Every Newborn-Measurement Improvement for Newborn & Stillbirth Indicators (EN-MINI) Tools for Routine Health Information Systems

photo of a newborn and associated birth records. ©UNICEF/Frank Dejongh
©UNICEF/Frank Dejongh

Every newborn has the right to survive and thrive, yet 4.4 million die each year as newborns and stillbirths. Timely and accurate data on coverage, equity, and quality of care are essential to track progress towards ending preventable stillbirths, newborn deaths, and disabilities. However, the settings with the highest burden of deaths have the least data on coverage and quality of care—the “inverse data law.”

EN-MINI tools guide priority actions to improve availability, quality and use of newborn and stillbirth indicators in routine health information systems. The tools are free, easy to use, and generate automated reports for sub-national and national use in support of the Every Newborn Action Plan (ENAP).

From 2016–2020, the EN-BIRTH team completed a validation study in Bangladesh, Nepal, and Tanzania assessing measurement coverage and quality of maternal and newborn care. Findings were published in The Lancet Global Health and a series of 14 papers in BMC Pregnancy and Childbirth. More details can be found here.

EN-BIRTH found newborn data quality in routine systems varied, which led to a follow-on study—EN-BIRTH Phase 2—to explore opportunities to improve data for use. The EN-MINI tools were designed and made available through collaborative implementation research by The London School of Hygiene & Tropical Medicine (LSHTM) UK, Ifakara Health Institute (IHI) Tanzania, icddr,b Bangladesh, and D4I. An EN-BIRTH expert advisory group of colleagues from WHO, UNICEF, the national governments of Bangladesh and Tanzania, and additional program newborn and measurement experts and academics provided important guidance.

The Improving Quality and Use of Newborn Indicators IMPULSE study contributed to version 2 and French and Amharic translations of the EN-MINI tools from LSHTM, IHI, WHO collaborating centre Burlo (Italy), Doctors with Africa CUAMM (Italy, Ethiopia, Central Africa Republic), and Makerere University School of Public Health, Uganda. The EN-MINI Tools are in four languages: English, Swahili, French, Amharic

Use EN-MINI tools:

NowTo ensure we have the right data at the right time and at the right level of the health care system to Improve newborn health and survival and reduce stillbirth
By 2025To use data for action for every newborn, including small or sick newborns
By 2030To meet global targets to end preventable newborn deaths and stillbirths each year

EN-MINI tools were produced with the support of the United States Agency for International Development (USAID) under the terms of the Data for Impact (D4I) associate award 7200AA18LA00008, which is implemented by the Carolina Population Center at the University of North Carolina at Chapel Hill, in partnership with Palladium International, LLC; ICF Macro, Inc.; John Snow, Inc.; and Tulane University. The views expressed do not necessarily reflect the views of USAID or the United States government. ​​​​​​