MATERNAL NEWBORN AND CHILD HEALTH IN INDIA

INDIA'S MISSION

By 2030, India aims to reach a Maternal Mortality Ratio of 70.
By 2030, end preventable deaths of newborns and children under 5 years of age, aiming to
reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at
least as low as 25 per 1,000 live births.

WHAT WE DO

IHAT and The University of Manitoba are working in close collaboration with the Government of Uttar Pradesh to improve availability, quality and utilisation across the community, facility and systemic level for maternal, newborn and child health outcomes.

  • STRENGTHENING COMMUNITY PROCESSESS

IHAT works with the government to enhance the coverage and quality of antenatal care, birth planning, home-based maternal, newborn, child health services and immunisation.

We build the capacity of Frontline Workers to mobilise communities to seek and receive essential maternal and child health services by supporting the government in their training and mentoring.

We develop job aids and tools to support the Frontline Workers to easily communicate and educate the women in the community

  • CAPACITY BUILDING FOR IMPROVED QUALITY

IHAT works towards improving the quality of Emergency Obstetric & Newborn care (Comprehensive and Basic) and paediatric services by strengthening knowledge, skills and practice of service providers.

The Nurse Mentors model provides on-site mentoring to the staff nurses to build their capacity on critical maternal and child health practices while the Regional Resource Training Center Training ropes in faculty from the medical colleges to mentor specialist doctors at first referral units to activate/strengthen Comprehensive Emergency Obstetric & Newborn services.

  • FACILITY READINESS FOR IMPROVED OUTCOMES

IHAT supports the government in conducting situational analysis to assess the availability of equipment, supplies and trained human resources for Emergency Obstetric & Newborn care (Comprehensive and Basic) and paediatric services.

It works with the government to develop micro-plans to address these gaps and facilitates the process where necessary.

Resources

The Buddy Buddy Model: For Rapid Activation of First Referral Units

First Referral Units (FRUs) are required to be equipped with a specialized workforce that can manage all the major medical causes of maternal and neonatal deaths. The Buddy Buddy Model is an innovative policy initiative for activation of FRUs. It incorporates policy enablers for posting and leveraging available MBBS government medical officers trained either in Emergency Obstetrics or in Life Saving Anesthesia Skills, as a pair with complementary skills that are required to conduct C-section deliveries at inactive FRUs.

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Categorizing and assessing comprehensive drivers of provider behavior for optimizing quality of health care

Inadequate quality of care in healthcare facilities is one of the primary causes of patient mortality in low- and middle-income countries and understanding the behaviour of healthcare providers is key to addressing it. This paper identifies contextual and internal behavioural drivers in staff nurses working in reproductive, maternal, newborn, and child health in government public health facilities in Uttar Pradesh, India.

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Scientific evidence of association of prenatal counselling and immediate postnatal support to enhance early initiation of breastfeeding in Uttar Pradesh

Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India.

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