Eribeth Penaranda, Marco Diaz, Oscar Noriega, Navkiran Shokar
Evaluation of health literacy among Spanish-speaking primary care patients along the US--Mexico border
Southern medical journal
every newborn action plan enap launched 2014 aims end preventable newborn deaths stillbirths national targets 12 neonatal deaths per 1000 live births 12 stillbirths per 1000 total births 2030 requires ambitious improvement data care birth small sick newborns particularly track coverage quality equityin multistage process matrix 70 indicators assessed every newborn steering group indicators graded based availability importance enap resulting 10 core 10 additional indicators consultation process undertaken assess status enap core indicator definition data availability measurement feasibility coverage indicators specific enap treatment interventions assigned task teams given priority identified requiring technical work consultations held throughoutenap published 10 core indicators plus 10 additional indicators three core impact indicators neonatal mortality rate maternal mortality ratio stillbirth rate well defined future efforts needed focus improving data quantity quality three core indicators coverage care mothers newborns intrapartumskilled birth attendance early postnatal care essential newborn care defined contact points gaps exist measuring content quality interventions four core antenatal corticosteroids neonatal resuscitation treatment serious neonatal infections kangaroo mother care one additional coverage indicator newborns risk complications chlorhexidine cord cleansing lack indicator definitions data especially denominators population need address gaps feasible coverage indicator definitions presented validity testing measurable process indicators help monitor health service readiness also presented major measurement gap exists monitor care small sick babies yet signal functions could tracked similarly emergency obstetric carethe enap measurement improvement roadmap 20152020 outlines tools developed eg improved birth death registration audit minimum perinatal dataset actions test validate institutionalise proposed coverage indicators roadmap presents unique opportunity strengthen routine health information systems crosslinking data civil registration vital statistics populationbased surveys real measurement change requires intentional transfer leadership countries greatest disease burden achieved working centres excellence existing networks