Developing, piloting and scaling-up of Nepal's neonatal care program
D C Poudel1, B Acharya, S Pant
1Nepal Family Health Program II, Oasis Complex, Patan Dhoka, PO Box 1600, Kathmandu, Nepal. dpoudel@nfhp.org.np
Insights
Nepal
Area of Science:
- Public Health
- Neonatal Care
- Health Systems Strengthening
Background:
- Nepal's government introduced the Community-based Newborn Care Package in 2007.
- The program aims to improve newborn survival rates through integrated interventions.
Purpose of the Study:
- To review the design, early implementation, and monitoring of Nepal's Community-based Newborn Care Package.
- To identify lessons learned and provide future recommendations for program enhancement.
Main Methods:
- Review of program design and implementation processes.
- Analysis of monitoring data and lessons learned.
- Incorporation of a continuum of care approach.
Main Results:
- The Community-based Newborn Care Package utilizes existing health workers and volunteers.
- The program integrates pre-pregnancy, pregnancy, and neonatal care.
- Community involvement is a key component of the intervention.
Conclusions:
- The Community-based Newborn Care Package demonstrates a comprehensive approach to neonatal survival in Nepal.
- Continuous monitoring and adaptation are crucial for program success.
- Future directives focus on refining the integrated package and continuum of care model.
Abstract:
The Community-based Newborn Care Package is a set of neonatal care interventions to be delivered through the existing government system of facility-based health workers and community based volunteers in Nepal. The package was developed by the government of Nepal in 2007 based on the evidence from Nepal and neighboring countries and designed to be implemented as a comprehensive package to improve newborn survival. This paper reviews the process, progress, and lessons learned from the program design, early-implementation and monitoring and provides future directives to improve upon this integrated package that uses a continuum of care approach from the pre-pregnancy to neonatal periods by involving the communities, health workers and the private sector.
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