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INAP (India Newborn Action Plan)
Siddharth K C, UG, GMC Trivandrum
INAP
 Remarkable progress in the survival of mother
and children beyond the newborn period.
 NHRM & RMNCH+A
 Launched in June 2014, in response to the
global Every Newborn Action Plan (ENAP).
 A targeted strategy for accelerating the reduction
of preventable newborn deaths and stillbirths.
 The goal is to attain "Single Digit Neonatal Mortality
rate by 2030" and Single Digit Stillbirth rate by 2030.
 Six pillars of intervention packages
Strategic Intervention Packages
 Pre-conception & antenatal care
 Care during labour and child birth
 Immediate newborn care
 Care of healthy newborn
 Care of small and sick newborn
 Care beyond survival
Pre-conception and antenatal care
 Reproductive health & family planning [E]
 Nutrition related interventions [El
 Counsilling and birth preparedness [E]
 Prevention against malaria [S]
Family and
community
 Antenatal screening [E]
 Screening for malaria [SJ
 Prevention and management of mild to
moderate anaemia [E]
 Tetanus immunization [E]
Outreach/Sub-
centre
 Antenatal screening and management [E]
 Adolescent friendly health clinics[E]
 Postpartum family planning services [E]
 Prevention of Rh disease
Health facility
Care during labour and childbirth
 Skilled birth attendance [E]
 Clean birth practices [E]
Family and
community
 Identification of complications and timely
referral [E]
 Pre-referral dose by ANM [E]-
Corticosteroids & Antibiotics
Outreach/Sub-
centre
 Emergency obstetric care [E]
 Management of preterm
labour [E]
Health facility
Immediate newborn care
 Delayed cord clamping [E]
 Interventions to prevent hypothermia
[E]
 Early initiation and exclusive breast-
feeding [E]
 Hygiene to prevent infection [E]
Family and
community
 Vitamin K at birth [E]
 Neonatal resuscitation [El
Outreach/Sub-
centre
 Advanced neonatal
resuscitation [E]Health facility
Care of healthy newborn
 Home visits till six weeks by trained
ASHA [E]
 Exclusive breast-feeding [E]
 Clean postnatal practices [E]
Family and
community
 Immunization [E]
Outreach/Sub-
centre
 All the interventionsHealth facility
Care of small and sick newborn
 Thermal care and feeding
support(for home deliveries) [E]
Family and
community
 Integrated management using
IMNCI and use of oral antibiotics
[E]
 Injectable Gentamicin by ANMs
for sepsis [E] 揃
Outreach/Sub-
centre
 Kangaroo mother care at facility [E]
 Full supportive care at block and district
level [E]
 Intensive care services (NICU) at
regional level [A]
Health facility
Care beyond newborn survival
 Screening for birth defects,
failure to thrive and
developmental delays [El
 Follow-up visits [E]
Family and
community
 As before
Outreach/Sub-
centre
 Newborn screening [A]
 Management of birth defects [E]
 Follow-up of high-risk infants
Health facility
Monitoring and Evaluation
 comprehensive assessment of targets would be
done in 2020
 milestones will be reviewed every five years
 dashboard indicators
INAP
Reference
 SPM by S Park, 24th edition
Thank You

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INAP

  • 1. INAP (India Newborn Action Plan) Siddharth K C, UG, GMC Trivandrum
  • 2. INAP Remarkable progress in the survival of mother and children beyond the newborn period. NHRM & RMNCH+A Launched in June 2014, in response to the global Every Newborn Action Plan (ENAP). A targeted strategy for accelerating the reduction of preventable newborn deaths and stillbirths.
  • 3. The goal is to attain "Single Digit Neonatal Mortality rate by 2030" and Single Digit Stillbirth rate by 2030. Six pillars of intervention packages
  • 5. Pre-conception & antenatal care Care during labour and child birth Immediate newborn care Care of healthy newborn Care of small and sick newborn Care beyond survival
  • 6. Pre-conception and antenatal care Reproductive health & family planning [E] Nutrition related interventions [El Counsilling and birth preparedness [E] Prevention against malaria [S] Family and community Antenatal screening [E] Screening for malaria [SJ Prevention and management of mild to moderate anaemia [E] Tetanus immunization [E] Outreach/Sub- centre Antenatal screening and management [E] Adolescent friendly health clinics[E] Postpartum family planning services [E] Prevention of Rh disease Health facility
  • 7. Care during labour and childbirth Skilled birth attendance [E] Clean birth practices [E] Family and community Identification of complications and timely referral [E] Pre-referral dose by ANM [E]- Corticosteroids & Antibiotics Outreach/Sub- centre Emergency obstetric care [E] Management of preterm labour [E] Health facility
  • 8. Immediate newborn care Delayed cord clamping [E] Interventions to prevent hypothermia [E] Early initiation and exclusive breast- feeding [E] Hygiene to prevent infection [E] Family and community Vitamin K at birth [E] Neonatal resuscitation [El Outreach/Sub- centre Advanced neonatal resuscitation [E]Health facility
  • 9. Care of healthy newborn Home visits till six weeks by trained ASHA [E] Exclusive breast-feeding [E] Clean postnatal practices [E] Family and community Immunization [E] Outreach/Sub- centre All the interventionsHealth facility
  • 10. Care of small and sick newborn Thermal care and feeding support(for home deliveries) [E] Family and community Integrated management using IMNCI and use of oral antibiotics [E] Injectable Gentamicin by ANMs for sepsis [E] 揃 Outreach/Sub- centre Kangaroo mother care at facility [E] Full supportive care at block and district level [E] Intensive care services (NICU) at regional level [A] Health facility
  • 11. Care beyond newborn survival Screening for birth defects, failure to thrive and developmental delays [El Follow-up visits [E] Family and community As before Outreach/Sub- centre Newborn screening [A] Management of birth defects [E] Follow-up of high-risk infants Health facility
  • 12. Monitoring and Evaluation comprehensive assessment of targets would be done in 2020 milestones will be reviewed every five years dashboard indicators
  • 14. Reference SPM by S Park, 24th edition