child health 2nd july

8/9/2019 Child Health 2nd July

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ChildHealth

Program

Ministry of Health and Family Welfare

Government of India


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Child Health Strategies

Integrated Management of Neonatal and Childhood Illness

(IMNCI)

Improve Health Workers skills

Address issues in health system

Improve Family and Community practices

Newborn Care Interventions Navjaat Shishu Suraksha Karyakram (NSSK)

Home Based Newborn And Child Care (HBNC)

Facility Based Newborn Care By Establishing SNCUs, NBSUs And NBUs

Childhood Immunisation and Vitamin A Supplementation

Standard Case Management for ARI and Diarrhea

Management of Severe Acute Malnutrition

School Health Program


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Districts Implementing IMNCI

States Districts Up to

2009-10

District sTarget

2010-11

Total Districts Total Districts

In States

Non Ne High

Focus

171 86 257 311

Ne States 44 28 72 88

Non High

Focus

131 52 183 221

Union Terr. 10 4 14 22

Grand Total 356 170 526 642

States With < 30% Of Districts Implementing IMNCI-

Chhattisgarh, Himachal Pradesh, MP, Arunachal Pradesh,

Meghalaya, AP, Punjab, West Bengal


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Training on Basic Newborn Care and Resuscitation One trained person during every delivery

Targets For 2010-11 For NSSK Trainings

States Medical Officers Staff Nurses Total

Non NE High

Focus

456 1536 1992

NE States 104 78 182

Non High Focus 520 520 1040

Union Territory 36 140 176

Grand Total 1116 2274 3390

Navjaat Shishu Suraksha Karyakram (NSSK)


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Home-based Newborn Care

Home Based Care for - Neonates and Mothers

Home visits by health workers

Promotion of Exclusive Breast Feeding

ASHA Module 6 And 7 Have Been Developed

HBNC has been developed for Use of ASHAs in Rajasthan, Bihar,Madhya Pradesh and Orissa

Uttar Pradesh integrated HBNC with IMNCI as Comprehensive Child

Survival Programme (CCSP) in 18 districts

States Should Develop Plan For Implementing A

Comprehensive Newborn Care Through HBNC


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Management of Severe Acute Malnutrition

Status

Malnutrition is an underlying cause in >55% of under-5 deaths

Prevalence of Sever Acute Malnutrition 6.4% (NFHS 3, 05-06)

Strategy

Nutrition Rehabilitation Center established for management Of

Severe Acute Malnutrition

Madhya Pradesh (121) and Maharashtra (438) Have Functioning NRC Bihar, Rajasthan and Chhattisgarh have initiated the process

States Are Urged To Address The Issue Of

Malnutrition By Planning Establishment Of NRC


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Treatment of Diarrhea

Under-five mortality attributed to diarrheal disorders 15%

Percentage of children with diarrhea taken to a healthfacility or provider 60%

Children


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StateState Percent children withPercent children with

diarrhea given ORSdiarrhea given ORS

HighestHighest

useuse

MeghalayaMeghalaya

TripuraTripura

Himachal PradeshHimachal PradeshGoaGoa

MizoramMizoram

6565

5858

56565151

4848

LowestLowest

useuse

JharkhandJharkhand

NagalandNagaland

RajasthanRajasthan

AssamAssam

Uttar PradeshUttar Pradesh

1717

1717

1717

1515

1313

Highest and Lowest Use of ORS

In 17 out of 29 states, less than one third children

with diarrhea received ORS.


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Treatment of Acute Respiratory Infections

Under-five mortality attributed to ARI: 19%

Children


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StateState % Children with ARI% Children with ARI

taken to a healthtaken to a health

providerprovider

HighestHighest DelhiDelhi

KeralaKerala

HaryanaHaryana

PunjabPunjab

OrissaOrissa

89%89%

89%89%

88%88%

87%87%

77%77%

LowestLowest Madhya PradeshMadhya PradeshManipurManipur

Arunanchal PradeshArunanchal Pradesh

AssamAssam

NagalandNagaland

52%52%45%45%

44%44%

34%34%

27%27%

Percent children


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Childhood Immunization (DLHS-3)

Immunization Division, MOHFW, Govt. of India

Coverage States/UT

LowLow

(70%)

Chandigarh, West Bengal, Karnataka, Sikkim, Kerala,Chandigarh, West Bengal, Karnataka, Sikkim, Kerala,

Punjab, Pondicherry, Himachal Pradesh, Tamil Nadu,Punjab, Pondicherry, Himachal Pradesh, Tamil Nadu,

Lakshadweep, A & N Islands, Daman & Diu and GoaLakshadweep, A & N Islands, Daman & Diu and Goa


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1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 20092010*

P3 190 730 127 59 116 22 7 4 28 794 484 662 17

P1 173 397 139 212 148 203 127 62 648 83 75 80 5

0

250

500

750

1000

1250

1500

1750

2000

* data as on 25 June 2010

Polio Cases, India

State P1 P3 Total

Jammu & Kashmir 1 0 1

Maharashtra 1 0 1

West Bengal 3 0 3

Uttar Pradesh 0 10 10

Bihar 0 6 6

aryana 0 1 1

Total 5 17 22

WPVs

Most recent virus

28 May 2010

Birbhum, WB

Improve coverage in NIDs andSNIDs

Special strategy to reachmigrant population


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COLD CHAIN


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New Initiatives

Measles second opportunity (69% national

coverage)

14 states for catch-up campaign

21 states for second dose under RI

Hepatitis B

Already in 10 states selected

Expansion of Hepatitis B vaccine in the

remaining states in phased manner

Pentavalent

Introduction of Hib-containing

pentavalent in select states is under

consideration

Immunization Division, MOHFW, Govt. of India

Hepatitis B States

Hepatitis B Pilot Districts

Hepatitis B Pilot Cities


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Issues for states

Scaling up of IMNCI (ANM) / F-IMNCI (MOs)/Immunization must be accelerated to improvecoverage at facility level

Supportive Supervision after training

Improve availability of ORS, Zinc, Antibiotics

Additional strategy at community level for improvingcontinuum of care:

Scale up implementation through ICDS (AWW)

Utilize ASHA in managing Diarrhea and ARI like home-

based Newborn care

Emphasis on monitoring of service utilization

Strengthen cold chain system


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THANK YOU

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child health 2nd july

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