CDMO Conference 22.01.2010 Child Health Review. Directorate of Family Welfare, Orissa. Child Health Strategies. IMNCI (Integrated Management of Neonatal & Childhood illness) FIMNCI (Facility based Integrated Management of Neonatal & Childhood illness) SNCU (Sick Newborn Care Unit)
CDMO Conference22.01.2010Child Health Review Directorate of Family Welfare, Orissa
Child Health Strategies • IMNCI (Integrated Management of Neonatal & Childhood illness) • FIMNCI(Facility based Integrated Management of Neonatal & Childhood illness) • SNCU(Sick Newborn Care Unit) • PD(Pustikar Diwas) • NSSK ( NavajataSishuSurakhaKaryakram)
Issues in IMNCI Implementation • Distribution of drugs / formats down below to AWC level • Formation IMNCI Coordination Committee and regular meetings • Joint review with ICDS at District & Block level • Training of Supervisors in IMNCI • Review progress on monthly basis • Timely reporting from the Block to District and up to the State • Additional venue for Basic Health workers training to be started • Supervisory training to be given priority • Issues of Deogarh on activating Banai: Approval will be given shortly • RI Coordinator to remain in charge of MCH programmes in the absence of Child Survival Coordinator / Dy Manager Child Health • Involvement of Med Colleges on conducting TOT for new districts and field assessment
Other SNCU Issues • Staff nurse to be recruited in • Sonepur • Kandhamal • Puri • Sambalpur • Rayagada • FBNC trained Staff Nurses should work exclusively in SNCU. • Funds for recurring & maintenance Expenses have been provided to District with functional SNCU. • Funds should be utilised to resolve day to day operational issues. • SNCU Committee meeting to be held monthly.
Issues- Pustikar Diwas • Irregular Reporting Boudh, Koraput, Nuapada, Malkangiri, Nayagarh, Sundargarh • Very high case load on Pustikar Diwas Day: Screening at VHND to be strengthened • One client receiving admitted several times for monetary benefits only: genuineness of cases should be checked at District/ Block level. • Transparency in selection of pharmacy shops and investigation centres while referring cases for medicine and investigation • Coordination with WCD (ICDS) functionaries in field level is weak District level meeting with DSWO should be done regularly • Operational Guidelines and formats should be strictly used during Programme Implementation