We are about to blast off into Ionosphere.

So put on your seat belts and be sure to

enjoy this session…!!

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 EARLY
NEWBORN
ACTION PLAN

BY
GEETHIKHA B
THIRD SEMESTER
11/02/2019
YOUR FOOTER HERE 12/10/2012
 O NDER !
OP
DATA T

YOUR FOOTER HERE 12/10/2012

Global New-born Action Plan

©GEETHIKHA B 09/02/2019
 Past two 2 Important
decades-
Remarkable milestones-NRHM
progress and RMNCH +A
New-born health-centre
Strategy stage in the overall
strategy

RMNCH +A Strategy in
2013-Shift in approach
towards health care
 In Outlines a strategy for
accelerating reduction
June 2014
of preventable new-
born deaths and
stillbirths.
6 interventional
packages
Integration

Partnerships Equity
To be implemented within
RMNCH +A framework

Accountability Gender

Convergence Quality of care

YOUR FOOTER HERE 12/10/2012
 OBJECTIVES:
• To reduce neonatal
mortality rate to below 10
by 2030
• To reduce still birth rate
below 10 by 2030
 STRATEGIC
Can prevent almost three-
quarters of new-born INTERVENTIONAL
deaths,one-third of
stillbirths, half of the
PACKAGES
Various life
maternal deaths by 2025. stages of
Newborn

• ESSENTIAL [E]
• SITUATIONAL [S]
• ADVANCED [A]
YOUR FOOTER HERE 12/10/2012
YOUR FOOTER HERE 12/10/2012
YOUR FOOTER HERE 12/10/2012
 Care during labour and
childbirth
Outreach/sub-
centre
Family and
Identification of Health facility
community
complications and Emergency
Skilled birth timely referral[E] obstetric care[E]
attendance[E]
Pre-referral dose Management of
Clean birth by ANM[E] pre-term labour[E]
practices[E]
-ANCS
-Antibiotics
YOUR FOOTER HERE 12/10/2012
 Immediate new-born Care
Family and community
Delayed cord
clamping[E]
Prevent Outreach/sub-centre Health facility
Hypothermia[E] Vitamin K at birth [E] Advanced Neonatal
Early initiation and Neonatal resuscitation[E]
exclusive breast resuscitation[E]
feeding[E]
Hygiene to prevent
infection [E]
YOUR FOOTER HERE 12/10/2012
Care of Healthy new-born
Family and Outreach/sub-
community centre
Home visits till 6 Immunization[E] Health facility
weeks by trained -BCG All the
ASHA[E] interventions
-OPV
Exclusive breast (except home
feeding[E] -Hepatitis B visits)
Clean postnatal -DPT
practices[E]
YOUR FOOTER HERE 12/10/2012
 Care of small and sick new-
born
Health facility
Kangaroo mother care
at facility[E]
Outreach/sub-centre
Family and Full supportive care at
community IMNCI and use of oral
block and district
antibiotics[E]
Thermal care and level[E]
feeding support[E] Injectable gentamicin
Intensive care
by ANMs for sepsis[E]
services at regional
level[A]
YOUR FOOTER HERE 12/10/2012
 Care beyond new-born
survival
Family and Health facility
community
New-born
Screening for birth Outreach/sub- screening[A]
defects, failure to centre
thrive and Management of
developmental As before birth defects[E]
delays[E] Follow-up of high
Follow-up visits[E] risk infants
 IM
PA
CT
LE V
EL
© Copyright Showeet.com IN D
ICA
TO
RS
Birth registration

Still birth rate

Early neonatal mortality rate

Neonatal Mortality Rate

% of neonatal deaths to
under-5 deaths
Survival rate of new-borns at
1 year of age
Cause-specific neonatal
mortality
©GEETHIKHA B 11/02/2019
Monitoring and evaluation
YOUR FOOTER HERE 12/10/2012
 PR
EM WO
AT RL
UR D
ITY
DA
Y

E W
L N K
NA EE
I O NW
AT R
N BO
YOUR FOOTER HERE 12/10/2012
Rs 8
1
o n l .8 5
y!

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 REFERENCES
• Park preventive and social medicine,24th
edition
• Update on textbook of community medicine-
Adarsh, Pankaj
• WHO official website -www.who.int/infant-
newborn/en/
• Indian new-born action plan-nhm.gov.in/india-
newborn-action-plan.html
ANY QUESTIONS?

©GEETHIKHA B 11/02/2019
YOUR FOOTER HERE 12/10/2012