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Recent progress in global newborn health: thinking beyond acute to strategic care?

Journal of Perinatology volume 39, pages 1031–1041 (2019)Cite this article

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Abstract

Advancements in neonatal care globally highlight ongoing disparities in neonatal outcomes between low-income countries (LICs) and high-income countries (HICs). Drivers of this gap are primarily prematurity, infection, and intrapartum-related events. Significant success is being achieved; however, for neonatal outcomes in LIC to approximate those of HICs within a generation, acceleration of the current trajectory of progress is needed. This requires a renewed focus on newborn-specific and newborn-sensitive strategies. Newborn-specific strategies are those directly affecting the well-being of the neonate. Newborn-sensitive strategies address the broader macro-environmental drivers that affect underlying neonatal outcomes such as decreased poverty, improved sanitation, and increased maternal empowerment and health. To create such an enabling macro-environment requires significant political will, financing, advocacy, and policy generation. This manuscript highlights recent advances in newborn research, programming, policy, and funding, and highlights key opportunities to bend the curve on advancing neonatal health globally.

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Acknowledgements

We thank Peder Digre and Sharanya Rajagopal for their contributions to Figures 1 and 3 in this manuscript.

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  1. Department of Pediatrics, University of Washington, Seattle, WA, USA

    Anna Hedstrom, Krystle Perez, Rachel Umoren, Maneesh Batra & Cyril Engmann

  2. Department of Global Health, University of Washington, Seattle, WA, USA

    Anna Hedstrom, Krystle Perez, Maneesh Batra & Cyril Engmann

  3. Maternal, Newborn, Child Health and Nutrition, PATH, Seattle, WA, USA

    Cyril Engmann

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Hedstrom, A., Perez, K., Umoren, R. et al. Recent progress in global newborn health: thinking beyond acute to strategic care?. J Perinatol 39, 1031–1041 (2019). https://doi.org/10.1038/s41372-019-0384-z

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