Essential Newborn Care:
Providing essential care at birth to all newborns including provision of warmth, prevention of infection, early initiation of breastfeeding and resuscitation of newborn if required. In order to achieve this, the following schemes and programmes are being carried out as per GOI guidelines:-
To promote safe delivery in the hands of skilled birth attendant, State is aiming at achieving 100% institutional delivery. The following schemes and programmes are implemented as per the GOI guidelines:-
Janani Shishu Suraksha Karyakram (JSSK):
The following are the Free Entitlements for Sick newborns till 30 days after birth.This has now been expanded to cover sick infants:
These free entitlements are met as per approval by the GOI as follows:
Training of Health Care Providers:
a. Integrated Management of Neonatal and Childhood Illness(IMNCI) : Trainingof Health care providers in IMNCI is being conducted since 2007 starting with Medical Officers . Till date, there are 127 Medical Officers, 23 Tutors and 861 Health workers(ANM) that have been trained in IMNCI.
b. Facility Based Integrated Management of Neonatal and Childhood Illness(F-IMNCI ): 98 Medical Officers and 33 Staff Nurses have been trained in F-IMNCI.
c. Navjaat Shishu Suraksha Karyakram(NSSK): 97 Medical Officers, 256 Staff Nurses and 42 Health workers(ANM) at have been trained in NSSK.
d. Facility based newborn care (FBNC) : It has been proposed that staffs working at SNCUs be trained in FBNC; training yet to be initiated once intimation received from the Ministry/NIHFW.
Home based Newborn Care
This programme has been started since 2013. 987 ASHAs who have been trained for 1 st round in Module 6 & 7 are being detailed to carry out visits to all newborns in their areas as per guidelines. An incentive of Rs. 250 will be given after the completion of their visits.
Facility based newborn care
FBNC, one of the key components under NHM is being established in the state to ensure a better newborn health/survival. Even though the delivery load across the state is not much compared to other states, Mizoram is putting its best efforts of establishing FBNC.
Newborn care units in various level of facilities have been established as follows:-
1. Newborn Care corners (NBCC): 66 NBCCs have been established at facilities conducting deliveries including delivery points. 58 more NBCCs under High Priority Districts are under process of functioning(procurement of equipments are underway).
2. Newborn stabilization unit (NBSU) : There are at present 6 NBSUs (all at District Hospitals)in the state and 5 more which are still underway
3. Special Newborn care unit (SNCU) : There are 3 SNCUs functional in the state at Civil Hospital Aizawl, Civil Hospital Lunglei & Saiha DH. The SNCU at Lawngtlai DH is in near completion of operationalization.
Infant and Young child Feeding (IYCF) Practices : Promotion of Exclusive Breastfeeding has been one of the main activities in the State and adequate complementary feeding is also being promoted. The IYCF guideline has been disseminated to all 9 Districts for a wider dissemination in their respective districts. Further, the state is planning to set up IYCF centres at all District Hospitals (proposal included in the state PIP 2015-16) once the proposal is approved.
Nutrition Rehabilitation Centre(NRC): One NRC has been proposed to be set up at Saiha District Hospital for the management of SAM children. Operationalization is underway.
Child Death review
Child Death Review (CDR) is an important strategy to reduce IMR/under 5 mortality by analysing the causes of infant/child death in a population and identify the gaps in health service delivery and social factors that contribute to child deaths so that specific child health interventions can be initiated.
District CDR Committee has been formed in all the 9 districts and these committees have been reviewing the cases .
The new CDR Guideline has been recently circulated to all district CMOs for a wider dissemination in their respective districts. There are incentives for ASHA@ Rs. 50, ANM @ Rs. 100, audit team @ Rs. 300 and two family members of the deceased child who would be present at the time of review @ Rs. 100.