Dr Harish Ch. Tiwari

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  • This study was carried out as a part of state wide survey for the Government of Uttar Pradesh by the Department of Community Medicine, M.L.N. Medical College, Allahabad in the selected Districts of Uttar Pradesh.
  • Recently delivered women who gave birth during last two years in 1st round of survey & with in last 1 year in 2nd year.Further questions relating to routine immunization were separately asked for children age 12-23 months.
  • So new born care practices & immunization coverage in uttar pradesh is very poor & Govt. of india has launched RCH-ii programme in which emphasis is on education to mothers on breast feeding and routine immunization of children against 6 vaccine preventable diseases. Under the umbrella of NRHM which was launched in 2005, Janani Suraksha Yojna is there to promote institutional deliveries, IMNCI to improve the management of childhood & neonatal illness. Let us have a hope that the situation will improve in near future.
  • Dr Harish Ch. Tiwari

    1. 1. New Born Care And immunization Coverage in Selected Districts of Uttar Pradesh <br /> Presenter- Dr. H. C. Tiwari1<br /> Dr. (Mrs.) S. Dwivedi,2 Prof. G. Singh3<br />1. J R- II, Community Medicine<br />2. Prof. & Head, Department of Community Medicine <br />3. Ex. Prof. & Head, Department of Community Medicine <br />M.L.N. Medical College , Allahabad<br />
    2. 2. Introduction<br /><ul><li>Each year 27 million children are born in India and around 10% of them do not survive to 5 years of age.
    3. 3. India accounts for 2.1 million of the 9.7 million annual under-five child deaths (21 per cent of the global burden of child deaths).
    4. 4. Uttar Pradesh alone contributes 25% to these under-five child deaths in India. </li></li></ul><li>Cont….<br /><ul><li> Some factors responsible for poor child health scenario in India are-</li></ul>Poor nutritional status.<br />Poor breastfeeding and complementary feeding.<br />Poor immunization coverage.<br />Illnesses among children and lack of care seeking for sick newborns.<br />
    5. 5. Cont…..<br />New born care is very important to reduce the child mortality because neonatal causes of mortality accounts for about 37 % of under five mortality in India. <br />
    6. 6. Objectives<br />To asses the new born care practices.<br />To asses the child immunization coverage.<br />
    7. 7. Material & Method<br />Study Area: This study was carried out form June 2005-February 2007, in the districts of Allahabad (Urban & Rural), Mirzapur, Kaushambi, Ballia, Jaunpur, Pratapgarh, Sonbhadra.<br />Study Design: Cross sectional study.<br />Sampling Technique: WHO thirty cluster sampling methodology was used.<br />Sample Size- 1000-1500 households per districts.<br />
    8. 8. Observations<br />Practices of weighing baby after birth district wise<br />
    9. 9. Practice of bathing baby immediately after birth <br />
    10. 10. Practices of breast feeding of baby within 1 hour after birth<br />
    11. 11. Babies exclusively breast fed for six months<br />
    12. 12. Immunization Status of child<br />
    13. 13. Conclusions-<br /> It was observed that taking weight of children after birth was not customary in most of the districts.<br /> It was observed that in most of the districts more than 50% of children were bathed immediately after birth. <br />
    14. 14. Cont………..<br />Practice of breast feeding to newborn within one hour after birth was not popular and in most of the districts was less than 20%. <br />The percentage of baby on exclusive breast feeding up to six month in most of the districts was low & in most of the districts it was less than10%.<br />
    15. 15. Cont……..<br /> In most of the districts percentage of fully immunized children was low.<br />
    16. 16. Thanks<br />

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