WHO Collaborating Centre for Maternal and Child Health

Referente: dott.ssa Marzia Lazzerini

Sede: via dell'Istria, 118 - 1° piano
Recapiti
• tel: 040 3785 555
• tel: 040 3785 642

E-mail
marzia.lazzerini@burlo.trieste.it

Attività della struttura

Il Centro Collaboratore dell’Organizzazione Mondiale per la Sanità (CC OMS) per la Salute Materno Infantile opera dal 1992 presso l’IRCCS Burlo Garofolo; in tutti questi anni ha lavorato in supporto all’OMS e ad altre agenzie delle Nazioni Unite, come l’UNICEF e UNFPA, anche in collaborazione con numerose altre istituzioni, italiane e straniere, quali Università, Centri di Ricerca, ministeri, organizzazioni governative e non governative.

Le principali attività svolte dal CC OMS sono elencate in seguito:

1. Supporto tecnico all’OMS per lo sviluppo di: linee guida, manuali e pacchetti di formazione, standards e indicatori, strumenti  - in particolare strumenti per la valutazione della qualità delle cure-, politiche e documenti strategici.
2. Sostegno all’implementazione delle raccomandazioni e dei programmi dell’OMS, in particolare in  paesi a basso e medio reddito. 
3. Ricerca in ambito materno infantile, incluso ricerca sui servizi sanitari. 

MAGGIORI ATTIVITÀ PASSATE 

• Linee guida Kangaroo Mother care http://www.who.int/maternal_child_adolescent/documents/9241590351/en/
• European network for public health nutrition: networking, monitoring, intervention and training (EUNUTNET)  https://www.ihan.es/cd/documentos/Rec_UE_en.pdf
• EU-funded projects for the development of a Blueprint for Action, first launched in 2004 (http://ec.europa.eu/health/ph_projects/2002/promotion/promotion_2002_18_en.htm
• HOPE – Health promotion through obesity prevention across Europe: an integrated analysis to support European health policy (http://www.hopeproject.eu/).
• First European child health report for the age group of 0-12 years in European countries (Member States of the European Union and EFTA, and official candidate countries).
• Standard European recommendations on infant and young child feeding (http://EUpolicy06en.pdf).
• Contributo allo sviluppo di strumenti per la promozione della salute e delle buone pratiche (Baby Friendly Community Initiative http://www.who.int/nutrition/topics/bfhi/en/
• Contributo a importanti indagini internazionali, come l’Health Behaviour in School Children (HBSC) survey (http://www.hbsc.org/), e WHO European Childhood Obesity Surveillance Initiative (COSI) http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/activities/monitoring-and-surveillance/who-european-childhood-obesity-surveillance-initiative-cosi
• Contributo alla stesura di raccomandazioni relative all’alimentazione del neonato e del bambino, quali le Standard European recommendations on infant and young child feeding English Version; Versione italiana;

ATTIVITÀ RECENTI

Sviluppo di Linee Guida

• WHO Guidelines on basic newborn resuscitation http://www.who.int/maternal_child_adolescent/documents/basic_newborn_resuscitation/en/
• Recommendations for management of common childhood conditions http://whqlibdoc.who.int/publications/2012/9789241502825_eng.pdf
•  WHO. Guideline: Updates on the management of severe acute malnutrition in infants and children. Geneva: World Health Organization; 2013. http://www.who.int/nutrition/publications/guidelines/updates_management_SAM_infantandchildren/en/
• Neonatal vitamin A supplementation  http://whqlibdoc.who.int/publications/2011/9789241501798_eng.pdf
• Vitamin A supplementation for HIV-infected women during pregnancy http://whqlibdoc.who.int/publications/2011/9789241501804_eng.pdf
• Vitamin A supplementation in infants 1–5 months of age http://whqlibdoc.who.int/publications/2011/9789241501811_eng.pdf
• Vitamin A supplementation in infants and children 6–59 months of age http://whqlibdoc.who.int/publications/2011/9789241501767_eng.pdf
• Vitamin A supplementation in postpartum women http://whqlibdoc.who.int/publications/2011/9789241501774_eng.pdf
• Vitamin A supplementation in pregnant women http://whqlibdoc.who.int/publications/2011/9789241501781_eng.pdf
• Use of multiple micronutrient powders for home fortification of foods consumed by infants and children 6–23 months of age http://whqlibdoc.who.int/publications/2011/9789241502047_eng.pdf
• Use of multiple micronutrient powders for home fortification of foods consumed by pregnant women http://www.who.int/nutrition/publications/micronutrients/guidelines/guideline_mnp_pw/en/index.html
• Intermittent iron and folic acid supplementation for menstruating women http://whqlibdoc.who.int/publications/2011/9789241502023_eng.pdf
• Intermittent iron supplementation for preschool and school age children http://www.who.int/elena/titles/iron_infants/en/index.html
• Vitamin D supplementation in pregnant women http://www.who.int/elena/titles/vitamind_pregnancy/en/index.html
• Calcium supplementation in pregnant women http://www.who.int/elena/titles/calcium_pregnancy/en/index.html
• Sodium intake for adults and children http://www.who.int/nutrition/publications/guidelines/sodium_intake_printversion.pdf
• Potassium intake  for adults and children http://www.who.int/nutrition/publications/guidelines/potassium_intake_printversion.pdf
• Daily iron and folic acid supplementation in pregnant women http://www.who.int/nutrition/publications/micronutrients/guidelines/daily_ifa_supp_pregnant_women/en/index.html
• Supplementary foods for the management of moderate acute malnutrition in infants and children 6-59 months of age. Technical note. Who 2012 http://www.who.int/nutrition/publications/moderate_malnutrition/9789241504423/en/
• Food supplementation in children with moderate acute malnutrition http://www.who.int/elena/titles/food_children_mam/en/index.html
• Micronutrient supplementation in children with severe acute malnutrition http://www.who.int/elena/titles/micronutrients_sam/en/index.html
• Treatment of dehydration in children with severe acute malnutrition http://www.who.int/elena/titles/dehydration_sam/en/index.html
• Treatment of hypoglycaemia in severely malnourished children http://www.who.int/elena/titles/hypoglycaemia_sam/en/index.html
• Treatment of hypothermia in severely malnourished children http://www.who.int/elena/titles/hypothermia_sam/en/index.html
• Treatment of severe acute malnutrition in HIV-infected children http://www.who.int/elena/titles/hiv_sam/en/index.html
• Linee Guida dell'Emorragia Post Partum: come prevenirla, come curarla http://www.iss.it/binary/moma/cont/LGEPPcorrige.pdf; Presentazione brochure

Manuali OMS

• Improving the quality of paediatric care: an operational guide for facility-based audit and review of paediatric mortality https://www.who.int/maternal_child_adolescent/documents/improving-qualit...
• Conducting a maternal near-miss case review cycle at the hospital level” manual with practical tools in English and Russian http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newbor...
• Pocket book of hospital care for children- Guidelines for the management of common illnesses with limited resources- 2^nd Edition (2013) http://www.who.int/maternal_child_adolescent/documents/child_hospital_care/en/
• Pocket book of hospital care for children- Guidelines for the management of common illnesses with limited resources- 1^st Edition (2005) http://www.who.int/maternal_child_adolescent/documents/9241546700/en/
• WHO Pocket Book for child and adolescent health at Primary Health Care level for the WHO European Region (ongoing)

Pacchetti per  formazione per OMS

• WHO Effective Perinatal Care Package 2^nd Edition 2015  http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/activities-and-tools/effective-perinatal-care-epc-training-package
• WHO Effective Perinatal Care Training Package (EPC)   additional module on  “Rights of women during childbirth” (2017) http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/activities-and-tools/effective-perinatal-care-epc-training-package/epc-training-common-modules-modules-c/16c.-rights-of-women-during-childbirth
• WHO Effective Perinatal Care Training Package (EPC)  - Technical update (2017) of Module 1 MO based on the new WHO guidelines of on antenatal care http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/activities-and-tools/effective-perinatal-care-epc-training-package/epc-training-maternal-health-modules-modules-mo/1mo.-antenatal-care
• Other training packages http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/activities-and-tools/effective-perinatal-care-epc-training-package
• Essential Newborn Care Training Course: Technical update, developing of monitoring indicators, field testing (ongoing)

Strumenti OMS per la valutazione della qualità delle cure ospedaliere

• World Health Organisation. Hospital care for mothers and newborn babies: WHO quality assessment and improvement tool. WHO Regional Office for Europe, Copenhagen 2014. http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/publications/2014/hospital-care-for-mothers-and-newborn-babies-quality-assessment-and-improvement-tool/hospital-care-for-mothers-and-newborn-babies-who-quality-assessment-and-improvement-tool
• World Health Organisation. Hospital care for children: quality assessment and improvement tool. WHO Regional Office for Europe, Copenhaghen 2015. http://www.euro.who.int/en/health-topics/Life-stages/child-and-adolescent-health/publications/_recache; http://www.euro.who.int/__data/assets/pdf_file/0003/286185/Hospital-care-for-children-quality-assessment-and-improvement-tool.pdf 
• Hospital care for mothers and newborn babies: quality assessment and improvement tool. http://www.euro.who.int/en/health-topics/Life-stages/maternal-and-newborn-health/publications/2014/hospital-care-for-mothers-and-newborn-babies-quality-assessment-and-improvement-tool
• Assessment tool for the quality of hospital care for mothers and newborn babies http://www.euro.who.int/__data/assets/pdf_file/0008/98792/E93128.pdf
• Tool for assessing the performance of the Health system, in improving maternal, newborn, child and adolescent health http://www.euro.who.int/__data/assets/pdf_file/0011/98795/E93132.pdf

Indicatori di qualità dell'assistenza sanitaria

• Consultation on improving measurement of the quality of maternal, newborn and child care in health facilities http://www.who.int/maternal_child_adolescent/documents/measuring-care-quality/en/
• Standards for improving quality of maternal and newborn care in health facilities http://www.who.int/maternal_child_adolescent/documents/improving-maternal-newborn-care-quality/en/
• Standards for improving the quality of care for children and young adolescents in health facilities scarica il file
• Research "Improving the quality of hospital care for children by supportive supervision: a cluster randomized trial, Kyrgyzstan" http://www.who.int/bulletin/volumes/95/6/16-176982.pdf
• Support to countries Read Dr Lazzerini contribution in the newsletter of the European Paediatric Association, Union of National European Paediatric Societies and Associations (EPA-UNEPSA) http://www.epa-unepsa.org/sites/default/files/NL24_def.pdf
• Development and Prioritization of Paediatric Quality of Care Indicators

Valutazioni della qualità delle cure

• Contributo a numerose valutazioni e progetti, in collaborazione con  OMS, altre agenzie delle Nazioni Unite ed in partnership con Ministeri della Salute locali, per la valutazione ed il miglioramento della qualità delle cure in paesi dell’Est Europa, Asia Centrale (Albania, Armenia, Georgia , Moldova, Montenegro,  Kazakistan,  Kirghizistan, Kosovo, Tagikistan, Ucraina, Uzbekistan etc), Africa (Etiopia, Mozambico, Tanzania, Uganda etc), South East Asia (Sri Lanka,Papua New Guinea)  Esempi
• Assessment of the safety and quality of hospital care for mothers and newborn babies in Montenegro. In collaboration with UNICEF CO Montenegro, and Montenegro MoH (2016) available at the UNICEF Montenegro CO website http://www.unicef.org/montenegro/Report_Assessment_of_the_quality_of_hospital_care_for_mothers_and_new-born_babies_in_Montenegro_March_2016.pdf (ENG) http://www.unicef.org/montenegro/Izvjestaj_Procjena_bezbjednosti_i_kvali... (MNE), and at the Montenegro MOH website (Montenegrin) here.
• Kyrgyzstan (for WHO EURO and HQ)   First Assessment  ( 2012) http://www.euro.who.int/en/health-topics/Life-stages/child-and-adolescen...

 Progetti di ricerca

• Improving the quality of care for children with acute malnutrition:  Cluster Randomised Controlled Trial in West Nile Region, Uganda. Guarda il VIDEO su YouTube
• Improving the Quality of Paediatric Hospital Care in the Kyrgyz Republic by Introducing the WHO Guidelines: Cluster randomised Trial ClinicalTrials.gov Identifier: NCT02001116  http://clinicaltrials.gov/show/NCT02001116
• Cluster Randomised Trial and Cost-Effectiveness Analysis: Improving the outcomes of children with acute malnutrition in West Nile Region, Uganda. ClinicalTrials.gov Identifier: NCT03044548 https://clinicaltrials.gov/ct2/show/NCT03044548
• Technical support in developing and field testing indicators of adherence to WHO guidelines of pediatric case management at hospital level  (Kazakhstan, Kyrgyzstan, Republic of Moldova, Kosovo, Ukraine) for Quality Assessment for WHO Regional Office for Europe Design, practical conduct, field testing  
• Improving the quality  of care for children In Kosovo Region, in collaboration with  WHO Regional Office for Europe    
• Knowledge to Action grants  to support adaptation and implementation of WHO maternal and perinatal guidelines in Sri Lanka 
• Development and field testing of a checklist to assess the quality of facility-based individual case Near Miss Reviews in the WHO European Region. 
• Systematic assessment of the quality of the facility based individual near miss case reviews in selected countries of the WHO European Region
• Respectful maternity care.  Observational evaluation in service users and service provider, and  support for the implementation of good practices of care in Italy.  
• Systematic reviews on the impact, facilitators and barriers to facility-based individual case Near-Miss Reviews   in low and middle-income countries: systematic review and meta-analysis.   Listen to podcats http://greatnetworkglobal.org/funding/
• Analysis of a 10 years retrospective dataset of hospitalised pneumonia in children in Malawi  – In collaboration with UCL CHID 
• Digital radiology to Improve the Quality of Care in Countries with Limited Resources: A Feasibility Study in Angola
• Assessing the quality of the Nutritional service in West Nile Region, Uganda

Documento guida per l'implementazione

• Implementation guidance: Improving quality of care for maternal, newborn and child health http://www.who.int/maternal_child_adolescent/topics/quality-of-care/quality-of-care-brief-implementation.pdf?ua=1
• Implementation of perinatal death review in the WHO EURO Region

Sviluppo di politiche

• Contributo allo sviluppo del piano strategico per la salute riproduttiva di WHO EURO - 66th session of the WHO Regional Committee for Europe http://www.euro.who.int/en/about-us/governance/regional-committee-for-europe/66th-session
• Meeting della Regione Europea OMS "Migliorare le cure antenatali nei paesi dell'Est Europa ed Asia Centrale". vedi foto 1, foto 2, link al Programma, link alle Linee Guida sulle Cure Antenatali OMS.

Rapporti per l'Unione Europea

• WHO   report on the health of children in European Union. For  European Commission, Luxembourg 2012.  http://www.burlo.trieste.it/sites/default/files/Chiled_Health_in_the_European_Union.pdf

Convegni

• Expert meeting to develop the new European Sexual and Reproductive Health (SRH) strategy. 28-29 April 2015, Trieste, Italy
• Expert meeting on European Women’s Health report. 30 April 2015, Trieste, Italy
• 11th Workshop and Congress of the International Network on Kangaroo Mother Care "Kangaroo Mother Care: 20 years later" - Trieste, Italy, 14-17 November 2016 International Network on Kangaroo Mother Care INK  Le mamme canguro. Meglio di un’incubatrice. Leggi l'articolo
• WHO Technical Consultation on strategies to improve the implementation of WHO recommendation of maternal health care in the European Region, 30-31 May 2019, Trieste, Italy.  LINK Info on the event; LINK pictures Photo credit: Alessandro Froio

Altro

• Prevention and elimination of disrespect and abuse during childbirth in hospital (Prevenzione ed eliminazione dell’abuso e della mancanza di rispetto durante l’assistenza al parto presso le strutture ospedaliere)

Traduzione in italiano e diffusione a livello nazionale dello statement WHO su:

Versione italiana: http://apps.who.int/iris/bitstream/10665/134588/17/WHO_RHR_14.23_ita.pdf...

English version: http://www.who.int/reproductivehealth/topics/maternal_perinatal/statemen...

Referente pagina web: Marzia Lazzerini