"We seek to address the pressing issue of neonatal deaths due to bacterial infections in sub-Saharan Africa. With a focused multidisciplinary approach, we aim to ensure consolidated research, foster collaborations, and leverage existing expertise to provide concrete solutions."
A network of professionals and families committed to addressing the evidence gap for how we can best identify, treat and prevent neonatal sepsis in the smallest, most vulnerable babies in sub-Saharan Africa. Where you are born should not stop you receiving effective care.
Our work aims to find the best ways to safely reduce unnecessary antibiotic use in babies, prioritising resources for those babies most in need, and the best ways to prevent the spread of infection between babies, even with scarce resources.
Africa continues to lose over one million newborns annually, a figure that has not declined in three decades. Driven primarily by prematurity, infection and asphyxia, 750,000 of these deaths occur in the postnatal phase, where preterm infants remain at especially high risk for fatal complications.
Sepsis remains a critical, underrecognised cause of newborn mortality. Treatment is increasingly complicated by growing resistance to primary antibiotics (ampicillin and gentamicin), leaving clinicians with severely limited options to save vulnerable infants.
Due to limited laboratory access and healthcare infrastructure challenges, neonatal sepsis remains widely unmonitored at a population level across Africa. Without urgent data expansion, this gap will only widen as the continent reaches 4 in 10 global births by 2054.
* Ranjeva et al. pmc.ncbi.nlm.nih.gov/articles/PMC5859806
** Aerts C, Leahy S, Mucasse H, Lala S, Bramugy J, Tann CJ, Madhi SA, Bardají A, Bassat Q, Dangor Z, Lawn JE, Jit M, Procter SR. Quantifying the Acute Care Costs of Neonatal Bacterial Sepsis and Meningitis in Mozambique and South Africa. Clin Infect Dis. 2022 Jan 20;74(Suppl_1):S64-S69. doi: 10.1093/cid/ciab815. PMID: 34725702; PMCID: PMC8776306.
*** Thomson K, et al. Appropriateness of empirical antibiotic therapy and mortality in neonatal sepsis across LMIC hospitals. 2026. Oral presentation. ESCMID Global 2026, 17–21 April 2026.