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 4 140 133 120 116 100 94 MDG 88 87 82 U-5 MR 80 IMR 66 65 65 60 NMR 53 52 52 48 48 46 43 42 41 40 37 38 32 31 28 22 20 0 1993 1997 2001 2004 2007 2011 2014 2015 Source: BDHS, UN-IAGCME- UN Inter-agency grou group for Child Mortality Estimation, 2013

Proportion of Neonatal Morta ortality to U5 Mortality Neonatal deaths (0-28 days) Post neonatal deaths (29 to 364 days) 100 Deaths during 1 to 4 years 80 46 61 60 34 57 60 47 45 45 28 23 23 41 41 39 39 35 40 34 13 24 24 10 15 8 20 11 10 52 48 42 41 37 0 32 28 1993 1996 1999 2003 2006 2011 201 NMR as proportion of U5MR 1993 1996 1999 2003 2007 2011 2014 Sou ource: BDHS 2014

Proportion of neonatal deaths by by age 0-1 day 2 - 6 days 7 -28 day days Birthday Day: 19% Most dangerous Day of life of neonate 50% 31%

Achieving SDG targe arget of NMR by 2030 52 nt rate of reduction: 3.6% per yr. Current 48 ired rate of reduction: 4.6% per yr. Required 42 41 37 32 28 24 19 15 12 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Actual NMR (BDHS) HS) Projected NMR

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

Availability of skilled SBCC service providers Capacity building & Quality skill Improvement retention retention Routine Facility Data & Readiness Monitoring Referral & Transport NNHP implementation approach ach

ollowing Global Strategies, Action Plans & Rec Recommendations Implementing Bangladesh Every very Newborn Action Plan (BENAP) AP)

NNHP Intervent vention package Community Specialized Care PHC PHC Promotion & Prevention Care for Small & Sick Care for All N All Newborn SBCC Newborn National Newborn Campaign Preterm & LBW Preterm & LBW Capacity Dev Development Birth Preparedness Perinatal Complication • Resuscitation: HBB protocol Facility readiness f ess for providing quality & equitable table services Newborn Care Serious Infections Procurement & s t & supply of 7.1% CHX Critically Ill -SCANU Care Seeking Practice drugs, equipmen ment, commodi ties

NNHP Implem plementation MOH& OH&FW DGHS: Line Director & or & Program Manager All CBHC CBHC DPs DPs DPM DPM DPM DPM DPM DPM DPM Hosp Coordination Stake Monito nitoring Newborn Admin & Logistics Training & & Da & Data Holders MIS Health Finance Managemen Child Injury Qual uality t Division, District, Upazil azila, Union, Community

SOPs, Manuals, e-Materials

Job Aids - Neonatal Seps Sepsis, KMC, ACS Treatment

Ensure availability of Sup upplies, Logistics Baby KMC Binder • 7.1% Antibiotics Weighing & cap Chlorhexidine for PSBI Scale 14

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

SBCC SBC National Newb ewborn Campaign � IEC materials � Docu-drama � Round table News Papers

Opportunities & Challenges Way Forward ÒRb¥ ‡_‡K 28 w`b Your Valuabl hallenges : Contribution Opportunities : wkï evuPv‡Z New Program Experience of � hZœ wbbÓ Successful Programs Mind-set of � Teacher EPI, � � Managers Trainer � ORS ORS � � � � Service Service Clinician Clinician � � Low cost high impact � providers Technical � Interventions Community Expert Commitment of all � Involvement Profession � stakeholders Body

Thank You!! You!!