{
  "abstract": "In 2013, WHO partnered with Ministries of Health and development partners in nine countries in Asia and the Pacific to develop, test and scale-up of Early Essential Newborn Care (EENC), a package of simple evidence-based interventions shown to prevent or treat the most important causes of newborn morbidity and mortality, delivered around birth or in the early newborn period. This effort became the largest regional collaboration to improve the quality of newborn care globally. This article discusses the key achievements and progress in the introduction and scale-up of EENC over the past decade, as well as the remaining challenges and future directions. Policy and programme documents, cross-sectional facility assessments and study data show that EENC was widely adopted across nine countries between 2013 and 2023 using a coaching and data-based approach, with sustained and vastly improved quality of care for all newborns including those born preterm, low birth weight and by caesarean section. Implementation replaced ineffective training-based approaches with on-the-job clinical coaching tailored to routine environments. Multidisciplinary hospital teams drove national scale-up and systems improvements by identifying what their facilities and those in their catchment population needed to support practice change. The periodic collection and immediate use of practice data for tracking progress and making programme decisions represented a significant change in how public health programme implementation and scale-up was conducted in the region.",
  "authors": [
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Howard Lawrence Sobel"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "John Charles Scott Murray"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Priya Mannava"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Vanya Delgermaa"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Hien Van Pham"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Zhao Li"
    },
    {
      "affiliations": [
        "Da Nang Hospital for Women and Children, Da Nang, Viet Nam"
      ],
      "name": "Hoang Tran"
    },
    {
      "affiliations": [
        "Ministry of Health, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Y Meng Chhour"
    },
    {
      "affiliations": [
        "Ministry of Health, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Sethikar Im"
    },
    {
      "affiliations": [
        "Ministry of Health, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Tung Rathavy"
    },
    {
      "affiliations": [
        "Ministry of Health, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Rattana Kim"
    },
    {
      "affiliations": [
        "Ministry of Health, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Sidonn Krang"
    },
    {
      "affiliations": [
        "WHO Representative Office, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Kannitha CHEANG"
    },
    {
      "affiliations": [
        "WHO Representative Office, Cambodia, Phnom Penh, Cambodia"
      ],
      "name": "Sano Phal"
    },
    {
      "affiliations": [
        "Chinese Center for Disease Control and Prevention, Beijing, China"
      ],
      "name": "Tao Xu"
    },
    {
      "affiliations": [
        "Ministry of Health, Lao People’s Democratic Republic, Vientiane, Lao People’s Democratic Republic"
      ],
      "name": "Sommana Rattana"
    },
    {
      "affiliations": [
        "Mahosot Hospital, Lao People’s Democratic Republic, Vientiane, Lao People’s Democratic Republic"
      ],
      "name": "Vimonlath Singharaj"
    },
    {
      "affiliations": [
        "Mahosot Hospital, Lao People’s Democratic Republic, Vientiane, Lao People’s Democratic Republic"
      ],
      "name": "Bouasengnignom Phrasithdeth"
    },
    {
      "affiliations": [
        "WHO Representative Office, Lao People’s Democratic Republic, Vientiane, Lao People’s Democratic Republic"
      ],
      "name": "Outhevanh Kounnavongsa"
    },
    {
      "affiliations": [
        "Ministry of Health, Mongolia, Ulaanbaatar, Mongolia"
      ],
      "name": "Tsevelmaa Baldan"
    },
    {
      "affiliations": [
        "Department of Health, Port Moresby, Papua New Guinea"
      ],
      "name": "Barnabas Roland"
    },
    {
      "affiliations": [
        "Department of Health, Port Moresby, Papua New Guinea"
      ],
      "name": "Edward Waramin"
    },
    {
      "affiliations": [
        "WHO Representative Office, Papua New Guinea, Port Moresby, Papua New Guinea"
      ],
      "name": "Madeline Salva"
    },
    {
      "affiliations": [
        "WHO Representative Office, Papua New Guinea, Port Moresby, Papua New Guinea"
      ],
      "name": "Jessica Yaipupu"
    },
    {
      "affiliations": [
        "Department of Health, Manila, Philippines"
      ],
      "name": "Anthony Pascual Calibo"
    },
    {
      "affiliations": [
        "Department of Health, Manila, Philippines"
      ],
      "name": "Ruby Constantino"
    },
    {
      "affiliations": [
        "Department of Health, Manila, Philippines"
      ],
      "name": "Marwynn Bello"
    },
    {
      "affiliations": [
        "WHO Representative Office, the Philippines, Manila, Philippines"
      ],
      "name": "Jacqueline Kitong"
    },
    {
      "affiliations": [
        "Ministry of Health, Solomon Islands, Honiara, Solomon Islands"
      ],
      "name": "Annie Jatobatu"
    },
    {
      "affiliations": [
        "Ministry of Health, Viet Nam, Hanoi, Viet Nam"
      ],
      "name": "Tuan Anh Dinh"
    },
    {
      "affiliations": [
        "Ministry of Health, Viet Nam, Hanoi, Viet Nam"
      ],
      "name": "Khoa Dang Tran"
    },
    {
      "affiliations": [
        "Ministry of Health, Viet Nam, Hanoi, Viet Nam"
      ],
      "name": "Hoang Anh Tuan"
    },
    {
      "affiliations": [
        "WHO Representative Office, Viet Nam, Hanoi, Viet Nam"
      ],
      "name": "Thi Quynh Nga Pham"
    },
    {
      "affiliations": [
        "Ministry of Health, Vanuatu, Port Vila, Vanuatu"
      ],
      "name": "Thyna Orelly"
    },
    {
      "affiliations": [
        "Office of the WHO Country Liaison Officer, Port Vila, Vanuatu"
      ],
      "name": "Tsogzolmaa Bayandorj"
    },
    {
      "affiliations": [
        "Office of the WHO Country Liaison Officer, Port Vila, Vanuatu"
      ],
      "name": "Eunyoung Ko"
    },
    {
      "affiliations": [
        "Kalusugan ng Mag-Ina (Health of Mother and Child), Quezon City, Philippines"
      ],
      "name": "Maria Asuncion Silvestre"
    },
    {
      "affiliations": [
        "London School of Hygiene and Tropical Medicine, London, UK"
      ],
      "name": "Elizabeth Mason"
    },
    {
      "affiliations": [
        "National Center for Global Health and Medicine, Tokyo, Japan"
      ],
      "name": "Hiromi Obara"
    },
    {
      "affiliations": [
        "International Consultant, Martha’s Vineyard, Massachusetts, USA"
      ],
      "name": "Pamela Putney"
    },
    {
      "affiliations": [
        "World Health Organization Regional Office for the Western Pacific, Manila, Philippines"
      ],
      "name": "Shogo Kubota"
    }
  ],
  "title": "Early essential newborn care: a decade of scaling up quality, life-saving interventions across East Asia and the Pacific (2013–2023)",
  "uid": "1a2ac186-8f98-5ada-ab90-12e7dc6fe2d5"
}