An Assessment of Home-Based Newborn Care Plus Innovation in Six districts of Rajasthan: A Cross Sectional Comparative Analysis

Authors

DOI:

https://doi.org/10.47203/IJCH.2019.v31i03.008

Keywords:

Home Based Newborn Care Plus, HBNC, Norway India Partnership Initiative, NIPI

Abstract

Background: To improve coverage of key child health community practices, Home Based Infant Care (HBNC+) was implemented with support of Norway India Partnership Initiative (NIPI) in 4 States of Rajasthan, Madhya Pradesh, Bihar and Odisha. The innovation aimed at improving coverage of key child health interventions through home visits by community health worker, Accredited Social Health Activist (ASHA). Aims & Objective: This paper elucidates the results from the assessment of implementation in intervention versus control districts of Rajasthan.   Material & Methods: A cross-sectional intervention-control design with a sample size of 3211 mothers of children in age group 0 to 23 months was adopted. Results: 85 percent of the children (aged 3-23 months) received at least one infant care home visit in the intervention districts in comparison to 32 percent in control. Significant improvements were found in terms of exclusive breastfeeding, weighing and Iron Folic Acid (IFA) consumption and availability of ORS and Iron Syrup in intervention districts. 15 percent additional children had weight plotted in growth charts and 24 percent more consumed IFA syrup bi-weekly in intervention districts. Conclusion: Home visits in infancy is a scalable model and can lead to improvement of community child health practices.

Downloads

Download data is not yet available.

References

Ashworth A, Waterlow JC. Infant mortality in developing countries. Arch Dis Child. 1982 Nov;57(11):882-4. doi: 10.1136/adc.57.11.882. PubMed PMID: 7149765; PubMed Central PMCID: PMC1628029.[PubMed]

Baqui, A. H., El-Arifeen, S., Darmstadt, G. L., Ahmed, S., Williams, E. K., Seraji, H. R., . . . Black, R. E. (2008). Effect of community-based newborn-care intervention package implemented through two service-delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial. The Lancet, 371(9628), 1936-1944. doi:10.1016/s0140-6736(08)60835-1

Bhutta, Z. (2008). Implementing community-based perinatal care: results from a pilot study in rural Pakistan. Bulletin of the World Health Organization, 2008(6), 452-459. doi:10.2471/blt.07.045849

Black, R. E., Morris, S. S., & Bryce, J. (2003). Where and why are 10 million children dying every year? Child: Care, Health and Development, 29(6), 584-584. doi:10.1046/j.1365-2214.2003.00376_5.x

Bangladesh Rehabilitation Assistance Committee. (2014). Scaling Up and Sustaining Support for Improved Infant and Young Child Feeding, BRAC’s Experience through the Alive & Thrive Initiative in Bangladesh. Dhaka, Bangladesh: BRAC.

Claeson, M., & Bos, E. R. (2000). Reducing child mortality in India in the new millennium. Bulletin of the World Health Organization, 1192–1199.

Haider, R., Ashworth, A., Kabir, I., & Huttly, S. R. (2000). Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial. The Lancet, 356(9242), 1643-1647. doi:10.1016/s0140-6736(00)03159-7

Jawarkar, A.K., Lokare, P.O. & Dore, S. (2012). Study of socio-demographic and maternal determinants influencing birth-weight. MGMIS, 28-33.

Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. How many child deaths can we prevent this year?. Lancet. 2003 Jul 5;362(9377):65-71. doi: 10.1016/S0140-6736(03)13811-1. Review. PubMed PMID: 12853204.[PubMed]

Kevany, R. B. (1996). Maximizing immunization coverage through home visits: a controlled trial in an urban area of Ghana. WHO Bulletin, 74.

Liu, L., Hill, K., Oza, S., Hogan, D., Chu, Y., Cousens, S., . . . Black, R. E. (2016). Levels and Causes of Mortality under Age Five Years. Disease Control Priorities, Third Edition (Volume 2): Reproductive, Maternal, Newborn, and Child Health, 71-83. doi:10.1596/978-1-4648-0348-2_ch4

Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, Dwyer-Lindgren L, Lofgren KT, Phillips D, Atkinson C, Lopez AD, Murray CJ. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: an updated systematic analysis. Lancet. 2011 Sep 24;378(9797):1139-65. doi: 10.1016/S0140-6736(11)61337-8. Epub 2011 Sep 19. PubMed PMID: 21937100.[PubMed),

Mannan, I., Rahman, S. M., Sania, A., Seraji, H. R., Arifeen, S. E., Winch, P. J., . . . Baqui, A. (2008). Can early postpartum home visits by trained community health workers improve breastfeeding of newborns? Journal of Perinatology, 28(9), 632-640. doi:10.1038/jp.2008.64

Gilmore B, McAuliffe E. Effectiveness of community health workers delivering preventive interventions for maternal and child health in low- and middle-income countries: a systematic review. BMC Public Health. 2013 Sep 13;13:847. doi: 10.1186/1471-2458-13-847. Review. PubMed PMID: 24034792; PubMed Central PMCID: PMC3848754.[PubMed]

MoHFW. (2011). Home Based Newborn Care(HBNC) Guidelines, 2011. NEw Delhi: MoHFW.

Mohllajee, A. P., Curtis, K. M., Morrow, B., & Marchbanks, P. A. (2007). Pregnancy Intention and Its Relationship to Birth and Maternal Outcomes. Obstetrics & Gynecology, 109(3), 678-686. doi:10.1097/01.aog.0000255666.78427.c5

National Institute of Medical Statistics, I. C. (2012). Infant and child mortality in India: Levels, Trends and Determinants. New Delhi: UNICEF.

López, P. O., & Bréart, G. (2013). Sociodemographic characteristics of mother’s population and risk of preterm birth in Chile. Reproductive Health, 10(1). doi:10.1186/1742-4755-10-26

Perera PJ, Ranathunga N, Fernando MP, Sampath W, Samaranayake GB. Actual exclusive breastfeeding rates and determinants among a cohort of children living in Gampaha district Sri Lanka: A prospective observational study. Int Breastfeed J. 2012 Dec 22;7(1):21. doi: 10.1186/1746-4358-7-21. PubMed PMID: 23259860; PubMed Central PMCID: PMC3546863.[PubMed]

Downloads

Published

2019-09-30

How to Cite

1.
Yonzon KK, Dehingia N, Alwadhi V, Singh K, Kumar H, Bhat AA, et al. An Assessment of Home-Based Newborn Care Plus Innovation in Six districts of Rajasthan: A Cross Sectional Comparative Analysis. Indian J Community Health [Internet]. 2019 Sep. 30 [cited 2024 Dec. 5];31(3):338-46. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/1118

Issue

Section

Original Article

Dimensions Badge