Newborn care is of vital significance as the neonatal period, which is the initial 28 days after birth, makes the most essential time for any kid. It is the period that takes the entire risk of death; it’s the time that puts the institute for the lifelong health and growth of the kid.
To increase awareness about the importance of newborn care for kid growth and existence, each year from 15 to 21 November is celebrated as Newborn Care Week in the country.
Newborn Health considerably influences the infant mortality rate (IMR) in the country. Although the infant mortality rate in the country has declined extensively, it’s still great when compared to advanced countries.
As reported in 2017, the neonatal mortality rate (NMR) was 32 deaths per 1000 live births. With the other record in 2016, it appeared to be 25.5 losses per 1,000 live births.
The surveys also indicate that each year, almost 2.6m newborns lose their lives during their neonatal time and a further 2.6m stillbirths happen every year.
The above-stated report implies the significance of newborn attention and is self-explanatory. Therefore, in support of UNICEF, the government, and other NGOs, the National Neonatology Forum devotes seven days (from 15th to 21st November) to the baby’s health.
To attain the aim of decreasing below-five mortality to no more than twenty per thousand live births by 2035, the government of India has established many initiatives.
The Ministry of Health and Family Welfare (MoHFW) has created a few programs to battle against the leading causes of neonatal deaths, with different awareness to sick newborns, safe motherhood interventions, and premature infants. Policies undertook with this concern include:
- The Program for Safe Motherhood and Child Survival (CSSM) in 1992
- The Program for Reproductive and Child Health Phase I (RCH I) in 1997
- National Rural Health Mission (NRHM) in 2005
- Reproductive and Child Health Program Phase 2 (RCH II) in 2005
- Call to Action for Child Development and Survival in 2012
- Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) – 2013
In 2014, in reaction to the worldwide ENAP (Every Newborn Action Plan), MoHFW initiated INAP (India Newborn Action Plan).
The program is executed within the existing RMNCH+A shelf and the goal of this program is to decrease babies’ stillbirths and deaths. It tries at dropping the stillborn and NMR rate to sole digits by 2030.
Another strategy that was initiated by MoHFW is Mothers Absolute Affection (MAA). It was initiated in 2016 as an ambition to improve breastfeeding.
MoHFW created the INAP (India Newborn Action Plan) in acknowledgment of the worldwide ENAP (Every Newborn Action Plan) in 2014.
The INAP is executed within the prevailing RMNCH+A shelf.
Its stability is created on its six pillars of intervention packages, which include: antenatal and preconception care; immediate newborn care; care during childbirth and labor; care of a small and sick baby; care of a healthy baby; and care beyond newborn survival.
These are the main causes of child’s deaths
- Drastic infections
- Difficulties during birth
The major reasons for babies deaths in India are pre-maturity (35percent), neonatal infection (33percent) and, intrapartum-associated complications (20percent), and congenital malformations (9percent).
Newborn care tips include
- Timely and thorough drying
- skin-to-skin contact with the mother
- the birth dose of BCG vaccine, Hepatitis vaccine, and Oral Polio Vaccine
- Cord clamping and cutting after delivery in the initial minutes
- prevention of infection
- Exclusive breastfeeding
- Should give ventilation for newborns who do not begin inhaling and exhale on their own instantly after delivery
- After the first hour of birth, they should receive vitamin K, eye care, and other immunizations
Let’s unite together to decrease baby deaths.