situation action plan - nigeria.pdf - Healthy Newborn Network

More documents

Recommendations

Info

AcknowledgmentsThe situation of newborn and its contribution to child mortality cannot be overemphasized. This situationanalysis report has helped to put this in a much succinct way and therefore the Federal Ministry of Healthwishes to appreciate the great work done by this team of experts: Dr Chinyere V. Ezeaka, Dr Oladapo S. Shittu,Dr Tolulope F. Olufunlayo and Dr Gabriel O. Ekekwe.The support given the team by Saving Newborn Lives/Save the Children USA and ACCESS, and otherinternational development partners in putting this together is very much appreciated. Worthy of note are theinvaluable contributions of Dr Joseph de Graft-Johnson, Dr Joy Lawn, Kate Kerber, Dinah Lord and other staffof Saving Newborn Lives/Save the Children USA for planning, reviewing and editing the report. Special thanks toElizabeth Arend for editing and reviewing of the document, so also to Chris Rowland of The Miracle Book forthe report layout and design.Developing this document would not have been possible without the collaboration and commitment in areasof technical inputs and provision of necessary logistics by ACCESS Country Director, Prof EO Otolorin, DrSa’adatu Sule, Mr. Deji Adeyi and other staff of ACCESS, Abuja as well Federal Ministry of Health officials inChild and Reproductive Health divisions of the Family Health Department: Dr Nkeiru Onuekwusi (Head,Child Health Division), Dr Moji Odeku (Deputy Director, Reproductive Health Division), Dr Joy Ufere andother desk officers. Accurate data sourcing, processing and review of this report was made much easier by thecontributions of Dr Oyemakinde, Mr Abioye and Mr Fasoranti of the NHMIS, FMOH and Mr Olarewaju otherstaff of the National Bureau of Statistics, Abuja.Also worthy of mention are the participation and constructive revisions by Dr AbimbolaWilliams (independent consultant, MCH), Dr Esther Obinya (UNICEF), Dr Taiwo Oyelade (WHO), Dr. K. Babs-Sagoe (independent consultant) and Dr Christian lbeh (UNFPA).Finally the compilation of the Kano case study and action plan was facilitated by the tremendous cooperationaccorded by the following persons and organizations: Kano State Ministry of Health, Kano State HospitalsManagement Board, Aminu Kano Teaching Hospital Kano, Staff of ACCESS Kano and PATHS, Kano.Dr Jonathan Jiya, mniDirector Family Health DepartmentFederal Ministry of Health, Abuja6SAVING NEWBORN LIVES IN NIGERIA
Saving Newborn Lives in NigeriaSITUATION ANALYSIS AND ACTION PLAN FOR NEWBORN HEALTHin the context of the Integrated Maternal, Newborn and Child Health StrategyExecutive SummaryThe Federal Ministry of Health of Nigeria (FMOH) recently reviewed the situation of maternal, newborn andchild health (MNCH) in Nigeria and developed an Integrated Maternal, Newborn and Child Health (IMNCH)Strategy to address gaps in care. 3 Roll-out of the IMNCH Strategy has begun at zonal, state and local governmentauthority levels. The IMNCH strategy provides opportunitiesto integrate services and programmes, overcoming competinginterests in the implementation of evidence-based interventionsfor MNCH. The IMNCH Strategy has helped to bring recognitionof the massive burden of newborn deaths in Nigeria,but there is recognition that compared to maternal and childhealth, there is less consensus on the priority actions to reducenewborn deaths.The main objective of this report is to provide a more comprehensiveunderstanding of newborn survival and health in Nigeria,analyse the data of relevance by state and present concretesteps to accelerate action to save newborn lives in Nigeria inthe context of the IMNCH strategy.Jonathan Hubschman/Save the ChildrenSaving Nigeria’s Newborns: Key Findings and Recommendations1. Nigeria’s newborns are dying in huge numbers – 284,000 each year, 778 a day. There hasbeen no measureable reduction in the average national neonatal mortality rate in the last decade. Thereis wide variation in mortality between states, between urban and rural areas and a huge difference forthe poorest families who have more than twice the risk as the richest Nigerian families.2. Most of these young lives could be saved with existing interventions – recent analysessuggest that up to 193,000, or 68 percent of these newborn deaths could be prevented if essentialinterventions possible through existing health packages reached all Nigerian women and newborns.Healthy home practices and community-based care, possible even in hard to access areas could saveover 90,000 babies a year. Almost 23,000 babies die each year just from neonatal tetanus.3. The key interventions to save newborn lives are mostly possible through theexisting health system but coverage is extremely low – even much lower than most otherAfrican countries, for example for tetanus toxoid (51%), skilled attendance during childbirth (44%) andearly breastfeeding (30%).4. The policies are mostly in place and the cost is affordable – the key gap is connectingto action in each state and implementing services, and considering innovations to reach higher coverageand quality of care, e.g. delegation of newborn health tasks to extension workers and other cadres andnew strategies to bridge care in the community and health facilities.Suggested citation: Saving newborn lives in Nigeria: Newborn health in the context of the Integrated Maternal,Newborn and Child Health Strategy. Abuja: Federal Ministry of Health, Save the Children, ACCESS; 2009.Full report with references and detailed data sources available on www.savethechildren.org/savenewborns7SAVING NEWBORN LIVES IN NIGERIA
Page 1 and 2: FEDERAL REPUBLICOF NIGERIAMINISTRY
Page 3 and 4: Table of ContentsAcronyms 4Foreword
Page 5: ForewordThe first 28 days of life,
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
Page 52 and 53: Chapter 4: Recommendations for theI
Page 54 and 55: CHAPTER 4: RECOMMENDATIONS FOR THE
Page 56 and 57:
Chapter 5: State Newborn HealthData
Page 58 and 59:
CHAPTER 5: STATE NEWBORN HEALTH DAT
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
REFERENCES30. Safe Motherhood in Ni
Page 98:
FEDERAL REPUBLICOF NIGERIAMINISTRY
show all

situation action plan - nigeria.pdf - Healthy Newborn Network

Create successful ePaper yourself

Delete template?

Save as template?