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Acknowledgements We would like to express our gratitude to Gates Foundation for funding Saving Newborn Lives -2 under which the current study was conducted. Acknowledgement is due to SNL Home Office Team for guiding the methodology and funding of the study. We are especially grateful to Arjumand And Associates (AAA) for accepting this challenging assignment and doing a wonderful job. Thanks are due to SNL- Pakistan Team i.e. Dr Salim Sadduruddin, Dr Kulsoom Kakar and Mr Ibad ul Haque who coordinated and oversaw the implementation of this project with the consultant and Dr Abdul Bari, Ihatsham Akram and Dr. Huma Aziz who looked after the editing and printing of the report. We are also indebted to the mothers, decision makers and key informants who willingly shared information about the newborn care practices in Pakistan. Their level of participation and expression of frank opinions made it possible to present reliable and valid information in the report. Without their participation the accomplishment of this task would not have been possible. We are also thankful to the members of Advocacy And Advisory Network for Newborns (AANN) who participated in the launch of this report. Dr. Amanullah Khan Deputy Director Health SAVE THE CHILDREN l iii
Page 1 and 2: National Report Formative Research
Page 3: National Report Formative Research
Page 7: Contents 1 Background and Objective
Page 11 and 12: Study Methodology and Work Plan 2.1
Page 13 and 14: to initiate discussion. It was ensu
Page 15 and 16: Characteristic of Mothers for In-de
Page 17 and 18: Findings The assessment has focused
Page 19 and 20: • Pain in the Uterus • IV infus
Page 21 and 22: “I did not bring any change. It a
Page 23 and 24: esponsibilities would be taken over
Page 25 and 26: Factors Conclusions and Summary Fin
Page 27 and 28: “The newborn is weighed in a bala
Page 29 and 30: eastfeeding an LBW neonate as she b
Page 31 and 32: Theme 3 - Neonatal Sepsis 3.1 Mater
Page 33 and 34: “Daiyan do not have any sense of
Page 35 and 36: Household management practices for
Page 37 and 38: • Talcum or prickly heat powder i
Page 39 and 40: Economic • Neonates suffering fro
Page 41 and 42: “If the newborn doesn’t cry the
Page 43 and 44: area say that the baby is possessed
Page 45 and 46: Theme 5 - Other Essential Newborn C
Page 47 and 48: • Hamdard ghutti and gripe water
Page 49 and 50: “We give oil massage to the babie
Page 51 and 52: Theme 6 - Danger Signs related to A
Page 53 and 54: “We do not take a woman outside w
Page 55 and 56:
“Transport is a major problem. If
Page 57 and 58:
Theme 8 - LHWs 8.1 Service availed
Page 59:
Participants from UC 8, Sukkur, men
Page 62 and 63:
11. Encourage LHWs to discuss birth
Page 64 and 65:
• Daangra • Uch shamtay mashoom
Page 66 and 67:
Sindh: Sukkur 1 Nara kharab ho gaya
Page 68 and 69:
Sindh: Sukkur 1 Aankhon se peep beh
Page 70 and 71:
Sindh: Dadu 1 Barrey barey peep wal
Page 72 and 73:
Appendix 6: Danger Signs in Neonate
Page 74 and 75:
Bulged fontanelle Taloo girna/ Talo
Page 76 and 77:
Condition of the neonate The newbor
Page 78 and 79:
Blue baby Stays Unconscious and die
Page 80 and 81:
Gray-blue baby Chest problems Blue
Page 82 and 83:
Measles Loose Motions Rash or macul
Page 84 and 85:
Appendix - 7: Case Studies Case Stu
Page 86 and 87:
his mouth and only then the newborn
Page 88 and 89:
The doctor had informed Hameeda tha
Page 90:
not have good diet in pregnancy and
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