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National Program for RMNCH + A: Newer Strategies for Improving the Newborn Health in India

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Abstract

RMNCH+A is a platform for delivering adolescent, maternal, newborn and child health in an integrated manner using a life cycle approach. The new initiatives under this strategy that would impact newborn health include antenatal corticosteroids in preterm labor, delayed clamping of cord at birth, skin-to-skin contact at birth and Kangaroo mother care, Family participatory care, Lactation management centers and care beyond newborn survival under the Rashtriya Bal Swasthya Karyakram. Even though the coverage of many of the existing initiatives has been moderately high, there are concerns about the quality of delivery of these interventions and slow progress in the roll out of the newer interventions. Quality assurance initiative such as Dakshata and LaQshaya will also contribute to improved newborn health as we proceed towards the Sustainable development goals (SDG) 2030 targets for newborn and child survival.

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References

  1. Achieving Millennium Development Goals. Target year factsheet-India. Social Statistics Division Central Statistics Office Ministry of Statistics and Programme Implementation Government of India. Available at: (www.mospi.gov.in/sites/default/files/publication_reports/MDG_Target_year_factsheet-India_3aug17.pdf). Accessed 2 Aug 2018.

  2. SRS Statistical Report 2016. Office of the Registrar General & Census Commissioner, Ministry of Home affairs, Government of India. Available at: (www.censusindia.gov.in/vital_statistics/SRS_Reports__2016.html). Accessed 2 Aug 2018.

  3. Bhutta ZA, Das JK, Bahl R, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014;384:347–70.

    Article  PubMed  Google Scholar 

  4. India Newborn Action Plan (INAP). Ministry of Health and Family Welfare, Government of India; 2014.

  5. Use of Antenatal Corticosteroids in Preterm Labour (Under Specific Conditions by ANM). Operational Guidelines. Child Health Division, Ministry of Health and Family Welfare, Government of India, 2014.

  6. Roberts D, Brown J, Medley N, Dalziel SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2017;3:CD004454. https://doi.org/10.1002/14651858.CD004454.pub2.

  7. McDonald SJ, Middleton P, Dowswell T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database Syst Rev. 2013;7:CD004074. https://doi.org/10.1002/14651858.CD004074.pub3.

  8. Brocato B, Holliday N, Whitehurst RM Jr, Lewis D, Varner S. Delayed cord clamping in preterm neonates: a review of benefits and risks. Obstet Gynecol Surv. 2016;71:39–42.

    Article  PubMed  Google Scholar 

  9. Rana A, Agarwal K, Ramji S, Gandhi G, Sahu L. Safety of delayed umbilical cord clamping in preterm neonates of less than 34 weeks of gestation: a randomized controlled trial. Obstet Gynecol Sci. 2018;61:655–61.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kangaroo Mother Care & Optimal Feeding of Low Birth Weight Infants. Operational Guidelines. Child Health Division, Ministry of Health and Family Welfare, Government of India, 2014.

  11. Conde-Agudelo A, Díaz-Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev. 2016;8:CD002771. https://doi.org/10.1002/14651858.CD002771.pub4.

  12. Facility Based Newborn Care Operational Guide. Ministry of Health and Family Welfare, Government of India, 2011.

  13. Family Participatory Care for Improving Newborn Health. Operational Guidelines for Planning and Implementation. Child Health Division, Ministry of Health and Family Welfare, Government of India, 2017.

  14. Nangia S, Sachdeva RC, Sabharwal V. Human milk banking; an Indian experience. NeoRev. 2018;19:e201–10.

    Article  Google Scholar 

  15. National Guidelines for Lactation Management Centers in Public Health Facilities. Child Health Division, Ministry of Health and Family Welfare, Government of India, 2017.

  16. Rashtriya Bal Swasthya Karyakram. Child Health Screening and Early Intervention Services under NRHM. Operational Guidelines. Ministry of Health and Family Welfare, Government of India, 2013.

  17. 11th Common Review Mission: Report. National Health Mission, Ministry of Health and Family Welfare, Government of India, 2017.

  18. Home Based Newborn Care. Operational Guidelines (Revised 2014). Ministry of Health and Family Welfare, Government of India.

  19. Althabe F, Belizan JM, McClure EM, et al. A population-based, multifaceted strategy to implement antenatal corticosteroid treatment versus standard care for the reduction of neonatal mortality due to preterm birth in low-income and middle-income countries: the ACT cluster-randomised trial. Lancet. 2015;385:629–39.

    Article  PubMed  Google Scholar 

  20. Dakshata. Empowering Providers for Improved MNH Care during Institutional Deliveries. A Strategic Initiative to Strengthen Quality Of Intra- and Immediate Postpartum Care. Operational Guidelines. Maternal Health Division, Ministry of Health and Family Welfare, Government of India, 2015.

  21. LaQshaya. Labor Room Quality Improvement Initiative. National Health Mission, Ministry of Health and Family Welfare, Government of India, 2017.

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SR and AJ both conceptulaized and wrote the manuscript and provided their critical inputs to the final approved manuscript.SR will act as guarantor for this paper.

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Correspondence to Siddarth Ramji.

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Ramji, S., Jain, A. National Program for RMNCH + A: Newer Strategies for Improving the Newborn Health in India. Indian J Pediatr 86, 617–621 (2019). https://doi.org/10.1007/s12098-019-02867-x

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  • DOI: https://doi.org/10.1007/s12098-019-02867-x

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