CHILD HEALTH STRATEGY RCH II/NRHM Initiatives in Pipeline - PowerPoint PPT Presentation

1 / 35
About This Presentation
Title:

CHILD HEALTH STRATEGY RCH II/NRHM Initiatives in Pipeline

Description:

CHILD HEALTH STRATEGY RCH II/NRHM Initiatives in Pipeline F-IMNCI (IMNCI and Facility based care in the process of finalization) Newborn Health Care strategy on the ... – PowerPoint PPT presentation

Number of Views:337
Avg rating:3.0/5.0
Slides: 36
Provided by: nrhmmisN3
Category:

less

Transcript and Presenter's Notes

Title: CHILD HEALTH STRATEGY RCH II/NRHM Initiatives in Pipeline


1
CHILD HEALTH STRATEGY RCH II/NRHM
2
National goals MDG context
3
Perceptible decline in U5MR (Needs acceleration
to gt7 points to achieve NRHM goals) Slow decline
in IMR Slower decline in the neonatal mortality

NFHS
4
Neonatal Mortality Rate
1980-1990
25
1991-2000
15
Source SRS data
5
About half of child deaths occur in the neonatal
period (ICMR Study 2003)
  • When do neonates die die?

6
Child/Neonatal deaths and the Millennium
Development Goal 4
150
100
Global mortality per 1000 births
50
0
1960
1980
2000
2020
Year
Millennium Development Goal 4 can only be
achieved if neonatal deaths are addressed -
missing from current programmes
7
The challenge
RCH II
IMR trends
8
State-wise burden of neonatal deaths
Hr
UP
As
Pb
TN
Kn
WB
Gj
Or
MP
Mh
AP
Bi
Rj
Estimation based on data from National Human
Development Report 20017 SRS 2001
9
MOST CHILD DEATHS ARE PREVENTABLE Universal
coverage with a few interventions can prevent
over 1.2 million deaths this year
Source Jones et al Lancet CS series
10
MOST CHILD DEATHS ARE PREVENTABLE Universal
coverage with a few interventions can prevent
over 1.2 million deaths this year
Source Jones et al Lancet CS series
11
New Born Child Health Key Strategies
  • Increase coverage of skilled care at birth for
    newborns in conjunction with maternal care
  • 2. Implement, by 2010, a newborn and child health
    package of preventive, promotive and curative
    interventions using a comprehensive IMNCI
    approach

12
New Born Child Health Key Strategies under RCH
II/NRHM
  • 3. Strengthen and augment existing services (care
    at birth/Essential New born /care, ARI and
    diarrhea control) in areas where IMNCI is yet to
    be implemented.
  • 4. Implement the multi year strategic plan for
    the UIP (Universal Immunization Program)

13
CHILD HEALTH INTERVENTIONS
  • Essential new born Care
  • Integrated management of neonatal and Child hood
    Illness
  • Exclusive Breast Feeding and Timely introduction
    of complimentary Feeding
  • Immunization

14
CHILD HEALTH INTERVENTIONS
  • Vitamin A and Iron and folic acid supplementation
  • Early detection and management of ARI/ diarrhoea
    and other infections
  • referral care
  • pre service training

15
CHILD HEALTH Interventions Essential New born
Care
  • Initiation of early
  • breast feeding.
  • Rooming/ keeping
  • baby warm
  • Resuscitation.
  • Infection prevention
  • Immunization

16
CHILD HEALTH Interventions- Breast Feeding
  • Early Initiation
  • Excusive feeding till 6 months
  • Starting Complementary feeding at 6 months

17
CHILD HEALTH Interventions - Diarrhoeal disease
  • Increase ORS Use rate /addition of Zinc
  • Prevention
  • of diarrhea (Safe Water, Contd. feeding)
  • Rational drug usage

18
CHILD HEALTH Interventions - ARI Management
  • Early recognition
  • of fast breathing
  • Cotrimoxazole administration for Pneumonia
  • Rational drug usage

19
CHILD HEALTH Interventions - Immunizations
  • Complete Immunization schedule in first year
  • Supplementation of
  • Vitamin A and Iron

20
CHILD HEALTH Interventions Integrated
Management of Neonatal and childhood Illness
  • Appropriate care of
  • sick new born
  • and sick child.
  • Recognition of
  • Danger Signs
  • Counseling
  • on Breast Feeding
  • and Nutrition

21
CHILD HEALTH Interventions Referral / Facility
Care
  • Care of Sick
  • New born /Child
  • Emergency Assessment /Care.
  • Management of
  • Malnutrition.
  • Pilot in MP

22
Interventions Home Based Care
  • Care of Sick
  • New born at Home
  • Based on Gadchiroli Model.
  • Pilot in UP, Bihar, Orissa,
  • Rajasthan and MP

23
Child health Indicators
  • Infant Mortality Rate/Under five mortality Rate.
  • of children visited within 24 hrs of and on 3rd
    and the 7th day of delivery by a trained
    provider.
  • of children who were breast fed within 1 hr of
    delivery and exclusively for 6 months.
  • of children fully immunized.

24
Child health Indicators
  • 6. of children with Anaemia and who received
    IFA syrup.
  • 7. of children with ARI and of children with
    ARI who received antibiotic and were referred to
    health centre.
  • 8. of children with diarrhoea who received ORS
    and were referred to health centre.
  • 9. of children who have received Vit A all
    nine doses

25
Methodology
  • Analysis of NFHS I, II, III, DLHS III, MIS, on
    CH indicators
  • Assessment of field visits to States.
  • Visits to health facilities (District Hospitals,
    CHC/FRU, PHC, SC
  • Meetings with health providers at State and
    district level
  • Meetings with NGOs and other stakeholders.
  • Meeting with beneficiaries and community

26
  • TRENDS IN CHILD HEALTH

27
StatesEarly initiation of Breast Feeding
28
Exclusive Breast Feeding
  • All states show improvement except UP, Goa and AP
  • 3 better performing StatesExclusive B-fd
  • Jharkhand (49.7)
  • Chhattisgarh (43.2)
  • Orissa (43.1)
  • Performance of other States
  • Kerala ( 22 )
  • T.N (23 )
  • A.P. ( 33)
  • Goa (28)
  • Puducherry (26 )
  • Bihar reported least exclusive breast fed
    children (12)

No state has achieved rate of 50
29
Immunization indices are improving
30
High drop out rates (gt15) remains critical
issue in Bihar, MP and UP
31
Anaemia Is Widespread throughout India
Children age 6-59 months
32
Training - Child health
33
Home visits for New Born across several
districts
  • 63 Home visits on day-1 of reported births
  • 61 3 home visits in first 10 days

Implementation information available from limited
districts
34
Initiatives in Pipeline
  • F-IMNCI (IMNCI and Facility based care in the
    process of finalization)
  • Newborn Health Care strategy on the anvil
  • School Health Programme
  • Pentavalent Vaccine

35
Innovative Schemes
  • District Child Health Co-ordinator (Rajasthan,
    MP, Orissa)
  • ISO certification of District Hospitals. Standard
    Protocols for New Born and Sick New Born at
    District Hospitals (Gujarat)
  • New Born Care Kits (2 Baby Mattresses 4 Baby
    Jackets 3 Baby Caps 3 pairs of Gloves 12 Baby
    Diapers and 8 Baby Blankets) (AP)
  • Health information help line

36
Way Forward
  • Strengthen Care at birth (Essential Newborn care)
    at all facilities (logistics and capacity)
  • Scale up IMNCI
  • Training pace (In Service / Pre Service )
  • Implementation ( in districts )
  • Supportive supervision
  • Reporting monitoring
  • Accelerate facility based care for sick newborn
    and children with standard protocols
  • Intensify BCC for Child Health feeding
    practices, ORT, ARI, newborn care practices
  • Training of health providers in non-IMNCI
    districts on newborn care, ARI and Diarrhea
Write a Comment
User Comments (0)
About PowerShow.com