Upload
cassandra-woods
View
221
Download
3
Tags:
Embed Size (px)
Citation preview
Trend of Infant Mortality Rate (IMR) in Gujarat
54 53 5250
4844
41
35
29
24
0
10
20
30
40
50
60
2005 2006 2007 2008 2009 2010 2011 2013 2015 2017
IMR
per 1
000
Live
Bir
ths
@ 1 per year i.e.
1.9%
@ 2 per year i.e. 2.8
& 4 %
@ 4 per year i.e.
8.3 %
@ 3 per year i.e. 6.8 %
NRHM Chiranjeevi
108 NirogiBal
BalSakhaSource: SRS Infant Mortality Estimates
Trend of CBR & TFR (SRS)
Trend of CBR Trend of TFR Gujarat
2.82.7
2.62.5 2.5 2.5
2.4
2.22.12.00
2.20
2.40
2.60
2.80
3.00
2005 2006 2007 2008 2009 2010 2011 2015 2017
Gujarat
SRS (2012)
Gujarat Maharashtra
TamilNadu
Kerala
Birth rate 21.1 16.6 15.7 14.9Death rate 6.6 6.3 7.4 6.9IMR 38 25 21 12MMR(SRS ‘07-’09)
148 104 97 81
Trend of IMR
Target by 2015 is 28/1000LB
GujaratDecline of 6 in 3 yrs.= Decline of 2 /yr. (3.4/yr to reach to 28by ‘15)
Not in the list of states In closer proximity to achieving the MDG target.
Malnutrition in <36months children (NFHS 3 ‘05-’06)
In Gujarat Compared to Kerala Underweight children are more by 18%
Wasting (Acute malnutrition) is almost sameStunting (Chronic Malnutrition) is more by 21%Gujarat needs special and high focus on
Adolescent and Pregnant mothers Nutrition also
CONTINUUM OF CARE(Quantity- Quality)
Doable / Simple to More technical• Immunisation- Polio, Measles• Institutional delivery - safe home delivery • Neonatal health focus in Infant health• Diarrhoea and Pneumonia management• SAM management (Bakshaktim kendra)• Service delivery - IPC• ENBC-IMNCI-FIMNCI
“Healthy Child” Physically, Mentally, Socially and Spiritually
‘Womb to Adolescence” Lifecycle approach to Care
“ Universal Coverage” No child is left out due to poverty,geography, gender, Out of school, Challenged
“ Evidence to Action” Implementation of evidence based interventions
Nirogi Bal Varsh 2008 Concept
CONTINUUM OF CARE(Service Record Tracking )
Unique ID & Common
minimum E program
Data records To provide Continuum Individual
record
CONTINUUM OF CARE(Tribal-Rural-Urban poor-Urban)
Urban Overall Poor
Institutional delivery 75% 53%Full immunisation 56% 31%Underweight children 39% 56%
CONTINUUM OF CARE(Public to Private system)
Adoption of Common
evidence based protocols
Mother & Child friendly
hospitals