborn timeline 2014

FebruaryFebruary NovemberNovemberJuneJune SeptemberSeptember

EVERY NEWBORN ACTION PLAN

LAUNCH!

EVERY NEWBORN ACTION PLAN

LAUNCH!

MayMay

UNGAUNGAState of

the World’s

Midwifery

State of the

World’s Midwifery

WHO World Health

Assembly

WHO World Health

Assembly

State of the

World’s Mothers

State of the

World’s Mothers

Countdown report 2014Countdown report 2014

Every Newborn

2014

Canada MNCH summit

Canada MNCH summit

Action all at country and global level for newborns & stillbirths

Launch 20th May

Dr. Yogan Pillay author on paperDr. Yogan Pillay author on paper

South Africa on WHA Executive Board

South Africa on WHA Executive Board

South Africa hosting Partners Forum,

launching nati’l CD

South Africa hosting Partners Forum,

launching nati’l CD

South Africans taking action and being a voice for change

South Africans taking action and being a voice for change

We are building a movement…

BE PART OF THE ACTION

For more informationvisit www.everynewborn.org

#EveryNewborn

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

Every Newborn Process

Photo credit: Save the Children