1. Making the Case for DBC Frameworks CSHGP Partner’s Meeting October 12 th, 2011 Save the Children

2. Improving the health, survival, and nutritional status of children, newborns and mothers through increased use of high impact health and nutrition services and practices 1

3. Getting to Great for Children Our Goal Our Vision Our Contribution Scope Geographic Thematic Timeframe Children are healthy and well-nourished Children, newborns, and mothers will no longer die of preventable causes, or suffer the debilitating effects of poor health and nutrition Ensure that children and caregivers adopt health-promoting behaviors, and have access to – and use – high impact health and nutrition services in emergency, transitional and development settings Maternal Newborn Health & Nutrition: Helping women and newborns survive childbirth and the postnatal period Child Health & Nutrition: Ensuring no child dies of a preventable or treatable cause before their fifth birthday U.S. Child Obesity Prevention: Giving children the skills they need to practice healthy lifestyle behaviors Adolescent Health & Nutrition: Addressing the reproductive and sexual health needs of young people ages 12-24 Save the Children focuses on 21 priority countries with large numbers of child deaths and high child morality rates, and on situations where the needs of children are great due to emergencies and conflict. For example, these 21 countries accounted for 70% of under-5 deaths worldwide. 2008- 2012 Financial Projections Total $$ needed between 2009-2012 to achieve the above 3

4. Achieving Our Intended Impact 5

5. Maternal Newborn and Child Health: Strategy 1 9 Strategy 1: Building the Evidence Base Enhance evidence base to better address neonatal infection, prematurity/low birth weight, and birth asphyxia Design, test, and evaluate community based approaches to a) Treating pneumonia, malaria, and diarrhea (CCM) and b) Treating acute malnutrition (CMAM/CTC)

6. Maternal Newborn and Child Health: Strategy 1 9 Examples: Building the Evidence Base Community based management of neonatal infection (Nepal, Pakistan, Bangladesh, Malawi) Helping Babies Breathe (Pilots in 4 countries and expansion to 19) Identify areas of research to strengthen delivery approaches for CCM What are the best ways of supervising CHWs? Do family recognize the disease and promptly seek care?

7. Management of Infections (cont.) Examples: Building the Evidence Base (Continued) Simplified Antibiotic Therapy Trial Are simplified antibiotic regimens equivalent to WHO “gold standard” (14 injections)? – ongoing Common protocol –Asia: Pakistan (SNL), Bangladesh (USAID) –Africa: Nigeria, Kenya, DRC (WHO) Maternal Newborn and Child Health: Strategy 1

8. MNH/CH: Strategy 2 10 Strategy 2: Advocate and Mobilize Increase global, and national attention to newborn health – integrate proven interventions into national policies Develop consensus around evidence-based high- impact interventions and promote integration into policies and programs Advocate and mobilize others to make the policy and political changes needed to meet Millenium Development Goals 1 and 4 including increased funding for child survival and nutrition both by the US government and globally

9. "We cannot allow a single…neonate to die because of our negligence... It will be criminal for us to allow any of these things to happen. “ Minister of Health Dr Aaron Motsoaledi, South Africa “I believe we can certainly prevent two thirds of newborn deaths through essential maternal, newborn, and child health care packages. We have to ensure high coverage and improved newborn care.” President J.M. Kikwete, Tanzania “It is difficult to bring newborns to the health facilities because of access, because of tradition and because of taboos. So we must provide health services close to home.” Dr. Pradhan, Director General of Health, Nepal Ministers of Health and Heads of State are talking about NB Health

10. MNH/CH: Strategy 3 11 Strategy 3: Effective Implementation Increase access to community-based packages of maternal and newborn care (CB-MNC) in large- scale maternal and child health delivery systems and programs Community Case Management and Community Management of Acute Malnutrition integrated into national strategies and delivery systems

11. MNH/CH: Strategy 3 11 Example: Effective Implementation MaMoni/MCHIP—Bangladesh Projahnmo (2001-2006) demonstrated neonatal mortality reduction by one-third by trained NGO community health worker Built an NGO model and then expanded this to a public sector implemented model with the MOH/FP

12. MNH/CH: Strategy 4 12 Strategy 4: Working with Partners Develop and expand global partnerships to mobilize commitment and resources to provide technical leadership and achieve impact at scale (UNICEF, WHO, PMNCH, MCHIP, USG, BMGF, and public- private partnerships)

13. Enabling environment is totally dependent on partnerships and alliances Increased political priority and commitment Increased funding especially in countries Intervention technical consensus Implementation action, policy change and tracking policy to action Improvement in measurement and use of data Global Engagement of newborn survival – Why?

14. Countdown to 2015 Child Health Epidemiology Reference Group Lives Saved Tool (LiST) Some powerful partnerships on a joint purpose Translating research and data for policy and action

15. Consensus-building “Home visits for the newborn child: a strategy for survival” “Projahnmo- Generations to come” Released January 2010 Lancet Paper of the Year, 2009