Technical Resources 

Global Family-Led Care Package

The Family-Led Care model was developed by the Every Preemie—SCALE project to empower families to care for their preterm and low birthweight newborns while practicing Kangaroo Mother Care in the health facility and at home after discharge. Building on lessons learned during implementation in Balaka District, Malawi, this Family-Led Care Guide has been updated for a global audience and can be adapted for use in local contexts. The full package is available here.

Family-Led Care Package – Malawi

The Family-Led Care package of materials, currently being rolled out in Balaka district, Malawi, was developed in close collaboration with the Balaka District Health Office and other stakeholders to improve facility- and home-based care of preterm/LBW newborns. More information and the full package of materials can be found here.

Survive and Thrive: Transforming care for every small and sick newborn

Every Preemie worked with WHO, UNICEF, USAID, the Bill and Melinda Gates Foundation, and other partners to develop a global document on inpatient care of small and sick newborns. The report outlines the efforts required to transform care for the 30 million vulnerable newborns around the world, and will be launched in mid-2019.

In advance of the full document, a summary of Key Findings from this report was launched on December 13, 2018 at the Partners’ Forum of the Partnership for Maternal, Newborn and Child Health (PMNCH) in New Delhi, India.

Situation Analysis of Inpatient Care of Newborns and Young Infants

In 2017 Every Preemie led the development of a protocol and tools for a situation analysis to provide a better understanding of the landscape of inpatient care for small and sick newborns in low- and middle-income countries. The aim of this analysis is to assess service readiness and quality of care by examining health system structures, facility processes, national policies and clinical standards and parent/caregiver experience for inpatient care of small and sick newborns in a range of countries. The protocol and tools, country implementation guides, and tabulation templates are available for download below.


About the design process: The situation analysis protocol was designed by a multi-partner core team including USAID, the Maternal and Child Survival Program (MCSP), Saving Newborn Lives (SNL), UNICEF, WHO, the URC ASSIST Project, the London School of Hygiene & Tropical Medicine (LSHTM) and the Global Health Supply Chain Project at Chemonics. A broader advisory group consisting of additional representatives from the organizations above as well as the Knowledge Management Services Project and the Bill & Melinda Gates Foundation (BMGF) was engaged to provide input to the draft protocol and tools. The materials were finalized in early 2017 after pretesting in two countries. Findings from country implementation will be available on the Every Preemie website in mid-2019.

Continuum of Care for the Prevention of Preterm Birth, Management of Preterm Labor and Delivery, and Care of the Preterm and Small Newborn

This continuum of care matrix designed by Every Preemie—SCALE outlines key interventions for the prevention of preterm birth, the management of preterm labor, and care for the preterm or small newborn across two continuums—from the household/community to the health center and hospital, and from pre-pregnancy and pregnancy through labor, delivery and care of the preterm newborn.


Antenatal Corticosteroids for Women at Risk of Imminent Preterm Birth in the Democratic Republic of the Congo, Ethiopia, Malawi, Nigeria, Sierra Leone, Tanzania and Uganda: A Policy and Implementation Landscape Analysis

ACS is one of thirteen critical commodities identified by the United Nations Commission on Life Saving Commodities for Women and Children (UNCoLSC) and is one of ten interventions in the WHO Recommendations for interventions to improve preterm birth outcomes, 2015. In early-2016, the USAID-funded Every Preemie—SCALE project was asked by the UNCoLSC Newborn Health Technical Resource Team to conduct a policy and implementation landscape analysis of ACS use for women at risk of imminent preterm birth.


Formative Assessment of Community, Family and Health Care Provider Knowledge, Attitudes, Beliefs and Practices Regarding Preterm and Low Birth Weight Newborns in Balaka District, Malawi

To inform programmatic inputs, Every Preemie implemented a qualitative formative assessment in July 2016 focused on community, family member, and health care provider knowledge, attitudes, and perceptions around preterm and LBW newborns and related care practices in Balaka district, Malawi. This report is available here.

International Joint Statements on Preterm Birth, Quality of Care, Kangaroo Mother Care, and Managing Serious Bacterial Infections in Young Children – February 15, 2017

On February 15, 2017, four international joint statements were released during the launch of the Quality of Care Network in Lilongwe, Malawi. The joint statements, developed in collaboration with professional health associations and supported by USAID and other partners, demonstrate how professional associations can work powerfully together in support of quality of care objectives at both global and country levels.

The international joint statement on preterm birth, developed by Every Preemie—SCALE and GAPPS, was endorsed by COINN, ICM, ICN, FIGO, IPA, AAP, ACNM, and ACOG, and affirms their support for the 2015 WHO Recommendations on interventions to improve preterm birth outcomes.  The joint statement emphasizes the important, collaborative role professional organizations have in assisting countries to implement the WHO recommendations and details clear actions needed to support their safe and effective implementation.

Country Profiles

The Country Profiles of Preterm and Low Birth Weight Prevention and Care present data related to preterm birth and low birth weight for the 25 USAID maternal and child health priority countries, including relevant risk factors, coverage of important care for pregnant women and newborns, and insights into the health workforce and health policies. They can be accessed on the Country Profiles tab.


Meeting Materials 

These materials include agendas, recordings, and other relevant materials for events outside of the Global Technical Working Group. For those materials, please see the Global Technical Working Group tab.

Antenatal Corticosteroids Technical Working Group – June 14, 2016

Every Preemie—SCALE facilitated a meeting of the UNCoLSC ACS Technical Working Group on June 14, 2016, which included dissemination of the ACS landscape analysis conducted in Sub-Saharan Africa and engagement of leaders on recommendations and next steps for ACS. Click here for meeting materials and presentations.

Care of the Small, Sick Newborn – June 16, 2016

Every Preemie–SCALE collaborated with partners on an event to discuss challenges and solutions to specialized care for the small, sick newborn, with a panel of country representatives.


External Resources

GAPPS’ Weekly LiveWire Email

LiveWire is a weekly news summary of stories about preterm birth, stillbirth and maternal, newborn and child health. Sign up here:

Essential Care for Every Baby and Essential Care for Small Babies Training Materials

Essential Care for Every Baby and Essential Care for Small Babies are two training packages under Helping Babies Survive, a growing suite of evidence-based, hands-on programs developed to reduce neonatal mortality in resource-limited environments.

Essential Care for Every Baby (ECEB) teaches health care providers essential newborn care practices to keep all babies healthy from the time of birth to discharge from the facility, and improves newborn care skills through hands-on learning and practice.

Essential Care for Small Babies (ECSB) teaches the special care needed for small or premature babies born in low resource areas, so birth attendants and mothers learn how to keep them warm by skin-to-skin wrapping, and keep them nourished with alternative feeding methods. ECSB improves the capacity of health workers to support the needs of small and premature babies through hands-on learning and practice.

Threatened Preterm Birth Care Learning Resource Package

Threatened Preterm Birth Care is part of the Helping Mothers Survive and Helping Babies Survive suite of training modules.  It is a two-day course designed for teams of health workers who provide care for women and newborns.  The content is based on the 2015 WHO recommendations on interventions to improve preterm birth outcomes and focuses on identifying women likely to deliver a preterm baby within 7 days and the actions that can be taken prior to birth to improve survival.

Small Baby Series

Developed by the Global Health Media Project, the Small Baby Series consists of 27 short teaching videos which demonstrate life-saving practices such as how to keep premature babies warm with skin-to-skin care, and how to feed them with a cup or feeding tube before they’re strong enough to breastfeed. The series also includes five videos designed specifically for mothers to demystify the needs of premature infants and help them care for their babies both in the hospital and at home. Content was developed in partnership with the American Academy of Pediatrics to complement the Essential Care for Small Babies training program. The videos are available in English, French and Spanish.