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Intersectoral interventions: integration for impact on preterm birth.

Etienne V Langlois1, Maria El Bizri2, Kelly Thompson2

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Summary
This summary is machine-generated.

Intersectoral interventions addressing the "five Es" are vital for improving maternal and newborn health, particularly for preterm babies. This approach tackles social, economic, and environmental factors to enhance life-course outcomes.

Keywords:
EquityIntersectoral interventionsMaternal healthNewborn healthPreterm birth

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Area of Science:

  • Public Health
  • Global Health
  • Health Systems Strengthening

Background:

  • Growing focus on intersectoral interventions for maternal and newborn health since the Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs).
  • Preterm births and newborn health are influenced by multifaceted, cross-sectoral determinants requiring a comprehensive approach.
  • Existing health systems need reinforcement through intersectoral strategies addressing social, biological, and economic factors.

Purpose of the Study:

  • To highlight the necessity of an intersectoral approach for improving maternal and newborn health outcomes.
  • To introduce a new framework, the "five Es," for intersectoral interventions targeting preterm birth and small/sick newborns.
  • To emphasize the role of equity, rights, education, economic factors, environmental conditions, and emergency responses.

Main Methods:

  • Review of evidence on determinants of preterm birth and newborn health.
  • Conceptualization of the "five Es" framework: Equity and Rights, Education, Economic factors, Environmental conditions, and Emergency responses.
  • Analysis of policy and programmatic priorities across various sectors.

Main Results:

  • Intersectoral interventions addressing the "five Es" are crucial for improving outcomes for preterm, small for gestational age, and stillborn infants.
  • Investment in equity-focused, gender-transformative, and rights-based policies is essential.
  • Key priority areas include inclusive education, innovative financing, adaptive environmental systems, and robust emergency response plans.

Conclusions:

  • Evidence-based intersectoral interventions offer a promising pathway to reduce preterm births and improve health across generations.
  • The "five Es" framework provides a comprehensive approach to address multifaceted challenges in maternal and newborn health.
  • Implementing these interventions can create a healthier future for preterm babies, children, adolescents, women, and society.