Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis
Background: There is a paucity of evidence in the coverage of the home-based newborn care (HBNC) program delivered through the National Urban Health Mission (NUHM). Hence, an analysis was undertaken to identify gaps and progress in its implementation and inform policy and strategies to achieve unive...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4505;epage=4513;aulast=Hannah |
| _version_ | 1798021767210467328 |
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| author | Erin Hannah Neha Dumka Tarannum Ahmed Deepak K Bhagat Atul Kotwal |
| author_facet | Erin Hannah Neha Dumka Tarannum Ahmed Deepak K Bhagat Atul Kotwal |
| author_sort | Erin Hannah |
| collection | DOAJ |
| description | Background: There is a paucity of evidence in the coverage of the home-based newborn care (HBNC) program delivered through the National Urban Health Mission (NUHM). Hence, an analysis was undertaken to identify gaps and progress in its implementation and inform policy and strategies to achieve universal access to newborn services. Objectives: The study aimed to evaluate and understand the status of the HBNC program in urban areas of India through a health systems approach. Methods: Cross-sectional intra-country study was undertaken based on facility records and supporting literature available in the public domain. After categorizing the states into four groups, the programme's status in urban areas was analysed and presented in median and interquartile ranges. Statistical significance in the difference between the medians across the groups was checked using the Kruskal Wallis test. Results: Overall, the median full HBNC coverage was less than one-fifth (< 20%) of the total reported live births (P = 0.17). Excepting the union territories (UTs), the median coverage was found to be less than one-fifth (< 20%) of the reported institutional deliveries (P = 0.16) and more than half (> 50%) of the reported home deliveries (P = 0.83) in urban areas. The differences in the medians across the groups were not statistically significant. Conclusion: The differential coverage calls for strengthening referral linkages to specialized newborn care facilities, ensuring skilled personnel at varying levels of facilities, and improving the engagement of frontline workers in urban communities under the NUHM. |
| first_indexed | 2024-04-11T17:18:56Z |
| format | Article |
| id | doaj.art-40e02730a76740f5a29c478beb644101 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-04-11T17:18:56Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-40e02730a76740f5a29c478beb6441012022-12-22T04:12:32ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011184505451310.4103/jfmpc.jfmpc_388_22Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysisErin HannahNeha DumkaTarannum AhmedDeepak K BhagatAtul KotwalBackground: There is a paucity of evidence in the coverage of the home-based newborn care (HBNC) program delivered through the National Urban Health Mission (NUHM). Hence, an analysis was undertaken to identify gaps and progress in its implementation and inform policy and strategies to achieve universal access to newborn services. Objectives: The study aimed to evaluate and understand the status of the HBNC program in urban areas of India through a health systems approach. Methods: Cross-sectional intra-country study was undertaken based on facility records and supporting literature available in the public domain. After categorizing the states into four groups, the programme's status in urban areas was analysed and presented in median and interquartile ranges. Statistical significance in the difference between the medians across the groups was checked using the Kruskal Wallis test. Results: Overall, the median full HBNC coverage was less than one-fifth (< 20%) of the total reported live births (P = 0.17). Excepting the union territories (UTs), the median coverage was found to be less than one-fifth (< 20%) of the reported institutional deliveries (P = 0.16) and more than half (> 50%) of the reported home deliveries (P = 0.83) in urban areas. The differences in the medians across the groups were not statistically significant. Conclusion: The differential coverage calls for strengthening referral linkages to specialized newborn care facilities, ensuring skilled personnel at varying levels of facilities, and improving the engagement of frontline workers in urban communities under the NUHM.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4505;epage=4513;aulast=Hannahfrontline workershome-based newborn carematernal healthneonatal mortalitypost-natal care |
| spellingShingle | Erin Hannah Neha Dumka Tarannum Ahmed Deepak K Bhagat Atul Kotwal Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis Journal of Family Medicine and Primary Care frontline workers home-based newborn care maternal health neonatal mortality post-natal care |
| title | Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis |
| title_full | Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis |
| title_fullStr | Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis |
| title_full_unstemmed | Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis |
| title_short | Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis |
| title_sort | home based newborn care hbnc under the national health mission in urban india a cross country secondary analysis |
| topic | frontline workers home-based newborn care maternal health neonatal mortality post-natal care |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=8;spage=4505;epage=4513;aulast=Hannah |
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