A Step toward Healthy Newborn: An Assessment of 2 Years' Admission Pattern and Treatment Outcomes of Neonates Admitted in Special Newborn Care Units of Gujarat (original) (raw)
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International Journal of Research in Medical Sciences
Background: India accounts for 24% of global neonatal mortality. It is important to study the mortality and morbidity pattern as it helps to implement new treatment protocols, interventions, planning and policy making which helps in better survival and improvement in the quality of life among survivors. The aim of the project study was to determine the causes of morbidity and mortality in neonates admitted in our hospital.Methods: This study was conducted at Special Newborn Care Unit (SNCU) of Veer Chandra Singh Garhwali Government Institute of Medical Science and Research providing level II neonatal care. This is a retrospective hospital based observational study. Data from admission and discharge registers were extracted, compiled and analyzed from March 2016 to February 2018. Neonates taken against medical advice and those referred to tertiary care centers were excluded in calculation of survival outcome. Statistical analysis was done in form of percentage, proportions and chi sq...
Second Technical Report of Special Newborn Care Units (SNCUs) in India
Facility Based Newborn Care (FBNC) programme is one of the key initiatives launched by the Ministry of Health & Family Welfare, Government of India (MoHFW, GoI) under NRHM and RCH II to improve the status of newborn health in the country. Under this programme, Special Newborn Care Units (SNCUs) are being established at district hospitals and some sub-district hospitals to provide special care for sick newborns, that is, to provide all type of neonatal care except for assisted ventilation and major surgeries. This Technical report presents the results of the quarterly data collected from the States/UTs for the period April to June 2011. For the report, submission of written records was considered an essential pre-requisite for SNCU to be considered as an operational unit. After checking data for completeness and accuracy, a set of pre-defined indicators were calculated. The key findings are presented in this report.
International Journal of Research in Medical Sciences
Background: Globally, neonatal deaths constitute 44% of all deaths in less than 5 years age group .The concept of SNCU is based on the learning from the “Purulia model”. This research study was undertaken, to assess the profile of sick newborns admitted in the SNCU.Methods The investigators analyzed this data and establish the morbidity profile of newborns admitted in SNCU Hamirpur in 2019.Results: Total of 422 newborns were admitted 197 (46.7%) were females and 225 (53.3%) were males. Out of these 381 (90.3%) were inborn and 41(9.7%) were out born. In inborn 293 (76.9%) weighed more than 2.5 kg, 83 (21.8%) were low birth weight <2.5 kg to 1.5 kg and 2 (0.52%) were very low birth weight i.e < 1.5 kg to 1 kg and one newborn was extreme low birth weight i.e <1 kg. In the out born group, 23 (56.1%) weighed more than 2.5 kg and 13 (31.8%) were low birth weight <2.5 kg to 1.5 kg, 4 (9.8%) were very low birth weight < 1.5 kg to 1 kg. Jaundice was the most common neonatal co...
Assessment of Facility based newborn care at various health care facilities in Rajkot district
International Journal Of Community Medicine And Public Health
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 ...
Assessment of Special Care Newborn Units in India
Journal of Health, Population and Nutrition, 2011
The neonatal mortality rate in India is high and stagnant. Special Care Newborn Units (SCNUs) have been set up to provide quality level II newborn-care services in several district hospitals to meet this challenge. The units are located in some remotest districts where the burden of neonatal deaths is high, and access to special newborn care is poor. The study was conducted to assess the functioning of SCNUs in eight rural districts of India. The evaluation was based on an analysis of secondary data from the eight units that had been functioning for at least one year. A cross-sectional survey was also conducted to assess the availability of human resources, equipment, and quality care. Descriptive statistics were used for analyzing the inputs (resources) and outcomes (morbidity and mortality). The rate of mortality among admitted neonates was taken as the key outcome variable to assess the performance of the units. Chi-square test was used for analyzing the trend of case-fatality rate over a period of 3-5 years considering the first year of operationalization as the base. Correlation coefficients were estimated to understand the possible association of case-fatality rate with factors, such as bed:doctor ratio, bed:nurse ratio, average duration of stay, and bed occupancy rate, and the asepsis score was determined. The rates of admission increased from a median of 16.7 per 100 deliveries in 2008 to 19.5 per 100 deliveries in 2009. The case-fatality rate reduced from 4% to 40% within one year of their functioning. Proportional mortality due to sepsis and low birthweight (LBW) declined significantly over two years (LBW <2.5 kg). The major reasons for admission and the major causes of deaths were birth asphyxia, sepsis, and LBW/prematurity. The units had a varying nurse:bed ratio (1:0.5-1:1.3). The bed occupancy rate ranged from 28% to 155% (median 103%), and the average duration of stay ranged from two days to 15 days (median 4.75 days). Repair and maintenance of equipment were a major concern. It is possible to set up and manage quality SCNUs and improve the survival of newborns with LBW and sepsis in developing countries, although several challenges relating to human resources, maintenance of equipment, and maintenance of asepsis remain.
First Technical Report of Special Newborn Care Units (SNCUs) in India
Facility-based interventions have the potential of reducing neonatal mortality by 25-30% (3). Under the FBNC program, Special Newborn Care Units (SNCUs) are being established at any health facility where the delivery load is more than 3000 per year. This would cover most district hospitals and some of the sub-district hospitals. SNCU is special unit in the vicinity of the labour room which will provide special care for sick newborns, that is, provide all type of neonatal care except for assisted ventilation and major surgeries. This report analyzes the functioning, admission profile and mortality rates from functional SNCUs in the country.
Journal of tropical pediatrics, 2017
Planning a comprehensive program addressing neonatal mortality will require a detailed situational analysis of available neonatal-specific health infrastructure. We identified facilities providing essential and sick neonatal care (ENC, SNC) by a snowballing technique in Ballabgarh Block. These were assessed for infrastructure, human resource and equipment along with self-rated competency of the staff and compared with facility-based or population-based norms. A total of 35 facilities providing ENC and 10 facilities for SNC were identified. ENC services were largely in the public-sector domain (68.5% of births) and were well distributed in the block. SNC burden was largely being borne by the private sector (66% of admissions), which was urban-based. The private sector and nurses reported lower competency especially for SNC. Only 53.9% of government facilities and 17.5% of private facilities had a fully equipped newborn care corner. Serious efforts to reduce neonatal mortality would r...