Measures to Check Mortality Rate of Children




Measures to Check Mortality Rate of Children

Under the National Health Mission (NHM), following interventions are being implemented to bring down mortality rate among children in all States:

1. Janani Shishu Suraksha Karyakaram (JSSK): entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section. The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for all sick infants accessing public health institutions for treatment till one year of age.


2. Facility Based Newborn Care (FBNC) at different levels to reduce child morbidity and mortality: Setting up of facilities for care of sick newborn such as Special New Born Care Units (SNCUs), Newborn Stabilization Units (NBSUs) and Newborn Care Corners (NBCCs) at different levels is a thrust area under NHM.

3. Home Based New Born Care (HBNC): Home based newborn care through ASHAs has been initiated to improve new born practices at the community level and early detection and referral of sick new born babies.

4. India Newborn Action Plan (INAP) has been launched with an aim to reduce neonatal mortality and stillbirths.

5. Newer interventions to reduce newborn mortality- Vitamin K injection at birth, Antenatal corticosteroids for preterm labour, kangaroo mother care and injection gentamicin to young infants in cases of suspected sepsis.

6. Intensified Diarrhoea Control Fortnight was observed in August 2014 focusing on ORS and Zinc distribution for management of diarrhoea and feeding practices.

7. Integrated Action Plan for Pneumonia and Diarrhoea (IAPPD) launched in four states with highest child mortality (UP, MP, Bihar and Rajasthan).

8. Management of Malnutrition: Nutritional Rehabilitation Centres (NRCs) have been established for management of severe acute malnutrition in children.

9. Appropriate Infant and Young Child Feeding practices are being promoted in convergence with Ministry of Woman and Child Development.

10. Village Health and Nutrition Days (VHNDs) are organized for imparting nutritional counselling to mothers and to improve child care practices.

11. Mother and Child Tracking System (MCTS): A name based Mother and Child Tracking System has been put in place which is web based to ensure registration and tracking of all pregnant women and new born babies so that provision of regular and complete services to them can be ensured.

12. Rashtriya Bal Swasthya Karyakram (RBSK) for health screening and early intervention services has been launched to provide comprehensive care to all the children in the age group of 0-18 years in the community. The purpose of these services is to improve the overall quality of life of children through early detection of birth defects, diseases, deficiencies, development delays including disability.

13. Under National Iron Plus Initiative (NIPI), through life cycle approach, age and dose specific IFA supplementation programme is being implemented for the prevention of anaemia among the vulnerable age groups like under-5 children, children of 6 – 10 years of age group, adolescents, pregnant & lactating women and women in reproductive age along with treatment of anaemic children and pregnant mothers at health facilities.

14. Capacity building of health care providers: Various trainings are being conducted under NHM to train doctors, nurses and ANMs for essential newborn care, early diagnosis and case management of common ailments of children. These trainings are on Navjaat Shishu, Suraksha Karyakram (NSSK), Integrated Management of Neonatal and Childhood Illnesses (IMNCI), Facility Based Newborn Care (FBNC), Infant and Young Child Feeding practices (IYCF), etc.

15. Universal Immunization Programme (UIP) covers about 13.5 crore children for vaccination against seven vaccine preventable diseases, through 90 lakh immunization sessions each year.

16. To sharpen the focus on vulnerable and marginalized populations in underserved areas, 184 High Priority Districts have been identified for implementation of Reproductive Maternal Newborn Child Health+ Adolescent (RMNCH+A) interventions for achieving improved maternal and child health outcomes.

Millennium Development Goal (MDG) 4 pertains to reduction of child mortality and sets a target of reducing mortality among children under 5 by two-third between 1990 and 2015. This translates into under 5 mortality rate goal for India as 42 per thousand live births. Annual rate of decline in India’s U5MR was 4.0 % during the period 1990 to 2013, which has accelerated during 2008-13 to 6.6%. India is on track to attain the MDG 4 goal by 2015 if the current trend of decline is sustained.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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District Level Health Surveys

                                                                   
The Government has conducted District Level Household Surveys (DLHS) during 1998-99 (DLHS-1), 2002-04 (DLHS-2), 2007-08 (DLHS-3) and 2012-13 (DLHS-4). Further, Annual Health Survey (AHS) which also provide district level data was conducted during 2010-11(AHS-1), 2011-12 (AHS-2) and 2012-13 (AHS-3).  The AHS was conducted in Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh and Uttarakhand.

State-wise key indicators from AHS are given below:


Key Indicators:  AHS-1(2010-11), AHS-2(2011-12) and AHS-3(2012-13)



The results of the Surveys have helped in assessing the performance of health sector programmes, planning new schemes / progammes and realigning the existing health schemes. National Rural Health Mission (NRHM) was launched in 2005 to provide accessible, affordable and quality health care to the population, especially the vulnerable groups. Following the success of NRHM, National Urban Health Mission was also lunched and the two Missions have been now subsumed under National Health Mission (NHM). Further, using data from DLHS and AHS, the Ministry has identified 184 High Priority Districts for focused attention on reproductive, maternal, newborn, child and adolescent health.

The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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Campaign for Preventing Childhood Diarrhoea


Under National Health Mission, Intensified Diarrhoea Control Fortnight (IDCF) was observed from 28th July to 8th August, 2014 for control of deaths due to Diarrhoea across all states AND UTs.

The activities under IDCF mainly included- awareness generation activities, diarrhoea management service provision, establishing ORS-Zinc demonstration sites, ORS distribution by ASHA through home visits, detection of undernourished children and their treatment, promotion of appropriate Infant and Young Child Feeding (IYCF) practices by ASHA and establishing IYCF corners.

Around 1.9 crore under-five children were benefitted and prophylactic ORS packets were distributed to them with counselling for care during diarrhoea by the ASHAs.

The measures taken by the Government for management of childhood diarrhoea are given below:

        I.            Early detection of cases from community with provision of primary care with ORS and Zinc dispersible tablets and referral to facilities for appropriate treatment by the health workers trained in Integrated management of Neonatal and Childhood Illnesses (IMNCI)



     II.            Health, hygiene and nutrition education to the mothers at Village health and Nutrition Days (VHNDs)



   III.            Observation of Integrated Diarrhoea Control Fortnight (IDCF) for mass awareness generation on prevention and control of diarrhoea, service delivery provisions along with information, education and communications on appropriate Infant and Young Child feeding practices.



  IV.            Surveillance activities to detect outbreaks of Diarrhoea through Integrated Disease Surveillance Programme (IDSP) are also carried out.


The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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Addressing Anaemia among Pregnant Women

Under the National Health Mission (NHM), the management of nutritional anemia among pregnant and lactating women is an important intervention. The steps taken to tackle anaemia are given below:

·        Universal screening of pregnant women for anaemia is an integral part of ante-natal care, through the existing network of sub-centers and primary health centres and other health facilities as well as through outreach activities at Village Health & Nutrition Days (VHNDs).
·        Every pregnant woman during ANC is given iron and folic acid (IFA) tablets for six months and six months post-partum. Pregnant women, who are found to be clinically anemic, are given double dose.
·        Health and nutrition education to promote dietary diversification, inclusion of iron folate rich food as well as food items that promote iron absorption.
·        To tackle the problem of anaemia due to malaria particularly in pregnant women and children, Long Lasting Insecticide Nets (LLINs) and Insecticide Treated Bed Nets (ITBNs) are being distributed in endemic areas.
·        To reduce the prevalence of anemia in adolescent girls, both in and out of school, Government of India has launched a scheme of Weekly Iron and Folic Acid Supplementation (WIFS) all over the country.
·        Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.
·        Non –Pregnant and Non Lactating women are given Weekly Iron and Folic Acid Supplementation
·        Engagement of 8.8 lakhs Accredited Social Health Activists (ASHAs) to generate demand and facilitate accessing of health care services by the community.
·        Janani Shishu Suraksha Karyakaram (JSSK) has been launched on 1st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section.  The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home. Similar entitlements have been put in place for all sick newborns accessing public health institutions for treatment till one year after birth.



The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.

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Food Processing Minister Appeals to Processed Food Industry to Donate packaged food for Nepal earthquake victims

Ministry of Food Processing Industries, Government of India has picked up the task for organizing delivery of processed food articles for the earthquake victims of Nepal.

The Ministry has organized delivery of two lakh packets of Maggi Noodles donated by M/S Nestle, two lakh packets of Yippee noodles donated by M/s ITC and 12000 packets of YY noodles donated by M/s CG Group.

All India Food Processors Association are also sending 25000 packets of Namkeen by M/S Haldiram, 5000 packets of Namkeen by Bikanerwala and 4000 packets of Namkeen M/s BTW.

Pepsico India has also confirmed sending 60000 one litre bottles of water contained in 5000 cases.

Minister of Food Processing Industries, Smt. Harsimrat Kaur Badal today said, that tragedy can happen on any body any time, we all should rise to the occasion and contribute our bit. She appealed to food processing units all over India to send ready-to-eat packaged food, bottled water, and other articles or daily use for Nepal earthquake victims.

The food items are being airlifted by Air Force planes for earthquake victims.

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Measures to Check Mortality Rate of Children Measures to Check Mortality Rate of Children Reviewed by Ajit Kumar on 6:29 PM Rating: 5

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