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Measuring Coverage in MNCH: Indicators for Global Tracking of Newborn Care

机译：衡量MNCH的覆盖率：新生儿护理全球追踪指标

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Neonatal mortality accounts for 43% of under-five mortality. Consequently, improving newborn survival is a global priority. However, although there is increasing consensus on the packages and specific interventions that need to be scaled up to reduce neonatal mortality, there is a lack of clarity on the indicators needed to measure progress. In 2008, in an effort to improve newborn survival, the Newborn Indicators Technical Working Group (TWG) was convened by the Saving Newborn Lives program at Save the Children to provide a forum to develop the indicators and standard measurement tools that are needed to measure coverage of key newborn interventions. The TWG, which included evaluation and measurement experts, researchers, individuals from United Nations agencies and non-governmental organizations, and donors, prioritized improved consistency of measurement of postnatal care for women and newborns and of immediate care behaviors and practices for newborns. In addition, the TWG promoted increased data availability through inclusion of additional questions in nationally representative surveys, such as the United States Agency for International Development–supported Demographic and Health Surveys and the United Nations Children's Fund–supported Multiple Indicator Cluster Surveys. Several studies have been undertaken that have informed revisions of indicators and survey tools, and global postnatal care coverage indicators have been finalized. Consensus has been achieved on three additional indicators for care of the newborn after birth (drying, delayed bathing, and cutting the cord with a clean instrument), and on testing two further indicators (immediate skin-to-skin care and applications to the umbilical cord). Finally, important measurement gaps have been identified regarding coverage data for evidence-based interventions, such as Kangaroo Mother Care and care seeking for newborn infection.
机译：新生儿死亡率占五岁以下儿童死亡率的43％。因此，改善新生儿的生存是全球优先事项。但是，尽管人们对一揽子方案和需要扩大规模以减少新生儿死亡率的具体干预措施的共识日益增加，但对于衡量进展情况所需的指标仍缺乏明确性。 2008年，为了改善新生儿的生存状况，“拯救儿童”组织的“拯救新生儿生命”计划召集了新生儿指标技术工作组（TWG），以提供一个论坛，以开发衡量覆盖率所需的指标和标准测量工具关键的新生儿干预措施。 TWG包括评估和测量专家，研究人员，联合国机构和非政府组织的个人以及捐助者，他们优先考虑提高妇女和新生儿产后保健的测量一致性以及新生儿即时保健行为和做法的一致性。此外，TWG通过在国家代表性调查中纳入更多问题来促进数据可用性的提高，例如美国国际开发署支持的人口和健康调查以及联合国儿童基金会支持的多指标类集调查。已经进行了一些研究，这些研究为修订指标和调查工具提供了依据，并且全球产后保健覆盖率指标已经完成。在三个额外的新生儿分娩护理指标（干燥，延迟洗澡和用干净的器械切断脐带）以及对另外两个指标进行测试（即时皮肤对皮肤的护理和脐带应用）上已达成共识线）。最后，对于基于证据的干预措施（例如袋鼠母亲护理和寻求新生儿感染的护理）的覆盖率数据，已经确定了重要的测量差距。

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