FBNC training introduction..........pptx

FBNC training

1. Status of Newborn in India State of India’s Newborns 2014 – Unicef report

2. Child Health Under 5 Mortality Rate (U5MR) Infant Mortality Rate (IMR) Neonatal Mortality Rate

3. Figure 1.: Neonatal deaths as a percentage of infant and under-five deaths

4. Child & Neonatal Mortality Rates (2014) Under-five child mortality rate (U5MR) - 52 Infant mortality rate (IMR) - 42 Neonatal mortality rate (NMR) - 29 Early neonatal mortality rate (ENMR) - 23 Late neonatal mortality rate (LNMR) - 6 Note: Rates expressed per 1000 live births Source: SRS Statistical Report, 2014 [2]

5. Figure 2: India’s contribution to global burden of neonatal population and deaths Source: Child mortality report, 2013 [1] Neonatal Death Burden

6. 1990 2000 2012 Relative reduction from 1990 to 2000 Relative reduction from 2000 to 2012 Relative reduction from 1990 to 2012 Neonatal deaths (In millions 1.35 1.12 0.76 17% 32% 44% Infant deaths (In millions) 2.33 1.75 1.10 25% 37% 53% Under-5 child deaths (In millions) 3.32 2.41 1.36 27% 44% 59% Estimates of child deaths in India for years 1990, 2000 and 2012 Source: WHO data bank [3] and SRS Statistical Report, 2012 [2]

7. Figure 3: Trends of NMR and IMR Source: SRS Statistical Reports (2000-2012)

8. Figure 4: Burden of neonatal deaths in Indian states

9. Causes of neonatal deaths

10. Distribution of deaths (week-wise)

11. U5MR, IMR & NMR (2015) Indicators WORLD* INDIA* (NFHS-4 :2015-16) Sustainable Development Goals (SDG) by 2030 INDIA RAJASTHAN U5MR 43 48 50 51 <25 IMR 32 38 41 41 <12 NMR 19 28 * Unicef report 2015

12. New born care HBNC – Home based newborn care FBNC – Facility based newborn care

13. Facility based Newborn care Facility ??? Subcenter PHC CHC DH/MC hospitals

14. Newborn facility at different level Health Facility All newborns Sick Newborn Sub Center/PHC MCH-I Newborn Care Corner in Labor Room Prompt referral to higher center CHC/FRU at MCH-II Newborn Care Corner in LR and OT Newborn Stabilization Unit (NBSU) DH MCH-III Newborn Care Corner in LR and OT Sick Newborn Care Unit (SNCU)

15. FBNC Training For Medical officers & Staff nurses Goal is to skill building of MOs & SN posted in FBNC (NCC/NBSU/SNCU) to provide quality care to newborn FBNC training in two parts – Four days FBNC training 2 weeks Observer ship @ RTC

16. 4 DAYS FBNC TRAINING Class room interactive teaching session – 50% time Hands on training clinical session – 50% time NO LECTURES

17. 4 DAYS FBNC TRAINING – Modules (Class room teaching) NRP Module – Updated protocols for Neonatal resuscitation FBNC training module – Care of Newborn at Birth – Care in postnatal ward – Care of sick newborn (PT/T) – Transport of Sick newborn – ETAT (Emergency Triage assessment & Treatment)

18. Good LUCK *********