ACHIEVEMENTS 2010 Year of New Born
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- Title
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ACHIEVEMENTS
2010 Year of New Born - extracted text
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GH- lASDA-RF-CH-1A.3
ACHIEVEMENTS
2010 Year of New Born
IMNCI implementation status
Non IMNCI district
“EY INTERVENTIONS
Potential to save 60,000 lives in a year
•
All Newborns in the state receive home
visits through IMNCI trained workers
•
All PHCs in the state will provide
essential newborn care services
(Newborn Care Corners) and will
have Mamta workers (in all districts)
•
Breastfeeding initiated in all newborns
within one hour across the state
•
All district hospital in the state will
provide specialised care through
Special Care Newborn Units (SNCU)
nft Introductory Phase
(Included in new PIP)
15 Early Implementation Phase
(0-50% Trg. load completed)
qq Expansion Phase
(50-90% Trg. load completed)
Consolidation Phase
1 (>90% Trg, load completed)
Non IMNCI district
?
Introductory Phase
Include in new PIP
. Early Implementation Phase
(0-50% Trg. load completed)
More than 30,000 workers trained in 8
days IMNCI package
. Expansion Phase
(50-90% Trg. load completed)
■
4
Consolidation Phase
(>90% Trg. load completed) \
IMNCI coverage
Source: Quarterly IMNCI report
y
Home visit status
REACHING OUT
To each and every Newborn through
home visits by trained IMNCI workers
(Normal Babies: 3 and LBW Babies- 6 times)
1 st PNC Visit increased from - 55% to 72%
3 PNC Visit increased from - 28% to 56%
Source: Follow-Up-Supervision data
ORS AND ZINC IN CHILDHOOD
DIARRHOEA MANAGEMENT
•
•
•
•
•
Piloted in 10 districts(Darbhanga,
Samastipur, Munger, Khagaria,
Purnia, Saharsa, Madhepura,
Araria, Supaul, Vaishali) with high
Diarrhoea prevalence in
partnership with UNICEF, Ml,
SHSB
Rolled out across the state.
All District and Block level health
and ICDS officials are oriented on
use of ORS & ZINC In the
management of childhood illness.
All ANMs are sensitized to use zinc
tablet in Diarrhoea management
available in RCH kit.
Rate contracting on the zinc tablet
is under process.
Caretaker’s knowledge improved
after IMNCI home-based consultation
H2009 ' 12010
Source: Follow Up Supervision report
J
SETTING A TREND
Maternal and Child Health (MCH) Unit in
Vaishali
Spread over an area of 10,506 sq. ft it puts
the agenda of maternal & child health at
centre stage with dedicated space for the
same.
It comprises of two buildings:
•Comprising of Special Care
Newborn
Unit (SCNU) & Paediatric Ward and ICU
•Other incorporating all maternal
health services -Labour Room, OT, OPD,
Antenatal checkups to delivery &
postnatal care
More Sick newborns have been Referred / Admitted
to hospitals in 2010-YNB
Refrral status
OPERATIONALISATION
OF SUBCENTRE CLINIC
•
1700 Health
functional
•
ANM Assessing U5 Children as per
IMNCI Protocol on a fixed day/week
Subcentre Clinic
STATUS OF HEALTH
SUB-CENTER CLINICS
A total of 1700 (25%) HSC clinics are
operational in the 24 IMNCI districts
No. of children examined by IMNCI
trained ANM-57,400
No. of children treated for pneumonia13,800
No. of children referred forsevere
pneumonia- 2,760
No. of children treated for diarrhoea15,700
No. of children referred for diarrhoea
with severe dehydration-1,150
F-IMNCI ROLL OUT
Bihar is the first state in India to rollout
F-IMNCI programme
•
F-IMNCI (Facility-IMNCI) is the
integration of the facility based care
package with the IMNCI to manage
referred sick children in hospitals
•
All six medical colleges' facilities
upgraded for F-IMNCI training
•
A pool of 76 facilitators created in the
State. A total of 400 MOs trained
Initiation of breastfeeding within 1 hour
PROMOTION OF
BREASTFEEDING
• Breastfeeding is the No. 1 preventive
intervention compared to any other
intervention for prevention of Neonatal
sepsis
• Health Workers & MOs are trained in
IPC skill for early initiation BF within 1
hr of birth
• IEC/BCC activities rolled out across the
state
• Initiation of breastfeeding has gone up
from 38% to 72%
• 2010-856245
Source: Reported data (YNB format) for 2010
Proportion of mothers breastfeeding with proper
positioning/attachment/suckling
nrnr
<•;<> im
Proportion of LBW babies received
No. of LWB babies reported
• 2009 - 7026
• 2010-25036
Source: Follow Up Supervision report
INITIATIVES
INSTITUTIONALIZED
State level Newborn Care
Committee headed by Health
Secretary and District Newborn care
Core Committees formed in all
districts for coordination of all
activities for newborn care.
a
State level committee approved
by Development Commissioner
•
District level committees
approved by Principal Secretary,
Health
Vaishali district demonstrating the
Models: All Civil Surgeons and
DPMs oriented on Child Health
(IMNCI, SCNU, NBCC) (Exposure
Visit to Vaishali)
Introduction of Labour Room
Registers in all Facilities conducting
delivery to record the information
related to mother and newborns
(conceptualized, designed)
MIS for SCNU set up and SCNU
Registers (conceptualized,
designed)
Tele-neonatology centre established
with PMCH as the hub: The State of
the Art Neonatal ICU (NICU) at
PMCH, Patna has been identified
and developed as a online
consultation center for district level
cases through telemedicine. At
present this unit is connected to
Vaishali SCNU for online
consultation
Newborn Kit (Baby Shirt, Baby Bed
Sheet, Baby Blanket, Baby Napkin,
Sanitary Pads for mother) to all
babies delivered in government
hospitals is being provided by
Government of Bihar.
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