Launch of ENAP inpatient care for small and sick newborns online survey on World Prematurity Day


How should we measure inpatient care for small and sick newborns?

Launch of online Every Newborn Action Plan survey on
World Prematurity Day on the 17th November!

An estimated 2.7 million newborns die each year – many of these deaths occur in small and sick babies. Many newborn lives could be saved, and illness prevented, with timely provision of quality inpatient care for small and sick newborns.

Standardised measurement of emergency obstetric care has improved tracking and accountability using indicators based on “signal functions”, to monitor the availability and use of emergency obstetric care (EmOC) services. However, signal functions to track service readiness to provide inpatient care of small and sick newborns is not consistently defined or routinely tracked.

The term “small and sick newborns”, as used in recent policy such as the Every Newborn Action Plan (ENAP), and for this consultation, encompasses all those newborns who require inpatient care to survive, including those with systemic infections, intrapartum insults, pathological jaundice and preterm infants, whose immaturity increase the risk of respiratory and other complications, and most of whom need to support to feed and maintain their temperature. For more information see:

As an input for the ENAP metrics measurement improvement roadmap, in collaboration with the World Health Organization (WHO), UNICEF,  Averting Maternal Death and Disability (AMDD) and Saving Newborn Lives, Save the Children, this is an online consultation to define signal functions for inpatient care for small and sick newborns. This consultation is a follow up to an expert focus group held by the ENAP metrics group in April 2016 that identified 13 core newborn interventions that services should be ready to provide at a basic and advanced inpatient level.

The survey will be open for three months so please share widely!

The survey is available online.