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Shri Mohan Charan Majhi
Hon'ble Chief Minister

Megamenu

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 Announcement

| Sealed Tender are invited under two-bid system from reputed and experienced Manpower Service Provider having valid GSTN New

Child Health

Overview of Child Health in Odisha

The Directorate of Family Welfare, Odisha is dedicated to improving child health outcomes through comprehensive child health programs. The initiatives focus on preventive, promotive, and curative care to reduce under-five mortality and enhance overall well-being. Over the years, the child mortality rates have shown a declining trend in the State, with 34 points decline in under-five mortality rate (U5MR), 22 points decline in infant mortality rate (IMR) and 15 points decline in neonatal mortality rate (NMR) over 10 years (SRS 2011-2021). However, in view of the SDG goals 2030, there is a need of accelerated decline in the mortality rates.

The State is undertaking various interventions with concerted efforts across all levels for reduction of under-five deaths and ensuring holistic health in the children under-five.

Key Initiatives:

  • Community Based Interventions:
    • Home Based Newborn Care (HBNC): ASHAs make scheduled home visits to all newborns upto 42 days for assessing their health and identifying danger signs, if any, alongwith counselling of parents/caregivers on essential newborn care.
    • Home Based of Young Children (HBYC): ASHAs make quarterly home visits to young children between 3 months to 15 months to assess their growth, development and overall health along with providing counselling to parents and referral of sick children, if any.
    • Community Based Child Death Review: All under-five deaths are reported by ASHAs through MPHW (F) to the block level, where sample deaths are reviewed through verbal autopsy to find out the gaps and cause leading to death and take necessary corrective & preventive action. Sample deaths from each block is also reviewed at district level on monthly and quarterly basis.

  • Facility Based Interventions:
    • Newborn Care Corners (NBCC): Established in functional labour rooms & OTs for immediate resuscitation & maintenance of warmth.
    • Administration of Vitamin K to all newborns: All newborns are administered Inj. Vitamin K for reduction of newborn deaths due to vitamin D deficiency bleeding disorder.
    • Administration of antenatal corticosteroids: Pregnant women with preterm labour are administered Inj. Dexamethasone Sodium Phosphate (antenatal corticosteroids) for reduction of newborn deaths due to respiratory distress.
    • Newborn Stabilization Units (NBSU): Established at FRU level & in some high case load non-FRU for management of moderately sick newborns & for stabilization of sick newborns prior to referral for specialized care. Functional in 67 units out of 72 target institutions.
    • Special Newborn Care Units (SNCU): Established at DHH & MCH level for treatment of sick newborns. 44 functional SNCUs out of 45 target institutions.
    • Kangaroo Mother Care (KMC) Unit: Established alongside each SNCU & FRU NBSU for provision of skin-to-skin contact to newborns for maintenance of warmth & for promotion of exclusive breastfeeding in stable low birth weight newborns. KMC units are also established in 17 hard to reach PHC (N) run by PPP mode for providing KMC to low birth weight babies from the hard-to-reach areas.
    • Emergency Triage Assessment & Treatment (ETAT) Centres: These centres are established near Paed. OPD and Paed. Ward of all DHHs for emergency assessment & treatment of sick children
    • Neonatal Intensive Care Units (NICU): Established in 4 medical college & hospital for providing intensive care to very sick newborns.
    • Paediatric Hybrid ICU and Paediatric ICU (PICU): Established 4 PICUs at medical college & hospital level for treatment of very sick children and 25 Paediatric hybrid ICUs for treatment of very sick children.
    • Facility Based Child Death Review: All under five deaths occurring at a facility level (with >500 deliveries/year) are reviewed on monthly basis to ascertain the cause and identify the gaps leading to death for taking necessary corrective & preventive action.
    • MusQan: Quality certification of all child care units (SNCUs/NBSUs, Paed. OPDs & Wards and NRCs) in public hospitals (till FRU level) in a phased manner. Currently, DHH Rayagada & Capital Hospital Bhubaneswar have been certified under MusQan programme.

  • Special campaigns/ day/week observations:
    • STOP Diarrhoea Campaign: A dedicated campaign is observed during the monsoons every year to ensure zero morbidity & mortality due to childhood diarrhoea with major activities like distribution of prophylactic ORS & Zinc, demonstration of ORS preparation, use of Zinc, handwashing, facility level strengthening, etc.
    • Social Awareness & Action for Neutralizing Pneumonia Successfully (SAANS) Campaign: Under this programme, all service providers are trained on standard facility based management protocols for management of childhood pneumonia, and frontline workers have been trained community level identification, classification & management. Also, an intensive IEC campaign is carried out each year from 12th November till the end of February, for creating awareness on early detection of childhood pneumonia and prevention & control measures of childhood pneumonia.
    • National Newborn Week (NNW): Various awareness generation activities at all levels are observed for increasing awareness on newborn health, essential newborn care and early identification & management of danger signs in newborns. Besides, frontline workers make home visits to each newborn during the week (15th – 21st November) for assessment & counselling.
  • Centre of Excellence: The State has established a Centre of Excellence in Paediatrics at Sardar Vallabhbhai Patel Post Graduate Institute of Paediatrics (SVPPGIP), Cuttack, with state-of-art infrastructure and technologies. The CoE conducts various State & regional level trainings and coordinates the mentoring visits of State level mentors to various public health institutions for providing mentoring support under MusQan programme.
  • Regional Resource Centres (RRC): The State has two RRCs at Balangir & Koraput district, established with support from Unicef, that is involved in various trainings as well as research and documentation activities.
  • Capacity Building Initiatives: Facility Based Newborn Care (FBNC) training for service providers of SNCUs, Newborn Stabilization Unit (NBSU) training for service providers of NBSU, Navajaat Sishu Surakhya Karyakram (NSSK) training for provision of essential newborn care at delivery points, Family Participatory Care & Kanagroo Mother Care trianings for service providers of SNCU & KMC units, Facility Based Integrated Management of Neonatal & Childhood Illnesses (F-IMNCI) and IMNCI training for service providers, HBNC & HBYC training for ASHAs, Supportive supervision training to supervisors for supervision of HBNC & HBYC, Observership training on NBSU, FBNC, Paediatric Hybrid ICU, etc.
  • Collaborations: The division collaborates with National Neonatology Forum (NNF), Odisha Chapter, Indian Academy of Paediatrics (IAP), Odisha Chapter and various other professional bodies and development partners for continual capacity building of service providers.

Through these dedicated efforts, Odisha continues to improve child survival rates and enhance healthcare accessibility for all children, ensuring a healthier future for the next generation.