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Acronyms AAA ANC BPCR DTL FGDs FROs FS HCP IDI IV LBW LHVs LHWs MIL NWFP PM SCF SNL STIs TL TT UC Arjumand And Associates Antenatal Care Birth Preparedness and Complications Readiness Deputy Team Leader Focus Group Discussions Field Research Officers Field Supervisor Health Care Provider Indepth Interviews Intravenous Low Birth Weight Lady Health Visitors Lady Health Workers Mother-In-Law North West Frontier Province Project Manager Save the Children Fund Saving Newborn Lives Sexually Transmitted Infections Team Leader Tetanus Toxoid Union Councils iv l Formative Research on Neonatal Sepsis, Low Birth Weight AND Birth Asphyxia
Contents 1 Background and Objectives of the Study 3 Study Methodology and Work Plan 9 Findings 10 Theme 1-Antenatal Care to Prevent Problems in Newborn (LBW and Neonatal Infections) 18 Theme 2- Low Birth Weight 23 Theme 3- Neonatal Sepsis 32 Theme 4- Asphyxia 37 Theme 5- Other Essential Newborn Care 43 Theme 6- Danger Signs related to Asphyxia, Neonatal Sepsis and other Severe Diseases 44 Theme 7- Care seeking Outside Home 49 Theme 8- LHWs 53 Recommendations 55 Appendices 55 Appendix 1-Terminologies for LBW Babies, Premature Babies and Healthy Babies 57 Appendix 2- Terminologies for Cord Problems 59 Appendix 3- Terminologies for Eye Problems 61 Appendix 4- Terminologies for Skin Problems 63 Appendix 5- Local Terminologies for Newborns Who Does Not Cry 64 Appendix 6- Danger Signs in Neonates 76 Appendix 7- Case Studies SAVE THE CHILDREN l v
Page 1 and 2: National Report Formative Research
Page 3: National Report Formative Research
Page 9: Background and Objectives of the St
Page 12 and 13: Tool 4: Guidelines for In-depth Int
Page 14 and 15: T:44 Janobi Noor Colony (U) 8 Pichi
Page 16 and 17: 8 l Formative Research on Neonatal
Page 18 and 19: Theme 1 - Antenatal Care to Prevent
Page 20 and 21: Some daiyan 1 reported that women a
Page 22 and 23: then they have to go for an operati
Page 24 and 25: dishes. Climbing stairs is also rep
Page 26 and 27: Theme 2 - Low Birth Weight Almost a
Page 28 and 29: 2.2 Management of LBW Two most comm
Page 30 and 31: Factors Conclusions and Summary Fin
Page 32 and 33: “I did not receive any TT injecti
Page 34 and 35: have never seen misses (LHVs/Lady d
Page 36 and 37: put in newborn’s eyes for thee da
Page 40 and 41: Theme 4 - Asphyxia About 5-10% of a
Page 42 and 43: “If the baby does not cry it is n
Page 44 and 45: “This problem is not a disease it
Page 46 and 47: to an hour after delivery. The firs
Page 48 and 49: “In past the babies were given im
Page 52 and 53: Theme 7 - Care Seeking Outside Home
Page 54 and 55: “In civil hospital no body listen
Page 56 and 57:
Factors Conclusions and Summary Fin
Page 58 and 59:
In contrast to above, LHWs services
Page 61 and 62:
Recommendations The Project should:
Page 63 and 64:
Appendix - 1: Terminologies for LBW
Page 65 and 66:
Appendix - 2 : Terminologies for Co
Page 67 and 68:
Appendix 3: Terminologies for Eye P
Page 69 and 70:
Appendix 4: Terminologies for Skin
Page 71 and 72:
Appendix 5: Local Terminologies for
Page 73 and 74:
White small daney on baby’s skin
Page 75 and 76:
Blue baby Unconscious and dies afte
Page 77 and 78:
Papules on the skin Swelling or red
Page 79 and 80:
Turning blue Unconscious Less activ
Page 81 and 82:
Blood deficiency Severe fever. It i
Page 83 and 84:
Breathing problems Mucous in chest
Page 85 and 86:
She stayed like that for seven days
Page 87 and 88:
At delivery, the newborn was not br
Page 89 and 90:
Case Study 7 (Charsadda): Low Birth
Page 92:
Pakistan Country Office P.O. Box 19
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