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. Author manuscript; available in PMC: 2020 Feb 28.
Published in final edited form as: Lancet. 2014 May 19;384(9938):e27–e29. doi: 10.1016/S0140-6736(14)60263-4

Table. Research priorities for improving newborn health and birth outcomes by 2025 as ranked by 91 experts.

Research priorities Score

Delivery domain

1 Can a simplified neonatal resuscitation programme delivered by trained health workers reduce neonatal deaths due to perinatal asphyxia? 90
2 How can health workers’ skills in preventing and managing asphyxia be scaled up? 88
3 Can simple clinical algorithms used by community health workers identify and refer neonates with signs of infection and consequently reduce newborn mortality? 86
4 How can exclusive breastfeeding in low-resource contexts be promoted to reduce neonatal infections and mortality? 85
5 Can training of community health workers in basic newborn resuscitation reduce morbidity and mortality due to perinatal asphyxia? 83
6 How can the administration of injectable antibiotics at home and first-level facilities to newborns with signs of sepsis be scaled up to reduce neonatal mortality? 82
7 How can facility-based initiation of kangaroo mother care or continuous skin-to-skin contact be scaled up? 80
8 How can chlorhexidine application to the cord be scaled up in facility births and in low neonatal mortality rate settings to reduce neonatal infections and neonatal mortality? 80
9 How can quality of care during labour and birth be improved to reduce intrapartum stillbirths, neonatal mortality, and disability? 79
10 Can community-based extra care for preterm/low birthweight babies delivered by community health workers reduce neonatal morbidity and mortality in settings with poor access to facility care? 79

Development domain

1 Can community-based initiation of kangaroo mother care reduce neonatal mortality of clinically stable preterm and low birthweight babies? 82
2 How can the accuracy of community health workers in detecting key most important high-risk conditions or danger signs in pregnant women be improved? 77
3 Can perinatal audits improve quality of care in health facilities and improve fetal and neonatal outcomes? 74
4 Can intrapartum monitoring to enhance timely referral improve fetal and neonatal outcomes? 74
5 Can training community health workers to recognise and treat neonatal sepsis at home with oral antibiotics when referral is not possible reduce neonatal mortality? 74

Discovery domain

1 Can stable surfactant with simpler novel modes of administration increase the use and availability of surfactant for preterm babies at risk of respiratory distress syndrome? 71
2 Can the method to diagnose fetal distress in labour be made more accurate and affordable? 66
3 Can strategies for prevention and treatment of intrauterine growth restriction be developed? 64
4 Can novel tocolytic agents to delay or stop preterm labour be developed in order to reduce neonatal mortality and morbidity? 63
5 Can major causal pathways and risk factors for antepartum stillbirth be identified? 61

Overall and criterion specific scores ranged from 0% to 100%.