Transcript Working Strategies of Chinese Newborn

Working Strategies of
Chinese Newborn
Healthcare
Chinese Center for Disease
Control and Prevention
National Center for Women and
Children's Health
Wang Huishan
1
Why to focus on healthcare for newborns?
– Neonatal mortality accounts for more than half of
deaths of children aged under 5;
– Two-thirds of newborn deaths occur within 3 days
after birth;
– A large number of causes of neonatal death are
avoidable;
– Technologies to reduce neonatal mortality are
simple and economic;
– Reducing neonatal mortality is the goal of Women
Transition from MDG to SDG
Millennium
Development
Goals
MDG4: From 2000 to
2015, reducing
neonatal mortality
SDG3: From 2016 to 2020,
eliminating preventable
neonatal mortality
WHO Action Plan for
Newborn Infants in the
Western Pacific Region
• WHO launched the
campaign First Embrace
in December 2015
• Introducing the latest
Early Essential
Newborn Care (EENC)
Measures beneficial
to newborns
Skin-to-skin contact
Immediate wipe dry,
Delayed clamping and
cutting of umbilical
cord
Measures beneficial
to newborns
Early initiating of
breastfeeding,
Breast-feeding
Kangaroo Mother
Care for
premature infants
Strategies coping with newborn
death
 Strengthening
development &
management of
Obstetrics &
Neonatology
 Improving service
network for
pregnant/prenatal women
and newborns
Management mode of Neonatal Resuscitation program
National Healthand Family Planning Commission Department of
Maternal and Child Health
National Center for Women and
Children's Health
Johnson & Johnson
Pediatric Institute
American Academy
of Pediatrics
Implementation Strategies
Policy Support
Organizational Management
Specific implementations
Policy and Financial
Support
Provincial Medical
Institutions
Provincial Health and Family
Planning Departments
Chinese Society of
Perinatal Medicine
Chinese Nursing
Association
Newborn Healthcare Services Providing
1. Newborn disease screening (two
diseases, hearing, etc.)
2. Newborn family visits
3. Newborn disease treatment
Maternal and Child Health Care System, China
Basic Health Institutions Providing Services
Name of Organization
Number of Organizations
(10,000)
Community Health Service
0.8
Center
Community Health Service
2.5
Station
Township Hospital
3.8
Village Clinic
66.3
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One children‘s hospital in
every prefecture-level city
One pediatrics department in a
general hospitalin every county
Every one thousand children
under 5 years old shall be
equipped with 2.5 healthcare
providers
Obj
ecti
Every one thousand newborns
shall be equipped with 2.5
maternal and child healthcare
providers.
Providing free medical insurance
for newborns
National variation trend of mortality rates of newborn and children
aged under 5 from 2000 to 2014
Constituent Ratio of Causes of National
Newborn Deaths in 2014 (%)
Premature
Birth
18.0%
29.1%
17.4%
Perinatal
Complication
Pneumonia
11.3%
24.2%
Congenital
Malformation
Other
Diseases
Types of birth defects
 Congenital
heart disease
has been the
No. 1
malformation
for perinatal
infants
Birth Defect Countermeasures
 Strengthening responsibilitis of the government
Government leadership, departmental collaboration and social
participation

Enhancing establishment of integrated prevention and treatment
system of birth defects
Prenatal screening, prenatal diagnosis, newborn disease
screening

Implementing integrated prevention and treatment measures for
birth defects
Primary prevention, secondary prevention, tertiary prevention
Status Quo of Children Disease
Acute respiratory infection and diarrhea:
8.62% and 0.58%
Infectious disease
MTCT of HIV lowering from 34.8% to 6.1% in 2014
Rate of Newborns with Congenital Syphilis is 61.6
per 100,000 Live Birth in 2014, dropping by 22% as
of 2011
Prevalence Rate of Disabled Children is 1.69%
Strategies Coping with Child Diseases
National Essential Public Health Services Policies

Free Regular Antenatal Examination for Pregnant Women

Free Regular Health Examination for Children

Free Folic acid supplementation before and during
pregnancy
Blockage of perinatal transmission diseases such
as ADIS, syphilis and HBV
Free nutrition supplementation for infants of 624 months old in rural areas
Promotion of prevention of child common diseases
and harms
Ultimate Objective
 Reducing child mortality
 Improving population quality at
birth