Dr anju puri senior advisor newborn and child health 16 th november 2010
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A Call To Action: Supporting India’s Commitment to the Global Strategy for Women and Children’s Health Maternal and Child Health Integrated Program (MCHIP). Dr. Anju Puri Senior Advisor, Newborn and Child Health 16 th November 2010. MCHIP in India.

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Dr anju puri senior advisor newborn and child health 16 th november 2010

A Call To Action: Supporting India’s Commitment to the Global Strategy for Women and Children’s HealthMaternal and Child Health Integrated Program (MCHIP)

Dr. Anju Puri

Senior Advisor, Newborn and Child Health

16th November 2010


Mchip in india
MCHIP in India Global Strategy for Women and Children’s Health

MCHIP is working to address major constraints in national efforts to improve MNCH and contribute towards achieving MDG 4 & 5

  • Vaccine Preventable Disease

    • Focus on expanding immunization coverage and improving quality to reduce morbidity and mortality

  • Maternal Health

    • Strengthening Pre-service Nursing and Midwifery Education System

    • Revitalizing PPFP/PPIUCD program

  • Newborn Health

    • Support the nationalprogram for care of the newborn through improved ENC, neonatal resuscitation and hand washing practices


Where
Where Global Strategy for Women and Children’s Health


Immunization status india
Immunization Status India Global Strategy for Women and Children’s Health


Vaccine preventable diseases
Vaccine Preventable Diseases Global Strategy for Women and Children’s Health

  • Influencing national immunization policies and strategies and mobilize new resources

    • NRHM guidelines that make funding available for evidence-based, best practices

    • New vaccine , measles control, JE vaccine, cold chain, PIPs

  • Using “ RED” for planning, management and monitoring

  • Building capacity of stakeholders

    • Updating, leveraging resources for roll out and evaluating RI training packages for BHWs, MOs, DIOs, partners (more than 1000 workers trained; 150,000 across India)

    • Need-based job aids (used in UP, Jhk, Bihar, Maharashtra, Gujarat, Orissa, Punjab)

    • Pioneering a unique multi-partner supportive supervision approach (UP/Jharkhand, Orissa, MP)

  • In selected blocks of focus districts, demonstrating successful approaches to utilize lessons from polio eradication for improving RI


Nmr trends and predictions
NMR trends and predictions Global Strategy for Women and Children’s Health


Causes of neonatal mortality
Causes of Neonatal Mortality Global Strategy for Women and Children’s Health


Newborn activities
Newborn Activities Global Strategy for Women and Children’s Health

  • Collaborate with the MOHFW and state governments to refine and roll-out essential newborn care programs, including NSSK

    • NSSK rolled out in 15/24 districts UP & Jharkhand respectively,

    • 239 trainers trained in UP & 82 in Jharkhand, quality monitoring of cascade training

    • Facility Readiness assessment & operationalization for Newborn Care

    • Preparation of job-aides

  • Strengthen national, state level partnerships for improved policy dialogue and evidence based planning

    • Child health strategy and operational plan linked to PIP

    • National child health partner group under GOI

    • Expert group on Facility Based Newborn Care - MIS, Operational Guide on Facility Based Care

    • Desk Review of Perinatal Care in India

  • Strengthen basic NBC and neonatal resuscitation content of INC pre-service training curricula for nurses

    • Curricula updated and in line with NSSK

  • Adapt and test the successful supportive supervision approach as key activity integrating lessons of immunization supervision model for newborn care


  • Strengthening pre service nursing and midwifery education system
    Strengthening Pre-service Nursing and Midwifery Education System

    Comprehensive initiative in partnership with INC/GOI to strengthen the foundation of ANM education resulting in

    • Better prepared service providers,

    • Higher functioning educational institutions and

    • ANMs who are competent, confident and ready to work upon graduation.

    Achievements

    • Commitment from GoI/ INC/ state Govt/ Donors

    • INC approved standards for education developed and in use

    • 5 national nodal centers identified and work started

    • 6 weeks curriculum for training tutors being finalized


    Revitalizing ppfp ppiucd program in india
    Revitalizing PPFP/PPIUCD program in India System

    Rationale

    • 2/3 of PP women desired to space or limit future births but were not using appropriate services.

    • Method mix relied heavily on sterilization when IUCD could be an excellent option for many women.

    • JSY was bringing women to facility: supplying them with information and delivering high quality services -- goal of PPFP program.

    • National IUCD initiative

    Achievements

    • Increased interest at National/state level, FOGSI, private providers, donors

    • National Consultation on Family Planning for Maternal and Child Health in addition to Population Stabilizationin May 2010

    • States developing PPFP strategy


    Establishment of ppfp ppiucd services
    Establishment of PPFP/PPIUCD Services System

    Developed national PPIUCD clinical guidelines, training materials including job aids, IEC material, approved by GoI

    Developed 4 training sites including standardizing PPIUCD services

    Doctor and nurse teams from two sites each in 16 states trained and PPFP/PPIUCD services established at > 32 sites

    > 3000 PPIUCD insertions done In the newly established service delivery and training sites since February 2010.


    Dr anju puri senior advisor newborn and child health 16 th november 2010

    Thank You System