Central Scheme on Home Based New Born Care





As part of the Reproductive and Child Health (RCH) Phase-II and under the National Rural Health Mission (NRHM), an Integrated Management of Neo-natal and Childhood Illness (IMNCI) strategy is being implemented by States. IMNCI has an inbuilt component of care at home for the newborn where the trained health care provider is expected to visit the newborn on the 1st, 3rd and 7th day after the birth and make an additional 3 visits for the low birth weight baby on the 14th, 21st and the 28th day. Under IMNCI, ANMs and Anganwadi workers are trained to identify danger signs of a sick newborn child, provide management at home and timely referral to the health care facilities.

Uttar Pradesh runs a Comprehensive Child Survival Project where the IMNCI training module has been expanded to include birth preparedness and essential care at birth. Some other States like Maharashtra, Rajasthan, Bihar, Madhya Pradesh Karnataka and Orissa are implementing Home Based Newborn Care (HBNBC) in a few districts.

As per the information received from the State of Tamil Nadu, the State is implementing the HBNBC as part of the IMNCI strategy.

The Institute of Child Health Centre, which is the State Nodal Centre for IMNCI, has developed a HBNBC training module in the Tamil language and piloted it in 40 Health Sub-Centres (4 HSCs each in 10 IMNCI Phase –I districts) in the year 2009 by the 6 Regional Training Institutes.

An evaluation of the pilot HBNBC training was conducted by the State trainers in July – Aug 2009 and outcome reported in Nov-2009.

Incorporating the recommendations of the evaluation study, the HBNBC training has been upscaled and 27354 personnel have been trained till March-2010. The trained personnel include Field Health & Nutrition workers, Self Help Group Members and Village Health Volunteers. The training programme has been expanded, through the District and Block training teams to cover all the districts by July -2010.

The District IMNCI training nodal officers and the IMNCI mentors, monitor the quality of the HBNBC training programme and supervise the implementation of the entire IMNCI programme at grass root level.

This information was given by Union Minister for Health & Family Welfare, Ghulam Nabi Azad in written reply to a question raised in Rajya Sabha today.

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