situation action plan - nigeria.pdf - Healthy Newborn Network

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AcronymsACSDAIDSANCARTBCCBCGCDCCIMCIDPTEmOCEPIFGCFMOHGDPGNIHIVHMISIMCIIMRIMNCHIPTpITNKMCLSSMDGMICSMMRNANNMNARHSNDHSNHISNISONMNMROPVPANPMTCTPMNCHSOGONTBATT2+U5MRUNFPAUNICEFUSAIDWHOAccelerated Child Survival and DevelopmentAcquired Immune Deficiency SyndromeAntenatal CareAntiretroviral therapyBehaviour Change CommunicationBacille Calmette-Guérin vaccine for tuberculosisCommunity Development CommitteeCommunity Integrated Management of Childhood IllnessDiphtheria, Pertussis and Tetanus vaccineEmergency Obstetric CareExpanded Programme on ImmunisationFemale Genital CuttingFederal Ministry of HealthGross Domestic ProductGross National IncomeHuman Immunodeficiency VirusHealth Management Information SystemsIntegrated Management of Childhood IllnessInfant Mortality RateIntegrated Maternal, Newborn and Child Health StrategyIntermittent Preventive Treatment for malaria in PregnancyInsecticide Treated NetKangaroo Mother CareLife Saving Skills trainingMillennium Development GoalMultiple Indicator Cluster SurveyMaternal Mortality RateNational Association of Nigerian Nurses and MidwivesNational AIDS Reproductive Health SurveyNigeria Demographic and Health SurveyNational Health Insurance SchemeNigerian Society of Neonatal MedicineNeonatal Mortality RateOral Polio VaccinePaediatric Association of NigeriaPrevention of Mother-to-Child Transmission of HIV/AIDSPartnership for Maternal, Newborn and Child HealthSociety of Obstetricians and Gynaecologists of NigeriaTraditional Birth AttendantTwo or more doses of Tetanus Toxoid vaccineUnder-Five Mortality RatioUnited Nations Population FundUnited Nations Children FundUnited States Agency for International DevelopmentWorld Health Organization4SAVING NEWBORN LIVES IN NIGERIA
ForewordThe first 28 days of life, referred to as the neonatal period, is a critical period for the survival of thechild. In Nigeria, approximately one quarter of the estimated one million children who die beforethe age of five years do so in this neonatal period. Every day in Nigeria, about 700 babies die, thehighest number of newborn deaths in Africa, and the third highest globally.Hitherto, care of the newborn is an aspect of child survival that has received limited attention. Thesituation is tragic especially as most of these babies are dying due to mainly preventable causes suchas birth asphyxia, infections and prematurity. The present circumstance informs that if we do notre-strategize to arrest the current trend and substantially reduce neonatal mortality, Nigeria willnot attain Millennium Development Goal 4 for child survival.It is against this background that the Federal Ministry of Health (FMOH) has put together theIntegrated Maternal Newborn and Child Health (IMNCH) strategy to help revitalize MNCH inNigeria. Presently, in partnership with ACCESS and Saving Newborn Lives/Save the Children, USAthis Situation Analysis and Action Plan for Newborn Health in Nigeria has been articulated in order tohelp identify strategic opportunities to save newborn lives in Nigeria within the context of theIMNCH strategy.The issue of neonatal mortality continues to be a cog in the wheel of national development. Hence,there is a need to adopt focused strategies which are evidence-based and reflect best practices forthe accelerated reduction of neonatal morbidity and mortality in Nigeria. This document entails awell conceptualized review framework that will enable government to monitor neonatal morbidityand mortality in Nigeria, and to adjust programme implementation appropriately.Finally, l wish to express my appreciation to ACCESS and Saving Newborn Lives/Save the Children,USA and other agencies (UNICEF, WHO, UNFPA) for collaborating closely with the FMOH inthis initiative. Accelerated success will require the sustained commitment of all of us at differentlevels of government, development agencies, non governmental organizations, the private sectorand health professionals, as all babies deserve a healthy start in life.Professor Babatunde OsotimehinHonorable Minister of HealthFederal Ministry of Health5SAVING NEWBORN LIVES IN NIGERIA
Page 1 and 2: FEDERAL REPUBLICOF NIGERIAMINISTRY
Page 3: Table of ContentsAcronyms 4Foreword
Page 7 and 8: Saving Newborn Lives in NigeriaSITU
Page 9 and 10: Status of newborn care in NigeriaEX
Page 11 and 12: Newborn health policies and program
Page 13 and 14: EXECUTIVE SUMMARYPriority opportuni
Page 15 and 16: Track progress and use the data to
Page 17 and 18: CHAPTER 1: CURRENT STATE OF NIGERIA
Page 26 and 27: CHAPTER 2: STATUS OF NEWBORN CARE I
Page 42 and 43: Chapter 3: Newborn Health Policies
Page 44 and 45: CHAPTER 3: NEWBORN HEALTH POLICIES
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CHAPTER 4: RECOMMENDATIONS FOR THE
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Chapter 5: State Newborn HealthData
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CHAPTER 5: STATE NEWBORN HEALTH DAT
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REFERENCES30. Safe Motherhood in Ni
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FEDERAL REPUBLICOF NIGERIAMINISTRY
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