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The editorial argues for coordinated integration using three principles: strengthen leadership and a continuum of care, integrate emergency response with recovery, and protect and sustain the health 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Cocoman,a Hannah Tappis,b Elaine Scudder,c Harriet Ruysen,d James McQuen Patterson,e  \nShirley Mark Prabhu,f Tomomi Kitamura,g Mollie Fair,h Muna Abdullah,i Khalid Siddeeg,j Mohammed Afifi,j Janet Kayita,k Sophie Chimwenje Khumbizeni,l Valérie Marcella Zombre Sanon,m Khadidja Amadaye Abgrene,n Rima Chaya,o Tala Rammal,o Majid El Nour,p Kathleen Mitchell,q Catrin Schulte-Hillen,q Gagan Guptae & Allisyn Morana  \nAlthough global maternal and neonatal mortality have declined over recent decades, progress has stalled in contexts affected by conflict, fragility and displacement.1–3 The 29 countries with United Nations humanitarian response plans or flash appeals at the start of 2025 accounted for slightly less than one third of global births but contributed an estimated 58% of maternal deaths, 41% of stillbirths and 39% of newborn deaths.2–4 These figures likely underestimate the burden in acute crises, where data are usually scarce.5,6  \nThe Global humanitarian overview7 was revised in June 2025 to acknowledge declines in foreign aid, increasing attacks on health and humanitarian workers, and deepening instability. Despite these challenges, a 2022 United Nations country-level survey demonstrated that even in crisis settings, progress is possible when maternal and newborn health are prioritized, financed and integrated into national systems and preparedness plans.8 We suggest that integration also requires coordinated action, accountability and sustained investment aligned with three principles.  \nFirst, strengthening leadership and prioritizing a continuum of care approach. Maternal and newborn health services in crisis settings face frag-  \nmented implementation and chronic underfunding. While some countries meet antenatal care coverage targets, postnatal care remains underprioritized, and stillbirth prevention is often absent from monitoring and planning frameworks.8 Meaningful progress requires a continuum of care approach, from pre-conception care to the postnatal period and beyond. Data are also essential to make maternal and newborn health visible.  \nHumanitarian and development actors must coordinate technical support aligned with national priorities. Initiatives such as Every woman every newborn everywhere provide technical assistance to over 55 countries to strengthen subnational planning and implementation.9 These efforts require predictable, multiyear financing, pooled funds or public–private partnerships to ensure continuity of essential maternal and newborn health services.  \nSecond, integrating emergency response and recovery. Humanitarian emergencies require phased response strategies balancing immediate lifesaving interventions with longer-term system recovery. During acute emergencies, the minimum initial service package for sexual and reproductive health in crisis settings ensures essential standards for  \nskilled birth attendance, emergency obstetric and newborn care, prevention of unintended pregnancies and care for small and sick newborns.10 Availability of essential commodities, including interagency reproductive health kits, is critical. As crises stabilize, expanding access to integrated primary care, including quality antenatal and postnatal care as well as family planning, can mitigate health risks and revive community trust that is essential for health system recovery.  \nHowever, evaluations show persistent gaps: limited access to safe abortion care aligned with national legislation, insufficient emergency obstetric and newborn care, incomplete referral systems, supply-chain disruptions and inadequate funding.11 While national-level commitment to the minimum initial service package has grown, subnational implementation lags.11 Stronger partnerships are needed among humanitarian and development actors, local governments and host communities to reach the most vulnerable. Emergency interventions should strengthen, not","cbCaiog6y4XVDHbC","https://ap.wps.com/l/cbCaiog6y4XVDHbC","pdf",695837,"English","# Editorials\n## Strengthening leadership and a continuum of care\n## Integrating emergency response and recovery\n## Protecting and sustaining the health workforce","[{\"question\":\"Why has maternal and neonatal progress stalled in humanitarian settings?\",\"answer\":\"Progress has stalled in contexts affected by conflict, fragility, and displacement, where data are scarce and health systems face major constraints.\"},{\"question\":\"What does the editorial propose for leadership and continuity of care?\",\"answer\":\"It calls for strengthening leadership and prioritizing a continuum of care from pre-conception through the postnatal period, supported by data and improved monitoring and planning.\"},{\"question\":\"How should emergency response be integrated with recovery?\",\"answer\":\"It recommends phased response strategies that balance immediate lifesaving interventions with longer-term system recovery, including essential service packages and strengthening national systems.\"}]","Effective care for mothers and their babies during humanitarian crises | PDF",1790572248]