Care of Healthy as well as Sick Newborns in India: A Narrative Review.

FBNC HBNC Health India Mortality Newborn

Journal

Indian journal of pediatrics

ISSN: 0973-7693

Titre abrégé: Indian J Pediatr

Pays: India

ID NLM: 0417442

Informations de publication

Date de publication:
29 Aug 2023

Historique:

received: 29 05 2023

accepted: 23 06 2023

medline: 29 8 2023

pubmed: 29 8 2023

entrez: 29 8 2023

Statut: aheadofprint

Résumé

Majority of neonatal deaths occur in developing countries. There is an increase in the proportion of neonatal deaths as part of the under-5 mortality over the past decade. Hence we need to accelerate further to achieve the goal of single digit neonatal mortality rate (NMR) by 2030. The two major arms of NMR reduction include facility-based neonatal care (FBNC) and home-based neonatal care (HBNC). FBNC addresses care at birth, care of the normal newborn, and care of small and sick newborns. HBNC provides continuum of care for newborn and post-natal mothers facilitated by Accredited Social Health Activist (ASHA) workers. One of the main challenges is to maintain good quality of neonatal care. Zero separation, linkage of community & facility and roles of professional bodies are considered way forward to achieve India Newborn Action Plan (INAP) goals. This review summarizes existing programs for newborn health and diseases and provides an over-arching view of the way-forward.

Identifiants

DOI: 10.1007/s12098-023-04752-0 PMID: 37642888

pubmed: 37642888

doi: 10.1007/s12098-023-04752-0

pii: 10.1007/s12098-023-04752-0

doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

Informations de copyright

Références

Survive and Thrive. Transforming Care for Every Small and Sick Newborn. Available at: https://www.who.int/publications-detail-redirect/9789241515887 . Accessed on 28 May 2023.

UN-IGME-Child-Mortality-Report. 2022. Available at: https://childmortality.org/wp-content/uploads/2023/01/UN-IGME-Child-Mortality-Report-2022.pdf . Accessed on 28 May 2023.

NSSK Resource Manual: National Health Mission. Available at: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1427&lid=781. Accessed on 9 May 2023.

Facility Based Newborn Care (FBNC): National Health Mission. Available at: https://nhm.gov.in/index4.php?lang=1&level=0&linkid=484&lid=754. Accessed on 28 May 2023.

Home Based Care of New Born and Young Child. Available at: https://hbnchbyc. mohfw.gov.in/AboutUs/aboutHBNC. Accessed on 28 May 2023.

INAP-progress_card_2020. Available at: https://nhm.gov.in/images/pdf/programmes/INAP-progress_card_2020.pdf. Accessed on 28 May 2023.

World Health Organization. Every newborn: an action plan to end preventable deaths. Geneva: World Health Organization; 2014. Available at: https://apps.who.int/iris/handle/10665/127938 . Accessed on 9 May 2023.

Bhutta ZA, Das JK, Bahl R, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014;384:347–70.

doi: 10.1016/S0140-6736(14)60792-3 pubmed: 24853604

Child Health Division MOHFW, INAP_final. Available at: https://nhm.gov.in/images/pdf/programmes/inap-final.pdf . Accessed on 9 May 2023.

LaQshya-Guidelines.pdf. Available at: https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCH_MH_Guidelines/LaQshya-Guidelines.pdf . Accessed on 28 May 2023.

NHM, MOHFW, RMNCH+A:National Health Mission . Available at: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=794&lid=168 . Accessed on 9 May 2023.

Darmstadt GL, Bhutta ZA, Cousens S, et al. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet. 2005;365:977–88.

doi: 10.1016/S0140-6736(05)71088-6 pubmed: 15767001

WHO Recommendations On Maternal And Newborn Care For A Positive Postnatal Experience. Available at: https://www.who.int/publications-detail-redirect/9789240045989 . Accessed on 28 May 2023.

Operational-Guide-(FBNC). Available at: https://nhm.gov.in/images/pdf/programmes/CH-Programmes/FBNC/Operational-Guide-(FBNC) . Accessed on 28 May 2023.

Child Health Division, MOHFW, Operational Status of SNCU in India- Technical Report. Available at: https://nhm.gov.in/images/pdf/programmes/child-health/annual-report/sncu_technical_report_jan-march_2011.pdf . Accessed on 28 May 2023.

National_Guidelines_Lactation_Management_Centres in Public Health Facilities. Available at: https://nhm.gov.in/images/pdf/programmes/IYCF/National_Guidelines_Lactation_Management_Centres.pdf . Accessed on 28 May 2023.

Mishra N, Saini SS, Jayashree M, Kumar P. Quality of referral, admission status, and outcome of neonates referred to pediatric emergency of a tertiary care institution in north India. Indian J Community Med. 2022;47:253–7.

doi: 10.4103/ijcm.ijcm_889_21 pubmed: 36034239 pmcid: 9400359

Admin YK, Nagu Magu Ambulance Service Yuva Kanaja. 2022. Available at: https://yuvakanaja.in/en/healthfamily-welfare-dept-en/nagu-magu-ambulance-service/ . Accessed on 28 May 2023.

Kumutha J, Rao GVR, Sridhar BN, Vidyasagar D. The GVK EMRI maternal and neonatal transport system in India: a mega plan for a mammoth problem. Semin Fetal Neonatal Med. 2015;20:326–34.

doi: 10.1016/j.siny.2015.07.003 pubmed: 26212526

Neogi SB, Malhotra S, Zodpey S, Mohan P. Does facility based newborn care improve neonatal outcomes? A review of evidence. Indian Pediatr. 2012;49:651–8.

doi: 10.1007/s13312-012-0135-0 pubmed: 22962238

Kruk ME, Gage AD, Joseph NT, Danaei G, García-Saisó S, Salomon JA. Mortality due to low-quality health systems in the universal health coverage era: a systematic analysis of amenable deaths in 137 countries. Lancet. 2018;392:2203–12.

doi: 10.1016/S0140-6736(18)31668-4 pubmed: 30195398 pmcid: 6238021

Kshirsagar VD, Rajderkar SS. An assessment of admission pattern and treatment outcomes of neonates admitted in centers under facility-based newborn care program in Maharashtra, India. J Family Med Prim Care. 2022;11:3455–8.

doi: 10.4103/jfmpc.jfmpc_2369_21 pubmed: 36387721 pmcid: 9648329

Child Health Division. MOHFW. Two Year Progress of SNCUs-A Brief Report_(2011-12_&_2012-13).pdf. Available at: https://nhm.gov.in/images/pdf/programmes/child-health/annual-report/Two_Year_Progress_of_SNCUs-A_Brief_Report_(2011-12_&_2012-13).pdf . Accessed on 28 May 2023.

NHSRC, Monitoring Report: Karnataka. 2013;55. Available at: http://164.100.117.80/sites/default/files/Karnataka%20Monitoring%20Report%20-%20Q1%202013-14.pdf . Accessed on 28 May 2023.

Lee H-Y, Leslie HH, Oh J, et al. The association between institutional delivery and neonatal mortality based on the quality of maternal and newborn health system in India. Sci Rep. 2022;12:6220.

doi: 10.1038/s41598-022-10214-y pubmed: 35418654 pmcid: 9007995

Garg S, Dewangan M, Krishnendu C, Patel K. Coverage of home-based newborn care and screening by ASHA community health workers: findings from a household survey in Chhattisgarh state of India. J Family Med Prim Care. 2022;11:6356–62.

doi: 10.4103/jfmpc.jfmpc_197_22 pubmed: 36618241 pmcid: 9810862

Bang AT, Bang RA, Baitule SB, Reddy MH, Deshmukh MD. Effect of home-based neonatal care and management of sepsis on neonatal mortality: field trial in rural India. Lancet. 1999;354:1955–61.

doi: 10.1016/S0140-6736(99)03046-9 pubmed: 10622298

Bang A, Baitule S, Deshmukh M, Bang A, Duby J. Home-based management of neonatal sepsis: 23 years of sustained implementation and effectiveness in rural Gadchiroli, India, 1996–2019. BMJ Glob Health. 2022;7:e008469.

doi: 10.1136/bmjgh-2022-008469 pubmed: 36162868 pmcid: 9516090

Rasaily R, Saxena NC, Pandey S, et al. Effect of home-based newborn care on neonatal and infant mortality: a cluster randomised trial in India. BMJ Glob Health. 2020;5:e000680.

doi: 10.1136/bmjgh-2017-000680 pubmed: 32972965 pmcid: 7517550

Mony PK, Tadele H, Gobezayehu AG, et al. Scaling up Kangaroo mother care in Ethiopia and India: a multi-site implementation research study. BMJ Glob Health. 2021;6:e005905.

doi: 10.1136/bmjgh-2021-005905 pubmed: 34518203 pmcid: 8438727

Mukhopadhyay R, Arora NK, Sharma PK, et al. Lessons from implementation research on community management of possible serious bacterial infection (PSBI) in young infants (0–59 days), when the referral is not feasible in Palwal district of Haryana, India. PLoS One. 2021;16:e0252700.

doi: 10.1371/journal.pone.0252700 pubmed: 34234352 pmcid: 8279773

Jayanna K, Rao S, Kar A, et al. Accelerated scale-up of Kangaroo Mother Care: evidence and experience from an implementation-research initiative in south India. Acta Paediatr. 2022. https://doi.org/10.1111/apa.16236 .

Pathak PK, Singh JV, Agarwal M, Singh VK, Tripathi SK. Study to assess the home-based newborn care (HBNC) visit in rural area of Lucknow: a cross-sectional study. J Family Med Prim Care. 2021;10:1673–7.

doi: 10.4103/jfmpc.jfmpc_911_20 pubmed: 34123911 pmcid: 8144772

Hannah E, Dumka N, Ahmed T, Bhagat DK, Kotwal A. Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis. J Fam Med Prim Care. 2022;11:4505.

doi: 10.4103/jfmpc.jfmpc_388_22

Annual Report 2018-19 | Ministry of Health and Family Welfare | GOI. Available at: https://main.mohfw.gov.in/basicpage/annual-report-2018-19 . Accessed on 28 May 2023.

Lawn JE, Ohuma EO, Bradley E, et al. Small babies, big risks: global estimates of prevalence and mortality for vulnerable newborns to accelerate change and improve counting. Lancet. 2023;401:1707–19.

doi: 10.1016/S0140-6736(23)00522-6 pubmed: 37167989

Hofmeyr GJ, Black RE, Rogozińska E, et al. Evidence-based antenatal interventions to reduce the incidence of small vulnerable newborns and their associated poor outcomes. Lancet. 2023;401:1733–44.

doi: 10.1016/S0140-6736(23)00355-0 pubmed: 37167988

Theobald S, Brandes N, Gyapong M, et al. Implementation research: new imperatives and opportunities in global health. Lancet. 2018;392:2214–28.

doi: 10.1016/S0140-6736(18)32205-0 pubmed: 30314860

Standards for Improving the Quality of Care for Small and Sick Newborns in Health Facilities. Available at: https://www.who.int/publications-detail-redirect/9789240010765 . Accessed on 28 May 2023.

Semrau KEA, Mokhtar RR, Manji K, et al. Facility-based care for moderately low birthweight infants in India, Malawi, and Tanzania. PLOS Glob Public Health. 2023;3:e0001789.

doi: 10.1371/journal.pgph.0001789 pubmed: 37075019 pmcid: 10115266

Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight. New Engl J Med. 2021;384:2028–38.

Neogi SB, Khanna R, Chauhan M, et al. Inpatient care of small and sick newborns in healthcare facilities. J Perinatol. 2016;36:18–23.

doi: 10.1038/jp.2016.186

Hanson C, Singh S, Zamboni K, et al. Care practices and neonatal survival in 52 neonatal intensive care units in Telangana and Andhra Pradesh, India: a cross-sectional study. PLOS Med. 2019;16:e1002860.

doi: 10.1371/journal.pmed.1002860 pubmed: 31335869 pmcid: 6650044

Tripathi S, Srivastava A, Memon P, et al. Quality of maternity care provided by private sector healthcare facilities in three states of India: a situational analysis. BMC Health Serv Res. 2019;19:971.

doi: 10.1186/s12913-019-4782-x pubmed: 31842926 pmcid: 6915998

Jain Y, Chaudhary T, Joshi CS, et al. Improving quality of intrapartum and immediate postpartum care in public facilities: experiences and lessons learned from Rajasthan state, India. BMC Pregnancy Childbirth. 2022;22:586.

doi: 10.1186/s12884-022-04888-5 pubmed: 35870874 pmcid: 9308226

Deorari AK, Kumar P, Chawla D, et al. Improving the quality of health care in special neonatal care units of India: a before and after intervention study. Glob Health Sci Pract. 2022;10:e2200085.

doi: 10.9745/GHSP-D-22-00085 pubmed: 36316137 pmcid: 9622290

Prashantha YN, Shashidhar A, Balasunder BC, Kumar BP, Rao PNS. Onsite mentoring of special newborn care unit to improve the quality of newborn care. Indian J Public Health. 2019;63:357–61.

doi: 10.4103/ijph.IJPH_419_18 pubmed: 32189658

Srivastava S, Datta V, Garde R, et al. Development of a hub and spoke model for quality improvement in rural and urban healthcare settings in India: a pilot study. BMJ Open Qual. 2020;9:e000908.

doi: 10.1136/bmjoq-2019-000908 pubmed: 32764028 pmcid: 7412610

Kumar H, Khanna R, Alwadhi V, et al. Catalytic support for improving clinical care in special newborn care units (SNCU) through composite SNCU quality of care index (SQCI). Indian Pediatr. 2021;58:338–44.

doi: 10.1007/s13312-021-2192-8 pubmed: 33883309

Saboth Md PK, Sarin PhD E, Alwadhi Md V, et al. Addressing quality of care in pediatric units using a digital tool: implementation experience from 18 SNCU of India. J Trop Pediatr. 2021;67:fmab005.

doi: 10.1093/tropej/fmab005 pubmed: 33594419 pmcid: 7887439

Lahariya C. Health & wellness centers to strengthen primary health care in India: concept, progress and ways forward. Indian J Pediatr. 2020;87:916–29.

doi: 10.1007/s12098-020-03359-z pubmed: 32638338 pmcid: 7340764

Lahariya C. Ayushman Bharat” program and universal health coverage in India. Indian Pediatr. 2018;55:495–506.

doi: 10.1007/s13312-018-1341-1 pubmed: 29978817

Lahariya C, Roy B, Shukla A, et al. Community action for health in India: evolution, lessons learnt and ways forward to achieve universal health coverage. WHO South East Asia J Public Health. 2020;9:82–91.

doi: 10.4103/2224-3151.283002 pubmed: 32341227

Anand P, Thukral A, Deorari AK, National Neonatology Forum Network. Dissemination of best practices in preterm care through a novel mobile phone-based interactive e-learning platform. Indian J Pediatr. 2021;88:1068–74.

doi: 10.1007/s12098-021-03689-6 pubmed: 33682022