Shaded = not currently routinely tracked. Bold = indicator requiring additional evaluation for consistent measurement Teal = input package requiring.

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Presentation transcript:

Shaded = not currently routinely tracked. Bold = indicator requiring additional evaluation for consistent measurement Teal = input package requiring norms and standards to be defined All indicators to be tracked so that they can be broken down to assess equity, e.g. urban/rural, regional, wealth quintile We need to advance definitions and measurement for 10 core Every Newborn indicators, so countries and partners can track programmatic action 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 Rates of disability after neonatal conditions Coverage: Care for all mothers and newborns 4. Skilled attendant at birthEarly initiation of exclusive breastfeeding 5. Early postnatal care for mothers and babies 6. Exclusive breast feeding to 6 months Coverage: Complications and extra care 7. Antenatal corticosteroid useCaesarean section rate 8. Newborn resuscitation 9. Kangaroo mother care, feeding support 10. Treatment of neonatal sepsis Counting Birth registrationDeath registration including cause of death ENAP service delivery packages Every Mother Every Newborn Quality Initiative Care of small and sick newborn

Less than 2 hours of age Between hours of age Between hours of age Between days of life 36%29%24%9%

<iframe width="560" height="315" src=" Mw_0jEw" frameborder= CLICK HERE or visit TO WATCH VIDEO (enable audio)

Safely Kangaroo in your Mother/Baby Unit

The practice of Skin-to-Skin is so valuable to mom + baby....THAT IT’S WIDELY RECOMMENDED BY LEADING HEALTH ORGANIZATIONS, such as:

HOSPITAL IMPLEMENTATION STEPS

HOSPITAL TOOLKIT

Order QuantityHospital Price 0-48 $ $ $ $ $29.95 Retail Price of the Pocket is $60.

REFERENCES + LINKS Hospitals work to prevent tragedy of dropped babies 17/news/ _1_nurse-manager-newborns-hospital- reports 17/news/ _1_nurse-manager-newborns-hospital- reports Infant Assessment and Reduction of Sudden Unexpected Postnatal Collapse Risk During Skin to Skin Contact. Susan M. Ludington Hoe, PhD, RN, CNM, CKC, FAAN, Kathy Morgan, BSN, RN, CKC, NNPBC The Surgeon General’s Call to Action to Support Breastfeeding _care_leaders_in_action.pdf _care_leaders_in_action.pdf Balancing Family Bonding with Newborn Safety Pa Patient Saf Advis 2014 Sep;11(3): ra ry/2014/Sep;11(3)/Pages/102.aspxhttp://patientsafetyauthority.org/ADVISORIES/AdvisoryLib ra ry/2014/Sep;11(3)/Pages/102.aspx Skin-to-skin (Kangaroo Care) with newborns cuts down procedural pain skin-kangaroo-care-with-newborns-cuts-down- procedural-pain skin-kangaroo-care-with-newborns-cuts-down- procedural-pain Skin-to-skin care for procedural pain in neonates. Johnston C 1, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Johnston CCampbell-Yeo MFernandes AInglis DStreiner DZee R Deaths and near deaths of healthy newborn infants while bed sharing on maternity wards content/uploads/2014/05/Thatch-Deaths-and-Near-Deaths- Bed-Sharing-on-Matermity-Wards.pdf content/uploads/2014/05/Thatch-Deaths-and-Near-Deaths- Bed-Sharing-on-Matermity-Wards.pdf Maternity Practices in Infant Nutrition & Care (mPINC) Survey care-practices.htm care-practices.htm Texas Ten Step Star Achiever Program texastenstep/Star_Achiever_Ten_Step_Modules/resource s-and- tools/docs/Texas%20Ten%20Step%20Star%20Achiever%2 0Training%20Toolkit_Step%204.pdf texastenstep/Star_Achiever_Ten_Step_Modules/resource s-and- tools/docs/Texas%20Ten%20Step%20Star%20Achiever%2 0Training%20Toolkit_Step%204.pdf WHO Early skin-to-skin contact for mothers and their healthy newborn infants pub3/full pub3/full Maternity Practices in Infant Nutrition & Care (mPINC) Survey care-practices.htm care-practices.htm CDC shows more hospitals are banning bags! eNeonatal Review VOLUME 10, ISSUE 5 NEW PERSPECTIVES ON KANGAROO CARE 5.pdf 5.pdf The Every Newborn action plan led by WHO and UNICEF, _Action_Plan-EXECUTIVE_SUMMARY- ENGLISH_updated_July2014.pdf _Action_Plan-EXECUTIVE_SUMMARY- ENGLISH_updated_July2014.pdf Baby-Friendly USA, The Ten Steps To Successful Breastfeeding us/baby-friendly-hospital-initiative/the-ten-stepshttp:// us/baby-friendly-hospital-initiative/the-ten-steps Herlenius, Eric, and Pierre Kuhn. "Sudden unexpected postnatal collapse of newborn infants: a review of cases, definitions, risks, and preventive measures." Translational stroke research 4.2 (2013):