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National Program for RMNCH + A: Newer Strategies for Improving the Newborn Health in India

Siddarth Ramji1, Ashish Jain2

  • 1Department of Neonatology, Maulana Azad Medical College, New Delhi, 110002, India. siddarthramji@gmail.com.

Indian Journal of Pediatrics
|February 10, 2019
PubMed

Insights

The Reproductive, Maternal, Newborn, and Child Health plus Adolescent (RMNCH+A) strategy integrates essential services. Quality improvements are crucial for effective newborn health interventions and achieving Sustainable Development Goals by 2030.

Area of Science:

  • Public Health
  • Maternal and Child Health

Background:

  • The Reproductive, Maternal, Newborn, and Child Health plus Adolescent (RMNCH+A) strategy aims for integrated, life-cycle-based healthcare delivery.
  • Existing RMNCH+A initiatives have moderate coverage, but quality of delivery and rollout of new interventions are concerns.

Purpose of the Study:

  • To outline new RMNCH+A initiatives impacting newborn health.
  • To highlight challenges in intervention quality and rollout.
  • To emphasize the role of quality assurance in achieving newborn survival goals.

Main Methods:

  • The strategy integrates multiple newborn health interventions.
  • New initiatives include antenatal corticosteroids, delayed cord clamping, skin-to-skin contact, Kangaroo Mother Care, and family-centered care.
  • Quality assurance programs like Dakshata and LaQshaya are being implemented.

Main Results:

  • Several interventions are being introduced to improve newborn health outcomes.
  • Moderate coverage exists for some initiatives, but quality concerns persist.
  • Progress in rolling out newer interventions is slow.

Conclusions:

  • The RMNCH+A strategy incorporates vital newborn health interventions.
  • Addressing quality and rollout challenges is essential for success.
  • Quality assurance initiatives are critical for meeting 2030 Sustainable Development Goals for newborn survival.

Keywords:
Antenatal corticosteroidsDelayed cord clampingFamily participatory careHuman milk bankKangaroo mother careNewborn health

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