Child Health

Facility Based Newborn and Child Care
Neonatal mortality is one of the major contributors (2/3) to the Infant Mortality. To address the issues of higher neonatal and early neonatal mortality, facility based newborn care services at health facilities have been emphasized. Setting up of facilities for care of Sick Newborn such as Special New Born Care Units (SNCUs), New Born Stabilization Units (NBSUs) and New Born Baby Corners (NBCCs) at different levels is a thrust area under NRHM.

Special Newborn Care Units (SNCU)

  • States have been asked to set up at least one SNCU in each district. SNCU is 12-20 bedded unit and requires 4 trained doctors and 10-12 nurses for round the clock services.

Newborn Stabilization units (NBSUs)

  • NBSUs are established at community health centres /FRUs. These are 4 bedded units with trained doctors and nurses for stabilization of sick newborns.

New Born Care Corners (NBCCs)

  • These are 1 bedded facility attached to the labour room and Operation Theatre (OT) for provision of essential newborn care. NBCC at each facility where deliveries are taking place should be established.

JananiShishuSurakshaKaryakram (JSSK)
JananiShishuSurakshaKaryakram (JSSK) was launched on 1st June 2011and has provision for both pregnant women and sick new born till 30 days after birth are (1) Free and zero expense treatment, (2) Free drugs and consumables, (3) Free diagnostics & Diet, (4) Free provision of blood, (5) Free transport from home to health institutions, (6) Free transport between facilities in case of referral, (7) Drop back from institutions to home, (8) Exemption from all kinds of user charges. The initiative would further promote institutional delivery, eliminate out of pocket expenses which act as a barrier to seeking institutional care for mothers and sick new borns and facilitate prompt referral through free transport

Facility Based Integrated Management of Neonatal and Childhood Illness (F-IMNCI)
F-IMNCI is the integration of the Facility based Care package with the IMNCI package, to empower the Health personnel with the skills to manage new born and childhood illness at the community level as well as at the facility. Facility based IMNCI focuses on providing appropriate skills for inpatient management of major causes of Neonatal and Childhood mortality such as asphyxia, sepsis, low birth weight and pneumonia, diarrhea, malaria, meningitis, severe malnutrition in children. This training is being imparted to Medical officers, Staff nurses and ANMs at CHC/FRUs and 24x7 PHCs where deliveries are taking place. The training is for 11 days.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

which includes Pre-service and In-service training of providers, improving health systems (e.g. facility up-gradation, availability of logistics, referral systems), Community and Family level care.

Home Based Newborn Care  (HBNC)

A new scheme has been launched to incentivize ASHA for providing Home Based Newborn Care. ASHA will make visits to all newborns according to specified schedule up to 42 days of life. The proposed incentive is Rs. 50 per home visit of around one hour duration, amounting to a total of Rs. 250 for five visits. This would be paid at one time after 45 days of delivery, subject to the following :

  • recording of weight of the newborn in MCP card
  • ensuring BCG , 1st dose of OPV and DPT vaccination
  • both the mother and the newborn are safe till 42 days of the delivery, and
  • registration of birth has been done

Infant and Young Child Feeding (IYCF)
Infant and Young Child Feeding is the single most preventive intervention for child survival. It advocates the following:-

  • Early initiation (within one hour of birth) and exclusive breast feeding till 6 months.
  • Timely complementary feeding after 6 months with continued breast feeding till the age of 2 yrs.

Nutrition Rehabilitation Centres (NRCs)
Severe Acute Malnutrition is an important contributing factor for most deaths amongst children suffering from common childhood illness, such as diarrhoea and pneumonia. Deaths amongst SAM children are preventable, provided timely and appropriate actions are taken.

  • Nutritional Rehabilitation Centres (NRCs) are being set up in the health facilities for inpatient management of severely malnourished children, with counselling of mothers for proper feeding and once they are on the road to recovery, they are sent back home with regular follow up.