The Every Preemie—SCALE Project
Managing preterm birth calls for strong action across the spectrum of care—from prevention, to the management of immediate, quality preterm labor and postnatal care for preterm newborns. To support this effort, PCI, in partnership with the Global Alliance to Prevent Prematurity and Stillbirth and the American College of Nurse-Midwives, led Every Preemie-SCALE, a five-year, $9 million project designed to catalyze action, globally and at the country level, toward improving newborn health.
Working in 24 United States Agency for International Development (USAID) priority countries, predominantly in Africa and Asia, Every Preemie engaged with global partners, including the World Health Organization , UNICEF, and USAID, as well as leading newborn health experts to improve preterm birth, low birth weight care, and sick newborn care around the world.
PCI convened thought leadership discussions on these topics and designed and disseminated tools on early/small and sick newborn care and management.
Other program activities included:
- Launching country profiles on preterm birth and low birth weight to promote dialogue and action in USAID’s 25 priority maternal and child health countries
- Providing technical input on WHO standards of care for early/small and sick newborns
- Developing and disseminating the global WHO/UNICEF document Survive & Thrive: Transforming Care for Every Small and Sick Newborn
- Revising the global Respectful Maternity Care Charter to include newborns
- Designing a protocol and tools for situation analysis on the care of inpatient newborns and young infants, which were used in Ghana, Rwanda, Tanzania, and Uganda
- Development of a new model of care for small and sick newborns: Family-Led Care
- Global engagement and collaboration
This project also supported implementation research in Bangladesh, Ethiopia, India, and Malawi in partnership with Brigham and Women’s Hospital, St. Paul’s Hospital Millennium Medical College, the Post-Graduate Institute of Medical Education and Research, and the University of Malawi College of Medicine and MaiKhanda, respectively.
In Malawi, this research laid the foundation for the innovative Family-Led Care model. This model was designed to improve health services while empowering families to care for their early/small babies in a facility and at home. The Family-Led Care model helps improve the quality of Kangaroo Mother Care provided to inpatient preterm and low birth weight newborns; strengthen post-discharge follow-up care; and extend care for preterm and low birth weight newborns at community and household levels.
Program Highlight: Global Working Group and the Do No Harm Technical Briefs
Every Preemie-SCALE convened a Global Technical Working Group focused on implementation challenges and solutions. The meetings convened more than 200 thought leaders in the field of maternal and newborn health and provided a broad, multi-disciplinary forum for emerging evidence, relevant research, and learning across the range of preterm birth and low birth weight interventions and implementation in low-income countries.
A direct outcome of the Global Technical Working Group was the development of a series of Do No Harm technical brief to highlight the safe and effective use of specific inpatient newborn care interventions. Using the guiding principle of “Do No Harm,” the briefs were designed to provide stakeholders with evidence-based information regarding safe and effective inpatient care in low-resource settings—an important step to avoid harm and improve health outcomes for newborns.
The Do No Harm technical briefs included:
- Safe and Effective Oxygen Use for Inpatient Care of Newborns
- Safe and Effective Infection Prevention for Inpatient Newborn Care
- Safe and Effective Thermal Protection for Inpatient Care of Newborns
- Prevention and Screening of Retinopathy of Prematurity
- Family Participation in the Care of the Inpatient Newborn
- Safe and Effective Human Milk Feeding for Small and Sick Newborns
- Management of Newborn Infections During Inpatient Care
The briefs are available in English, Spanish and French and are available on Every Preemie’s website.