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Repository on Maternal Child Health Catalogue of Available Resources August 2011 National Child Health Resource
Repository on
Maternal Child Health
Catalogue of Available Resources
August 2011
National Child Health Resource Centre (NCHRC)
National Institute of Health and Family Wefare (NIHFW)
[Type the abstract of the document Baba Gang here. Nath The abstract Marg, is Munirka, typically a New short Delhi-110067pany summary of the contents name] of the document.
Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.]

Title Introduction Key Features Topics and Themes AV Gallery Topics

Maternal Health Newborn Child Health Immunization Nutrition Diseases General Information

Content

Themes

Page i ii iii v vi

1 23 24 66 67 91 92 115 116 136 137 160

Policy, Program, GuidelinesTechnical Publications Training Scientific Article Statistical Information

Technical PublicationsPolicy, Program, Guidelines Training Scientific Article Statistical Information

TrainingPolicy, Program, Guidelines Technical Publications Scientific Article Statistical Information

Scientific ArticlePolicy, Program, Guidelines Technical Publications Training Statistical Information

Statistical InformationPolicy, Program, Guidelines Technical Publications Training Scientific Article

Chapter 1: INTRODUCTION

Efficient management of ‘health information’ is imperative for informed decision making and attaining effective outcomes of programs. It is also one of the essential blocks for strengthening health systems of a country. Under the mandate of MDG 4 and 5 to reduce child mortality and maternal mortality, several initiatives have been undertaken by the Government and non government organizations to improve the status of Maternal Child Health in India, including the most recent National Rural Health Mission. This has generated an abundant resource of valuable information; however this information lies scattered or remains within the parent organizations and is often inaccessible to the public and other stakeholders. The Repository on Maternal Child Health is an attempt to mitigate this problem and improve management of maternal child health information.

This Repository is a virtual guide to Child Health and related Maternal Health information relevant to Public Health in India. It is a one-stop access to efficiently search, organize and share latest information. Its advantages include:

Collection and management of Child Health & related Maternal Health information at a single place.

Platform for effective sharing and exchange of information.

Improved visibility of child health issues.

Prevent duplication of efforts (and waste of resources) for similar issues

Informed decisions for better coherence between program needs and outcomes.

i

Chapter 2: KEY FEATURES

The Repository on Maternal Child Health is a virtual guide to Child Health and related Maternal Health information relevant to Public Health in India. It is a one-stop access to efficiency search, organize and share latest information. Some of its Key features include:

Free/Open access to all users

Child health information focuses on children in the age group 0 to 5 years, that is, the newborn, infant and young child age group

Maternal health information focuses on the perinatal period that is, late pregnancy (beyond 28 weeks), labour, delivery, and post-partum period

Relevance of information from the public health perspective

Updated information with emphasis on resource materials published from the year 2000 onwards

Categorization of all information into specific Topics and Themes

Abstract, Keywords, Source and Year of Publication for each information/resource material along with photograph of the cover page

Access to related documents indexed with the similar keywords by using the ‘link keywords’

Multiple ways to Search

Thesaurus developed for a standardized vocabulary of Keywords

Access to the full text document/resource material through link to the source website or PDF document (wherever possible) with due acknowledgement to the contributing organization.

ii

Chapter 3: TOPICS AND THEMES

The Repository contains Child Health information and Maternal Health information relevant from public health perspective in India. The Child health information focuses on children in the age group 0 to 5 years, that is, the newborn, infant and young child age group while Maternal health information focuses on the perinatal period that is, late pregnancy (beyond 28 weeks), labour, delivery, and post-partum period.

The information in the Repository has been classified into broad TOPICS which are given below:

Maternal health

Newborn and child health

Immunization

Nutrition

Diseases

General Information

Each topic has been further categorized into five (5) specific THEMES as described below:

Policies, programs, guidelines

This includes all documents showcasing Policies, Guidelines, Programs, Frame-works, Vision Statements and Plans developed by the

Government of India and Non government agencies (including WHO, UNICEF, other International donor organizations). This theme

would especially be useful for those involved in strategic planning and policy development.

This theme has been indicated in the catalogue by the following color:

iii

in strategic planning and policy development. This theme has been indicated in the catalogue by the

Technical publications

This theme is a broad segment comprising of Reports (of programs, research studies, events, monitoring & evaluations), Advocacy, Field experiences, Innovations, Case studies, Process documents, and important Government Circulars and Orders. The resources under this category would adhere to needs of a gamut of child health and public health professionals for program/project development and management, research and advocacy.

This theme has been indicated in the catalogue by the following color:

Trainings

indicated in the catalogue by the following color: Trainings This section comprises various resource materials developed

This section comprises various resource materials developed to enhance the capacity of health personnel working across different levels of health care (including grass root level workers). It contains training materials like Facilitator’s Guide, Manuals, Handbooks, Workbooks, Flipcharts, Modules, etc. and would be especially helpful to those working at district level and below.

This theme has been indicated in the catalogue by the following color:

Scientific articles

in the catalogue by the following color: Scientific articles This theme contains primary and secondary research

This theme contains primary and secondary research articles (with emphasis on systematic reviews) relevant to the topics in Indian settings and published in peer reviewed journals. Letters, Personal opinions and Editorials have not been included. This theme would usually interest policy makers/analysts and those involved in academic and research activities.

This theme has been indicated in the catalogue by the following color:

iv

involved in academic and research activities. This theme has been indicated in the catalogue by the

Statistical information

This section provides information derived from surveys, modeling techniques, evaluation studies, etc conducted by the national and international agencies on the child health and related maternal health indicators. This theme would be useful to a wide range of personnel including those involved in research, policy making, and monitoring evaluation activities.

This theme has been indicated in the catalogue by the following color:

v

making, and monitoring evaluation activities. This theme has been indicated in the catalogue by the following

Chapter 4: AV Gallery

This gallery comprises of Audio-Visual aids (IEC/BCC materials), Printed material (Brochures, Leaflets, Posters), and Media news

developed to inform and educate the health care beneficiaries including the communities, families and individuals. This section

would be beneficial for those involved in health promotion activities.

It is divided into the following two categories:

Posters

Maternal Health

Newborn Child Health

Immunization

Nutrition

Diseases

General Information

Flipcharts

Maternal Health

Newborn Child Health

Immunization

Nutrition

Diseases

General Information

vi

R EPOSITORY ON M ATERNAL C HILD H EALTH TOPIC: MATERNAL HEALTH Themes Titles Abstract

REPOSITORY ON MATERNAL CHILD HEALTH

TOPIC: MATERNAL HEALTH

Themes

Titles

Abstract

Organization

Year

Policy, Program,

Prepared by PATH in 2001, this guide provides information on the design,

   

Guidelines

development, distribution and promotion of the single-use, disposable delivery kit

containing essential components for a clean delivery at home by the birth

PATH

2001

attendants and for women delivering alone.

 

Revised and updated by the MOHFW in the year 2010 (initial publication in 2005),

   

this guideline provides comprehensive, evidence-based information to reorient the

Auxiliary Nurse Midwives (ANMs), Staff Nurses (SNs), and Lady Health Visitors

(LHVs) to provide skilled care during pregnancy and childbirth. The chief objective is

MoHFW

2010

to strengthen and operationalize the 24X7 PHCs and designated FRUs in handling

Basic and Comprehensive Obstetric Care including Care at Birth.

 

This guideline has been developed by the Maternal Health Division MoHFW, to help

   

the states to plan for and operationalise First Referral Units (FRUs) at the district

level for providing Emergency Obstetric and Newborn Care under the RCH II

MoHFW

2004

Program.

 

This guideline has been developed by the Maternal Health Division MoHFW, to help

   

the states to plan for and operationalise at least 50% of Primary Health Centres as

MoHFW

2005

1

Health Centre for providing

24-hour functional units for providing round the clock delivery services and

   

24-hour Delivery and

newborn care under the RCH II program.

Newborn Care under RCH-II

This guideline has been developed by the Maternal Health Division of MOHFW in

   

2007 for program managers and in-charges of training institutes at district and state

level to standardize planning of SBA training, ensure its effective management, and

MoHFW

2007

to help these personnel identify their specific roles and responsibilities in

conducting this training.

Developed by the MOHFW in 2005, this evidence based guideline provides guidance

   

to the medical officers working at the level of PHCs and CHCs regarding pregnancy

care and management of common obstetric complications as mandated under RCH-

MoHFW

2005

II.

Developed by the NHSRC of MoHFW in 2010, these guidelines specify the package

   

of maternal and child health services to be provided at each level of health facility

along with their quality parameters, proposes a supervisory structure and an

external system of assessment to ensure the delivery of these services, and

NHSRC,

2010

describes the institutional linkages and community support required to enable the

MoHFW

states and districts develop outcome based plans for reducing maternal and

newborn mortality.

Prepared by the Government of Rajasthan in coordination with ARTH, UNICEF AND

   

UNFPA, this document examines the research evidence on 8 key practices during

2

Labour

labor and delivery care, and provides evidence based recommendations on

   

interventions required to support processes of normal birth

Developed by NIPI in 2010, this guideline provides a standardized framework to

   

facilitate the expansion of the Yashoda/Mamta intervention in the 4 states of Bihar,

Madhya Pradesh, Orissa and Rajasthan. Yashoda/Mamta is a non-medical,

voluntary support worker placed at hospitals with high delivery load to create a

NIPI

2010

congenial environment for the mother and the newborn in the facility, and to

 

counsel the mother about good newborn care practices at home

Developed by the WHO in 2003, this manual provides evidence-based guidance to

   

health care professionals to enable them provide high quality routine and

emergency care during pregnancy, delivery and in the postpartum period, and

WHO

2003

outlines the key preventive measures required for reducing the incidence of

 

maternal and perinatal morbidity and mortality

A set of user-friendly leaflets developed as part of the WHO’s Integrated

   

Management of Pregnancy and Childbirth Care (IMPAC) package to improve the

 

health and survival of women and their newborn babies during pregnancy,

childbirth and the postnatal period. Standards for health facilities have been

WHO

2006

prescribed to enable provision of minimum essential care for all mothers and

newborns

This WHO document published in 2003 gives a framework for the interventions at

   

the level of individuals, families and communities to improve and increase their

control over maternal and newborn health, as well as to increase the access and

WHO

2003

utilization of quality health services, particularly those provided by the skilled

3

   

attendants

   

Technical

A report of the WHO SEARO sponsored high-level consultation of member countries

   

Publication

of South East Asia region held in 2008 at Ahmedabad. The objective of the meeting

was to review progress and identify barriers to achieving MDGs 4 & 5, share

WHO

2008

information on evidence-based best practices and interventions, and agree on

multi-sectoral framework for accelerating and sustaining the achievement of MDGs

4 & 5

 

This program update of 2009 describes briefly the various activities undertaken by

   

the four State Health Societies of Orissa, Bihar, Madhya Pradesh and Rajasthan

under the NIPI program. The focus of NIPI program is on improving newborn and

NIPI

2009

child health in the five NRHM states which contribute to 60% of the total child

mortality

 

Findings from the baseline survey conducted in 2008-09 in the three districts of

   

Bihar where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

evaluate the status of child and related maternal health in these districts, identify

NIPI

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation

 

Findings from the baseline survey conducted in 2008-09 in the three districts of

   

Madhya Pradesh where the Norway India Partnership Initiative (NIPI) is working to

reduce infant mortality and to improve maternal health. The survey was conducted

NIPI

2009

to evaluate the status of child and related maternal health in these districts, identify

4

 

gaps in the existing service delivery mechanism, assess the needs and

   

opportunities, and develop benchmark indicators for project implementation

Findings from the baseline survey conducted in 2008-09 in the three districts of

   

Orissa where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

 

evaluate the status of child and related maternal health in these districts, identify

NIPI

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation

Findings from the baseline survey conducted in 2008-09 in the three districts of

   

Rajasthan where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

 

evaluate the status of child and related maternal health in these districts, identify

NIPI

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation

Consolidated report of the baseline survey conducted in 2008-09 in the four states

   

of Orissa, Bihar, Madhya Pradesh and Rajasthan where the Norway India

Partnership Initiative (NIPI) is working to reduce infant mortality and to improve

maternal health. The survey was conducted to evaluate the status of child and

NIPI

2009

related maternal health, identify gaps in the existing service delivery mechanism,

assess the needs and opportunities, and develop benchmark indicators for project

implementation

5

This document by WHO PAHO focuses on 3 key practices for continuum of maternal

Pan

 

newborn care at the community level delayed cord clamping, skin-to-skin contact,

and early initiation of exclusive breastfeeding. It reviews the existing evidence on

2009

the nutritional and health benefits of these interventions followed by discussion on

the feasibility of their implementation

This document is a programmatic cum advocacy tool in 2001 outlining the plans and

   

actions that can be implemented at various levels (policy maker, facility, provider,

community, family, woman) to prevent delays and help ensure the safety and well-

USAID

2001

being of the mother and her newborn throughout pregnancy, labor, childbirth, and

 

the postpartum period

A part of the evidence review series published by VISTAAR project of USAID in 2008

   

to help make evidence-based decisions regarding Maternal, Newborn and Child

Health and Nutrition (MNCHN) interventions. This document outlines the review on

community-level interventions for anemia prevention and treatment, summarizes

USAID

2008

 

the selected interventions, and shares the recommendations and evidence gaps

identified by a technical expert group after analysis of the interventions

This report prepared by UNFPA summarizes the results of a survey conducted in

   

2008 to evaluate awareness and utilization of JSY services by the beneficiaries in the

five states (Bihar, MP, Rajasthan, Orissa, and UP), the involvement of ASHAs and

UNFPA

2008

mobilization of the pregnant women for institutional deliveries, and the programme

 

and financial management aspects of JSY

This document presents the top line findings and key recommendations from a

   

study conducted by Indiaclen and PFI in 2009 with support from USAID’s MCH STAR

MCHSTAR

2009

6

Janani Shishu Swasthya Abhiyan (MMJSSA-JSY) in Jharkhand: An Indiaclen and PFI Study

initiative to evaluate the reach, effectiveness and impact of the Mukhya Mantri

   

Janani Shishu Swasthya Abhiyan, which was launched by the Govt. of Jharkhand in

2005

A report prepared by the Ministry of Health and Family Welfare in 2002 on the

   

nation-wide survey conducted to evaluate the coverage and people’s response to

Intensified Pulse Polio Immunization, Routine Immunization, and different

MoHFW

2002

components of Maternal Care

This survey conducted by UNICEF in 2005 assesses the coverage, accessibility and

   

availability of routine immunization services and maternal health services (ANC,

delivery care, PNC) across all the States and Union Territories of India, and

UNICEF

2005

evaluates the availability/use of iodized salt and initiation of breast feeding and

colostrum feeding. It also identifies key problems in delivery of these services

This survey conducted by UNICEF in 2006 assesses the coverage, accessibility and

   

availability of routine immunization services and maternal health services (ANC,

delivery care, PNC) across all the States and Union Territories of India, and

UNICEF

2006

evaluates the availability/use of iodized salt and initiation of breast feeding and

colostrums feeding. It also identifies key problems in delivery of these services

This Survey conducted by UNICEF in 2009 assesses the impact of NRHM strategies

   

on coverage levels of maternal, newborn and child-health services including

immunization among women and children. Employing a two-stage sampling

UNICEF

2009

procedure, the survey covered all the States and Union Territories of India and was

conducted between November 2009 and January 2010

7

Published by Pathfinder International in 2009, this working paper is based on a

   

study conducted in Matlab (a rural sub-district of Bangladesh) to investigate the

association between maternal mortality and demographic, programmatic and

USAID

2009

socioeconomic factors using longitudinal data on nearly 143,000 pregnancy

outcomes collected during the period 1982-2002

This report published by JHPIEGO describes the Maternal and Neonatal Health

   

(MNH) Program initiative to develop groups of regional experts in maternal and

newborn health in Africa, Asia, Latin America and the Caribbean, summarizes the

JHPIEGO

2004

lessons learned and recommendations to inform similar initiatives, and presents the

selected achievements for improving the quality of healthcare for women and

newborns

Prepared by USAID and WHO PAHO in 2007, this document advocates for evidence-

   

based, cost-effective, safe and simple practices like active management of third

stage of labour, optimal timing of cord clamping, early initiation of breastfeeding

WHO/USAID

2007

and skin-to-skin care contact to reduce maternal morbidity and mortality, and

 

improve newborn and infant survival, health and nutrition

Report of a regional workshop conducted by WHO SEARO to familiarize media

   

personnel on key issues related to maternal and child health, and to identify the

WHO

2005

activities that could be done by them to help the cause of maternal and child health

SEARO

 

within respective member countries

This paper developed by the CATALYST consortium on request of USAID, provides

   

information on basic postpartum care for the normal mother and newborn at the

USAID

community level and is based on the WHO guidelines. It does not give information

8

 

on the management of complications

   

A joint statement by the WHO, ICM and FIGO in 2004 advocating for the presence

   

of a skilled attendant for all women along the entire continuum of care during

pregnancy, childbirth and the immediate postnatal period in resource-constrained

WHO

2004

settings. It also defines the skills/abilities required by a skilled attendant, coupled

with their education and training needs and the need for an enabling environment

Developed by USAID’s MCH-STAR initiative, this factsheet summarizes the status of

   

maternal health in India, lists the interventions that work, and advocates actions for

MCH-STAR

improving their status

Based on a study undertaken by the Urban Health Resource Centre (UHRC), this

   

report funded by USAID and printed in 2007 describes the maternal-newborn care

practices and care of infants aged 2-4 months (feeding practices, morbidity status,

immunization status and nutritional status) in urban slum dwellings of Indore city in

USAID

2007

 

Madhya Pradesh under the Urban Health Program run by UHRC. It also identifies

various factors facilitating and hindering optimal practices and suggests options for

improvement

This document describes the proceedings of a meeting organized in 2006 by the

   

WHO and SIDA. The meeting was held to explore better ways of coordinating

partner’s efforts, support member countries to implement evidence-based, cost-

WHO

2006

effective interventions and accelerate progress in achieving the MDGs related to

maternal and newborn health and survival

Report of a technical consultation organized by the WHO in 2006 to improve

   

processes involved in effective monitoring and evaluation (M&E) of maternal and

WHO

2006

9

District Level

newborn health at the district level. The meeting focused on sharing of innovative

   

programs/experiences of M&E, analysis of requirements, development of an

integrated approach, and drafting recommendations on how to move ahead

A

handbook developed by the WHO in 2009 which summarizes the indicators that

   

can be used to assess, monitor and evaluate the availability, use and quality of

Emergency Obstetric Care (EmOC) at the programmatic level. It describes each

indicator and how it is constructed and used, their acceptable levels (if

WHO

2009

appropriate), the background of the indicator, data collection, analysis and

interpretation, and suggestions for supplementary studies

A

brief summary of the achievements, key findings and recommendations of the

   

project undertaken by PHFI and partners to provide technical assistance to the

MCH-STAR

Government of Jharkhand for operationalizing First Referral Units in the state

This WHO report details the needs of women and their newborn during the

   

postpartum period, the health challenges faced by them during the period, and the

response of the health care system to these needs and challenges. It attempts to

WHO

bring together evidence and the arguments for good practice in this field

Published in 2009, this document provides information about an integrated package

   

of Clinical and Community Action Model developed by Pathfinder International to

Pathfinder

2009

address the full spectrum of clinical and social causes of post-partum hemorrhage

International

morbidity and mortality in low-resource settings

This eighth annual report on ‘State of the World’s Mothers’ published by Save the

   

Children in 2007 focuses on deaths of children under the age of 5 years and brings

Save the

2007

to attention low-cost solutions with greatest potential to save the lives of mother

Children

10

 

and children. It also tracks the progress of different countries on mother-child

   

survival indicators

Published by the JHPIEGO in 2003, this compendium of case studies describes

   

successful approaches taken by the civil society and non-governmental

organizations in influencing national policy in maternal and newborn health. Each

JHPIRGO

2003

 

case study presents a strategy for achieving or influencing policy change, details of

the implementation process, and a discussion of results

Report of a 5-day participatory workshop conducted by WHO India and IIHMR

   

Jaipur with support from UNOPS-NIPI in September 2010, to assess the status of

child health program in Rajasthan. Based on a package developed at the global

 

level, this initiative known as the Short Program Review-Child Health (SPR-CH),

IIHMR

2010

reviews the goals, objectives, interventions and activities of child health program

along the continuum of care process, identifies areas requiring strengthening, and

recommends actions to decision-makers for improving program effectiveness

This report of 2010 by the Global Campaign for the Health Millennium Development

   

Goals provides an update on the efforts being made by countries and institutions in

putting the Global Strategy for Women’s and Children’s Health into action. This

Global Strategy was launched at a special event during the MDG summit in

USAID

2010

September 2010 by the Secretary-General of the United Nations

11

The 2009 annual report by UNICEF focuses on maternal and neonatal health. It

   

analyzes the status, trend and causes of maternal and neonatal mortality and

morbidity in the world, explores the successful programs and policies for creating a

supporting environment and continuum of care across time and location, and

UNICEF

2009

advocates strengthening of health systems and partnerships for improving maternal

and neonatal health

This report was developed by the ‘Countdown to 2015’ collaboration to track

   

coverage of interventions needed to attain MDGs 4 and 5 (and parts of MDGs 1, 6,

and 7) in 68 priority countries of the world bearing the highest burden of maternal

UNICEF

2008

 

and child mortality. It also takes stock of progress in maternal and child survival,

identifies gaps in knowledge, and proposes new actions to achieve these MDGs

This manual describes the principles, overview and components of the WHO

   

antenatal care model (with lower number of ANC visits compared to the standard

model), the findings of a multi-centre RCT of this model and results from an earlier

WHO

2002

systematic review. It also provides guidance on how to conduct the four-visit

schedule of the new model for the management of pregnant women who do not

   

have evidence of any complication or risk factor

Published in 2009, this study by Pathfinder International compares maternal

   

mortality in the Maternal Child Health-Family Planning project (MCH-FP) in Matlab

(a rural sub-district of Bangladesh) and government-served Comparison Areas to

Pathfinder

2009

assess the impact of the project on maternal mortality, and, if so, the extent to

International

which differences between the areas in pregnancy outcomes and their case-fatality

rates explain the maternal mortality difference

12

 

The eleventh annual report on the ‘State of the World’s Mothers’ published by Save

   

the Children in 2010 focuses on the critical shortage of health workers and shows

 

how investments in training and deploying female health workers have paid-off in

Save the

2010

terms of lives saved and illnesses averted. It points to the availability of low-cost,

Children

low-tech solutions that could save millions more lives, provided they were more

widely available and used

 

Training

A

training module for the frontline health workers of Government of UP and

   

Jharkhand developed with assistance from A2Z Micronutrient Project. This module

provides basic information about child and maternal anemia in UP/Jharkhand, and

USAID

builds capacity of these workers to effectively deliver the service components

including counseling to the clients and their family members

 
 

This handbook was developed by the WHO in 2008 to strengthen counselling and

   

communication skills of health care providers and help them to effectively convey

to women, families and communities the key issues surrounding pregnancy,

WHO

2008

 

childbirth, postpartum and postnatal care

 
 

Published by the NHSRC, MoHFW in 2010, these notes in Hindi language are

   

designed for the use of trainers responsible for training ASHA and her facilitators in

Modules 6 and 7. The notes have been organized in three parts. This first part

reviews the key functions of ASHA and the skills she is expected to gain in the field

NHSRC

2010

of

maternal and newborn health (Module 6), and child health and nutrition (Part A

of

Module 7).

 

This

manual

for

a

2-day

training

course

was

developed

by

the

MoHFW

in

NIHFW

2010

13

Foundation course for re-

collaboration with NIHFW and Liverpool School of Tropical Medicine (LSTM) in 2010

   

orientation in Basic

to complement the ongoing SBA training programme. Aimed at improving and

Emergency (Essential)

updating existing knowledge and skills of service providers (Medical Officers, Staff

Obstetric Care: Trainees

Manual

nurses, ANMs) in providing Basic Essential Obstetric Care, the course is divided into

nine modules to help the health care provider understand the complications of

child birth and their possible solutions

Published by the NHSRC, MoHFW in 2010, these notes are designed for the use of

   

trainers responsible for training ASHA and her facilitators in Modules 6 and 7. The

 

notes have been organized in three parts. This first part reviews the key functions of

ASHA and the skills she is expected to gain in the field of maternal and newborn

NHSRC

2010

health (Module 6), and child health and nutrition (Part A of Module 7).

Revised and updated by the MOHFW in the year 2010 (initial publication in 2005),

   

this handbook for Auxiliary Nurse Midwives (ANMs), Lady Health Visitors (LHVs) and

Staff Nurses (SNs) contains information on the check-lists and case studies on the

MoHFW

2010

skills that the Skilled Birth Attendant (SBA) is expected to master to provide quality

care during pregnancy and child birth

Developed by the MOHFW and AIIMS, this logbook is part of a training to equip the

   

MBBS doctors with necessary skills and competencies to manage cases requiring life

saving emergency obstetric care at the FRUs through a short course. It would also

MoHFW

assist the trainers in assessing performance of participants and identifying their

deficiencies to improve them during the training period

Revised and updated by the MOHFW in the year 2010 (initial publication in 2005),

   

this guide is designed to support systematic and methodological training of

MoHFW

2010

14

 

Conducting Training of

Auxiliary Nurse Midwives (ANMs), Lady Health Visitors (LHVs) and Staff Nurses (SNs)

   

Auxiliary Nurse Midwives,

in

provision of skilled care during pregnancy and child birth. It provides instructions

Lady Health Visitors and Staff

for the trainer on how to plan and operationalize the health facility for conducting

Nurses (NEW)

the SBA training, how to conduct each session and use appropriate teaching aids

 

This booklet by Engender Health describes the aseptic practices recommended in

   

specific Emergency Obstetric Care procedures and provides information on options

Engender

2003

Health

and acceptable modifications to routine practice during emergency

 

A

training module for the frontline health workers of Government of Jharkhand

   

developed with assistance from A2Z Micronutrient Project. The aim of this one day

A2Z, USAID - Micronutrien t Project

training is to develop the capacity of front line workers in Jharkhand to effectively

deliver services for the control of maternal anemia

 

This document developed by RACHNA and USAID provides guidance to the trainers

   

about the preparation, curriculum and the activities required during the training of

RACHNA and

2002

USAID

Traditional Birth Attendants on improving maternal and newborn health

Scientific

A

A

study conducted by the Department of Community Medicine, S.S Medical College,

   

Articles

Madhya Pradesh in 2008-09 with support from NIHFW to assess the status of birth

preparedness and complication readiness interventions in the Rewa district of MP.

NIHFW

2009

Using cluster sampling technique, the survey evaluated the availability of resources,

the knowledge and skills of health providers, and awareness and knowledge of

pregnant women and families regarding birth preparedness

 

A

A

systematic review published in the Bulletin of the World Health Organization in

   

2007 to assess the extent of variation in the use of key maternal health care

WHO

2007

interventions in developing countries according to women’s place of residence and

15

examining the scale of the problem and the importance of context

her socio-economic status. It further analyses these variations depending upon the

   

strength of evidence and investigates their contextual circumstances

Published in PLoS Medicine in 2010, this article estimates the health and economic

   

outcomes of various strategies to reduce maternal mortality in India. Using

computer-based modeling that simulates women through pregnancy and child

2010

birth, the researchers estimated the effect of various strategies (family planning,

safe abortion, access to obstetric care, etc) on clinical outcomes (pregnancies,

deliveries, live births, etc), costs and cost-effectiveness in India

This is the fourth article of the BMC Pregnancy & Childbirth Stillbirth Series 2009.

   

This systematic review analyzes the available published evidence for the impact of

14 screening and monitoring interventions in pregnancy on stillbirth, including

2009

identification and management of high-risk pregnancies, advanced monitoring

techniques, and monitoring of labour

This fifth article of the BMC Pregnancy & Childbirth Stillbirth Series 2009

   

systematically reviews evidence for eight interventions delivered during childbirth.

These interventions include care primarily provided at secondary and tertiary level

Journal BMC

Pregnancy &

2009

large teaching/research hospitals with surgical capacity, that are of potential

Child Birth

 

benefit for perinatal health and prevention of stillbirths

This first article of the BMC Pregnancy & Childbirth Stillbirth Series 2009 outlines

   

issues in the availability and quality of data related to stillbirths, and the global

epidemiology of stillbirths. It further describes the methodology and framework

Journal BMC

Pregnancy &

2009

used for the subsequent systematic reviews of interventions and strategies to

Child Birth

prevent stillbirths

16

This second article of the BMC Pregnancy & Childbirth Stillbirth Series 2009

   

systematically reviews evidence for non-clinical interventions (behavioural and

nutritional interventions) with a biologically plausible impact on stillbirth incidence

Journal BMC

that can be delivered via reproductive health or ANC services before or during

Pregnancy &

2009

pregnancy. The review focuses on interventions targeting socially mediated risk

Child Birth

factors for stillbirth and which can be delivered in low and middle income countries

at

the community level

This third article of the BMC Pregnancy & Childbirth Stillbirth Series 2009

   

systematically reviews evidence for 16 antenatal interventions to address the

known clinical risk factors for stillbirths that are treatable or preventable during

Journal BMC

Pregnancy &

2009

antenatal period. The risk factors such as infections, malaria, lack of access to

Child Birth

health facilities and poor antenatal care were reviewed.

This last article of the BMC Pregnancy & Childbirth Stillbirth Series 2009

   

systematically reviews evidence for community and health systems approaches to

improve uptake and quality of antenatal and intrapartum care for reducing

Journal BMC

stillbirths. It further synthesizes programme and policy recommendations for how

Pregnancy &

2009

best to deliver evidence-based interventions at the community and the facility

Child Birth

levels, across the continuum of care.

A

community-based cross-sectional survey conducted in 2004 in a rural area of

   

Rajasthan as a field exercise by the participants of a Field Epidemiology Training

Program to estimate the immunization coverage under the Universal Immunization

Indian

Journal of

2006

Program and the reasons for their failure, and to evaluate the status of antenatal

Pediatrics

care and delivery practices including immunization coverage of Tetanus toxoid.

17

Published in 2005, this systematic review of community-based antenatal,

   

intrapartum, and postnatal trials (both RCTs and quazi-randomized trials) aims to

identify interventions with sufficient evidence of success for inclusion in

Indian

community-based neonatal care programs in developing countries, to identify gaps

Journal of

2005

in knowledge, and to suggest priority areas for future research and program

Pediatrics

   

learning.

A

retrospective cross-sectional study published in 2009 to assess key childbirth

   
 

Journal of

practices, compare the roles of care providers attending domiciliary and

Health

2009

institutional deliveries, and to estimate care provider-preferences and costs

Population

 

incurred by families seeking maternal and newborn care in rural Rajasthan, India.

and Nutrition

Published in the Journal of Health, Population and Nutrition in 2009, this article

   

Journal of

documents the findings of a community survey conducted in Delhi to estimate the

Health,

2009

 

direct maternity care expenses for women who recently delivered in southern part

Population

of

the city, and explore its socio-demographic associations.

and Nutrition

This article documents the experience of two Primary Health Centers from the

   

interior rural areas of Rajasthan where trained nurse-midwives are providing skilled

maternal and newborn care round the clock, and its result in terms of maternal and

ARTH

2009

neonatal deaths.

This first article of the Lancet Maternal Survival Series 2006 provides systematic

   

global estimate of the burden, geographical distribution, timing and major causes of

maternal deaths occurring worldwide, along with the factors responsible for

LANCET

2006

inequalities in the risk of maternal deaths.

18

The second article of the Lancet Maternal Survival Series 2006 describes the

   

research-informed strategic choices available for reducing maternal mortality,

advocates the primary care/health centre intrapartum-care strategy backed up by

LANCET

2006

access to referral-level facilities as the best bet to bring down high maternal

mortality, and discusses the delays and priority issues for safe motherhood

programming.

The third article of the Lancet Maternal Survival Series 2006 describes the

   

obstacles/gaps to the expansion of quality maternal care, the importance of

training, deployment and retention of health workers for improving coverage of

LANCET

2006

care, and advocates teams of providers as an efficient option for scaling up

coverage of maternal care.

This fourth article of the Lancet Maternal Survival Series 2006 explains the case for

   

investment in maternal health, considers ways to channelize financial resources for

maternal health within countries, and examines the limitations and successes of

LANCET

2006

financial mechanisms and alternative methods in improving quality of care and

ensuring access to the poor.

Chiranjeevi Scheme is a public-private partnership developed by the state of

   

Gujarat to provide institutional delivery, specifically emergency obstetric care for

Journal of

the poor. This case study explores the targeting of the scheme, its coverage, socio

Health

2009

Population

economic profile of the beneficiaries, and to assess financial protec¬tion offered by

and Nutrition

the scheme in one of the initial pilot districts.

19

This case study published in 2009 evaluates the status of maternal health in India

 

Journal of

 

including the national maternal health programs, trends in maternal mortality, the

Health

Population

2009

healthcare-delivery system at different levels, and the recent innovative strategies.

and Nutrition

-

Vol. 27, No.

It

also identifies reasons for limited success and suggests measures to rectify them.

2

Published in 2005 in the journal BMC Public Health, this article analyzes the

   

nationally representative estimates of maternal mortality across the globe derived

from a systematic review conducted earlier by the WHO (to provide standardized

data on incidence/prevalence of maternal morbidity and mortality), and evaluates

 

BMC Public

2005

Health

the association between study-specific and country-specific variables with the

 

existing maternal mortality estimates using regression modeling.

Published in 2009, this verbal autopsy study identifies the major causes of death

 

Journal of

 

among women of reproductive age group in rural Rajasthan, describes their care-

Health,

seeking patterns, and assesses the influence of social, economic and gender factors

Population

and Nutrition

2009

on the care-seeking behaviour.

-

Vol. 27, No.

2

A

series of papers developed through a joint effort of three Geneva based WHO

   

departments in 2006 to evaluate the actual impact and costs of maternal and

newborn ill-health and death at the individual, familial and societal level, and their

impact on poverty. This particular paper provides a systematic review of the

 

WHO

2006

evidence of the impact on economic growth of investments in maternal-newborn

 
 

health.

A

series of papers developed through a joint effort of three Geneva based WHO

   
   

WHO

2006

20

 

households: economic

departments in 2006 to evaluate the actual impact and costs of maternal and

   

vulnerability and social

newborn ill-health and death at the individual, familial and societal level, and their

implications (Part 1)

impact on poverty. This particular paper reviews evidence base on economic

vulnerability and social implications in relation to maternal-newborn ill health, and

highlights major gaps in this evidence base.

 

A series of papers developed through a joint effort of three Geneva based WHO

   

departments in 2006 to evaluate the actual impact and costs of maternal and

newborn ill-health and death at the individual, familial and societal level, and their

WHO

2006

impact on poverty. This particular paper provides a systematic review of the

estimation of the cost of illness related to maternalnewborn ill-health.

Statistical

Published in 2003, this paper prepared by WHO and UNICEF provides a detailed

   

Publication

report of the trends in antenatal care in the developing countries during the period

1990-2000, with analysis of their achievements and missed opportunities. The data

WHO

2003

was usually obtained from household surveys and does not give information on the

content and quality of services.

 

Findings from the baseline survey conducted in 2008-09 in the three districts of

   

Bihar where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

evaluate the status of child and related maternal health in these districts, identify

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation.

21

Findings from the baseline survey conducted in 2008-09 in the three districts of

 

Madhya Pradesh where the Norway India Partnership Initiative (NIPI) is working to

reduce infant mortality and to improve maternal health. The survey was conducted

to evaluate the status of child and related maternal health in these districts, identify

2009

 

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation.

Findings from the baseline survey conducted in 2008-09 in the three districts of

 

Orissa where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

 

evaluate the status of child and related maternal health in these districts, identify

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation.

Findings from the baseline survey conducted in 2008-09 in the three districts of

 

Rajasthan where the Norway India Partnership Initiative (NIPI) is working to reduce

infant mortality and to improve maternal health. The survey was conducted to

 

evaluate the status of child and related maternal health in these districts, identify

2009

gaps in the existing service delivery mechanism, assess the needs and

opportunities, and develop benchmark indicators for project implementation.

Consolidated report of the baseline survey conducted in 2008-09 in the four states

 

of Orissa, Bihar, Madhya Pradesh and Rajasthan where the Norway India

Partnership Initiative (NIPI) is working to reduce infant mortality and to improve

2009

maternal health. The survey was conducted to evaluate the status of child and

related maternal health, identify gaps in the existing service delivery mechanism,

22

 

assess the needs and opportunities, and develop benchmark indicators for project

   

implementation.

This survey conducted by UNICEF in 2005 assesses the coverage, accessibility and

   

availability of routine immunization services and maternal health services (ANC,

delivery care, PNC) across all the States and Union Territories of India, and

UNICEF

2005

evaluates the availability/use of iodized salt and initiation of breast feeding and

colostrum feeding. It also identifies key problems in delivery of these services.

This survey conducted by UNICEF in 2006 assesses the coverage, accessibility and

   

availability of routine immunization services and maternal health services (ANC,

delivery care, PNC) across all the States and Union Territories of India, and

UNICEF

2006

evaluates the availability/use of iodized salt and initiation of breast feeding and

colostrums feeding. It also identifies key problems in delivery of these services.

This factsheet developed by NHSRC compares state-wise data on vital indicators

   

and other indicators related to Child Health, Maternal Health, Family Planning and

TB. The comparative data has been derived from NFHS III, SRS 2005 & 2007, SRS

NHSRC

Bulletins and from Census 2001.

The ‘India Countdown to 2015’ chart of 2008 gives graphical information on the

   

progress of specific interventions for Nutrition, Child Health, Maternal & Newborn

Health, Water & Sanitation, Health policies, Health systems and Equity issues, based

2008

 

on the latest data from the country.

23

TOPIC: NEWBORN CHILD HEALTH

Themes

Titles

Abstract

Organization

Year

Policy, Program,

Revised and updated by the MOHFW in the year 2010 (initial publication in 2005),

   

Guidelines

this guideline provides comprehensive, evidence-based information to reorient the

Auxiliary Nurse Midwives (ANMs), Staff Nurses (SNs), and Lady Health Visitors

MoHFW

2010

(LHVs) to provide skilled care during pregnancy and childbirth. The chief objective is

to strengthen and operationalize the 24X7 PHCs and designated FRUs in handling

Basic and Comprehensive Obstetric Care including Care at Birth.

 

This guideline has been developed by the Maternal Health Division of MOHFW in

   

2007 for program managers and in-charges of training institutes at district and state

level to standardize planning of SBA training, ensure its effective management, and

MoHFW

2007

to help these personnel identify their specific roles and responsibilities in

conducting this training.

 

Developed by the NHSRC of MoHFW in 2010, these guidelines specify the package

   

of maternal and child health services to be provided at each level of health facility

along with their quality parameters, proposes a supervisory structure and an

external system of assessment to ensure the delivery of these services, and

NHSRC,

2010

MoHFW

describes the institutional linkages and community support required to enable the

states and districts develop outcome based plans for reducing maternal and

newborn mortality.

24

Prepared by the Government of Rajasthan in coordination with ARTH, UNICEF AND

   

UNFPA, this document examines the research evidence on 8 key practices during

labor and delivery care, and provides evidence based recommendations on

interventions required to support processes of normal birth.

Developed by USAID under its global project BASICS for child survival, this manual

   

outlines the key steps for planning and conducting an integrated assessment at the

outpatient health facilities in developing countries. It is designed to be a local-level

USAID

planning tool for primary health care programs planning to integrate child health

services.

This document developed by the WHO in 2003 describes the method of Kangaroo

Available at

 

Mother Care for the care of stable low-birth-weight and preterm infants. It provides

NCHRC:

guidance to the health professionals and decision makers on how to organize

CH0122

services at the referral level, and on what is needed to provide effective kangaroo

Available at

2003

mother care.

NCHRC:

CH0122

This protocol developed by AIIMS in 2008 provides an overview of Kangaroo

AIIMS (WHO

 

Mother Care (KMC), its components, clinical benefits and easy application for care

Collaborating

Centre for

2008

of low birth weight babies in different settings. It further details the process of

Newborn

initiation of KMC and explains the procedure for giving KMC appropriately.

care)

Published by the KMC India Network in 2004 with support from Save the Children

   

and the Bill and Melinda Gates Foundation, this clinical practice guideline provides

information on the components and benefits of Kangaroo Mother Care, the

WHO

2004

eligibility criteria and preparation before starting the procedure, and the various

25

 

activities to be performed for the procedure and during follow-up.

   

Developed by the WHO in 2005, this framework is to provide assistance to countries

   

with a high burden of neonatal mortality and morbidity in developing strategies for

improving newborn health that are integrated with the maternal and child health

plans. Part 1 of the framework provides an overview of the process of developing

WHO

2005

the newborn health component of a health strategy.

Developed by NIPI in 2010, this guideline provides a standardized framework to

   

facilitate the expansion of the Yashoda/Mamta intervention in the 4 states of Bihar,

Madhya Pradesh, Orissa and Rajasthan. Yashoda/Mamta is a non-medical,

NIPI

2010

voluntary support worker placed at hospitals with high delivery load to create a

congenial environment for the mother and the newborn in the facility, and to

 

counsel the mother about good newborn care practices at home.

This is a protocol developed by AIIMS in 2008 on neonatal sepsis, the main cause of

   

Newborn

neonatal mortality in India. It gives guidance for diagnosis, investigations and

WHO

2008

effective management of sepsis in newborns including supportive care,

Collaborating

antimicrobial therapy and adjunctive therapy.

Centre

A set of user-friendly leaflets developed as part of the WHO’s Integrated

   

Management of Pregnancy and Childbirth Care (IMPAC) package to improve the

health and survival of women and their newborn babies during pregnancy,

childbirth and the postnatal period. Standards for health facilities have been

WHO

2006

prescribed to enable provision of minimum essential care for all mothers and

newborns.

26

 

Developed by CARE and CDC, this reference manual for the program managers gives