nbch_hbnc

Last modified at 20/07/2016 14:33 by hfwnhm

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​HOME BASED NEW BORN CARE​​​

BACKGROUND

In Karnataka, an estimated 12 lakh (120 million) children are born every year. As per Census 2011, the share of children (0-6 years) accounts 12% of the total population in the Karnataka. An estimated 42,000 children die every year before completing 5 years of age (estimated based on 2013 SRS). However, 88% of under-five child morality takes place within one year of the birth which accounts nearly 37,000 infant deaths whereas 63% of under-five deaths take place within first one month of life accounts 26,000 neo-natal deaths every year in the Karnataka.
The target for Millennium development goal was to reduce Under-Five Mortality Rate (U5MR) by two-thirds, between 1990 and 2015. Karnataka has achieved this target of 38 reducing U5MR to 35 per 1000 live births by 2013.
GOALS 
The Reproductive and Child Health programme (RCH) II under the National Rural Health Mission (NRHM) comprehensively integrates interventions that improve child health and addresses factors contributing to Infant and under-five mortality. The National Population Policy (NPP) 2000, the National Health Policy 2002 and the Eleventh Five Year Plan (2007-12) and National Rural Health Mission (NRHM - 2005 – 2012) have laid down the goals for child health. Further, Twelfth Five Year plan (2012-2017).

 

Total

MDG1 
(By 2015)

SDG2
(By 2030)

Under 5 Mortality Rate (U5MR)*

India

49

38

25

Karnataka

35

Infant Mortality Rate (IMR)*

India

40

25

NA

Karnataka

31

Neonatal Mortality Rate (NMR)*

India

28

NA

12

Karnataka

22

*Per 1000 Live Births     1 Millennium Development Goals     2 Sustainable Development Goals.

National Health Mission (NHM) laid down the Goal to Reduce Infant Mortality Rate (IMR) to 25 per 1000 live births by 2017.

SITUATIONAL ANALYSIS 

Trend of Mortality Indicators: 



After a period of stagnation (2008-2011), the decline in neonatal mortality gained pace with more than 6% annual decline recorded in the last 2 consecutive years.

​ Causes of Neonatal Mortality:


Rural-Urban Difference:


There are important rural-urban differences in the Child Mortality Indicators. The NMR in rural areas is twice the NMR in urban areas (27 vs.12 per1,000 live births). Evidence from NFHS-3 (2005-2006) indicates that neonatal mortality among urban poor (NMR 37/1000 live births) is higher than the urban average (NMR 29/1000 live births). It also shows that the NMR among the poorest 20 percent of the population is more than double the NMR of the richest 20 percent (NFHS-3).