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5 result(s) for "Gronseth, Lars"
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Born Too Soon: Integration of intersectoral interventions for impact on preterm birth
Progress The last two decades have seen a growing focus on intersectoral interventions to improve maternal and newborn health and well-being outcomes, as reflected in efforts to achieve the Millennium Development Goals (MDGs) and advance the Sustainable Development Goals (SDGs). Preterm births are linked to cross-sectoral determinants that affect health outcomes and human capital across the life-course, necessitating an intersectoral approach that addresses these multifaceted challenges. Programmatic priorities Recognizing that social, biological and economic determinants significantly influence health outcomes, it is critical that robust health systems are reinforced by a comprehensive intersectoral approach. Evidence suggests that the factors influencing preterm birth, and the health of small and sick newborns are vast and varied, requiring interventions that address equity and rights, education, economic factors, environmental conditions, and emergency responses, i.e., a new framework entitled \"five Es\". Pivots Improving outcomes for newborns, including preterm and small for gestational age babies, and preventing stillbirths, requires enhanced measurement and accountability within intersectoral programs across the 'five Es'. Investment in equity-focused, gender-transformative, and rights-based policies and programs across various sectors is crucial. Priority areas include ensuring equitable and inclusive education, particularly comprehensive sexual and reproductive health education; developing innovative financing schemes that protect and support families with complicated pregnancies and vulnerable infants; creating environmentally adaptive systems that prioritize maternal and newborn health; and implementing emergency response plans that guarantee the continuity of maternal and newborn health services. Evidence-based intersectoral interventions offer a promising pathway to reducing preterm births and improving health outcomes across generations. By addressing the five Es, intersectoral interventions can create a healthier future for preterm babies, children, adolescents, women, and society as a whole. Plain Language Summary Improving health requires action from many different areas beyond the health sector. Factors like income, environment, education, and access to quality services all impact the health of women and babies. This paper specifically looks at how these factors affect preterm births—babies born before 37 weeks—and how working across sectors can help address this challenge. Many factors influence preterm births and newborn health, so solutions must focus on equity and rights, education, the environment, economy, and emergency response—the \"five Es.\" To improve survival rates and quality of life for preterm babies, we need better tracking, coordination, and accountability for programs addressing these areas. Investing in these efforts leads to better outcomes and prevents preterm births. To support vulnerable newborns, key priorities include making education more inclusive, especially sexuality education; supporting families with preterm babies through protective financial systems; improving health system capacity to adapt to environmental challenges; and creating emergency response plans that prioritize mothers and newborns. By focusing on the five Es, intersectoral approaches can reduce preterm births and improve health for future generations. Key findings Progress • In the past two decades, there has been a growing focus on intersectoral interventions to improve maternal and newborn health, to firstly achieve the MDGs and advance the SDGs. • Intersectoral action can reduce preterm births, benefiting mothers, babies, and future generations while enhancing human capital. Programmatic priorities • Intersectoral determinants affect women and their vulnerable newborns throughout the life-cycle. • The \"five Es\"—equity and rights, education, economy, environment (including nutrition and climate) and emergencies—need urgent attention through targeted evidence-based interventions. Pivots It is essential to invest in building equity-focused, gender-transformative and rights-based policies and programmes across sectors, prioritizing: • equitable and inclusive education, including comprehensive sexuality education; • innovative financing schemes that protect and support families with preterm babies; • environmentally adaptive systems that prioritize maternal and newborn health; • emergency preparedness and response plans that ensure the continuation of maternal and newborn health services
The Global strategy for women’s, children’s and adolescents’ health (2016–2030) : a roadmap based on evidence and country experience
[...]the Every Woman Every Child movement attracted more than US$60 billion dollars to women's and children's health between 2010 and 2015, with commitments from over 300 partners.6 The movement has spurred partnership mechanisms to support country-led implementation of the global strategy (2016-2030) - including the Global Financing Facility in support of Every Woman Every Child, the Innovation Marketplace, Unified Accountability Framework and the UN system's health agencies' H6 partnership.1 The global strategy (2016-2030) recognizes that human rights and other fundamental development principles - such as equity, community ownership and development effectiveness - are drivers of transformative change.1 In Peru, principles of equity underpinned a programme of poverty mapping to identify and prioritize reaching poor, rural and indigenous populations with social protection programmes and culturally appropriate, affordable care.7 In Kenya, the institutionalization of human rights principles is benefiting women's health following complaints alleging systematic violation of women's reproductive health rights in health facilities.
WHO Global Position Paper and Implementation Strategy on kangaroo mother care call for fundamental reorganisation of maternal–infant care
KMC scale-up will also require widescale transformations in health systems, along with iterative data-driven learning, including redesigning maternal–newborn service delivery; increasing the availability, capacity, and motivation of health-care workers; monitoring the practice of keeping the mother and newborn together after birth and their combined care; and including KMC implementation indicators in routine health information systems. With less than 8 years left to achieve the 2030 Sustainable Development Goals, the KMC Position Paper and Implementation Strategy aim to inspire a renewed vision with health systems transformed and maternal–newborn service delivery reorganised for implementing KMC at scale to enhance efficiency and improve survival, health, wellbeing, and long-term human capital. In this renewed vision, mothers and infants are cared for together from birth, and parents and families have a central role in the care of their infants, thus humanising health care.18 This reorganisation of care is also expected to yield a high return on investment and benefit the overall economy, improving the sustainable development of nations.
Intersectoral interventions: integration for impact on preterm birth
The last two decades have seen a growing focus on intersectoral interventions to improve maternal and newborn health and well-being outcomes, as reflected in efforts to achieve the Millennium Development Goals (MDGs) and advance the Sustainable Development Goals (SDGs). Preterm births are linked to cross-sectoral determinants that affect health outcomes and human capital across the life-course, necessitating an intersectoral approach that addresses these multifaceted challenges. Recognizing that social, biological and economic determinants significantly influence health outcomes, it is critical that robust health systems are reinforced by a comprehensive intersectoral approach. Evidence suggests that the factors influencing preterm birth, and the health of small and sick newborns are vast and varied, requiring interventions that address equity and rights, education, economic factors, environmental conditions, and emergency responses, i.e., a new framework entitled \"five Es\". Improving outcomes for newborns, including preterm and small for gestational age babies, and preventing stillbirths, requires enhanced measurement and accountability within intersectoral programs across the 'five Es'. Investment in equity-focused, gender-transformative, and rights-based policies and programs across various sectors is crucial. Priority areas include ensuring equitable and inclusive education, particularly comprehensive sexual and reproductive health education; developing innovative financing schemes that protect and support families with complicated pregnancies and vulnerable infants; creating environmentally adaptive systems that prioritize maternal and newborn health; and implementing emergency response plans that guarantee the continuity of maternal and newborn health services. Evidence-based intersectoral interventions offer a promising pathway to reducing preterm births and improving health outcomes across generations. By addressing the five Es, intersectoral interventions can create a healthier future for preterm babies, children, adolescents, women, and society as a whole.
Prioritising women’s, children’s, and adolescents’ health in the post-2015 world
Lori McDougall and colleagues set out a three point agenda for strengthening advocacy: investing in multipartner national platforms for action; innovative communication circuits to unite advocacy; and multidonor funding mechanisms to scale up advocacy efforts