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1. The hidden problem of neonatal health 2. A home – based solution 3. Can it be replicated ? 4. New resea

1. The hidden problem of neonatal health 2. A home – based solution 3. Can it be replicated ? 4. New research studies. Hidden Child Mortality in Maharashtra ( 1998 – 2000 ). WHAT REDUCED THE NMR? 1. HIGH COVERAGE AND QUALITY OF CARE.

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1. The hidden problem of neonatal health 2. A home – based solution 3. Can it be replicated ? 4. New resea

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  1. 1. The hidden problem of neonatal health 2. A home – based solution 3. Can it be replicated ? 4. New research studies.

  2. Hidden Child Mortality in Maharashtra ( 1998 – 2000 )

  3. WHAT REDUCED THE NMR? 1. HIGH COVERAGE AND QUALITY OF CARE. 2. CHANGE IN MOTHERS’ BELIEFS AND BEHAVIOURS. 3. REDUCED INCIDENCE OF MORBIDITIES. 4. REDUCED CASE FATALITY IN MAIN MORBIDITIES.

  4. ANKUR PROJECT2001 – 2005 SEARCH, Gadchiroli, India Supported by the SNL Initiative

  5. AIM of The Project To develop and test the methods of expanding the HBNC approach from SEARCH to 7 selected NGOs in Maharashtra , as the initial step in demonstrating its generalisability for incorporating it into health policies and programmes on a broader scale.

  6. ANKUR ProjectStudy Design It is a multi-site intervention trial with before-after comparison .

  7. Transfer of Motivation

  8. A.Training package * Training of VHWs * Training of TBAs * Training of trainers/supervisors

  9. Training without hospital : • Community • Class room • Simulations • Audio-Visuals / aids

  10. Training evaluation in Ankur ( February 2003 ) • 92 VHWs • 14 trainer / supervisors

  11. Conclusions : The training package, including the method of selection of VHWs , training strategy and training methods and material were highly effective and acceptable.

  12. B.Health education material

  13. Ankur Utsav Convocation of VHWs Certificates conferred by the Health secretary of India

  14. Interventions started. What next? Monitoring the interventions: • Monthly MIS established • 3 monthly review • Corrective decisions

  15. Pregnant women who received health educations

  16. Home deliveries attended by VHW

  17. First Breast Feed First breast feed % Neonates

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