Scorecard for high- and upper-middle income countries

In 2018, the International Stillbirth Alliance Stillbirth Advocacy Working Group (ISA-SAWG), founded by the Partnership for Maternal, Child, and Newborn Health and co-chaired by the London School of Hygiene & Tropical Medicine and the International Stillbirth Alliance, developed a scorecard to track progress against the Call to Action presented in the Lancet Ending Preventable Stillbirths series. The ISA-SAWG promotes use of the scorecard to track each component of the Call to Action, including meeting the Every Newborn Action Plan global stillbirth rate target, as well as reducing equity divides in sub-national stillbirth rates, increasing access to and quality of antenatal and intrapartum care and family planning, improving the quality of post-stillbirth bereavement care, and reducing stigma associated with stillbirth.

Following on from this work, the Stillbirth CRE developed an adaptation of the scorecard for use in high- and upper-middle income countries. The aim of this scorecard is to provide a tool for the global community, including national governments, UN bodies, bilateral organisations, parent organisations, donors and NGOs, to track progress against the Ending Preventable Stillbirths Call to Action, in particular highlighting areas where insufficient progress is being made and where further investments and actions are needed. New indicators for high-income settings were identified, from sources such as the indicator list for the United States Healthy People 2020 national health objectives. A draft version of the HIC Scorecard was trialled the US, the UK, and Australia to assess the feasibility and utility of each indicator, and incorporated comments into the draft. We are now working to further refine the scorecard and aim to publish a revised version by 2027.