Definitions Infant: 0 to 1 year babies. Neonates: 0-28 days babies (4 weeks). Early Neonates : 0-7 days babies(1 week). Under 5 children or child: 0-5 years children. Perinatal: between 22 completed weeks (154 days) of gestation and seven days after birth. NBCC: New Born Care Corner NBSU: Newborn Stabilization Unit. SNCU: Special Newborn Care Unit.

Karnataka Child Mortality Situational Analysis * Per 1000 live births, SRS Reports

Causes of Neonatal Deaths 3 MAIN CAUSES 1)PREMATURITY OR LOW BIRTH WEIGHT 2)BIRTH ASPHYXIA 3)SEPSIS

Causes of Infant deaths

Child health Section-Core activities FBNC CDR IMNCIROP JSSK FACILITY BASED NEWBORN CARE CHILD DEATH REVIEW INTIGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESSES RETINOPATHY OF PREMATURITY JANANI SHISU SURAKSHA KARYAKRAM-CHILD COMPONENT TO REDUCE NEONATAL MORTALITY TO HAVE CORRECTIVE ACTIONS AT LOCAL LEVEL TO REDUCE NEONATAL AND CHILD MORTALITY AT COMMUNITY LEVEL TO REDUCE NEONATAL MORBIDITY TO REDUCE OUT OF POCKET EXPENSES.

Facility Based Newborn Care (FBNC) SNCUNBSUNBCC Extra care of all ill /Preterm Neonates, Warmth, KMC, feeding/fluids, oxygen, management of neonatal jaundice, management of severe neonatal infections. Emergency care: Continuous positive airway pressure, Surfactant for respiratory distress syndrome. Sick and low birth neonates can be managed for short term. Kangaroo Mother care, warmth, feeding support/intravenous fluids,oxygen provision, Management of neonatal jaundice, infection prevention and management, early detection of severe cases and referral. Immediate Newborn care (Stimulation, Warmth and Breastfeeding) Aims to reduce the neonatal mortality

REPORTING Facility Based Newborn Care (FBNC) Setup 37 SNCUs166 NBSUs1083 NBCCs At District hospitals and Medical college Hospitals At all Taluk Hospitals and some CHCs In all labor rooms and OTs (PHC/CHC/TH/DH) ONLINE PORTAL FOR DATA ENTRY EXCEL BASED REPORTING The purpose of the facility based newborn care is to provide the essential newborn care for normal newborns and sick newborn care for the sick newborns through trained staff nurses and doctors

Facility Based Newborn Care (FBNC) essential trainings SNCUNBSUNBCC DOCTOTS: FBNC Trainings (4+15 Days) STAFF NURSE: FBNC Trainings 4+15 Days) DOCTORS: F-IMNCI Training (8 Days) STAFF NURSE: F-IMNCI Training (8 Days) DOCTORS: NSSK Training (3 Days)) STAFF NURSE: NSSK Training (3 Days) The training package is executed by the State Institute of health and Family welfare, Has also Training management information system (TIMS) for tracking.

Child Death Review FACILITY BASED At the Hospitals COMMUNITY BASED At the Community level REPORTING – Monthly consolidated numbers with various categories, Excel based LINE LISTING-Monthly, Excel basedREVIEWING-Meeting monthly,minutes sent to state

IMNCI-Integrated management of Neonatal and Child hood Illnesses AWW /ANM/ASHA Will assess, treat or refer with help of IMNCI Algorithm Trained in IMNCI COMMUNITY BASED IMNCI FACILITY BASED IMNCI DOCTORS and Staff Nurses Will Treat the referred Trained in F-IMNCI Reporting IMNCI Case Sheets Consolidated Monthly Reports from SUB CENTRE to PHC to THO to the DISTRICTs. The Districts Quarterly will send a quarterly report to the STATE. “The Program involves all 3 grass root level workers to Assess and Treat at household level if possible or to refer a sick newborns up to the age of 5. Further the facility will treat such referred children appropriately Reports Components Assessed, Treated, Referred, Died number of children on various illnesses

ROP-Retinopathy of Prematurity The Premature infants are more prone to suffer from blindness due to retinopathy of prematurity (ROP). At SNCUs the newborn below 2 kg are screened and treated for ROP. Done through Public Private Partnership with various private ophthalmic hospitals. Reports directly sent to state by respective hospitals/Agencies.

JSSK-Janani Shisu Suraksha Karyakram Child health component of JSSK 1.Free Medicines 2.Free Blood and Diagnostics 3.Free Transport To all the 0-1 years sick children admitted in the hospital Reporting Physical Reporting on the number of benefited infants. Financial reporting on the amount spent.

Intensified diarrhea control Fortnight ( IDCF) To bring the diarrhea deaths to Zero level in children and prevent malnutrition in under 5 children through  Ensuring prophylactic availability of ORS in every household having under five child through ASHAs  Increasing awareness on the compulsory usage of Zinc and ORS (JODI No.1) in all diarrhea cases  Improving the awareness of feeding practices among communities through ANMs and ASHAs. Done in intensive mode for 15 days (IDCF) in a year, Reports are collected during the round

IDCF through ASHA To promote Diarrhoea control practices and Infant and young child feeding practices

Preventive measures

SNCU Online Portal All the admissions and discharges are entered online in all SNCU to Bring in uniformity in data recording & clinical record keeping Measuring performance of SNCUs on different parameters Establishing follow up system both in community and in SNCU for improving long term survival, growth & development Comparison between SNCUs to prioritize supportive supervision and for policy decisions

Thank you