First is Immediate and thorough drying to stimulate breathing after delivery of the baby; and provision of appropriate thermal care through mother and newborn skin-to skin contact maintaining a delivery room temperature of degrees centigrade and wrapping the newborn with clean dry cloth; properly timed clamping and cutting of the umbilical cord, minutes or until cord pulsation stops ;non-separation of the newborn and mother for early breast-feeding for the immediate latching on and initiation of breastfeeding within first hour after birth KATHARINA, A study conducted at the University of Alabama at Birmingham UAB Division of Neonatology shows that training birth attendants in essential newborn-care techniques reduced stillbirths by more than 30 percent and potentially could save as many as 1 million lives worldwide each year Carlo
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This article has been cited by other articles in PMC. Abstract Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and child mortality.
The Government of Nepal has implemented community-based programs that were piloted and then scaled up based on lessons learned. These programs include, but are not limited to ensuring safe motherhood, birth preparedness package, community-based newborn care package, and integrated management of childhood illnesses.
Despite the implementation of such programs on a larger scale, their effective coverage is yet to be achieved. Health system challenges included an inadequate policy environment, funding gaps, inadequate procurement, and insufficient supplies of commodities, while human resource management has been found to be impeding service delivery.
Such bottlenecks at policy, institutional and service delivery level need to be addressed incorporating health information in decision-making as well as working in partnership with communities to facilitate the utilization of available services.
There are higher rates of NMR among poor socio-economic groups, Muslims and Dalits, as well as people living in remote areas such as the mid and far-western regions of the country 1 — 3.
Neonates born to older mothers and those with high parity have been reported to be at more than four times higher risk of neonatal death 3. Similarly, newborns of illiterate mothers were twice as likely to suffer neonatal death than those born to women with higher levels of education 1.
Importantly, having four antenatal care ANC visits or the childbirth assisted by a skilled birth attendant SBA halves the risk of neonatal death. However, utilization of such services is very low in high-risk sub-groups of women 34.
In response to these issues, many programs and newborn health interventions are being implemented but encounter various health system challenges.
This study aims to summarize the health system challenges and possible solutions for specific interventions focused on reducing neonatal deaths. Trends of Child Mortality in Nepal Nepal has been successful in achieving millenium development goal MDG 4 of reducing the under-five mortality rate U5MR by two-thirds from the level in 25.
The U5MR declined by 7.Feb 11, · First, three interventions: skilled care at birth, basic newborn care, and the management of neonatal sepsis are in a more mature implementation stage. Policy guidelines have been developed, health workers have been trained, a logistics system has been established, and services are available from service outlets.
Improving newborn care in your facility, district and province, requires change agents and leaders who have the vision, dedication and determination to nurture the implementation of essential newborn care.
The commitment of management is a key factor for mobilising the necessary.
Effect of a package of community-based essential newborn care, including skin-to-skin care, on neurodevelopmental status at years of age Country of Implementation: India. Essential Newborn Care. Warmth and appropriate hygiene in handling newborns, early and exclusive breastfeeding, umbilical cord care, eye care, vitamin K administration, and immunization are all key components of essential newborn care (ENC).
have the vision, dedication and determination to nurture the implementation of essential newborn care. The commitment of management is a key factor for mobilising the necessary resources.
The intended purpose of introducing essential newborn care is to ensure that there are competent. This Essential Obstetric and Newborn Care (EONC) Program Implementation Guidance outlines key steps, identifies available resources, and shares lessons learned to help country programs, donors, and governments to develop high-.