New born and Child Health
- At present Odisha has progressed in reduction of IMR & NMR (Neonatal mortality rate) as per SRS (Sample Registration System 2015) now IMR in the Odisha is 46/1000 live birth and NMR is 36/1000 live birth (SRS 2014).
- Odisha has a high under-five mortality burden. The under-five mortality rate is 60 per 1000 live births (SRS 2014)
- In order to reduce infant mortality rate and to reduce Under-5 mortality and morbidity the state govt. has taken certain steps both in facility and community level.
|
Infant Mortality Rate (SRS) |
| Year |
INDIA |
ODISHA |
| 2005 |
58 |
75 |
| 2006 |
57 |
73 |
| 2007 |
55 |
71 |
| 2008 |
53 |
69 |
| 2009 |
50 |
65 |
| 2010 |
47 |
61 |
| 2011 |
44 |
57 |
| 2012 |
42 |
53 |
| 2013 |
40 |
51 |
| 2014 |
39 |
49 |
| 2015 |
37 |
46 |
At community level to identify malnutrition among children, Village Health & Nutrition Day (VHND) is functioning once a month in each AWC in convergence with W&CD Department throughout the State. Identified underweight children are referred to pustikardiwas (PD) which is a fixed day health programmeorganised on 15th of each month in each CHC.
Integrated Management of New born and child Health (IMNCI)
Bringing down Infant and child mortality rate and improving child Health and Survival has been an important goal. Prevention of death due to Acute Respiratory Infective (ARI), were implemented as vertical health programmes.
These programmes were integrated in 1992 under Child Survival and Safe Motherhood Programme (CSSM) which are being united as a part of Reproductive and Child Health programme implemented since 1997.
Children presenting with any illness often suffer from more than one disease. For instance a child with diarrhoea may also have signs of Malnutrition, and may not have received immunisation as per schedule.
Activities – Under IMNCI package:-
- Care of newborn and Young Infants (Under 2 months).
Three home visits are to be provided by ANM, AWW, ASHA to every newborn on day 1,3 and 7. For LBW babies 3 more visits are undertaken.
- Care of Infants and children (2 months – 5 yrs)
- Management of diarrhoea, respiratory track infection, eye & ear infection, malaria, malnutrition, anaemia and other diseases.
- Counselling for breast feeding and supplementary feeding.
- Immunization
- Recognition of risk conditions, management / referrals.
- New born care corner (NBCC): It is a space within the delivery room in any heath facility where immediate care is provided to all newborns at birth. To provide safe delivery service and save newborn from birth related complication, 581 NBCCs are functioning with proper equipments and trained manpower.
- Newborn Stabilisation unit (NBSU): NBSU is a facility with in or in close proximity of the maternity ward where sick and low birth weight newborns can be cared for during short periods. 46 NBSUs are functioning and to stalbilise and treat the sick newborn babies.
- Special Newborn care unit (SNCU): SNCU is a neonatal unit in the vicinity of the labour room which will provide special care for sick newborns. 27 SNCUs are functioning in 3 Medical colleges and DHH to give special care to sick newborn babies with medical complications and birth asphyxia.
- Janani Sishu Surakhya Karyakram (JSSK): To save the sick newborn under JSSK programme, services like Free Transportation, Free Blood, Free Diagnostic, Free Services & Free Drugs is provided up to 1 year.
Nutrition
- Pustikar Diwas is being implemented every month at the PHC & CHC level on 15th of each month cases being referred from the MamataDiwas.
- Nutritional Rehabilitation Centers (NRC) : 42 nos. of NRC operational for care of malnourished children at the facility and aware the mother to care the children. It is targeted to functional 51 NRC in the state in between March 2016.
- Village Health Nutrition Day (VHND): VHND held once in month in month in every AWC for check up of antenatal Care, postnatal Care of pregnant women, family planning counselling and weighing of 0-3 years children.
