Assessment of Facility based newborn care at various health care facilities in Rajkot district
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20171336Keywords:
Assessment, Facility based newborn care units, Knowledge, skillsAbstract
Background: India carries the single largest share (around 25-30%) of neonatal deaths in the world. It has been estimated that about 70% of neonatal deaths could be prevented if proven interventions are implemented effectively with high coverage.
Methods: A cross-sectional observational study was conducted at various health facilities of Rajkot district where facility based newborn care are created as per the guidelines under NRHM. It was conducted during August 2013 to October, 2013. The data entry was done in Microsoft Office Excel 2007 and analyzed in Epi info software from CDC Atlanta.
Results: This study included total 32 health facilities including 10 Primary Health Centers (PHC) (24X7), 15 Community Health Centers (CHC), 5 Sub District Hospitals (SDH), one District Hospital (DH) and one Medical College (MC). There are a total of 36 facilities of different level available in government set up for newborn care starting from NBCC to SNCU. All (100%) of the health centers visited were equipped with NBCC for newborn care, while NBSU and SNCU for newborn care were created at only 2 (6.2%) centers respectively. Only 2 out of 10 PHC had all required equipments for NBCC. All the required equipments were available at 3 CHCs out of total 15 CHCs. All the SDH were having adequate equipment for NBCC except resuscitator & separate Digital Thermometer were not available at 2 SDH. At DH, except for Digital thermometer, all equipments were adequate. Only 1 SDH has been established for NBSU and it did not have adequate no. of radiant warmer and resuscitator. DH is lacking in all the required equipment for SNCU except for resuscitator (250 ml) and refrigerator. Out of total 101 health personnel, 68 (67.3%) have been trained for NSSK. From total 68 trained health personnel, 12 (17.7%) got the score above the cut off for resuscitation skill. Out of the trained respondents, 29 (42.7%) acquired score above cut off for routine care.
Conclusion: All the PHCs, CHCs, SDHs and DH were deficient in equipments. NBSU was created in only one SDH. SNBU was created at DH and MC, but equipments were not sufficient at both centers. Health care providers involved in facility based newborn care units had poor knowledge regarding routine newborn care and also not properly trained in resuscitation.
References
Lawn JE, Causens S, Zupan J. 4 million neonatal deaths: when? Where? Why? Lancet. 2005;365(9462):891-900.
Dadhich JP, Paul VK, editors. State of India’s newborns. New Delhi: National Neonatology Forum. 2004: 13-14.
Toolkit for setting up of Facility Based care newborn units, stabilization units and newborn corners. New Delhi: United Nations Children’s Fund, 2008. Available at http://www.unicef.org
/india/SCNU_book1_April_6.pdf. Accessed on 5 July 2013.
Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de bernis L; Lancet Neonatal Survival Steering Team. Evidence based, cost effective interventions: how many newborn babies can we save? Lancet. 2005;365:977-88.
Sample Registration System Statistical Report - 2010, Office of the Registrar General, India, Ministry of Home Affairs, New Delhi, Government of India.
Annual Report to the people on Health, Ministry of Health & Family Welfare, Government of India, 2011.
Facility based newborn care operational guide: Guidelines for planning and implementation. Ministry of Health & Family Welfare, Government of India, 2011.
Neogi SB, Malhotra S, Zodpey S, Mohan P. Challenges in scaling up of special care newborn units – lessons from India. Indian Pediatr. 2011;48:931-5.
Sen A, Mahalanabis D, Singh AK, Som TK, Bandyopadhyay S. Impact of a district level sick newborn care unit on neonatal mortality rate: 2-year follow-up. J Perinatol. 2009;29:150-5.
Monika Chauhan, Jyoti Sharma, Preeti Negandhi, Siddharth Reddy, Ghanashyam Sethy, Sutapa B. Neogi. Assessment of Newborn Care Corners in Selected Public Health Facilities in Bihar. Indian J Public Health. 2016;60(4):341–6.
Neogi SB, Malhotra S, Zodpey S, Mohan P. Assessment of special care newborn units in India. J Health Popul Nutr. 2011;29:500-9.
