Abstract
Majority of the death during neonatal period occur due to the low birth weight. So reduction of the neonatal mortality, availability of neonatal care service especially for low birth weight babies were required at the primary and secondary health care level. For this first assessment of actual condition of health services of essential newborn care for low birth weight were required. So the objective of the study was to assess the essential newborn care services for low birth weight babies in rural Lucknow. The facility based survey was conducted from Oct 2011 to May 2012 in rural area of Lucknow district, Uttar Pradesh in 9 community health centres and 9 primary health centres. Multistage random sampling was used for the reaching up to the PHCs. For facility assessment regarding neonatal care services for low birth weight infrastructure, manpower, equipments related to newborn care were assessed. Only four (44.4%) primary health centres had separate labour room. About 11.1 percent PHCs had newborn care corner and adequate light in labour room. Only one PHC had regular electricity supply. Most of the primary health centres (77.8%) had one general duty medical officer. availability of essential newborn care equipment was found to be grossly inadequate in almost all the primary health centres. No primary health centre had baby weighing scale and radiant warmer. Majority of PHCs did not have suction pumps, resuscitation bags with masks, oxygen facilities and IV infusion facilities. There were inadequate neonatal care services at the primary health care level. For the improvement of the neonatal health, strengthening of the neonatal care services especially for low birth weight is required at primary health care level.
Highlights
It is apparent that a disproportionate burden of infant and under-5 childhood mortality relates to deaths within the neonatal period, which frequently occur within the first few days after birth[1]
Need of assessment require for the assessing actual condition of the primary health centres (PHCs) and community health centres (CHCs) for neonatal care for low birth weight? Such information may be used at the national level and community levels
This study found that in community health centres, condition was different
Summary
It is apparent that a disproportionate burden of infant and under-5 childhood mortality relates to deaths within the neonatal period, which frequently occur within the first few days after birth[1]. 75 percent neonatal death and 50 percent of infant death occur among the low birth weight neonates. Reduction of neonatal mortality especially concern of neonatal care facility for low birth weight at primary and secondary health care facilities are required. Need of assessment require for the assessing actual condition of the primary health centres (PHCs) and community health centres (CHCs) for neonatal care for low birth weight? Such information may be used at the national level and community levels It www.ssjournals.com may be utilized by program planners, field managers, researchers, field staff and by organizations outside the country for the planning of development programs. The objective of the study was to assess the essential newborn care services for low birth weight babies
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