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Saving Newborn Lives

This document discusses the pressing issue of infant mortality rates (IMR) with a focus on urban and rural disparities, specifically among island groups. With a staggering 44% neonatal death rate observed within the first three days, urgent policy changes are recommended. Such changes include implementing home visits by health professionals at critical intervals (Day 1-3) and integrating the Integrated Management of Childhood Illness (IMCI) approach. The goal is to enhance the coverage of essential newborn care and child survival initiatives, as highlighted in various health profiles and action plans.

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Saving Newborn Lives

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  1. Saving Newborn Lives

  2. Sumber: Weber2009

  3. IMR – URBAN/RURAL Closing the gap

  4. IMR – ISLAND GROUPS Widening the gap

  5. U5MR – ISLAND GROUPS Widening the gap

  6. Day 0-3 >44% Neonatal Death Situation Day-1 39% 0-7 days 79.4% Source: Baseline Survey & BPS

  7. Underlying Cause L B W L B W ASPHYXIA

  8. PROFILE 2007 Infant Mortality 336 +/- 1 infant per day Source: GARUT HEALTH PROFILE 2007

  9. GLOBAL EVIDENCES

  10. Up to 2010 Policy • KN-1: 0-7 days • KN-2: 8-28 days

  11. SUGESTED / ACCEPTED POLICY CHANGE • Inserting Day-3 home visit • KN-1: 6-48 hrs • KN-2: day 3-7 • KN-3: day 8-28 • Bring IMCI to newborn via home visits

  12. Supportive Materials • National Guideline of Essential Newborn Care • National Action Plan for Child Survival • District Action Plan (started by Garut) • Riskesdas (2010)

  13. 1. Increasing the coverage of Child Survival essential package

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