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NEONATAL DEATHS IN     ODISHADR. SUDHIRA KUMAR PARIDA.
DEFINITION• Deaths occuring during the neonatal period  i.e., within 28 completed days of birth.• Calculated as no. of neo...
IMPORTANCE• Over 2/3rd of IMR &• ½ of U5MR• 90% of neonatal deaths-within 1st 14 days of  life• ½ of neonatal deaths-withi...
PROBLEM STATEMENTSRS 2010:• NNMR- 42 (R-43,U-32)• Early NNMR-33 (R-35,U-21)AHS 2011:• 31(Angul) - 75(Balangir)NNMR        ...
IMR & NNMR70605040                                      9 (14.8% 0f IMR)30                6120                            ...
U5MR & NNMR9080706050              784030                                     42 ( 54% of U5MR )20100                   U5...
CAUSES                            D                CONG.       2 NT                            %                MALFORMATI...
NNMREARLY NNMR                   LATE NNMR• Prematurity & congenital   • Infection  anomalies                  • Diarrhoea...
DETERMINANTS
ANC120%           98100%80%                           77                                           58.460%40%             ...
CONSUMPTION OF IFA DURING      PREGNANCY                             %                      None                      10% ...
PLACE OF DELIVERY                          %       At home        24.5%                            Institutional          ...
Duration of stay at health facility                           4+ days                             8%                  3 da...
DELIVERY ATTENDED BY SBA90             79%807060504030                                          21%20100                  ...
INSTITUTIONAL DELIVERIES & JSY                    JSY                                     60.7 %Institutional deliveries  ...
BF AFTER CHILD BIRTH70.00%          63.760.00%50.00%40.00%30.00%                       27.220.00%                         ...
INTERVENTIONS
BEFORE PREGNANCY• Delayed child-bearing• Well-timed, well-spaced & wanted  pregnancies• Well- nourished & healthy mother• ...
DURING PREGNANCY(ANC)•   Early registration•   TT•   IFA•   Good diet•   Counseling on birth preparedness & BF•   Identifi...
INTRAPARTUM & IMMEDIATE          NEWBORN CARE•   PROM-Antibiotics•   Complications- EmOBC•   SBA•   5 ”C’’s•   Prevention ...
EARLY NBC•   EBF•   Temp maintenance•   Optimal cord care & hygiene•   Immunisation•   Care for LBW baby•   Management of ...
LATE NBC• EBF• Cord care & hygiene• Care for LBW baby
HEALTH PROGRAMMES•   JSY•   UIP•   IMNCI•   Mamta dibas•   Pustikar dibas•   JSSK•   Mamta scheme•   E-janani
PROGRESS•   ASHAs - in 40,000 villages•   380 JSY Express•   JSY + Mamta dibas : 26 lakh women•   JSSK - 382 health centre...
REFERENCES• SRS 2010• AHS 2011• UNICEF’s Coverage evaluation survey 2009• PARK’S textbook of preventive & social  medicine...
Neonatal deaths in odisha
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Neonatal deaths in odisha

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Neonatal deaths in odisha

  1. 1. NEONATAL DEATHS IN ODISHADR. SUDHIRA KUMAR PARIDA.
  2. 2. DEFINITION• Deaths occuring during the neonatal period i.e., within 28 completed days of birth.• Calculated as no. of neonatal deaths in a given yr / 1,000 live births in that yr.
  3. 3. IMPORTANCE• Over 2/3rd of IMR &• ½ of U5MR• 90% of neonatal deaths-within 1st 14 days of life• ½ of neonatal deaths-within 1st 7 days
  4. 4. PROBLEM STATEMENTSRS 2010:• NNMR- 42 (R-43,U-32)• Early NNMR-33 (R-35,U-21)AHS 2011:• 31(Angul) - 75(Balangir)NNMR 10-19 20-29 30-39 40-49 50-59 60-69 70-79No.of - - 17 10 2 - 1districts:• In rural areas of districts - significantly higher than that in urban areas
  5. 5. IMR & NNMR70605040 9 (14.8% 0f IMR)30 6120 33 (54% of IMR: R-55%,10 U-50%)0 IMR NNMR [SRS 2010]
  6. 6. U5MR & NNMR9080706050 784030 42 ( 54% of U5MR )20100 U5MR NNMR [SRS 2010]
  7. 7. CAUSES D CONG. 2 NT % MALFORMATIONS 2% 8% Others 11% PREMATURITY & LBW 29%BIRTH ASPHYXIA & TRAUMA 23% SEVERE INFECTION 25%
  8. 8. NNMREARLY NNMR LATE NNMR• Prematurity & congenital • Infection anomalies • Diarrhoea• Asphyxia
  9. 9. DETERMINANTS
  10. 10. ANC120% 98100%80% 77 58.460%40% 37.520% 0% at least 1 2+ 3+ full [COVERAGE EVALUATION SURVEY 2009]
  11. 11. CONSUMPTION OF IFA DURING PREGNANCY % None 10% 30 days 100 days 16% 47% 31-90 days 27% [COVERAGE EVALUATION SURVEY 2009]
  12. 12. PLACE OF DELIVERY % At home 24.5% Institutional 75.5%[COVERAGE EVALUATION SURVEY 2009]
  13. 13. Duration of stay at health facility 4+ days 8% 3 days 8% 2 days 1 day 12% 44% 1 day 28% [COVERAGE EVALUATION SURVEY 2009]
  14. 14. DELIVERY ATTENDED BY SBA90 79%807060504030 21%20100 SBA none [COVERAGE EVALUATION SURVEY 2009]
  15. 15. INSTITUTIONAL DELIVERIES & JSY JSY 60.7 %Institutional deliveries 75.5 % 0.00% 20.00% 40.00% 60.00% 80.00% [COVERAGE EVALUATION SURVEY 2009]
  16. 16. BF AFTER CHILD BIRTH70.00% 63.760.00%50.00%40.00%30.00% 27.220.00% 8.810.00% 0.3 0.00% < 1 hr 1-23 hr ³ 24 hr No BF [COVERAGE EVALUATION SURVEY 2009]
  17. 17. INTERVENTIONS
  18. 18. BEFORE PREGNANCY• Delayed child-bearing• Well-timed, well-spaced & wanted pregnancies• Well- nourished & healthy mother• Female literacy
  19. 19. DURING PREGNANCY(ANC)• Early registration• TT• IFA• Good diet• Counseling on birth preparedness & BF• Identification of major risk factors of obstructed labor.
  20. 20. INTRAPARTUM & IMMEDIATE NEWBORN CARE• PROM-Antibiotics• Complications- EmOBC• SBA• 5 ”C’’s• Prevention of hypothermia• Early EBF• Cord & eye care• Neonatal resuscitation• Spl. care for LBW
  21. 21. EARLY NBC• EBF• Temp maintenance• Optimal cord care & hygiene• Immunisation• Care for LBW baby• Management of sickness
  22. 22. LATE NBC• EBF• Cord care & hygiene• Care for LBW baby
  23. 23. HEALTH PROGRAMMES• JSY• UIP• IMNCI• Mamta dibas• Pustikar dibas• JSSK• Mamta scheme• E-janani
  24. 24. PROGRESS• ASHAs - in 40,000 villages• 380 JSY Express• JSY + Mamta dibas : 26 lakh women• JSSK - 382 health centre• ASHA Gruha• Maa gruha - tribal & outreach area• 1482 MCH centres• 394 Health centres -24 7• 56 Blood banks• 20 Blood preservation centres
  25. 25. REFERENCES• SRS 2010• AHS 2011• UNICEF’s Coverage evaluation survey 2009• PARK’S textbook of preventive & social medicine. 21st edition• Textbook of preventive & social medicine : sunderlal• RCH module for MO(PHC).

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