Dec 2015 – Nov 2018

Transforming measurement for every newborn

Global

Country

Multiple countries – Global

To enable evidence-based decision making and accelerate progress towards the goal of dramatically reducing the number of newborn deaths and stillbirths by 2030.

$5,968,929 Multi-Year Grant Value

The London School of Hygiene and Tropical Medicine and the World Health Organisation worked with technical experts and Every Newborn partners to develop the the Every Newborn Measurement Improvement Roadmap - an ambitious five-year plan to improve quality data on care at birth which was launched in September 2015. 

The Lancet Every Newborn Series showed three million lives could be saved, including two million around the time of birth, if evidence-based interventions are delivered at scale. 

The latest estimates show that there 2.7 million newborns babies die each year and there are an estimated 2.6 million still births. 

The two report cards below summarise the status of the newborn data currently collected and the ambitious approach to improving the data. 

You can also learn more about this project in this interview, in which CIFF speaks with the Center of Excellence for Maternal and Newborn Health Research at Makerere University in Kampala on the importance of reliable data in the fight to improve maternal and newborn survival and prevent stillbirths.

Impact

For the first time, countries with the vast majority of preventable newborn deaths will be able to measure coverage of high impact newborn interventions as part of the Every Newborn Action Plan. This will accelerate progress towards the goal of fewer than 12 per 1,000 newborn deaths and stillbirths by 2030.

The new investment builds on an earlier grant to develop a five-year Every Newborn Measurement Improvement Roadmap to improve data on care at birth and of small and sick newborn babies. The initial grant contributed to the development of the plan which focuses on measuring and tracking coverage, quality and equity for new born children, particularly those who are born small and sick. 

This new investment will:

  • Test and validate indicators so that countries can reliably measure coverage of high impact newborn interventions.  
  • Establish indicators for health facility readiness to provide newborn care and test ways to improve birth weight data.
  • Strengthen measurement of newborn mortality and stillbirths through household surveys. 
  • Institutionalise these metrics and tools in national and global data collection systems so that they are routinely collected in countries and are linked to the post-2015 accountability framework.

Work is underway to develop the technical and operational protocols for facility and household level metrics improvement.  

Through a competitive process, five INDEPTH network sites were selected to lead on improving measurement of pregnancy outcomes in household surveys. This is the first multi-country collaboration of the INDEPTH Network Maternal and Newborn Working Group. The five sites that will participate are: Bandim in Guinea-Bissau;  Dabat in Ethiopia;  Iganga-Mayuge in Uganda;  Kintampo in Ghana; and Matlab in Bangladesh.  

The INDEPTH Maternal and Newborn Health Working Group hosted a Research Protocol Design Workshop focused on three objectives: 

  • Improving household survey capture of stillbirths and neonatal deaths
  • Improving household survey capture of birth weight (BW) and gestational age (GA); 
  • Optimising the data capture of pregnancy outcomes in Health and Demographic Surveillance Sites (HDSS).  

The outcome of the workshop can be found here.
For more on existing tools and continuing work to strengthen newborn measurement and use of data click here.