NEONATAL HEALTH

The interventions in this phase of life mainly focus on children under < 28 days of age and address the most common causes of mortality in this period extending to children older than 5 years. The thrust area for newborn care is for

    (1) immediate, routine newborn care

    (2) care of sick newborns

    (3) immunizati on against common childhood diseases

    (4) management of common neonatal and childhood illnesses.

Priority interventions under Neonatal Care are as follows :

    1. Home-based newborn care and prompt referral

    2. Facility-based care of the sick newborn

    3. Integrated management of common childhood illnesses (diarrhoea, pneumonia and malaria

    4. Child nutrition and essenti al micronutrients supplementation on

    5. Immunisation

    6. Early detection and management of defects at birth, deficiencies, diseases and disability in neonates <28 days.

1. Janani Shishu Suraksha Karyakram(Infants)

Under this scheme the beneficiaries will be the pregnant mother who is accessing the Public Health institutions and the sick infants till the child attain one year of age.
Benefits for Pregnant Women.

1. Free delivery

2. Free Caesarian Section

3. Free drugs and consumables

4. Free diagnostics ( blood test, urine test and Ultrasonography)

5. Free provision of blood

6. Free transport from home to health institutions, between health institutions in case of referrals and also drop back

7. Free diet during stay in hospital for 3 days in normal delivery and up to 7 days in case of Caesarian section

8. Exemption from all kinds of user charges

9. Benefits for sick infants till the child attain one year of age

10.Free and zero expense treatment

11.Free provision of blood

12.Free drugs and consumables

13.Free diagnostics

14.Free transport from home to health institution, between health institutions in case of referrals and drop back

15.Exemption from all kinds of user charges

Benefits for Sick Infants till the Child attain one year of age

1. Free and zero expense treatment

2. Free provision of blood

3. Free drugs and consumables

4. Free diagnostics

5. Free transport from home to health institution, between health institutions in case of referrals and drop back

6. Exemption from all kinds of user charges

TOTAL JSSK BENEFICIARIES FOR THE YEAR 2011-2014

Sr.No. Particular 2011-12 2012-13 2013-14 2014-15
1 IPD
FTND 1870 2336 2565 211
LSCS 454 563 992 100
PTND 301 319 393 29
NICU 524 833 1142 103
ANC&OTHERS 2621 371 2378 260
2 OPD
MOTHER 12915 21890 23498 2546
INFANTS
3 EMERGENCY LSCS 168 306 29
4 BLOOD & BLOOD PRODUCTS 484 563 1471 145
5 USG 7059 7144 541
6 DIET 8698 7567 619
7 PAHELI SAVARI 180(initiated since Nov.2012) 2569 4944 600
8 EMRI 2441 3922 332

2. Neonatal Intensive Care Unit/Sick Newborn Care Unit

The District Hospital has state of art NICU which has been upgraded in the month of December 2014. Various high end equipment with 24 bedded NICU and 5 Ventilators, 4 CPAP Machines, 5 Phototherapy, 10 Warmer, 5 SPO2 Machines.

Neonates with less that 1 kg of Wt. have been saved in the NICU of Shri Vinoba Bhave Civil Hospital. Full time trained paramedics with Pediatricians and Medical Officers round the clock for immediate care of the newborn.


3. Home Based Neonatal Care

Reducing mortality in the neonatal period is paramount if the infant mortality rate is to be impacted. Neonatal deaths account for 59% of under-five mortality at the national level, most of which occurs in the first week of life.

About 25% of total deaths in the neonatal period take place in second to fourth week of life. Global evidence shows that home visits by community health workers to provide neonatal care in settings where access to facility-based care is limited or not available is associated with reduced neonatal mortality. The home-based newborn care scheme, launched in 011, provides for immediate postnatal care (especially in the cases of home delivery) and essential newborn care to all newborns up to the age of 42 days. Frontline workers (ASHAs) are trained and incentivized to provide special care to preterms and newborns; they are also trained in identification of illnesses, appropriate care and referral through home visits.

Home-based newborn care as a component of continuum of care for newborns and linkages with facility-based care for prompt referral of sick newborns is critical to improving survival in this age group.