Strengthening and integrating newborn care in Ethiopia

1
Strengthening and integrating newborn care in
Ethiopia
Based on lessons learned from Opportunities for
Africas Newborns
2
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)

3
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

4
How many die?
5
National progress to MDG 4

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

6
Causes of newborn deaths
Infections and tetanus account for 43 of
neonatal deaths in Ethiopia
Low birthweight rate 15
7
MNCH policies, strategies and programmes

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

8
Coverage along the MNCH continuum of care
9
Missed opportunities for essential interventions
10
Lives can be saved

• If essential interventions reached 90 of women
  and newborns in Ethiopia, up to 85,600 newborn
  lives could be saved

11
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

12
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

13
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

14
Financing for MNCH

• Gross national income, per capita US110
• Government spending on health, per capita US3
• Government spending on health (Abuja target 15)
  10
• Out-of-pocket spending on health 33
• No user fee protection for women and children

15
Results

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

16

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