Strengthening and integrating newborn care in Malawi

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Strengthening and integrating newborn care in
Malawi
Based on lessons learned from Opportunities for
Africas Newborns
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Adapting this presentation

• Personalise with own photos, updated data,
  charts. Charts and graphs are based on best
  available data up to November 2006.
• Consider adding general information slides or
  regional level data within country or
  Africa-level data as comparison slides (Africa
  data can be found in PowerPoint presentations
  linked to Sections I, II and IV on the CD)

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Outline

• Current situation
• How many die?
• National progress to MDG 4
• Causes of newborn deaths
• MNCH policies, strategies and programmes
• Road Map and/or other key strategies
• Coverage of MNCH services along the continuum of
  care and missed opportunities
• Lives saved
• Key opportunities and gaps for newborn care
• Ingredients for action and results
• Financing for MNCH
• Human resources

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How many die?
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National progress to MDG 4

• 20 of child deaths are newborns. MDG 4 cannot be
  met without addressing neonatal deaths.

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Causes of newborn deaths
Infections and tetanus account for 33 of
neonatal deaths in Malawi
Low birthweight rate 16
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MNCH policies, strategies and programmes

• For this slide
• Add Road Map or Child Survival strategy progress
  and/or other MNCH commitments

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Coverage along the MNCH continuum of care
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Missed opportunities for essential interventions
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Lives can be saved

• If essential interventions reached 90 of women
  and newborns in Malawi, up to 8,900 newborn lives
  could be saved

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Key opportunities to strengthen newborn care

• Examples
• Consider strengthening of newborn care in MNCH
  through
• Pre-pregnancy education and nutrition, birth
  spacing
• Antenatal care
• Childbirth care Skilled attendance and
  emergency obstetric care
• Postnatal care
• IMCI
• Consider integration of newborn health with the
  following programmes
• Nutrition promotion
• Malaria prevention
• PMTCT
• Immunisation programmes

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Gaps in service provision of newborn interventions

• Examples
• Low coverage of key interventions and at key
  points in the continuum of care, especially
  postnatal care
• Missed opportunities within existing packages
  (e.g. if skilled attendants cannot resuscitate
  babies)
• Missed populations in rural areas, gap between
  rich and poor and specific ethnic groups
  receiving services
• Consider underlying causes, such as
• Inadequate skilled personnel
• Limited community interventions
• Lack of equipment/supplies/commodities

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Ingredients for action

• Increased attention - commitment from political
  leaders and decision-makers
• Integrated plan - focus on newborns within
  existing maternal and child survival strategies
• Implementation - clearly defined supervision,
  monitoring, and evaluation mechanisms
• Investment - efficient allocation of resources
  for newborn health and survival, especially in
  human resources

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Financing for MNCH

• Gross national income, per capita US170
• Government spending on health, per capita US5
• Government spending on health (Abuja target 15)
  9
• Out-of-pocket spending on health 28
• Partial user fee protection for women and
  children

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Results

• Newborn lives saved
• Older childrens lives saved
• Womens lives saved
• Disabilities reduced
• Large increases in productivity and income
  generating ability

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• How can we best make a big difference for
  Malawis mothers, newborns and children the
  nations future?
• add own slogan or call to action