Facility Based Newborn and Child Care
Neonatal mortality is one in each of the most contributors (2/3) to the mortality. to handle the issues of higher baby and early mortality rate, facility based newborn care services at health facilities square measure emphatic. fitting of facilities for care of Sick Newborn like Special New Born Care Units (SNCUs), New Born Stabilization Units (NBSUs) and New Born Baby Corners (NBCCs) at altogether completely different levels might be a thrust house below NHM.
Special Newborn Care Units (SNCU)
States have been asked to line up a minimum of one SNCU in every district. SNCU is 12-20 bedded unit and needs four trained doctors and 10-12 nurses for around the clock services.
Newborn Stabilization units (NBSUs)
NBSUs are established at community health centres /FRUs. These area unit four bedded units with trained doctors and nurses for stabilization of sick newborns.
New Born Care Corners (NBCCs)
These are one bedded facility connected to the labour area and Operation Theatre (OT) for provision of essential newborn care. NBCC at every facility wherever deliveries ar going down ought to be established.
JananiShishuSurakshaKaryakram (JSSK)
JananiShishuSurakshaKaryakram (JSSK) was launched on initial solar calendar month 2011and has provision for every pregnant girls and sick new born till thirty days once birth unit of measurement (1) Free and zilch expense treatment, (2) Free medication and consumables, (3) Free drugs & Diet, (4) Free provision of blood, (5) Free transport from home to health institutions, (6) Free transport between facilities simply just in case of referral, (7) move from institutions to home, (8) Exemption from all kinds of user charges. The initiative would a lot of promote institutional delivery, eliminate out of pocket expenses that act as a barrier to seeking institutional take care of mothers and sick new borns and facilitate prompt referral through free transport
Facility Based Integrated Management of Neonatal and Childhood Illness (F-IMNCI)
F-IMNCI is that the integration of the power based Care package with the IMNCI package, to empower the Health personnel with the abilities to manage new born and childhood health problem at the community level additionally as at the power. Facility based IMNCI focuses on providing acceptable skills for inmate management of major causes of baby and Childhood mortality like state, sepsis, low birth weight and respiratory illness, diarrhea, malaria, meningitis, severe disease in children. This coaching job is being imparted to Medical officers, staff nurses and ANMs at CHC/FRUs and 24x7 PHCs where deliveries unit of measurement taking place. The coaching job is for eleven days.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
Which includes Pre-service and In-service training of providers, improving health systems (e.g. facility up-gradation, availability of logistics, referral systems), Community and Family level care.
Home Based Newborn Care (HBNC)
A new scheme has been launched to incentivize ASHA for providing Home Based Newborn Care. ASHA will make visits to all newborns according to specified schedule up to 42 days of life. The proposed incentive is Rs. 50 per home visit of around one hour duration, amounting to a total of Rs. 250 for five visits. This would be paid at one time after 45 days of delivery, subject to the following :
Recording of weight of the newborn in MCP card
Ensuring BCG , 1st dose of OPV and DPT vaccination
Both the mother and the newborn are safe till 42 days of the delivery
Registration of birth has been done
Infant and Young Child Feeding (IYCF) Infant and Young Child Feeding is the single most preventive intervention for child survival. It advocates the following:-
Early initiation (within one hour of birth) and exclusive breast feeding till 6 months.
Timely complementary feeding after 6 months with continued breast feeding till the age of 2 yrs.
Nutrition Rehabilitation Centres (NRCs)
Severe Acute Malnutrition is an important contributing factor for most deaths amongst children suffering from common childhood illness, such as diarrhoea and pneumonia. Deaths amongst SAM children are preventable, provided timely and appropriate actions are taken.
Nutritional Rehabilitation Centres (NRCs) are being set up in the health facilities for inpatient management of severely malnourished children, with counselling of mothers for proper feeding and once they are on the road to recovery, they are sent back home with regular follow up.