scholarly journals An assessment of admission and outcome trends among neonates admitted in special newborn care unit (SNCU) of Jalgaon, Maharashtra

2021 ◽  
Vol 18 (2) ◽  
pp. 17-23
Author(s):  
Vilas Malkar ◽  
Keyword(s):  
Neonatal Mortality ◽  
Longitudinal Design ◽  
Newborn Care ◽  
Assisted Ventilation ◽  
Major Surgery ◽  
Preterm Neonates ◽  
Family Welfare ◽  
Male Preponderance ◽  
The Government ◽  
Year 2013

Background: Children face the highest risk of dying in their first 28 days of life (neonatal period). Simple interventions have been tested and found to be effective in reducing the neonatal mortality. Facility Based Newborn Care (FBNC) has a significant potential for improving newborn survival. SNCU is a neonatal unit in the vicinity of labor room which is to provide special care (all care except assisted ventilation and major surgery) for sick newborns. Aims and objectives: To study the trend of neonatal admissions and their outcomes over a period of 7 years i.e. from the year (2013) of establishment to current year (2019) at SNCU in a district level hospital in Maharashtra. Materials and method: The present descriptive observational study with longitudinal design was conducted in the Government supported SNCU of District Hospital of Jalgaon District of Maharashtra which included all the neonates admitted in SNCUs from January 2013 to December 2019.The SNCU monthly report which is in a predefined format from Ministry of Health and Family Welfare, Government of India, which includes data on admission information, reasons of admission, course of admission, and mortality reasons (if any) with treatment outcomes was used for data collection. Result: It was seen that during the study period (i.e. from January 2013 to December 2019) total 16489 neonates were admitted to the SNCU. During the first year (2013) total 1182 neonates were admitted which went on increasing in subsequent years as 2494, 2916, 2944, 2525, 2078 and 2350 neonates were admitted in the year 2014,2015, 2016, 2017, 2018 and 2019. Yearwise data shows proportions of males and females were approximately similar with male preponderance in each year. Proportion of outborn neonates went on steadily increasing (26.90% in 2013 to 46.26% in 2019) and that of inborn neonates went on decreasing (73.10% in 2013 to 53.74% in 2019). Yearwise trend shows that more and more (54.65% in 2013 to 68.13% in 2019) LBWs were admitted as compared to NBWs neonates (45.35% in 2013 to 68.13% in 2019). Decreasing trend in the mortality was observed from 2013 to 2019 as neonatal mortality rate went on decreasing. It was recorded 18.75% in 2013, 12.43% in 2014, 11.48% in 2015, 12.59% in 2016, 10.54% in 2017, 4.75% in 2018, and 5.77% in 2019. Conclusion: Over a period of 7 years from 2013 to 2019 neonatal mortality went on decreasing including decrease in LBW. and preterm neonates.

scholarly journals Effect of collaborative quality improvement on stillbirths, neonatal mortality and newborn care practices in hospitals of Telangana and Andhra Pradesh, India: evidence from a quasi-experimental mixed-methods study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Karen Zamboni ◽  
Samiksha Singh ◽  
Mukta Tyagi ◽  
Zelee Hill ◽  
Claudia Hanson ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Neonatal Mortality ◽  
Process Evaluation ◽  
Andhra Pradesh ◽  
Newborn Care ◽  
Mechanisms Of Change ◽  
Evidence Based ◽  
Programme Implementation ◽  
Quasi Experimental ◽  
Care Practices

Abstract Background Improving quality of care is a key priority to reduce neonatal mortality and stillbirths. The Safe Care, Saving Lives programme aimed to improve care in newborn care units and labour wards of 60 public and private hospitals in Telangana and Andhra Pradesh, India, using a collaborative quality improvement approach. Our external evaluation of this programme aimed to evaluate programme effects on implementation of maternal and newborn care practices, and impact on stillbirths, 7- and 28-day neonatal mortality rate in labour wards and neonatal care units. We also aimed to evaluate programme implementation and mechanisms of change. Methods We used a quasi-experimental plausibility design with a nested process evaluation. We evaluated effects on stillbirths, mortality and secondary outcomes relating to adherence to 20 evidence-based intrapartum and newborn care practices, comparing survey data from 29 hospitals receiving the intervention to 31 hospitals expected to receive the intervention later, using a difference-in-difference analysis. We analysed programme implementation data and conducted 42 semi-structured interviews in four case studies to describe implementation and address four theory-driven questions to explain the quantitative results. Results Only 7 of the 29 intervention hospitals were engaged in the intervention for its entire duration. There was no evidence of an effect of the intervention on stillbirths [DiD − 1.3 percentage points, 95% CI − 2.6–0.1], on neonatal mortality at age 7 days [DiD − 1.6, 95% CI − 9–6.2] or 28 days [DiD − 3.0, 95% CI − 12.9—6.9] or on adherence to target evidence-based intrapartum and newborn care practices. The process evaluation identified challenges in engaging leaders; challenges in developing capacity for quality improvement; and challenges in activating mechanisms of change at the unit level, rather than for a few individuals, and in sustaining these through the creation of new social norms. Conclusion Despite careful planning and substantial resources, the intervention was not feasible for implementation on a large scale. Greater focus is required on strategies to engage leadership. Quality improvement may need to be accompanied by clinical training. Further research is also needed on quality improvement using a health systems perspective.

scholarly journals Dampak Program Keluarga Harapan (PKH) terhadap Kesejahteraan Keluarga di Desa Padang Seurahet Kecamatan Johan Pahlawan Kabupaten Aceh Barat

2021 ◽  
Vol 7 (2) ◽  
pp. 92
Author(s):  
Lia Muliana ◽  
Mursyidin Mursyidin ◽  
Muharriyanti Siregar
Keyword(s):  
Low Income ◽  
Family Welfare ◽  
Transfer Program ◽  
Family Needs ◽  
Social Significance ◽  
Study Results ◽  
The Family ◽  
Low Income Families ◽  
The Government ◽  
The Impact

The Family Hope Program (PKH) is a conditional cash transfer program for low-income families. The requirement is to be actively involved in education and health. The Family Hope Program in Indonesia was implemented in 2007 to alleviate poverty and prosper low-income families. The research and writing of this journal aim to determine the impact of PKH on family welfare and see if there is a reduction in poverty after the government realizes the Family Hope Program. This study uses a qualitative method with a descriptive approach. The study results indicate that the impact of PKH on beneficiary families, including the cash provided, can meet consumption or family needs and help the economy of PKH recipient families. The implementation of the program can reduce poverty in Aceh. The percentage of the poverty rate fell to 0.02%. The limitation of the research is the impact of PKH on family welfare and wants to examine whether there is a decrease in the percentage of poverty in Aceh or Aceh Barat. The practical implication of this research is to provide information to the government that PKH can improve the welfare of low-income families. The social significance is to give the government and the general public that the implementation of social assistance programs, one of which is the Family Hope Program, can reduce poverty rates in Aceh or West Aceh. The originality of the research is supported by previous research related to the author’s research study.

scholarly journals EFEKTIVITAS PROGRAM USAHA PENINGKATAN PENDAPATAN KELUARGA SEJAHTERA (UPPKS) UNTUK PEMBERDAYAAN MASYARAKAT MISKIN

2021 ◽  
Vol 5 (1) ◽  
pp. 36
Author(s):  
Muntaha Mardhatillah
Keyword(s):  
Program Implementation ◽  
Program Effectiveness ◽  
Family Welfare ◽  
Internal Constraints ◽  
Weak Supervision ◽  
External Constraints ◽  
The Poor ◽  
Research Findings ◽  
The Government ◽  
Foster Father

BKKBN as an organizer of family empowerment of the government to create a program Families Economic Empowerment by forming a group container (UPPKS), which is in its implementation in the city of Padang Panjang still encountered a number of problems. The purpose of this research is to determine the level of program effectiveness (UPPKS) in empowering the poor in Padang Panjang city, here are also seen what obstacles are encountered during program implementation and what efforts can be made to overcome these obstacles. The method used in this research is mixed methods were used to measure the effectiveness of the UPPKS program using the model of evaluation CIPO by Stufflebeam, then to get deeper conclusions regarding the results of the study used qualitative methods through observation and interviews. The research findings indicate that the effectiveness program (UPPKS) for empowerment of the poor in Padang Panjang been effective with 70.55% good category. Although the implementation of the program UPPKS in accordance with existing procedures but has not been fully able to improve the welfare of its members. This can be seen with still found some constraints in implementation, obstacles encountered can be categorized into two forms of internal constraints and external constraints. Internal constraints such as: weak supervision of the program, the lack of capital coming from the government, coaching is not evenly distributed. External constraints such as: the use of aid funds is not maximized, the lack of creativity and innovation groups in finding and utilizing financial resources, delays in repayment of the loan. Efforts are made to overcome these obstacles is to involve family welfare III acted as a foster father in group, guidance, and constraints derived from program participants made efforts such as mentoring, conducting proactive system for members jammed in payments.

scholarly journals PEMBERDAYAAN MASYARAKAT MELALUI KEGIATAN KULIAH KERJA NYATA (KKN) MAHASISWA UNIVERSITAS BENGKULU PERIODE 86 TAHUN 2018 DI DESA TEBAT MONOK KABUPATEN KEPAHIANG

2020 ◽  
Vol 2 (1) ◽  
pp. 35-39
Author(s):  
Diah Gustina ◽  
Ilham Adbullah ◽  
Sofino Sofino
Keyword(s):  
Community Empowerment ◽  
Family Welfare ◽  
Research Subjects ◽  
Student Work ◽  
Program Content ◽  
The Government ◽  
Interviewing Techniques ◽  
The University ◽  
Academic Year

This study aims to describe: (1) The formulation of the contents of the program of the University of Bengkulu Student Working Period 86 period in Tebat Monok Village 2018 Academic Year; (2) The form of community empowerment carried out as a realization of the 86th period of the University of Bengkulu Student Work Lecture program in Tebat Monok Village 2018 Academic Year; (3) Results of community empowerment carried out through the 86th period of the Bengkulu University Student Work Lecture in Tebat Monok Village 2018 Academic Year; (4) Role of Supervising Lecturers (DPL) in assisting the activities of the 86 Year University of Bengkulu University Real Work Period 2018 in Tebat Monok Village. This study used a qualitative approach to the research subjects of Students of the University of Bengkulu in the 86 86 2018 period in Tebat Monok Village the government of Tebat Monok village as a Lapanga Advisor, and University of Bengkulu P3KKN. Data collection is done by interviewing techniques and documentation. The technique used in data analysis is data reduction, data presentation, and conclusion drawing. Triangulation is used to explain the validity of the data by using source triangulation, technique triangulation, and time triangulation. The results of the study show: (1) The process of formulating the program content is done by drafting the KKN student work program through the KKN workshop. (2) The form of implementation of community empowerment carried out is training in packaging techniques and product labeling. (3) The results of community empowerment are carried out, namely the fulfillment of the basic needs of the community of Tebat Monok Village in the field of Entrepreneurship. (4) The role of Field Advisors is to carry out their duties and functions in accordance with existing provisions, namely by holding orientation until giving objective values.  Keywords: Community Empowerment, Training, Family Welfare.  

scholarly journals A profile on the spectrum of neonatal mortality and morbidity pattern of extramural neonates in the Specialised Neonatal Care Unit (SNCU) in a tertiary care hospital

2018 ◽  
Vol 5 (2) ◽  
pp. 427 ◽  
Author(s):  
Anuradha D. ◽  
Rajesh Kumar S. ◽  
Aravind M. A. ◽  
Jayakumar M. ◽  
J. Ganesh J.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Low Birthweight ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Newborn Care ◽  
Care Hospital ◽  
Neonatal Deaths

Background: Every year, nearly four million newborn babies die in the first month of life. India carries the single largest share (around 25-30%) of neonatal deaths in the world. Neonatal deaths constitute two thirds of infant deaths in India. 45% of the deaths occur within the first two days of life. It has been estimated that about 70% of neonatal deaths could be prevented if proven interventions are implemented effectively at the appropriate time. It was further estimated that health facility-based interventions can reduce neonatal mortality by 23-50% in different settings. Facility-based newborn care, thus, has a significant potential for improving the survival of newborns in India. This research has been planned with an aim to study the profile of pattern of admissions in a SNCU and their outcomes following admission and management in the unit.Methods: All babies referred for neonatal problems (less than 28 days) and admitted in NICU will be included. Both term and preterm babies will be considered. The criteria for admission includes various causes like low birth weight, preterm, birth asphyxia, respiratory distress, hyperbilirubinemia, congenital anomalies, risk factors (maternal, neonatal, prenatal), infections and outcome will be analysed.Results: Among the 2927 admissions term babies and boys outnumbered. The common causes for admission were birth asphyxia, respiratory distress, low birthweight and preterm. Most babies had an uncomplicated stay. The mortality in the extramural neonates was due to neonatal sepsis, extreme preterm and congenital malformations.Conclusions: Intensive and interventional management, along with good neonatal monitoring and care can reduce the mortality and improve the survival of low birth weight babies and other treatable problems. Thus, a combined effort of management by pediatricians, nursing care, neonatal intensive care unit can improve the survival rates of neonates.

scholarly journals Free Newborn Care Services: A New Initiative in Nepal

2018 ◽  
Vol 16 (3) ◽  
pp. 340-344
Author(s):  
Gambhir Shrestha ◽  
Prajwal Paudel ◽  
Parashu Ram Shrestha ◽  
Shambhu Prasad Jnawali ◽  
Deepak Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Neonatal Mortality ◽  
Newborn Care ◽  
Public Hospitals ◽  
Significant Progress ◽  
The Public ◽  
Care Services ◽  
Common Causes ◽  
The Status ◽  
The Common

Background: Nepal has made a significant progress in reducing child mortality. However, the annual rate of reduction in neonatal mortality is not satisfactory. As safeguarded by constitution of Nepal and to address neonatal mortality due to poverty and inequity, government has introduced free newborn care (FNC) package. This study aims to assess the status of FNC services in all the public hospitals.Methods: Child Health Division organized 5 workshops region-wise with the theme of newborn care services in March/April 2018 to cover all the public hospitals in the country. A template was designed comprising of duration of FNC implementation, number of newborns admitted since implementation, morbidities pattern, and number of babies served. It was circulated and all hospitals were advised to fill it and present in the review. Later, the data were compiled and analyzed.Results: Only 58 presentations out of 93 participated hospitals were included in this study. The total admitted cases were 8564 newborns. The common causes of admission were neonatal sepsis (44.5%) followed by asphyxia (14.29%) and hyperbilirubinemia (11.4%). A total of 1573 neonates received services of FNC package C, 3722 package B, 3081 received package A. The main challenges faced in implementation reported were lack of infrastructure and human resources to provide services and the reimbursement is not enough.Conclusions: Free newborn care is a new initiative taken to reduce neonatal mortality. This package is very helpful to serve sick newborns. However, the package should be revised taking into consideration the appropriate reimbursement and extra staffs to provide this service.Keywords: Free newborn care; government efforts; health services.

Impact of COVID-19 pandemic on pilgrim city: A case of Haridwar, Uttarakhand, India

2021 ◽  
pp. 91-96
Author(s):  
Shreya Giri
Keyword(s):  
Geographic Location ◽  
State Level ◽  
Family Welfare ◽  
Global Pandemic ◽  
The World ◽  
Recent Outbreak ◽  
River Ganga ◽  
The Government ◽  
Novel Coronavirus ◽  
Pilgrimage Tourism

India has one of the largest pilgrim traffic in the world as it has large number of sacred and holy sites of different religions. Besides tourism has been a rising industry in India during last few decades thus providing excellent opportunities for pilgrimage tourism until the outbreak of Novel Coronavirus hit the Pilgrim industry. The Covid-19 global pandemic has led to fatal situation and is inextricably affecting the economy of the nation. One such case is of Haridwar “The Gateway to the abode of Gods” in the Uttarakhand state of India. Every year lakhs of devotees visit Haridwar to take bath in the holy river Ganga in order to attain virtue. Haridwar is a famous religious city for the Hindus and it is also attractive to other domestic and foreign tourists because of its marvellous geographic location and physio-cultural tourist resources. The Ministry of Health and Family Welfare has raised awareness about the recent outbreak and the Government is taking several measures and formulating various concord at both central and state level to prevent the adversities of COVID-19. In this paper, an attempt has been made to highlight how the pandemic has left the pilgrimage industry gasping. The paper also suggests certain measures to cope up the Covid-19 outbreak thus consequently moving the economy of the region.

Nimesulide – A Drug to be Banned completely

2021 ◽  
pp. 132-137
Author(s):  
C. Muralikrishna Goud ◽  
Syeda Mariya Ghazanfar
Keyword(s):  
United States ◽  
Adverse Effects ◽  
Drug Interactions ◽  
Acute Hepatitis ◽  
Family Welfare ◽  
Over The Counter ◽  
High Court ◽  
Human Use ◽  
The Government ◽  
Pediatric Use

The Aim of present work is to report Nimesulide a Nonsteroildal Anti Inflammatory Drug is being sold as over the counter drug has to banned completely due to occurrence of Nimesulide induced acute hepatitis. On February 12, 2011, the Union Ministry of Health and Family Welfare finally had decided to suspend the pediatric use of the Nimesulide suspension. From 10 March 2011 Nimesulide formulations are not indicated for human use in children below 12 years of age. On September 13, 2011 Madras High Court revoked a suspension on manufacture and sale of pediatric drugs Nimesulide and phenylpropanolamine (PPA). Though the government of India has banned the pediatric use of Nimesulide for common fever and pain due to its adverse effects on the liver, its usage by adults is being increased everyday without any prescription. The drug was banned in 2000 in various countries like Switzerland, Spain, United states etc, whereas in India it was banned in 2011 which was too late to be banned and still available in India for adult use despite of its hepatotoxicity and possible drug interactions.

TeCHO+ program in Gujarat: a protocol for health technology assessment

2020 ◽  
Vol 6 (4) ◽  
pp. 209-214
Author(s):  
Somen Saha ◽  
Priya Kotwani ◽  
Apurvakumar Pandya ◽  
Deepak Saxena ◽  
Tapasvi Puwar ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Health Technology Assessment ◽  
Community Health ◽  
Technology Assessment ◽  
Tracking System ◽  
Newborn Care ◽  
Health Technology ◽  
The State ◽  
Family Welfare ◽  
The Impact

The Health and Family Welfare Department, Government of Gujarat, is implementing a program named Technology for Community Health Operation or TeCHO+ addressing state’s priority health issues. This program envisages replacing the existing mother and child tracking system or e-Mamta application in the state. This program is based on ImTeCHO—Innovative Mobile Technology for Community Health Operations—which was piloted in Jhagadia, Bharuch district of Gujarat in 2013. The program showed improvements not only in terms of coverage of maternal and newborn care packages averting malnutrition but also was cost-effective. This paper details the protocol for health technology assessment to assess the impact of TeCHO+ program on data quality, improvement in service delivery coverage, reduction in morbidity and mortality as well as assess the cost-effectiveness. The study will be conducted in five districts of the state. A mixed-method approach will be adopted. Data will be validated in a phased manner over a period of 3 years along with an assessment of key outcome indicators. Additionally, key informant interviews will be conducted and cost data will be gathered to perform cost-effectiveness analysis. The study will inform policymakers about the impact of TeCHO+ program on quality, access and cost-effectiveness of healthcare services.

scholarly journals Newborn Care Practices by the Mother / Care Givers’ and Their Knowledge about Signs of Sickness of Neonates

2012 ◽  
Vol 35 (3) ◽  
pp. 90-96 ◽  
Author(s):  
Md Mahbubul Hoque ◽  
Mohammad Faizul Haque Khan ◽  
Jotsna Ara Begum ◽  
MAK Azad Chowdhury ◽  
Lars Ake Persson
Keyword(s):  
Neonatal Mortality ◽  
Newborn Care ◽  
Cost Effective ◽  
Home Delivery ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Institutional Deliveries ◽  
Home Deliveries ◽  
Care Practices ◽  
At Home

Background: Despite proven cost effective intervention, there has been little change in neonatal mortality. In Bangladesh neonatal mortality accounts for two third of infants death. About 90% deliveries take place in home and majority of neonatal death are taking place within 7 days of birth. Information about reasons for delivering at home and newborn care practices will be useful to undertake simple intervention measures by policy makers.Aims and objective: To see the knowledge, perception and behaviour of mothers towards their normal and sick newborn.Methods: A cross sectional study was carried out in Dhaka Shishu Hospital from June to November, 2007. A semistructured, pretested questionnaire was used to interview mothers attending inpatient (IPD) and outpatient department (OPD) of hospital.Results: A total 198 mothers were interviewed. Home deliveries were 35.5% and Institutional were 64.5%. Among the Institutional deliveries 35% (44 out of 127) were planned and tried first at home, but when failed mothers were taken to hospital. Majority (86%) of home deliveries were conducted by Dai/relatives. Umbilical cord was cut with new/boiled blade in 85% of home deliveries and household knife was used in 4% cases. Birth place were not at all heated in all home deliveries. In 32 % of home deliveries babies were given bath within 1 hour of birth and it was 15% in case of hospital deliveries. Forty-eight percent babies of home deliveries were wrapped within 10 minutes. Prelacteal feed was given in 51% of home deliveries in comparison to 23% of institutional deliveries. The rate of initiation of breast feeding within one hour of birth was 52% in home and 35% in institutional deliveries. In all cases breast milk was given within 48 hours. Main reasons cited for delivering at home were preference (43%) and fear about hospital (39%). In case of educated (graduate) mothers 72% deliveries took place at hospital. Less feeding (56%), vomiting (42%), less movement (32%), fever (29%) and cough (27%) could be recognized by mothers as signs of sickness.Conclusion: Home deliveries and poor newborn care practices are commonly found in this study. Traditional birth attendants should be adequately trained as they are conducting majority of home deliveries. Female education is very important to reduce home delivery as it is seen that deliveries of educated mothers are taking place in hospital. High risk traditional newborn care practices like delayed wrapping, early bathing, use of oil in umbilical stump and prelacteal feeding need to be addressed. This study also found that knowledge to identify sickness in newborn is still poor.DOI: http://dx.doi.org/10.3329/bjch.v35i3.10497  Bangladesh J Child Health 2011; Vol 35 (3): 90-96

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