Short slide on India Newborn Action Plan exclusively from S Park's textbook for medical undergraduates

1. INAP (India Newborn Action Plan)
Siddharth K C, UG, GMC Trivandrum

2. INAP
 Remarkable progress in the survival of mother
and children beyond the newborn period.
 NHRM & RMNCH+A
 Launched in June 2014, in response to the
global Every Newborn Action Plan (ENAP).
 A targeted strategy for accelerating the reduction
of preventable newborn deaths and stillbirths.

3.  The goal is to attain "Single Digit Neonatal Mortality
rate by 2030" and Single Digit Stillbirth rate by 2030.
 Six pillars of intervention packages

4. Strategic Intervention Packages

5.  Pre-conception & antenatal care
 Care during labour and child birth
 Immediate newborn care
 Care of healthy newborn
 Care of small and sick newborn
 Care beyond survival

6. Pre-conception and antenatal care
• Reproductive health & family planning [E]
• Nutrition related interventions [El
• Counsilling and birth preparedness [E]
• Prevention against malaria [S]
Family and
community
• Antenatal screening [E]
• Screening for malaria [SJ
• Prevention and management of mild to
moderate anaemia [E]
• Tetanus immunization [E]
Outreach/Sub-
centre
• Antenatal screening and management [E]
• Adolescent friendly health clinics[E]
• Postpartum family planning services [E]
• Prevention of Rh disease
Health facility

7. Care during labour and childbirth
• Skilled birth attendance [E]
• Clean birth practices [E]
Family and
community
• Identification of complications and timely
referral [E]
• Pre-referral dose by ANM [E]-
Corticosteroids & Antibiotics
Outreach/Sub-
centre
• Emergency obstetric care [E]
• Management of preterm
labour [E]
Health facility

8. Immediate newborn care
• Delayed cord clamping [E]
• Interventions to prevent hypothermia
[E]
• Early initiation and exclusive breast-
feeding [E]
• Hygiene to prevent infection [E]
Family and
community
• Vitamin K at birth [E]
• Neonatal resuscitation [El
Outreach/Sub-
centre
• Advanced neonatal
resuscitation [E]Health facility

9. Care of healthy newborn
• Home visits till six weeks by trained
ASHA [E]
• Exclusive breast-feeding [E]
• Clean postnatal practices [E]
Family and
community
• Immunization [E]
Outreach/Sub-
centre
• All the interventionsHealth facility

10. Care of small and sick newborn
• Thermal care and feeding
support(for home deliveries) [E]
Family and
community
• Integrated management using
IMNCI and use of oral antibiotics
[E]
• Injectable Gentamicin by ANMs
for sepsis [E] ·
Outreach/Sub-
centre
• Kangaroo mother care at facility [E]
• Full supportive care at block and district
level [E]
• Intensive care services (NICU) at
regional level [A]
Health facility

11. Care beyond newborn survival
• Screening for birth defects,
failure to thrive and
developmental delays [El
• Follow-up visits [E]
Family and
community
• As before
Outreach/Sub-
centre
• Newborn screening [A]
• Management of birth defects [E]
• Follow-up of high-risk infants
Health facility

12. Monitoring and Evaluation
 comprehensive assessment of targets would be
done in 2020
 milestones will be reviewed every five years
 ‘dashboard indicators’

14. Reference
 SPM by S Park, 24th edition

15. Thank You