National Newborn Health alth Program: A Renewed Focus to Savin - - PowerPoint PPT Presentation

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National Newborn Health alth Program: A Renewed Focus to Savin - - PowerPoint PPT Presentation

National Newborn Health alth Program: A Renewed Focus to Savin Focus to Savin aving Newborn aving Newborn Dr. Khaled leda Islam MMEd (UK), MPH H (DU), MBBS CU) Director PHC & P PM NNHP & IMCI Bangladesh Ach Achieved MDG 4 140


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SLIDE 1

National Newborn Health Focus to Savin Focus to Savin

  • Dr. Khaled

MMEd (UK), MPH

Director PHC & P

alth Program: A Renewed aving Newborn aving Newborn

leda Islam

H (DU), MBBS CU)

PM NNHP & IMCI

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SLIDE 2

Bangladesh Ach

133 116 94 88 87 82

80 100 120 140

66 65 52 48 42 41

20 40 60

1993 1997 2001 2004

Source: BDHS, UN-IAGCME- UN Inter-agency grou

Achieved MDG 4

U-5 MR MDG

65 53 46 48 52 43 38 31 37 32 28 22

2007 2011 2014 2015

IMR NMR

group for Child Mortality Estimation, 2013

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SLIDE 3

Proportion of Neonatal Morta

46 34 28 23

Neonatal deaths (0-28 days) Post neonatal deaths (29 to 364 days) Deaths during 1 to 4 years

52 48 42 41 37 32 28 35 34 24 24 15 11 10 23 13 10 8 1993 1996 1999 2003 2007 2011 2014

Sou

  • rtality to U5 Mortality

39 41 45 47 57 60 61

60 80 100

39 41 45

20 40

1993 1996 1999 2003 2006 2011 201 NMR as proportion of U5MR

  • urce: BDHS 2014
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SLIDE 4

Proportion of neonatal deaths by

19%

0-1 day 2 - 6 days 7 -28 day

50% 31%

by age days

Birthday Day: Most dangerous Day

  • f life of neonate
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SLIDE 5
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SLIDE 6

52 48 42 41 37 32

Current Required

Achieving SDG targe

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Actual NMR (BDHS)

28

nt rate of reduction: 3.6% per yr. ired rate of reduction: 4.6% per yr.

arget of NMR by 2030

24 19 15 12

2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030

HS) Projected NMR

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SLIDE 7

He NNHP in 4th HNPSP Banglades National Banglades h’s Response to SDG targets National Newborn Health Program (NNHP)

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SLIDE 8

NNHP implementation approach

Availability

  • f skilled

service providers Capacity building & skill retention Quality Improvement SBCC

ach

retention Facility Readiness Referral & Transport Routine Data & Monitoring

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SLIDE 9
  • llowing Global Strategies, Action Plans & Rec

Implementing Bangladesh Every Newborn Action Plan (BENAP)

Recommendations

very AP)

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SLIDE 10

NNHP Intervent Community

Promotion & Prevention SBCC

PHC

Care for All N

National Newborn Campaign

Birth Preparedness Newborn Care Care Seeking Practice Capacity Dev Facility readiness f quality & equitable

Procurement & s 7.1% CHX drugs, equipmen ties

vention package PHC

All Newborn

Specialized Care

Care for Small & Sick Newborn

Preterm & LBW Development ess for providing table services Preterm & LBW Perinatal Complication

  • Resuscitation: HBB protocol

Serious Infections Critically Ill -SCANU

t & supply of ment, commodi

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SLIDE 11

NNHP Implem MOH& DGHS: Line Director &

CBHC

DPM Admin Finance DPM Newborn Health DPM Monito & Da Qual

Division, District, Upazil CBHC Hosp MIS

plementation OH&FW

  • r & Program Manager

DPM

All DPs

DPM nitoring & Data uality DPM Coordination & Logistics Managemen t DPM Training & Child Injury

azila, Union, Community DPs Stake Holders

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SLIDE 12

SOPs, Manuals, e-Materials

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SLIDE 13

Job Aids - Neonatal Seps Sepsis, KMC, ACS Treatment

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SLIDE 14

Ensure availability of Sup

  • 7.1%

Chlorhexidine Antibiotics for PSBI

upplies, Logistics

14

Baby Weighing Scale KMC Binder & cap

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SLIDE 15

Monitoring System Monitoring System – Register & DHIS 2 Register & DHIS 2

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SLIDE 16

SBC National Newb

IEC materials Docu-drama Round table News Papers

SBCC ewborn Campaign

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SLIDE 17

Opportunities & Challenges

Opportunities:

  • Experience of

Successful Programs

  • EPI,
  • ORS

hallenges: New Program Mind-set of

  • Managers
  • Service
  • ORS
  • Low cost high impact

Interventions

  • Commitment of all

stakeholders

  • Service

providers Community Involvement

Way Forward

Your Valuabl Contribution

  • Teacher
  • Trainer
  • Clinician

ÒRb¥ ‡_‡K 28 w`b wkï evuPv‡Z hZœ wbbÓ

  • Clinician
  • Technical

Expert

  • Profession

Body

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SLIDE 18

Thank You!! You!!