Scaling up facility based newborn care in India

January 19, 2018 | Author: Anonymous | Category: Social Science, Psychology, Conformity
Share Embed Donate


Short Description

Download Scaling up facility based newborn care in India...

Description

Facility based newborn care in India: norms and standards Dr Pavitra Mohan, MD, MPH Health Specialist, UNICEF India Regional Child Health Managers Meeting, November 2011

Govt. Facilities 47%

CES, 2009

Institutional births: CES: 72%, DLHS-3: 47% UNICEF

2

Sick Neonate treated (OPD & Indoor) in Referral Hospitals in Orissa, 2004-2006 3500 3000 2500 2004 2005 2006

2000 1500 1000 500 0 Baripada DHH UNICEF

Udala SDH

Karanjia SDH

Rairangpur SDH

IMNCI /JSY referrals

SCNU

Newborn Stabilization units

UNICEF

Newborn Corners

Training inputs

Referrals

Facility Based Newborn care in India: A Conceptual framework At Delivery

Sick newborn District Hospital

Newborn corner

CHC

(1 bed)

PHC

Community

UNICEF

Special newborn care unit (12-20 beds)

Stabilization units (4 beds)

Facility Based Newborn Care Essential Care to all Newborns Special Care to Sick Newborns Normal post-natal care to normal newborns Follow-up of sick newborns

UNICEF

Status of Special Care Newborn Units in India More than 00 units “operational”, more than 100 in pipeline Rapid expansion between 2005-2010 Partnership between UNICEF/ NNF/ national and state governments

Plans to have at-least one SCNU in each district Supported by network of Newborn Stabilization Units at first referral units, and newborn care corners in each “delivery-point”

UNICEF

Status of Special Care New Born Units : Madhya Pradesh, India 18 Functional MRN

BHD

20 Under Construction Sanctioned for all 50

GLR DTA

SOP SVP

TKM

NMC

GUN

AKN

RWA

CTP PAN

STN SDH

MDS SJP RTM

DHR

IDR

DMH

BPL

UJN

DWS

NSP

BRW UNICEF

KND

MDL SNI

BHP

CDW BTL

UMR

DDR

HSB HRD

KRG

KTN

SDL

JBP

RSN

SHE JBA

SA

VDS

RJG

BLG

ANP

UNICEF

Assessment of 8 Special Care Newborn units in India Assess the effectiveness in improving newborn survival Understand the operational bottlenecks that affect their functioning and limit their effectiveness Sieve out lessons for scaling up SCNUs in India and other similar settings

UNICEF

What are these districts like? Infant Mortality Rate: 48-73/1000 live births Literacy rate among women: 36%-63% % institutional deliveries: 22%-36% % children fully immunized: 23%-65%

UNICEF

Results: Profile of newborns admitted in 8 SCNUs No of admissions/100 births: 19.5 (4-39) % of intramural admissions among all admissions: 68.5% (54%-90%) % of boys among all admissions: 63.8% (58-70% ) % of babies with birth weight: Between 1500-2499: 35% (22-46%)
View more...

Comments

Copyright � 2017 NANOPDF Inc.
SUPPORT NANOPDF