Expanding preterm birth and low birth weight interventions
Every Preemie—SCALE (Scaling, Catalyzing, Advocating, Learning, and Evidence-driven) aims to catalyze global uptake of interventions for preterm and low birth weight infants, overcome obstacles to the delivery of interventions and services, and increase coverage and utilization of perinatal care services.
Every Preemie is a five-year, $9 million United States Agency for International Development (USAID) cooperative agreement designed to expand delivery of evidence-based strategies, building on existing, integrated platforms in maternal, newborn, child and adolescent health and family planning in 23 USAID priority countries in Africa and Asia.
Every Preemie is a consortium of the Global Alliance to Prevent Prematurity and Stillbirth (GAPPS), Project Concern International (PCI), and the American College of Nurse-Midwives (ACNM). USAID, through its Global Health office and its country missions, as well as national Ministries of Health, are key partners, as are organizations including academic institutions, national programs, and NGOs at the country level.
GAPPS leads evidence and knowledge sharing, program learning, and implementation research activities; PCI leads community capacity building and mobilization activities; and ACNM leads healthcare provider capacity building and performance improvement activities.
For more information on Every Preemie, please visit www.everypreemie.org.
In each of the 23 USAID-targeted countries, available health data has been reviewed to assess the policies, services and outcomes related to maternal care, preterm (PT) and low birth weight (LBW) infants. Additional data has been collected through interviews with local leaders of national child health teams. The data has been synthesized to create a maternal-newborn dashboard unique to each country that captures key indicators so progress can be easily recognized.
PT/LBW Global Technical Working Group
Every Preemie is also convening a PT/LBW Global Technical Working Group on Implementation Challenges and Solutions to provide a multi-discipline forum for emerging evidence, research and learning relevant across the range of PT and LBW interventions and maternal and newborn health implementation in low-income countries. With more than 80 members worldwide, the group meets several times each year. For more information please see the Terms of Reference. The PT/LBW Global Technical Working Group on Implementation Challenges and Solutions is led by Dr. Jim Litch of GAPPS.
Evidence to Action
Implementing partners in Bangladesh, Ethiopia, India, and Malawi have been selected to demonstrate success in improving perinatal care and treatment of PT and LBW infants. These country demonstrations will promote country-to-country connections to successes in the field. Elements include:
Targeted Technical Assistance Package
At the request of the USAID Global Health office or a USAID country mission, members of the consortium will provide technical assistance on specific issues and topics related to PT and LBW.
Antenatal Corticosteroids (ACS) Policy and Implementation Report
In June 2016, Every Preemie finalized and launched Antenatal Corticosteroids for Women at Risk of Imminent Preterm Birth in the Democratic Republic of Congo, Ethiopia, Malawi, Nigeria, Sierra Leone, Tanzania and Uganda: A Policy and Implementation Landscape Analysis. The landscape analysis was conducted on behalf of the Newborn Health Technical Resource Team under the UN Commission for Life-Saving Commodities for Women and Children (UNCoLSC). The analysis identifies crucial needs within health care systems for safe and effective use of ACS that must be addressed by the international community as well as by national stakeholders. The information provided in this landscape analysis can be used to advance the global and national conversation regarding the safe expansion of ACS and, ultimately, inform comprehensive programming to improve the survival of babies born too soon. Learn more here.
Continuum of Care Matrix
The continuum of care matrix (PDF) outlines the breadth of key interventions for the prevention of preterm birth, the management of preterm labor, and care for preterm or small newborns across two continuums – from the household/community to the health center and hospital, and from pre-pregnancy through labor, delivery and care of the preterm newborn.
PT/LBW Evidence-based Toolkit / Clinical Programmatic Guidance Resources
As the World Health Organization issues new recommendations for care and treatment, they will be interpreted into an easily accessible language and formatted and collated into a PT/LBW Evidence-based Toolkit, to be disseminated by GAPPS, Every Preemie, and the Healthy Newborn Network.
Every Preemie and GAPPS, in collaboration with the USAID Maternal and Child Survival Program and the WHO produced a summary of recommendations on interventions to improve preterm birth outcomes. These are the first recommendations from WHO for the care of preterm babies.
Additional guidelines and resources include: