Focus Area: Newborn Health

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The WHO guideline Managing possible serious bacterial infection (PSBI) in young infants when referral Is not feasible, released in September 2015, contained new recommendations for outpatient treatment using simplified antibiotic regimens that can increase access to treatment of pneumonia and PSBI in sick young infants when referral is not accepted or not feasible and can reduce inequity in access to care. This document addresses need for practical guidance on how to operationalize the guidelines in the context of a country’s ongoing maternal, newborn and child health programmes.
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In 2015 WHO developed a guideline, Managing possible serious bacterial infection in young infants when referral is not feasible to address this situation. It provides guidance on care for use in resource-limited settings or in settings where families with sick young infants do not accept or cannot access referral care, but can be managed in outpatient settings by an appropriately trained health worker. The guideline seeks to provide programmatic guidance on the role of CHWs and home visits in identifying signs of serious infections in neonates and young infants.
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In 2015 WHO developed a guideline, Managing possible serious bacterial infection in young infants when referral is not feasible to address this situation. It provides guidance on care for use in resource-limited settings or in settings where families with sick young infants do not accept or cannot access referral care, but can be managed in outpatient settings by an appropriately trained health worker. The guideline seeks to provide programmatic guidance on the role of CHWs and home visits in identifying signs of serious infections in neonates and young infants.
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The Alliance for Health Policy and Systems Research (AHPSR) partnered with the World Health Organization (WHO) Department of Maternal, Newborn, Child and Adolescent Health (MCA) to prepare a supplement to Acta Paediatrica to present results from selected implementation research studies that tested and documented the delivery of proven maternal, newborn and child health (MNCH) interventions in different countries and contexts. This editorial provides background information on how these studies were selected by WHO and an overview of the different studies in the context of the thinking on implementation research at the time they were developed.
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Despite large investments to prevent mother-to-child-transmission (PMTCT), pediatric HIV elimination goals are not on track in many countries. The Systems Analysis and Improvement Approach (SAIA) study was a cluster-randomized trial to test whether a package of systems engineering tools could strengthen PMTCT programs. The authors sought to (1) define core and adaptable components of the SAIA intervention, and (2) explain the heterogeneity in SAIA’s success between facilities.
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The Ponya Mtoto project in Kenya aims to assist in reducing the number of infant deaths due to possible serious bacterial infection (PSBI), or sepsis, by revising national Integrated Management of Childhood Illness (IMCI) guidelines. These new guidelines are being implemented as part of a strengthened program of postnatal and young infant care.