Problems of Low Birth Weight: A community based monitoring surveillance system in West Bengal. By Pandey CS, R. Anuradha, Jana Laboni Child In Need Institute.

Slides:

Advertisements

Similar presentations

THE STATE OF THE WORLD’S CHILDREN 2009

Advertisements

IMCI Unit AFRO Going to scale: Experience with Community IMCI Meeting of RBM and IMCI Task Forces 24 th –26 th September 2002 Harare, Zimbabwe Presentation.

World Health Organization

One Science = Early Childhood Pathway for Healthy Child Development Sentinel Outcomes ALL CHILDREN ARE BORN HEALTHY measured by: rate of infant mortality.

Background Ethiopia: second populous country in Africa, 80 million

MATERNAL HEALTH Some technical aspects ANC, Delivery Care and PNC

CINI ASHA The Urban Unit of Child In Need Institute Urban Health Programme.

By Mrs Susana Larbi Wumbee Deputy Director Nursing Services

EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.

National Conference on MDG 5 – Improving Maternal Health in Pakistan November, 2013 Islamabad, Pakistan.

NUTRITION AND PRIMARY HEALTH CARE

Maternal, neonatal, child health and nutrition

Chapter Ten Child Health.

Juanita Graham MSN RN Health Services Chief Nurse MS State Dept of Health.

Convergence of services between NRHM and ICDS. NCCP N B CP Convergence of services IDD PFA& D.

Community Based Newborn Care BRAC. PRESENTATION OUTLINE Maternal and Child Health Scenario in Bangladesh BRAC MNCH Programme Service Delivery Service.

Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 11:

Interconception Education and Counseling: Strategies from Florida Presented by: Betsy Wood, BSN, MPH Infant, Maternal & Reproductive Health Unit Florida.

IMCI Dr. Bulemela Janeth (Mmed. Pead) 1IMCI for athens.

Intergenerational impacts of maternal mortality related to HIV in South Africa L. Knight1 and A.E. Yamin2 1. School of Public Health, University of Western.

Action and forces influence nutrition through life cycle (nutrition intervention) Maternity and Infancy Dr. Dina Qahwaji.

A Presentation to __________ Healthy Timing and Spacing of Pregnancy (HTSP): For healthy babies, healthy mothers, and healthy communities.

1 Investing in the future: Addressing challenges faced by Africa's young population. 40 th Session of the Commission on Population and Development Nyovani.

Goal 4: Reduce child mortality Existing Target 5 Reduce by two thirds between 1990 and 2015 the Under Five Mortality Rate Proposed Target 5 Reduce by.

Copyright © 2008 Delmar. All rights reserved. Chapter 22 Maternal and Child Populations.

Global Awareness Program Women’s Health. What sets women’s health apart from men’s? Two big themes: 1)Women generally need more health care than men because.

The role of ECD services in reaching Children Affected by HIV/AIDS Sonja Giese Technical Workshop of the Africa ECCD Initiative Cape Town, South Africa.

By Dr Caroline Phiri Chibawe Ag Director MCH MCDMCH

Medway FNP Annual Report Safeguarding vulnerable children Challenge How to protect and improve the outcomes for children whose parents have had.

Low Birth Weight, Maternal Nutrition and Antenatal Care in Rural Jharkhand: Findings from Ranchi Low Birth Weight Project Dr. Subrato K. Mondal Ronita.

Health Cluster Response Plan CAP 2013 SANA”A, YEMEN October 20 th, 2012.

Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) Maternal and Newborn Health Training Package Session 1:

Gender and Health H.E. ADV Bience Gawanas Commissioner for Social Affairs, AUC.

Addressing the SRH needs of married adolescent girls: Lessons from a case study in India K. G. Santhya Shireen J. Jejeebhoy Population Council, New Delhi.

Early Childhood Adversity

MCH Mother and Child Health CHP310: Community Health Program-l Mohamed M. B. Alnoor.

SEMINAR PRESENTATIONS

1 A 5 POINT PROGRAMME TO SAVE CHILDREN By PDG Dr. Rekha Shetty RID 3230 Vice Chair - RFPD.

SOCIAL OBSTETRICS Defined as the study of the interplay of social and environmental factors and human reproduction going back to preconceptional.

General information on child nutrition. OBJECTIVES SKILL DEVELOPMENT FOR  WEIGHING PREGNANT WOMEN AND PRESCHOOL CHILDREN  DETECTION OF UNDERNUTRITION.

Child Nutrition. Child Nutrition | MGIMS, Sewagram | 31 st Oct 2012 Clinical assessment –Obvious wasting, Edema Anthropometric measurements Biochemical.

Low Birth Weight, Maternal Nutrition and Antenatal Care in Rural Jharkhand: Findings from Ranchi Low Birth Weight Project Dr. Subrato K. Mondal Ronita.

PREVENTION OF VERTICAL TRANSMISSION OF HIV: THE FAMILY CENTRED AND COMMUNITY BASED APPROACH IN PERI-URBAN ZAMBIA Presented by Beatrice Chola Executive.

Lives at Risk: Malaria in pregnancy

Nutrition: What’s Working, What Does It Take, & What’s On the Horizon 2002 AFR SOTA Meeting Thursday, June 13.

Vulnerability of Women & Children to HIV/AIDS DR. KANUPRIYA CHATURVEDI DR. S.K. CHATURVEDI.

Incorporating Preconception Health into MCH Services

MDG 4 Target: Reduce by two- thirds, between 1990 & 2015, the mortality rate of children under five years.

Comprehensive Nutrition Survey in Maharashtra 2012

Reproductive Health class#2 Safe motherhood. Women’s Health Key facts.

Session: 3 The four pronged approach to comprehensive prevention of HIV in infants and young children Dr.Pushpalatha, Assistant Professor, Dept of Pediatrics,

Session 136: Community approaches for increasing coverage of child health interventions Community approaches for increasing coverage of child health interventions.

Reducing the Incidence of Low Birth Weight using a Community based Life Cycle strategy: An Introduction RANCHI LOW BIRTH WEIGHT PROJECT Dr. Subrato K.

By: Maria Jorgensen. Uganda has a high maternal mortality ratio, typical of many countries in sub-Saharan Africa, with an estimated 505 maternal deaths.

Community Action Research to Improve Nutrition and Growth in rural India CARING Delhi, March 2013.

2015 Afghanistan Demographic and Health Survey (AfDHS) Key Indicators Report.

RISK FACTORS FOR MALNUTRITION

1 Use of Nutrition Corners to Improve Identification and Nutritional Status of HIV- Infected Infants and Young Children in Lesotho Presented by: Malijane.

Lifestyle factors associated with preterm births Felicity Ukoko RGN RM MSc Public Health Head of Programmes Wellbeing Foundation Africa.

9th International Conference of Asia Scholars (ICAS9)

Primary health care Maternal and child health care MCH.

2014 Kenya Demographic and Health Survey (KDHS) Maternal and Child Health Follow along on

Millennium Development Goals (MDGs)

Reducing global mortality of children and newborns

MILLENIUMS DEVELOPMENT GOALS

Mother and Child Health/Nutrition Initiatives Department of Health Gilgit-Baltistan Presented By Muhammad Abbas Program Coordinator Nutrition Program.

Ingredients of a Sustainable healthcare SYSTEM– the Cayman islands experience Lizzette Yearwood.

Adolescent pregnancy, gender-based violence and HIV

Presentation transcript:

Problems of Low Birth Weight: A community based monitoring surveillance system in West Bengal. By Pandey CS, R. Anuradha, Jana Laboni Child In Need Institute February 2004

Thrust Areas Safe motherhood. Child survival, growth & development. Nutrition for vulnerable groups. Reproductive and sexual health of young people Prevention of RTI/STI/HIV/AIDS About CINI Area & Population CINI reaches out to more than 700,000 rural and urban poor population in 4 districts of West Bengal. 5,000 street children in Kolkata 5,000 sex workers in four rural red light areas. Many other population groups through its collaborative work with government agencies and NGOs in other states of India.

LCA Implementing Units

Institute based activities Out Patient Department Thursday Clinic Reproductive Health Clinic Adolescent Health Clinic Nutrition Rehabilitation Center Lactation Management Unit Emergency Ward

~ Major National Priorities ~ Reduce Maternal Mortality Ratio. Reduce Infant and Child Mortality rates. Reduce Proportion of Low Birth Weight babies. Reduce Severe and Moderate Malnutrition in U5 children. Reduce Unmet Need for contraception. Reduce Anaemia prevalence among women and adolescent girls. Complete Primary Immunization of all children aged months. Reduce spread of HIV infection. Source: NPP 2000, NHP 2001, 10 th 5YP, NACO 2002

Lifecycle Approach to bring about ‘Sustainable Health & Nutrition Development for Women & Children’

LCA: A Package of interventions organised to Pregnancy Early childhood Adolescence address risks and opportunities during critical stages of lifecycle, starting with pregnancy and moving through birth, infancy, early childhood and adolescence. u Early registration u Ensure adequate weight gain u Ensure TT, IFA, 3 or more ANC u Attended delivery u Adequate nutrition u Reduce anaemia among girls u Awareness regarding pubertal changes u Develop life skills u Birth weight above 2500 gm u Proper feeding as well as weaning u Early stimulation u Timely immunization u Prevent frequent illness u Reduce incidence of death

Translating Medico-Social Factors Into Doables Low birth weight Maternal Anthropometric measures Gestational Weight Gain Pre-pregnancy BMI · Energy expenditure (rest and workload) Diet during pregnancy · Inter-pregnancy Interval · Anaemia · Previous Pregnancy history · Mental stress · Maternal Chronic diseases (Heart, TB, respiratory illness) · Maternal problem during 3 rd trimester (eclampsia, antepartum haemorrhage) · Substance abuse (tobacco, alcohol) Maternal Infection (malaria, diarrhoea, RTI/ STI/HIV/AIDS) Contextual Factors Familial Factors Individual Factors Access to health services

Strategies 1.Case Management 2.Behaviour change and communication 3.Linkage, convergence and partnership

Existing Scenario: Global & Developing countries

Indian Scenario: LBW prevalence in selected state of India

Pregnancies 3819 Abortions 117 Deliveries 2714 Live Born 2645 (97.5%) Stillborn 69 (25/1000) Still Alive 2563 Died 0-7 days 46 (17.4/1000) Died 29 days – 1 yr 17 (6.4/1000) Case Management Activities from October 2001 to September 2003 Died 8-28 days 19 (7.2/1000) Low Birth Weight 554 (20.9%) Normal Birth Weight 1966 (74.3%)

Normal curve distribution of birth weight Mean = 2.7 kg SD = 455 grams N= 2510 Mean = 2.72 kgs, SD=464 grams N=1726 Mean = 2.66 kgs, SD=430 grams N=784 October 2001 – September 2002October 2002 – September 2003

Correlates of Low Birth Weight

Maternal Anthropometric measures Maternal weight in 1 st TrimesterMaternal height  2 = 21.9, df =1, p <  2 = 8.9, df =1, p = 0.002

Maternal Age  2 = 20.8, df =3, p =

Pregnancy characteristics  2 = 33.6, df =1, p< Gravida and birth weight  2 = 3.9, df =1, p=0.04 Complication in previous pregnancy

Consequences of Low Birth Weight

Changes in Nutritional status of LBW children at first 3, 6 and 12 months of life Cohort of 700 children born before Oct’ 2002

Infant deaths in LBW babies  2 = 17.7, df =2, p=

Database Management AND Field MIS

Database Village Census Household Census Referral Slip Information Sheet (one time only) Cohort Register (health worker wise) Follow up List for Supervisor Monthly Report Supervisor’s Visit Supervisor’s Report Monthly One time Annually Annual Report MIS Information Flow At A Glance Report Sponsor Report Vital Events Mother & Child Protection Card

Limitations Field based routine monitoring data Validation of birth weight Differences in birth weight - home & institution

Thank you!