TY - JOUR T1 - Progressing towards SDG 2030 goals with system changes: the India Newborn Action Plan JF - BMJ Open Quality JO - BMJ Open Qual DO - 10.1136/bmjoq-2022-001971 VL - 11 IS - Suppl 1 SP - e001971 AU - Vikram Datta AU - Sumita Ghosh AU - Luigi D Aquino Y1 - 2022/10/01 UR - http://bmjopenquality.bmj.com/content/11/Suppl_1/e001971.abstract N2 - Nearly one million neonatal deaths occur annually, and almost two-thirds of these neonates are born in health facilities.1 In low and middle-income settings, sub-optimal quality health systems contribute to these preventable deaths.Nearly 26 million babies are born annually in India.2 In 2019, India’s neonatal mortality rate (NMR) was 22 per 1000 live births3 and had one of the largest cohorts of preterm and low birth-weight neonates globally. One-quarter of global newborn deaths occur in the Indian subcontinent.4 Every newborn action plan (ENAP) launched in 2014 has set a global target of fewer than 12 newborn deaths per 1000 live births and fewer than 12 stillbirths per 1000 total births by 2030.5 The sustainable development goals (SDG) newborn targets for NMR reduction are like ENAP targets.6 India has set a more stringent target for itself by committing to reduce its NMR and stillbirth rates to a single digit by 2030.7 As a step in this direction, India launched its newborn action plan (India newborn action plan; INAP) in September 2014 and has made concerted efforts to improve access and improve the quality of care.India’s performance in reducing child mortality is better than global performance. It has achieved a decrease of 64%, 70%, 74% in NMR, IMR and under-five mortality rate, respectively, compared with a global decline of 54%, 58% and 61% in the earlier indicators during the period 1990–2020.8 India has also achieved three out of … ER -