title: Global challenges, efforts, and controversies in neonatal care.
abstract: Simple low-cost, evidence-based interventions such as clean delivery practices, immediate warming, umbilical cord care, and neonatal resuscitation could prevent 40% to 70% of newborn deaths globally, but many obstacles preclude the provision of those basic interventions for all newborns, particularly in low-resource regions. Global efforts have led to widespread development of neonatal clinical practice guidelines, training programs, and policies. Because of a shortage of health care resources, standards of care have been redefined to meet the needs of underserved populations. This article provides an overview of the challenges, efforts, and controversies surrounding neonatal health in low-resource settings.
authors.affiliation: Global Health Program, Department of Pediatrics, Children's Corporate Center, Medical College of Wisconsin, Suite C560, PO Box 1997, Milwaukee, WI 53201-1997, USA. Electronic address: nstclair@mcw.edu.
authors.forename: Nicole E
authors.initials: NE
authors.lastname: St Clair
authors.affiliation: Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine, 4800 Sand Point Way Northeast Mailstop M1-12, Seattle, WA 98105, USA.
authors.forename: Maneesh
authors.initials: M
authors.lastname: Batra
authors.affiliation: Global Health Program, Department of Pediatrics, Children's Corporate Center, Medical College of Wisconsin, Suite C560, PO Box 1997, Milwaukee, WI 53201-1997, USA.
authors.forename: Jacquelyn
authors.initials: J
authors.lastname: Kuzminski
authors.affiliation: Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: Anne C C
authors.initials: AC
authors.lastname: Lee
authors.affiliation: FM Residency, Middlesex Hospital, 90 South Main Street, Middletown, CT 06457, USA.
authors.forename: Cliff
authors.initials: C
authors.lastname: O'Callahan
mesh_terms: D036861:Delivery, Obstetric / Q000592:standards; D003906:Developing Countries; D005260:Female; D014943:Global Health; D006295:Health Resources; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000592:standards*; D007226:Infant Mortality; D007231:Infant, Newborn; D007234:Infant, Premature; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards
keywords: Community health worker; Essential newborn care; Global health; Low-income; Low-resource; Millennium Development Goals; Neonatal mortality; Traditional birth attendant