Saving “Every Newborn” born too soon in Bangladesh

Bithy Akhter, from Uttor Para of Bashail, Tangail, waits for her daughter.

UNICEF/BANA2015-00096/Mawa Bithy Akhter, from Uttor Para of Bashail, Tangail, waits for her daughter.

In Bangladesh’s Tangail Medical College Hospital, Bithy Akhter anxiously waits as her daughter, Jannat, is treated at the Special Care Newborn Unit (SCANU). Jannat was delivered preterm at 33 weeks in a private clinic. After taking Jannant home, Bithy and her husband Amin Khan noticed she had started to look bluish and she wasn’t eating well. A Community Health Volunteer (CHV) had visited Bithy for regular check-ups throughout her pregnancy, so she was aware of danger signs. Bithy phoned the CHV worker who referred her to the hospital, where baby Jannat began treatment at the SCANU. Jannet, unlike so many other babies, is now receiving proper medical care and has an improved chance to survive.

Bangladesh has made significant progress in reducing child mortality over the last few decades. Under-five mortality was halved between 1990 and 2015, but neonatal mortality rates are not declining fast enough. Neonatal deaths, due to prematurity and low birth-weight, account for more than two-thirds of all infant deaths and more than half of the deaths of children under 5. Two-thirds of these deaths occur within the first week of a child’s life, and most within the first 24 hours, often without any essential medical care.

UNICEF/BANA2015-00093/Mawa The Medical Assistant is providing oxygen to a premature baby in a SCANU.

UNICEF/BANA2015-00093/Mawa The Medical Assistant is providing oxygen to a premature baby in a SCANU.

UNICEF/BANA2015-00093/MawaThe Medical Assistant is putting cathedral to a premature baby to provide oxygen through nose at SCANU.

Evidence shows that implementing simple and low-cost interventions during delivery and in the vulnerable days and weeks after the birth can significantly reduce neonatal mortality, including deaths from preterm birth complications.

With the support of UNICEF, the Government of Bangladesh has set up the SCANU at Tangail Medical College Hospital, aiming to reduce newborn complications such as perinatal asphyxia, septicemia, prematurity, and other major causes of neonatal mortality. Radiant warmers and other equipment help newborns survive complications.

November 17 marks the 5th annual World Prematurity Day. In over 70 countries, NGOs, parent groups, and governments are highlighting awareness and action to prevent premature birth and save babies lives. For any newborn, their chance of survival depends on where they are born; babies born in emergency settings are even more vulnerable. Up to 75 per cent of preterm babies’ deaths are preventable with access to family planning, improving health before pregnancy and eliminating early elective births. Cost-effective, proven interventions also exist to minimize and treat preterm birth complications.

Bithy and Jannat have been lucky: preterm birth directly causes over 1 million child deaths globally. The Every Newborn movement is working to ensure every mother and every newborn have access to high-quality health care delivering healthy outcomes for premature and small babies.

UNICEF/BANA2015-00096/Mawa A nurse gives updates on Jannat to her mother waiting outside the SCANU.

UNICEF/BANA2015-00096/Mawa A nurse gives updates on Jannat to her mother waiting outside the SCANU.

Jannat got necessary treatment because her mother knew what she needed to do thanks to the CHV. Evidence shows care with a qualified midwife can reduce preterm birth by nearly a quarter. Every Newborn wants every woman and every baby to have access to educated, regulated and enabled health workers, especially midwives or other skilled birth attendants.

In celebration of World Prematurity Day, the Bangladesh Ministry of Health and Family Welfare, in partnership with UNICEF, Save The Children and WHO, is hosting a workshop on Kangaroo Mother Care, one of the most effective preterm interventions. The workshop will explore ways to scale-up implementation of this life-saving practice. With the help of local media, the partners aim to raise public awareness and save more lives of babies born too soon.

To end preventable child deaths by 2030, we must focus attention on preterm birth—the leading cause of death for children under age 5. There are 15 million babies born preterm each year – and over 1 million deaths of children under 5 years from related complications. The solutions to prevent and treat preterm birth complications are known and cost-effective. Now is the time to scale-up quality care to all women and newborns so, like Bithy and Jannant, they can survive, thrive and transform society.

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