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Transcript of anantapur newborn action plan
ANAPSingle Digit IMR & SMR-2030DISTRICT NEW BORN ACTION PLAN
ANANTAPURAMU
ANANTAPURAMU NEOBORN ACTION PLAN 2015
The Newborn Action Plan: an action plan to end preventable deaths is a roadmap for change . It sets out a vision and proposes a goal and targets to end newborn deaths from preventable causes.
SIX GUIDING PRINCIPLES AND SIX STRATEGIC OBJECTIVES ARE AT THE CORE OF THE PLAN.
ANAP_Anantapuramu Newborn Action Plan
The vast majority of newborn deaths are preventable.
I don’t mean theoretically preventable under ideal but
unrealistic circumstances. I mean preventable with
relatively simple and relatively inexpensive
interventions. Preventable with systems and
technology available we have now in almost every
country.”
Melinda Gates
World Health Assembly May 2014
ANANTAPURAMU NEOBORN ACTION PLAN 2015
We need to focus more on the most vulnerable children: the newborns.
Many conditions that result in
a newborn dying can easily be prevented or treated.
We need a combined approach to the mother
and her baby during her pregnancy, to have someone
with knowledge and skills with her during
childbirth, and effective care for both after birth.—Gro Harlem Brundtland, Director-General,
World Health Organization
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Vision
• A healthy start for every newborn born in Anantapuramu of Andhra Pradesh
ANANTAPURAMU NEOBORN ACTION PLAN 2015
MissionTo strengthen the health system to cultivate an enabling environment where skilled providers of newborn care value and practice Essential Early Newborn Care (EENC) at every birth
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Objective:
To reduce NMR to below 10 by 2030
To reduce Still Birth Rate below 10 by 2030
ANANTAPURAMU NEOBORN ACTION PLAN 2015
RationaleÔ Investing in newborn health and survival helps achieve Health and Developmental goals
Ô Honoring New borns’ human rightsThe Convention [on the Rights of the Child]…works—and
its utility can be seen in the everyday use to which [it is]
being put by country after country, in policy, in practice,
and in law.
—Carol Bellamy, Executive Director, UNICEF
ANANTAPURAMU NEOBORN ACTION PLAN 2015
15%
14%
7%
5%
13%
14%
4%
8%
9%
1%10%Preterm birth complications
Birth Asphyxia
Noenatal infections
Congenital abnormalities
Other conditions
Pnoumonia
Diarhoea
Injuries
NCDs
Measles
Other conditions
NeonatalDeaths54%
Newborn deaths account for more than 50% of U5 deaths
Source: WHO Global Health observatory 2010
RATIONALE
ANANTAPURAMU NEOBORN ACTION PLAN 2015
IMR = 45NMR = 30PNMR = 20ENMR = 13LNMR = 17
ANANTAPURAMU NEOBORN ACTION PLAN 2015
30 26.2
22.1
18.6
15.7
30
25.9
20.5
15.29.9
0
5
10
15
20
25
30
35
2012 2015 2020 2025 2030 2035
PROJECTED LEVELS OF NEONATAL MORTALITY RATES : 2012-2030
NMR (BASED ON CURRENT AAR)
NMR (ACCELERATED LEVELS TO ACHIEVE GLOBAL TARGETS)
Anantapuramu
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Causes of Neonatal Mortality-India
Source: Liu et al, Lancet 2012 Statistical Report
35%
20%
15%
16%
9%
3% 2%
Preterm birth complications
Birth Asphyxia
Sepsis
Pneumonia
Malformations
Other conditions
Diarhoea
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Causes of Infant deaths _ Anantapur
Sepsis12%
Asphyxia25%
LBW25%
Pneumonia12%
Diarrhoea13%
Fever related13%
Measles0%
Andhra Pradesh- Anantapur - Known Causes of Infant & Child Deaths against total reported known causes of infant & child deaths -Apr'13 to Mar'14
Source: NRHM _H MIS 2013-14
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Distribution of neonatal deaths by time since birth _ India
72.9
13.5 13.5
0
10
20
30
40
50
60
70
80
Week 1 Week 2 Week 3-4
PERCENTAGE
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Proportion on Infants dying in first week of life _ India
36.9
7.4 10.1 6.6 5.1 3.4 3.50
5
10
15
20
25
30
35
40
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
PERCENTAGE
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Distribution of deaths based on time of death _ Anantapur
Infant Deaths within 24 hrs of birth
0.0%Infant Deaths between 24hrs & under 1 week
21.6%Infant Deaths between
1 week & under 1 month2.7%
Child Deaths between 1 month & under 1
year16.2%
Child Deaths between 1yr& under 5years
59.5%
Infant & Child Deaths against reported Infant & Child deaths - Andhra Pradesh- Anantapur-Apr'13 to Mar'14
Source: NRHM _H MIS 2013-14
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Status of Health Care Delivery System-Facilities
Type of facility
Number desired
Number functioning
Gap % of deficiency
SCs 587 586 01 0.17
24x7 PHCs 80 42 38 47.50
CHCs 25 15 10 40%
AH 9 2 7 72%
DH 01 01 00 0
Teaching Hospital
01 01 00 0
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Status of Infrastructure for Newborn Health Care Services
STATISTIC Number Established
Number Required
Gap Gap %
NBCC 63(83 in 63 Delivery points)
99 38 38.3%
NBSU 11 18 07 38.8%
SNCU 01 02 01 50%
NRC 01 02 01 50%
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Status of HRCadre Numbe
r in position
Vacant
Vacant%
Trained in NSSK
Trained in SBA
% Trained in NSSK
% Trained in SBASCBC
SN 481 122 25.36 400 302 83.16 62.7820%
LT 82 44 53.65 - - - -
ANM 919 253 27.52 179 93 19.47 10.11
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Status of HR
Cadre Number in position
Vacant Vacant% Trained in NSSK
% of Trained in NSSK
% of Trained in EmNOCSCBC
MO 206 83 40.29 131 63.59 33%17%
Pediatricians 32 0 0 8 25 0
GynObs 32 0 0 8 25 0
Anesthetists 27 0 0 0 0 0
ANANTAPURAMU NEOBORN ACTION PLAN 2015
1 Tadipatri
2 Gooty
3 Uravakonda
4 Kalyanadurg
5 CK Palli
6 Penugonda
7 Kadiri
8 Madakasira
CEmNOCs
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Functional - 6
Functional - 6
Blood banks
Blood Storage Centres
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Existing = 11
NBCC = 73
NBSUs
ANANTAPURAMU NEOBORN ACTION PLAN 2015
●
Existing
●● ●
●
●●
●●
●
USGMachines
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Data to ponderStatistic Number Statistic Number
ELA live births 78926
Number of Expected LBWs 24% 18942 Sick new born expected=10%
7892
LBWs requiring FBNC 25% of LBW 4736 Requiring FBNC = 100% 7892
Presently working SNCUs 01
Number of beds in SNCU 20
Number of days stay per bed (assumed) 7
Number of babies per year per bed 52
Total babies who can be given bed(52x20) 1020 1020
Number of babies requiring beds 4736 7892
Gap in requirement of beds 3716 6872
Percentage of provision of beds 21.5% 12.9%
% Devoid bed care 88.5% 87.1%
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Data to ponderSTATISTIC Number
Number of Live births 78926
Number of Malnourished children expected = 27%
21310
Number of beds in NRC 20
Total babies who can be given beds 1020
Number of babies requiring beds = 30% 6393
Gap 5373
% of provision of beds 15.95%
% devoid of FBNC 84.05%
ANANTAPURAMU NEOBORN ACTION PLAN 2015
SWOT AnalysisIt helps to focus on our strengths, overcome our weaknesses, minimize threats, and take the greatest possible advantage of opportunities available to our organization.
ANANTAPURAMU NEOBORN ACTION PLAN 2015
STRENGTHS• 1 Fully functional SNCU in public sector
• Fully functional SNCUs{2} with RDT(NGO)
• Easy accessibility of delivery points
• Effective referral transportation
• Utilization of JSSK for free USG
• Dedicated ANC day on every Friday with SOP
ANANTAPURAMU NEOBORN ACTION PLAN 2015
WEAKNESSES• Sub optimal utilization of NBCCs
• Non functional NBSUs
• Availability of Specialists
• Accessibility of Newborn care facilities
• No follow up of trainings
• Inadequate awareness on Sick infant component free entitlements under JSSK
• Unsatisfactory SBA/ NSSK skills & Knowledge implementation
ANANTAPURAMU NEOBORN ACTION PLAN 2015
OPPORTUNITIESo NHM funding
o Building capacities
o Strengthening of HBNC
o International NGO support
ANANTAPURAMU NEOBORN ACTION PLAN 2015
THREATSo Low female literacy
o Socio-economic-cultural milieu
o Beliefs and norms
o Quacks
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Impact targets- Anantapuramu
Targets Current 2017 2020 2025 2030
NMR 30 24 21 15 <10
SBR 22 19 17 13 <10
Targets{Per 1000 live births}
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Coverage Targets - AnantapuramuTarget % Current 2017 2020 2025 2030
Safe delivery95 98 98 100 100
Initiation of breastfeeding within 1 hour
55 75 90 95 98
Women with preterm labor receiving at least one dose of Corticosteroids
NA 75 90 95 98
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Coverage targets- AnantapuramuTargets Current 2017 2020 2025 2030
Babies born with asphyxia received resuscitation
NA 75 90 95 98
Babies receiving complete schedule of visits as per HBNC
NA 50 75 90 95
Newborn with Sepsis Gentamycin by ANM
NA 50 75 80 85
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Coverage Targets- AnantapuramuTargets Current 2017 2020 2025 2030
Newborn discharged from SNCU receiving follow up
NA 35 50 75 80
Newborn with LBW/Prematurity managed with KMC at facility
NA 35 50 75 90
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Coverage Target - AnantapuramuTargets Current 2017 2020 2025 2030
% of Malnourished Children admitted in NRC
20% 40 50 75 90
% of Children followed up till adequate weight gain
NA 35 50 75 80
% of birth registrations 15% 50 75 90 95
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Coverage Targets - AnantapuramuTarget Current 2017 2020 2025 2030
Inj. Vitamin K at birth
20% 40 65 85 95
Peri-conceptionalfolic acid
NA 35 50 75 95
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Guiding Principles
EQUITY
GENDER
QUALITY OF CARE
CONVERGENCE
PARTNERSHIPS
ACCOUNTABILITY
INTEGRATION INNOVATION LEADERSHIP TEAMWORKANANTAPURAMU NEOBORN ACTION PLAN 2015
INTEGRATION
Integrated Service delivery, Continuum of care, Programme Coordination
INNOVATION
Interventions, Delivery approaches, Technology
EQUITY
Universal Coverage
Closing equity gap
GENDER
Improved decision making, Power, Resource access
ACCOUNTABILITY
Transperancy, Over sight
CONVERGENCE
Addressing Socio-cultural, Community, Individual, Structural
attributes
LEADERSHIP
TEAMWORK
QOC
Regulation,Standards.Protocols,
Organizational capacity
PARTNERSHIPS
Instituionalization of partenerships with acedmic,
professional bodies
ANANTAPURAMU NEOBORN ACTION PLAN 2015
ANANTAPURAMU NEOBORN ACTION PLAN 2015
ANANTAPURAMU NEOBORN ACTION PLAN 2015
We must get it right from (24 hours around birth) the start: Age at death for Neonates (0-28 days)
0
5
10
15
20
25
30
35
0 1 2 3 4 5 6 7 8 9 1011 1213 14 1516 1718 19 2021 22 2324 2526 27 28
Days of life
Prop
ortio
nal m
orta
lity
What we do then affects the rest of the newborn's life
2 out of 3 newborn deaths occur in the 3 days of life
WHO, 2012
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Reproductive
AgeAntenatal
period
Adolescent
School
age
Preschool
Continuum of the Life Cycle
Intra-partum
Delivery
Immediate Newborn•First Embrace
•Care for LBW/Preterm
•Care for Sick Newborn
Post
neonatal
Late
neonatal
Enhancing overall efforts on maternal and child health by focusing on a weak link
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Fam
ily/c
om
mu
nit
yO
utr
eac
h/o
ut
pat
ien
t
Clin
ical
antenatal care postnatal care
early postnatal home visits for mother and
newborn
cleaner, safer birth
adolescent health at home and
school
child health care
obstetric and childbirth care including essential newborn care
emergency newborn care
reproductive health care
reproductive health care
intersectoral Improved living and working conditions including housing, water and sanitation, and nutritionEducation and empowerment
emergency child care
ongoing care for the child at home
pregnancy home visits
What to focus on?Packages within RMNCH continuum of care
ChildhoodNewborn/postnatalBirthPregnancyPre-pregnancy BirthANANTAPURAMU NEOBORN ACTION PLAN 2015
What to focus on?Prevention & care for main causes of neonatal deaths (3 by 2)
Preterm birth• Preterm labor management including antenatal corticosteroids*
• Care including Kangaroo mother care, essential newborn care
Birth complications (and intrapartum stillbirths)
• Prevention with obstetric care *
• Essential newborn care, and resuscitation*
Neonatal infections
• Prevention, essential newborn care especially breastfeeding, Chlorhexidine where appropriate*
• Case management of neonatal sepsis *
1
2
* Prioritised by the UN Commission on Life Saving Commodities for Women and Children
Over two-thirds of newborn deaths preventable – actionable now without intensive care
3
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Health Sector Strategic & Investment Plan
Integrated National RMNCH Plan
Increasing access and use of Family Planning
Ending preventable newborn deaths
Ending preventable deaths from pneumonia and diarrhoea (GAPPD)
Ending preventable maternal deaths
Sharpen focus within existing national RMNCH and health strategies and plans; not a new stand alone plan
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Strategy intervention packagesSix pillars of INAP
Preconception
Antenatal care
Care during labor
Childbirth
Immediate
Newborn care
Care of healthy
Newborn
Care of Small &
Sick newborn
Care beyond Survival
ANANTAPURAMU NEOBORN ACTION PLAN 2015
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority interventions of EENC
WHO, 2013ANANTAPURAMU NEOBORN ACTION PLAN 2015
1. Care during Labor & Child birth{20% cause of preventable mortality}• Improved Deliveries & QOC at Public Health Institutions
• Assurance of resuscitation corner at every delivery points
• Timely referral by all health workers
Our Commitment
Train & monitor all health providers in NSSK by 2016
Ensure utilization of established NBCCs
Ensure SBA protocols implementation
ANANTAPURAMU NEOBORN ACTION PLAN 2015
2. Immediate new born Care• Health Education
Our Commitment
Propagate danger signs
Train all ANMs & ASHAs in identification of danger signs and at risk newborns and on referral protocols
ANANTAPURAMU NEOBORN ACTION PLAN 2015
3. Care of healthy Newborn• Count every Newborn through measurement, programme tracking, accountability
Our Commitment
Propagation of danger signs & at risk newborns
Referral protocols
ANANTAPURAMU NEOBORN ACTION PLAN 2015
4.Care of Small and Sick Newborn{68% cause of preventable mortality}• Institutional care of Sick newborn
• KMC Units establishment
Our Commitment
Propagate SNCU/NRCs /JSSK
Enhance optimum utilization of NRC
Ensure follow up services of discharged newborns
ANANTAPURAMU NEOBORN ACTION PLAN 2015
5. Care beyond Newborn Survival• Establishment of fully functional DEIC
• Effective implementation of RBSK/RKSK
Our commitment
Developmental clinic once weekly
Neonatal follow up clinics
ANANTAPURAMU NEOBORN ACTION PLAN 2015
6. Preconception and Antenatal care by Social mobilization• To harness power of parents, family and community
• To reach every woman and newborn to reduce inequitiesHealth education by campaign mode by Specific packaged IEC/BCC activities
Parenting workshops to target populations
Target population 1.Newly wed couples up to birth of second child
2. Late adolescents
Training college girls as trainer for target populations
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Preconception & AN care• Quality ANC services with focused fixed day ANC day(Every FRIDAY) with provision of comprehensive package of services(Lab services, Free medicines, MO examination, Health education, Counseling)
• High Risk Antenatal clinics on every Tuesday, with Escort activity
• High Risk admission protocols implementation
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Inter sectoral coordination• ICDS
• Women and Child Welfare
• SHGs
• DRDA
• MEPMA
• Panchayat Raj
• NGOs
• Education department
• Civil Societies
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Specific Promotional activitiesHousehold Level Essential Newborn Care: Drying, wrapping, delayed bathing, clean cord care including CHX, immediate/exclusive breastfeeding.
Demand and Care Seeking: Preventive care around birth, sustained demand for services and timely care seeking for mothers and newborns
Community leadership and accountability: Solve practical problems, hold health providers accountable to providing quality services, strengthen links between community and facilities, promote incentives for community health workers.
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Specific Promotional activitiesChampions: Develop local champions, including parliamentarians, parent groups, professionals, community health volunteers and community leaders; engage and link champions for RMNCH+A
Adolescents: Give special attention to adolescent girls; help prevent early and unwanted pregnancies
Quality and accountability: Be a voice for change. Demand quality, affordable, accessible services. Report poor services. Change social norms regarding preventable maternal and newborn death.
ANANTAPURAMU NEOBORN ACTION PLAN 2015
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Preconceptional andAntenatal Care
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority actions1. Prioritize actions for delaying age at 1st pregnancy in convergence with stakeholders and other departments with special focus on teenage pregnancy
2. Train an adequate number of service providers for Family Planning Services and ensure availability of commodities, as per FP 2020
3. Saturate high caseload facilities to provide PPIUCD
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority actions4. Train an adequate numbers of ANMs in SBA (including ANC component)
5. Scale up nutritional interventions of peri-conceptional folic acid, maternal calcium supplementation, and iron folic acid supplementation (NIPI/WIFS)
6. Strengthen convergence with ICDS, NGOs for nutrition counselling
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority actions7. Screening of high-risk pregnancies and their management as per protocols and admission protocols implementation
8. Accelerate implementation of Escort activity for pregnant women
9. Promote counselling and birth preparedness
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Care during Labour and Childbirth
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions1. Prioritize and strengthen public health facilities at all levels (L1, L2, L3) for conducting safe delivery, including provision of emergency obstetric care as per the norms of MNH Toolkit
2. Provision of dedicated MCH staff in facilities with high caseload, including functional WASH facilities
3. All delivery points to be saturated with adequately trained health workers
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions4.. Establish Quality Assurance mechanism at each level, like- use of safe birth checklist and regular quality audits including perinatal death audits
5. Institutionalize referral mechanism to ensure to-and-fro referral, including inter-facility referral, as and where required
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions7. Accelerate scale-up of new policy decisions on management of preterm labour through use of antenatal corticosteroids and antibiotics for premature rupture of membranes
8. Develop a mechanism of supportive supervision through existing systems or through partnerships (with professional organizations, medical colleges, and private hospitals)
9. Generate awareness on JSK/JSSK entitlements, promote community participation, and demand for safe institutional delivery
10. Establish a sound surveillance system for tracking stillbirths
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Immediate Newborn Care
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions1. Establish fully functional NBCCs at all facilities conducting deliveries, according to the norms prescribed in the MNH toolkit
2. Saturate all facilities conducting deliveries with NSSK-trained staff
3. Implement standardized clinical protocols for essential newborn care, including resuscitation
4. Develop Quality Assurance mechanisms/cells to monitor training quality and adherence to standard protocols
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Prority Actions5. Regular quality audits of facilities, including CDR
6. Ensure availability of Injection Vitamin K at all delivery points
7. Develop a mechanism of ongoing supportive supervision at the facility level
8. Strengthen counselling for breastfeeding, postnatal care, and community and home care practices
9. Focus on community strategies to promote demand for essential newborn care
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Healthy Newborn
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions1.Recruitment and rational deployment of ASHAs as per the population norm
2. Capacity-building of ASHAs to provide newborn care at the community level
3. Ensure uninterrupted supply of ASHA HBNC kits and replenishment thereof, from PHC inventory
4. Ensure timely payments of HBNC incentives for ASHAs
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions5.Set up mechanisms for monitoring of HBNC visits, with regards to quality and coverage
6. Ensure implementation of HBNC and monitoring mechanism (formats, checklist) for quality of home visits
7. Strengthen and revitalize the role of ANM as supervisor cum mentor to ASHA
8. Institutionalize a framework for supportive supervision and mentoring of ASHAs (Supervisor/Facilitator)
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions9. Build responsive referral system – easy access and availability of referral transport and medical care at the health facilities for all sick / high-risk newborns referred by ASHAs
10. Strengthen counselling for breastfeeding, postnatal care, entitlements, and home care practices using counsellors and audiovisuals
11. Ensure availability of vaccines and logistic support for immunization at all delivery points.
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Small and Sick newborn care
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions1.Ensure dissemination of guidelines at all levels of facilities with priority to high caseload facilities
2. Ensure fully functional NBSUs, SNCUs with the requisite HR
3. Establish KMC unit/wards on the existing FBNC system
4. Ensaure effective utilization of SNCUs
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Care beyond newborn survivalPriority Actions
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions1.Train all levels of service providers engaged in screening of birth defects and developmental delays.
2. Effective implementation of RBSK
3. Establish fully functional District Early Intervention Centres (DEICs)
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions4. Institutionalize a robust referral mechanisms between screening points and District Early Intervention Centres (DEICs)
6. Screen birth defects by the service providers at the facility and in community by ASHAs during home visits
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Priority Actions7. Facility-based follow-up of small and sick babies for developmental delay and appropriate management
8. Follow up of all sick/high-risk newborns discharged from the SNCU for a period of one year by ASHAs
9. Develop resource network, including private practitioners, to provide specialized care for identified cases
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Monitoring frameworkᇹ Establish M& E cell
ᇹSupportive supervision for QoC by using checklists
ᇹ RCH Portal
ᇹ NHM_HMIS
ᇹ SNCU software
ᇹ Utilize analysis reports for mid course corrections
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Conclusion
Neonatal Mortality is the major obstacle in reducing Infant
Mortality Rate as well as Under 5 Mortality Rate
To reduce Neonatal mortality we have to reduce incidence of
Low Birth Weight
To reduce Low Birth Weight we have to have Robust
Mechanism of provision of quality Antenatal care as well as
Intranatal care
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Conclusion80% of the newborns can be managed at home either by mother or with the assistance of skilled and trained workers by provision of HBNC
Reduction in infant mortality can only be achieved by reducing Neonatal mortality
Neonatal mortality can only be decreased by reducing the Incidence of low birth weight children.
Empowerment of the mothers as well as provision of essential Antenatal care are the key to success.
Nutritional supplementation during Per-conceptionaland Pregnancy Period
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Than Q
ANANTAPURAMU NEOBORN ACTION PLAN 2015
Than Q once again
ANANTAPURAMU NEOBORN ACTION PLAN 2015
ANANTAPURAMU NEOBORN ACTION PLAN 2015