Newborn Health_Haffey, Nerima_5.12.11

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  • 1. May 2011
  • 2.
    • SNL, CORE Group and MCHIP will collaborate, to develop a product that can be used by the NGO community and Ministry of Health district level managers to implement a high quality household and community-focused newborn health efforts designed to be integrated into a larger maternal-child health program.
    • This product will support the implementation of WHO and UNICEF’s Newborn Home Visit Joint Statement of July 2009 that recommends home visits for all newborns within the first day of life.
  • 3. Newborn Survey Design and Methods
    • The survey was undertaken to:
    • Assess the knowledge gaps and generate recommendations on information, tools and other publication resources and guidance that are needed in implementation of high-quality household and community based newborn health efforts integrated into maternal-child health programs.
    • Method used: Qualitative –open ended questions on survey monkey.
    • Respondents: 20 CORE Group SMRH & IMCI members
  • 4. Knowledge of Newborn Health
    • Kind of information missing.
    • Information on what CHWs could do to resuscitate asphyxiated newborns; and care for preterm births
    • Local language materials
    • Pediatric disease prevention approaches and early Infant diagnosis of HIV
    • Chlorhexidine application at umbilicus stump at home birth knowledge
    • Decision making algorithm for helping TBAs and CHVs evaluate who is an appropriate provider for what.
    • Clear messages on active management of 3rd stage of labor.
    • Needs for Training materials, Job Aides and IEC materials on newborns that will enhance work with the rural poor e.g. posters, videos that are low literate friendly,
    • Advocacy materials for the MoH to enable CHWs to conduct 3 newborn visits
  • 5. Knowledge of Newborn Health WHO/UNICEF Joint Statement Others:
    • CBOS, FBOS, Volunteers community members
    • Community volunteer such as Female Community Health Volunteer (FCHV)
    Limitations in implementing the WHO/UNICEF Joint statement Policy
    • Most mothers and their newborns are not visited at most appropriate time due to long distances and time constraint
    • Limited resources i.e. personnel and funds
    • Lack of sensitization "….some health workers are not sensitized and are not aware of the policy…"
  • 6. Newborn tools for household action .
    • Tools (job aides/ IEC materials / BCC guides) they are using for community based newborn programming.
    • flipchart, Future Generations Peru
    • Adapted ESARO and WHO/UNICEF training materials and job aides
    • Saving Newborns lives - Training Module
    • Artist locally drawn materials on card board sheet
    • Timed and targeted Counseling (ttC) Manual by World Vision
    • Community Based Newborn Care Program (CB-NCP)'s tool
    • SNL, Plan - Flip Charts
    • Job aids for FCHVs - MOHP Nepal Child Health Division
    • A respondent said “……this is our weakest area - not consistent…”)
  • 7. Newborn tools for household action Cont’d .
  • 8. Integrated maternal newborn tools for household action How maternal and newborn services for household action are integrated.
    • MNCH messages are combined in all CHW and partners trainings, home visits. All the IEC materials contain integrated MNCH messages
    • "..You can not isolate the child from the mother in our setting so the issues are addressed together. Often in addressing the issues of the child the mothers challenges comes in so u end up addressing the mothers issues too…“
    • community health workers do monthly household visits to newborns and postpartum mothers - each have a monitoring checklist and provide relevant messages
  • 9.
    • THANK YOU