Neonatal survival interventions in humanitarian emergencies: a survey of current practices and programs
Open accessAbstract
BACKGROUND: Neonatal deaths account for over 40% of all deaths in children younger than five years of age and neonatal mortality rates are highest in areas affected by humanitarian emergencies. Of the ten countries with the highest neonatal mortality rates globally, six are currently or recently affected by a humanitarian emergency. Yet, little is known about newborn care in crisis settings. Understanding current policies and practices for the care of newborns used by humanitarian aid organizations will inform efforts to improve care in these challenging settings. METHODS: Between August 18 and September 25, 2009, 56 respondents that work in humanitarian emergencies completed a web-based survey either in English or French. A snow ball sampling technique was used to identify organizations that provide health services during humanitarian emergencies to gather information on current practices for maternal and newborn care in these settings. Information was collected about continuum-of-care services for maternal, newborn and child health, referral services, training and capacity development, health information systems, policies and guidelines, and organizational priorities. Data were entered into MS Excel and frequencies and percentages were calculated. RESULTS: The majority of responding organizations reported implementing components of neonatal and maternal health interventions. However, multiple barriers exist in providing comprehensive care, including: funding shortages (63.3%), gaps in training (51.0%) and staff shortages and turnover (44.9%). CONCLUSIONS: Neonatal care is provided by most of the responding humanitarian organizations; however, the quality, breadth and consistency of this care are limited.
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At the broader level, 87.5% of surveyed humanitarian actors report that they promote EBI in their programmes.
“At the broader level, 87.5% of surveyed humanitarian actors report that they promote EBI in their programmes.49”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [49]
Hand washing level of practice varied across settings.
“Hand washing was reported in five studies and its level of practice varied across settings.36 46 49 52 55”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [49]
In a survey of humanitarian actors, 80% report promoting hand washing and use of clean delivery kits in their projects.
“In a survey of humanitarian actors, 80% report promoting hand washing and use of clean delivery kits in their projects.49”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [49]
At a broader level, 60% of humanitarian actors report providing KMC to preterm babies in their projects.
“At a broader level, 60% of humanitarian actors report providing KMC to preterm babies in their projects.49”
From A systematic review of newborn health interventions in humanitarian settings (2022) · cites this paper as [49]
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- Authors
- Lam, J. O., Amsalu, R., Kerber, K., Lawn, J. E., Tomczyk, B., Cornier, N., Adler, A., Golaz, A., & Moss, W. J.
- Affiliations
- Johns Hopkins University (US)
- Save the Children (US)
- Save the Children (GB)
- Centers for Disease Control and Prevention (US)
- Office of the United Nations High Commissioner for Refugees (CH)
- London School of Hygiene & Tropical Medicine (GB)
- United Nations Children's Fund (US)
- Corresponding author
- Moss, William J
- Venue
- Conflict and Health
- Published
- 2012-07-23
- Volume
- 6
- Issue
- 1
- Pages
- 2-2
- ISSN
- 1752-1505 (ISSN-L)
- PMC
- PMC3488319
- OpenAlex
- W2114126548
- Cited by
- 31
- References
- 17
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 5 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 4 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Conflict and Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- UNICEF
- Johns Hopkins University
- Johns Hopkins Bloomberg School of Public Health
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- neonatal survival, humanitarian crisis, neonatal care, neonatal mortality, maternal and newborn health, humanitarian organizations, continuum of care, referral services, health workforce shortage, employee training, health information systems, underfunding
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