Comprehensive Newborn Care Package Comprehensive newborn care - - PowerPoint PPT Presentation

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Dec 14, 2023 353 likes •576 views

Comprehensive Newborn Care Package Comprehensive newborn care package - Interventions Promotion of Birth Neonate and Emergency Preparedness (BNEP) and safe delivery For all newborn Immediate and Essential newborn care including

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Comprehensive Newborn Care Package

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Comprehensive newborn care package - Interventions

Promotion of Birth Neonate and Emergency

Preparedness (BNEP) and safe delivery

For all newborn

– Immediate and Essential newborn care including application of 7.1% Chlorhexidine – Postnatal Care

For sick newborn or newborn complication

– Newborn resuscitation (HBB) – Management of Newborn and young infant (0-59 days) with symptom of PSBI – Kangaroo Mother Care for preterm/low birth weight babies (<2000gm)

For prevention of preterm complication

– Identification of threatened preterm labour and application Antenatal Corticosteroid if confirmed gestational age between 24-34 weeks

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Comprehensive Social Behavioral Change Communication

Comprehen sive SBCC

Multi-sectoral engagement Community engagement Local and national Media campaign Health System (community & facility) reach

SBCC Objective: Newborn caretakers carry

ut high impact

practices with acceptable level of quality

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High Impact Newborn Services- Facilities

District Hospital and Medical College Hospital

MCWC and Upazila Health Complexes

Special Care for Premature & LBW Newborn- KMC ACS- for confirmed impending preterm deliveries

Union Health and Family Welfare Center

Immediate and Essential Newborn Care Newborn Resuscitation Newborn infection management

Community Clinic

Counselling for Healthy MNH Behavior during ANC ANC & PNC for all newborn

Special care newborn Unit (SCANU

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Healthy Newborn Care

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[CATEGORY NAME][CA[ PERCENTAG E] [CATEGORY NAME][C[P ERCENTAGE ] Unskilled Provider, 58, 58%

Essential Newborn Care

Immediate Drying Cord Care & Hygiene Including CHX Application Skin to skin & keeping warm Immediate and exclusive breastfeeding Delayed Bathing

Family preparedness for ensuring ENC

Home visit and counselling with SAFKOTHA During ANC: ENC counselling with Checklist During facility delivery :Ensure Immediate &ENC & pre-discharge counselling During PNC

Promoting ENC as NORMS

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PROGRAM LEARNING FOR NEW INTERVENTIONS

Comprehensive Newborn Care Package

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Application of 7.1% Chlorhexidine

Distribution & counselling by home visit

CHX + Misoprostol: distribution by CHWs in 3rd trimester

Distribution & counselling during ANC

Satellite, CC, UH&FWC, UHC, MCWC and other facilities

Inclusion in SDK and available in Pharmacy

SBCC to create awareness for use of CHX as part of ENC

Application during delivery

During home delivery without skilled provider: Application by family members During home delivery by CSBA or

ther skilled provider: by skilled

provider after cord-cutting During facility delivery: by service provider after cord-cutting

Availability of CHX to Family

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PSBI Management in Union Level Facilities

Major challenge is proper care seeking and compliance to referral to hospital SATT and AFRINEST provided evidence to manage cases in PHC settings with simplified regimen when referral is not possible Bangladesh developed new national guideline and WHO published its recommendations based on AFRINEST and SATT studies CNCP incorporated PSBI management and nested implementation research to operationalize new WHO recommendations and GoB guidelines

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Establish KMC Unit: UHC, MCWC & DH

National Readiness

Consensus and policy adoption

National Readiness

Development for national guideline and SOP for KMC

National Readiness

Development

f KMC

Training materials, tools and Jobaids Establish center of excellence and program learnings

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Prevention of Complication of Prematurity: Judicial use of ACS

Facility where ACS can be administered:

1. Ability to accurately assess gestational age &

determine risk of imminent preterm birth

2. Adequate care available for preterm newborns
3. Reliable, timely & appropriate identification and

treatment of maternal infection

Assessment of Gestational Age

Conditions of threatened preterm labour

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Services initiated Service Completed Standards of care applied Caretakers enabled to engage in best newborn practices Caretakers enabled to seek timely care

Effective Coverage National Readiness District Level Capacity Building

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Thank You

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Quality of Antenatal Care (ANC) Counselling Baseline Assessment- Kushtia

SNL special studies, Kushtia, September-October 2014

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SNL special studies, Kushtia, September-October 2014

Quality of Antenatal Care at health facilities: observed components of ANC counselling, percentage of pregnant women [N=622]

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SNL special studies, Kushtia, September- October 2014 16

Quality of Antenatal Care at health facilities: observed to have received messages about danger signs of pregnancy and newborns, percentage of pregnant women [N=622]

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SNL special studies, Kushtia, September- October 2014 17

Quality of Antenatal Care at health facilities: observed to have received messages about BNEP, percentage of pregnant women [N=622]

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SNL special studies, Kushtia, September- October 2014

Quality of Antenatal Care at health facilities: observed to have received messages about Essential Newborn Care, percentage of pregnant women in their 3rd trimester [N=401]

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SNL special studies, Kushtia, September- October 2014 19

Quality of Antenatal Care at health facilities: observed to have received messages about newborn danger signs, percentage of pregnant women in their 3rd trimester [N=401]