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BRAC. Community Based Newborn Care. Partnership approach to achieve the MDGs in Bangladesh. PRESENTATION OUTLINE. Maternal and Child Health Scenario in Bangladesh. BRAC MNCH Programme. Service Delivery. Service provider. Intervention areas. ANC, PNC. Essential Newborn Care.

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Presentation Transcript
slide1

BRAC

Community Based Newborn Care

Partnership approach to achieve the MDGs in Bangladesh

slide2

PRESENTATION OUTLINE

Maternal and Child Health Scenario in Bangladesh

BRAC MNCH Programme

Service Delivery

Service provider

Intervention areas

ANC, PNC

Essential Newborn Care

Reduction of NMR

Challenges addressed, Lessons learned

slide3

Maternal and Child Health Scenario in Bangladesh

A reduction from 12,000 maternal deaths per year in 2001 to about 7,300 in 2010

An increase in hospital birth from 9.2% to 23% and skilled attendance at delivery from 12.2% to 26.5% in three years

Of 250,000 annual under-five deaths, over half die in their first month

At least two-thirds of these deaths could be averted by ensuring appropriate care

Source : BMMS 2010, BDHS 2007

slide5

BRAC MNCH PROGRAMME IMPLEMENTATION AREAS

19

million rural populations

slide6

5. Linkage between community and

public/private health facilities

4. Timely Referral of emergency

cases

p

2. Community empowerment

1. Capacity development of HR

3. Services rendered at community,

households and facilities

NHW

SS

SK

CSBA

Midwife

Staff

OPERATIONAL STRATEGIES

slide7

SERVICE PROVIDER AT COMMUNITY LEVEL

  • Selected from localities
  • Age 25-45 years
  • Married
  • Willingness to work
  • Community acceptability
  • Selected from localities
  • Age 25-45 years
  • Married
  • Willingness to work
  • Community acceptability
  • Selected from localities
  • Age 20-35 years
  • Married
  • Minimum SSC
  • Willingness to work
  • Community acceptability
slide8

SERVICE DELIVERY

  • Maternal Care
  • Identification of pregnancy
  • Ante, intra & post natal care
  • Referral of maternal complications
  • Family planning
  • Post-abortion care
  • Neonatal Care
  • Essential Newborn care
  • Special care for LBW babies
  • Management of birth asphyxia
  • Detection and referral of Neonatal sepsis
  • Referral of complications
  • Child Care
  • Exclusive breast feeding and complementary feeding
  • Immunization and Vitamin A intake
  • Community case management of ARI and diarrhea
  • Referral of complications
slide9

REFERRAL SYSTEM

Referral Hub

slide12

ESSENTIAL NEWBORN CARE

Increasing coverage of essential newborn care

slide16

CHALLENGES ADDRESSED

Changes in behavior and practices

Community health worker’s adoption of new knowledge and practices

Lack of competence among health providers to manage neonatal sepsis

Lack of services in referral facilities for managing newborn complications

slide17

LESSONS LEARNED

  • Community health workers can perform if properly trained and supervised
  • Support of skill mix team
  • Postnatal home visit
  • Performance based incentives
  • Community support network
  • Referral support network
slide18

THE END

THANK YOU

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