Publications on maternal, newborn, child and adolescent health
Management of the sick young infant aged up to 2 months - updated chart booklet and training manuals
August 2019 -- This update reflects the recent guidelines on Managing possible serious bacterial infection (PSBI) in young infants when referral is not feasible published in 2015. It includes assessment, classification and referral of sick young infants (SYI) with PSBI; and outpatient treatment of SYI with local infection or fast breathing (pneumonia) in infants 7-59 days old. Other updates include: a new section on how to reassess, classify and treat SYI with PSBI when referral is not feasible in outpatient health facilities by IMNCI trained health workers; changes in assessment and management of young infants for HIV infection; and identification of infants less than 7 days of who need Kangaroo Care. The IMCI training course for health workers has been updated to reflect these updates to support the capacity building of health workers in using the updated SYI IMNCI chart booklet.
Nearly 30 million babies are born too soon, too small or become sick every year and need specialized care to survive, according to a new report by a global coalition that includes WHO and UNICEF. The report says that those who do survive often do so with preventable conditions and disabilities that will affect them for life. These newborns can and will thrive as productive members of our societies, provided they are given high-quality inpatient care at the right time and in the right place, including follow-up care.
Exploratory meeting to review new evidence for Integrated Management of Childhood Illness (IMCI) danger signs
August 2019 -- This meeting report summarises a review of recent findings of high mortality among children with mild to moderate palmar pallor, WAZ less than - 3 SD and lower chest indrawing. These findings raised concerns that these children should be treated on an inpatient basis despite revised IMCI guidelines for diagnosis, treatment and place-of-treatment decisions. The meeting convened pneumonia research experts, epidemiologists and child health specialists/paediatricians from a range of countries with varying resources.
The evidence is clear. Strengthening midwifery education to international standards is a key step to improving quality of care and reducing maternal and newborn mortality and morbidity. The Framework for Action to Strengthen Midwifery Education is a guide to develop high-quality, sustainable pre- and in-service education to save lives. It has been developed by WHO, UNFPA, UNICEF and ICM and includes a seven-step action plan for use by all stakeholders in maternal and newborn health.
Improving the quality of paediatric care: an operational guide for facility-based audit and review of paediatric mortality
This operational guide provides guidance for establishing and conducting paediatric death audit and review as part of the overall quality of care improvement at the health facility. Death review or mortality audit is a means of documenting the causes of a death and the factors that contributed to it, identifying factors that could be modified and actions that could prevent future deaths, putting the actions into place and reviewing the outcomes. This document also complements the audit and review of stillbirths and neonatal deaths guide by providing guidance on review and auditing of paediatric deaths; adverse events, near-misses and other paediatric clinical cases of interest.
18 September 2018 – An estimated 6.3 million children under 15 years of age died in 2017, or 1 every 5 seconds, mostly from preventable causes, according to new mortality estimates released by WHO, UNICEF, the United Nations Population Division and the World Bank Group. The vast majority of these deaths – 5.4 million – occurred in the first 5 years of life, with newborns accounting for around half. Globally, half of all deaths under 5 years of age took place in sub-Saharan Africa, and another 30% in Southern Asia. In sub-Saharan Africa, 1 in 13 children died before their fifth birthday. In high-income countries, that number was 1 in 185.
13 September 2018 – Home-based records have been widely implemented for decades. They are currently in use in at least 163 countries. They vary greatly in their design and content across countries and regions. However, the evidence of their benefits and harms has not been systematically reviewed and summarized. This guideline seeks to address this gap by reviewing the evidence of the effects of home-based records on maternal, newborn and child health outcomes and health service delivery outcomes.
Investing in early childhood development is one of the best investments a country can make to boost economic growth, promote peaceful and sustainable societies, and eliminate extreme poverty and inequality. Equally important, it is necessary to uphold the right of every child to survive and thrive. Recognising this WHO, UNICEF, and the World Bank, in collaboration with the Partnership for Maternal, Newborn & Child Health, the Early Childhood Development Action Network, have today launched a Nurturing care framework for early childhood development at the 71st World Health Assembly. The Framework was developed through a global consultation involving contributions from over 1000 individuals from 111 countries.
June 2018 – Many millions of people around the world are affected by emergencies, the majority of whom are women and children. Among them are many who are known to be living with HIV and others who may not know their HIV status. This document sets out basic principles related to HIV and infant feeding in emergency settings, and the actions that government and other stakeholders can take to prepare for emergencies.
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