Child Health Strategy in RCH II

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Child Health Strategy in RCH II

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1. Child Health Strategy in RCH II 7th October 2008

2. National Goals more ambitious- MDGs

3. Steady Decline in Infant Mortality Rates

4. 9/22/2012 4

5.

6. Childhood Mortality Rates by Sex

7. Solutions for reduction of IMR within reach Breastfeeding Complementary feeding ORT Zinc for diarrhoea Antibiotics for pneumonia 50/1000 live births 54/1000 live births 48/1000 live births 55/1000 live births 54/1000 live births

9. RCH II Integrated Management of Neonatal and Childhood Illnesses (IMNCI) Home Based Newborn and Childhood Care Facility Based Care - SNCUs Infant & Young Child Feeding & Nutrition Rehabilitation Centres Micronutrient supplementation – Vitamin A & Iron folic acid

12. IMNCI addresses causes of deaths

13. India IMCI program is oriented to the newborn and young infant

14. What can we do? One answer is IMCI, a comprehensive strategy to reduce mortality and morbidity in children under 5 and promoting their health growth and dvelopment. IMCI has been developed by WHO and UNICEF in collaboration with countries and paediatricians around the world during the 1990ies, and was launched for implementation in 1996. It includes a number of complementary interventions to improve health worker performance, health systems, and family and community practices. What can we do? One answer is IMCI, a comprehensive strategy to reduce mortality and morbidity in children under 5 and promoting their health growth and dvelopment. IMCI has been developed by WHO and UNICEF in collaboration with countries and paediatricians around the world during the 1990ies, and was launched for implementation in 1996. It includes a number of complementary interventions to improve health worker performance, health systems, and family and community practices.

16. High focus states ambitious but performance lags behind!

17. Limitations of IMNCI Outpatient Facility Based Community activities not given adequate focus Training centre of attention Vertical initiatives in Non IMNCI districts sorely lacking

18. Treatment of Childhood Diseases Percentage of children with childhood diseases taken to a health facility or provider Diarrhoea: 60 percent Acute respiratory infection (ARI): 69 percent Fever: 71 percent

19. Delay in getting treatment

20. Reasons for seeking care outside home

22. Referral Advice

23. Referral Advice

24. Home visit during illness

25. Knowledge of ORS Packets Nearly three-quarters of women know about ORS packets (up from 43% in NFHS-1 and 62% in NFHS-2). However, use of ORS is low and virtually unchanged since NFHS-2.

26. Home Based Newborn Care SEARCH model selected Modules adapted Permissions granted by DCG (I) Funding from NIPI Fell apart Different states – different initiatives

27. Facility Based Newborn and child care Evaluation of GOI-NNF programme done Being implemented by states Sick Newborn Care Units (SNCUs) being set up – 57 by end of current year

28. Latest available status of Vitamin A Source: Family Welfare Statistics 2006

29. Limitations of different trainings Management of multiple trainings difficult for trainers and trainees Different programmes in different districts and at varying paces

30. Health personnel level wise activities Train nurses also on child health Doctors and nurses integrate IMNCI(OPD care) with inpatient care ANMs & AWWs & ASHAs _ integrate IMNCI (hw module) i.e OPD care with home based care Saturation approach Neonatal and Child health policy formulated

31. Centre of attention based on classification of states - IMR Achieved 2007 goal Achieved 2012 goal Above national average 20 states 10 states 8 ( Assam, Bihar, Chattisgarh, Haryana, MP, Orissa, Rajasthan, UP)

32. Family planning decreases IMR

33. Thank you

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