A Setting up of Newborn Care Corners in the labour room and ...
A Setting up of Newborn Care Corners in the labour room and ...
A Setting up of Newborn Care Corners in the labour room and ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Background<br />
<br />
decl<strong>in</strong>ed remarkably <strong>in</strong> recent years <strong>and</strong> Bangladesh is on track to achieve Millennium Development Goal<br />
(MDG) 4 for a two-thirds reduction <strong>in</strong> child mortality by 2015.<br />
Despite this encourag<strong>in</strong>g trend, high rate <strong>and</strong> slow decl<strong>in</strong>es <strong>in</strong> neonatal mortality is one <strong>of</strong> <strong>the</strong> major concern<br />
for child survival <strong>and</strong> challenge for susta<strong>in</strong><strong>in</strong>g progress towards achiev<strong>in</strong>g MDG-4. An estimated 100,000<br />
<br />
deaths (BDHS 2007). More than two-thirds <strong>of</strong> <strong>the</strong> neonates who die do so with<strong>in</strong> 7 days <strong>of</strong> birth <strong>and</strong> half <strong>of</strong><br />
<strong>the</strong> <strong>the</strong>m die with<strong>in</strong> 24 hours <strong>of</strong> birth.<br />
Infections, <strong>in</strong>clud<strong>in</strong>g sepsis, birth asphyxia <strong>and</strong> complications <strong>of</strong> prematurity <strong>and</strong> low birth weight are <strong>the</strong><br />
ma<strong>in</strong> causes <strong>of</strong> neonatal mortality <strong>and</strong> morbidity <strong>in</strong> Bangladesh. Lack <strong>of</strong> awareness regard<strong>in</strong>g essential<br />
<br />
referral to appropriate facility or service provider <strong>of</strong>ten led to fatal outcome <strong>of</strong> <strong>the</strong> neonate.<br />
The Government <strong>of</strong> Bangladesh (GoB) is committed to achieve <strong>the</strong> Millennium Development Goal 4 by<br />
<br />
<br />
<br />
Sector Programme, HPNSDP, 2011-16 as a priority objective with a goal to reduce <strong>the</strong> neonatal mortality<br />
to 22/1000 live birth by 2015.<br />
<br />
health status as one <strong>of</strong> <strong>the</strong> key priority areas for policies, programm<strong>in</strong>g <strong>and</strong> <strong>in</strong>terventions. The M<strong>in</strong>istry<br />
<strong>of</strong> Health <strong>and</strong> Family Welfare (MOH&FW) has developed <strong>and</strong> approved <strong>the</strong> National Neonatal Health<br />
Strategy <strong>and</strong> guidel<strong>in</strong>es” <strong>in</strong> 2009 which now provides <strong>the</strong> strategic directions for neonatal health policies<br />
<strong>and</strong> programm<strong>in</strong>g <strong>in</strong> Bangladesh. A National Action Plan for Neonatal Health has also been developed to<br />
implement <strong>the</strong> National Neonatal Health Strategy through scal<strong>in</strong>g <strong>up</strong> <strong>of</strong> both home/community <strong>and</strong> facility<br />
based newborn care with<strong>in</strong> <strong>the</strong> preview <strong>of</strong> health sector programme.<br />
The new Health Sector Programme, HPNSDP (2011-16) has <strong>in</strong>corporated ambitious plan to scale <strong>up</strong> home/<br />
<br />
<strong>of</strong> a post-natal care visit with<strong>in</strong> 2 days <strong>of</strong> delivery by a tra<strong>in</strong>ed provider. Facility based newborn care services<br />
will also be streng<strong>the</strong>ned through establish<strong>in</strong>g Special <strong>Care</strong> <strong>Newborn</strong> Unit (SCANU) <strong>in</strong> <strong>the</strong> district hospitals<br />
<strong>and</strong> <strong>Newborn</strong> Stabilization Unit (NSU) <strong>in</strong> <strong>the</strong> Upazila Health Complexes (UHCs). MOH&FW has planned to<br />
scale <strong>up</strong> SCANUs <strong>in</strong> 59 district hospitals <strong>and</strong> NSUs <strong>in</strong> 275 UHCs/MCWCs by 2016 for <strong>the</strong> management <strong>of</strong><br />
sick newborns.<br />
SOP viii