The document presents a regional implementation framework for ending preventable newborn, child, and adolescent deaths and improving health and development from 2019-2023. It summarizes that the mortality rates in the region are the second highest globally across all age groups. The framework has three strategic areas: 1) improving access, equity, and quality for universal health coverage, 2) enhancing integration and multisectoral coordination, and 3) strengthening protection during humanitarian emergencies. The framework provides guidance for developing national strategic plans, implementing evidence-based interventions, and monitoring progress indicators to improve health outcomes for individuals from birth through age 19.

1. Tehran,
Islamic Republic of Iran
14 –17 October 2019
Regional implementation framework on ending
preventable newborn, child and adolescent
deaths and improving health and development,
2019-2023
1
Agenda item 3(a)
Dr Khalid Siddeeg, Medical Officer,
Child and Adolescent Health

2. Together we aim for:
2
A nineteen year old
person who is
optimally healthy,
having been raised in
a safe and secure
environment,
appropriately
developed, prepared
physically, mentally
and emotionally to
contribute to the social
and economic growth
of the society.”
“

3. Regional situation
3
26
deaths/
1000 live
births
47
deaths/
1000 live
births
1019
years
Under 5
years
Newborns 59 years
115
deaths/
100 000
live births
Second highest region for mortality rates across all
age groups
109
deaths/
100 000
live
births

4. Global and regional commitments
4

5. Unprecedented flow of global strategies,
frameworks and action plans
5

6. Objectives of the framework
 To guide and assist countries and
partners to strengthen integrated
multisector national strategies and
plans for newborn, child and
adolescent health; and —
 To scale up evidence-based
interventions for newborn, child
and adolescent health at country
level.

7. Strategic areas of the framework
PROTECTIO
N DURING
HUMANITAR
IAN
EMERGENCI
ES
INTEGRATION
AND
MULTISECTORAL
COORDINATION
ACCESS,
EQUITY
AND
QUALITY
FOR UHCSTRATEGIC
AREA 1
STRATEGIC AREA
3
STRATEGIC
AREA 2
7
CHILD
CENTRED

8. ACCESS,
EQUITY
AND
QUALITY
FOR UHC
STRATEGIC
AREA 1
QUALITY OF CARE
 Institutionalizatio
n
 WHO standards
 Mentoring/coachi
ng
ACCESS/EQUITY
 Equity driven
plans
 Priority service
packages
 Disaggregated
data

9. Strategic areas of the framework
INTEGRATION
AND
MULTISECTORAL
COORDINATION
ACCESS,
EQUITY
AND
QUALITY
FOR UHCSTRATEGIC
AREA 1
STRATEGIC AREA
3
STRATEGIC
AREA 2
9
CHILD
CENTRED
PROTECTIO
N DURING
HUMANITAR
IAN
EMERGENCI
ES

10.  Regional Operational
Guide
 newborn, child and
adolescent health in
humanitarian
structures
 newborn, child and
adolescent health
service packages
 newborn, child and
adolescent health
indicators in
assessment and
evaluation
1
0
PROTECTION
DURING
HUMANITARI
AN
EMERGENCIE
S
STRATEGIC
AREA 2
Child and Adolescent Health in
Humanitarian Settings (CAHHS)
Operational Guide
A holistic approach for programme managers
Working Document, March 2019

11. PROTECTIO
N DURING
HUMANITAR
IAN
EMERGENCI
ES
Strategic areas of the framework
ACCESS,
EQUITY
AND
QUALITY
FOR UHCSTRATEGIC
AREA 1
STRATEGIC
AREA 2
11
CHILD
CENTRED
INTEGRATION
AND
MULTISECTORAL
COORDINATION
STRATEGIC AREA
3

12. INTEGRATION
AND
MULTISECTORAL
COORDINATION
STRATEGIC
AREA 3
 Mapping of stakeholders
 Coordination mechanisms
 Formal engagement of other sectors
 Private sector, academia, community,
etc.

13.  addresses 019 years in one document
 supports adopting an integrated multisectoral
approach
 targets all countries (high and low burden
countries):
– recognizes child development as a key
determinant of country future
– gives a new emphasis to well-being; violence,
injuries, mental health and disability
 provides guidance on humanitarian
emergencies
1
3
The added value

14. Time for action
1
4
 Use the framework to develop or update
national strategic/action plans
 Implement the actions proposed in the
framework
 Take advantage of the renewed focus on
primary health care and UHC
 Use the list of suggested progress
indicators to document progress
 Document and share experiences, best
practices and lessons learned

15. 1
5
Together we aim for:
1
5
A nineteen year old
person who is
optimally healthy,
having been raised in
a safe and secure
environment,
appropriately
developed, prepared
physically, mentally
and emotionally to
contribute to the social
and economic growth
of the society.”
“

16. 1
6
Thank You