INAP Single Digit Neonatal Mortality Rate by 2030
The India Newborn Action Plan is the fulfillment of a commitment made to the global community at the Global Newborn Conference held at Johannesburg in April 2013-the commitment to end all preventable newborn deaths, and the 67th World Health Assembly at Geneva in May 2014.
Background to India Newborn Action Plan (INAP)
The Action Plan is in synchrony with the Global Every Newborn Action Plan (2014) that sets out a vision of a world in which there are no preventable deaths of newborns or stillbirths;
Where every pregnancy is wanted and every birth celebrated
Where women, babies and children survive, thrive and reach their full potential.
This document is the result of the concerted eff orts of a diverse group of stakeholders and agencies who have been trying to make a dent in neonatal mortality.
Milestones in Child Survival Programmes in India
- 1992 – Child Survival and Safe Motherhood Programme (CSSM)
- 1997 – RCH I
- 2005 – RCH II
- 2005 – National Rural Health Mission
- 2013 – RMNCH+A Strategy
- 2013 – National Health Mission
- 2014 – India Newborn Action Plan (INAP)
India Newborn Action Plan (INAP) – Highlights
The India Newborn Action Plan (INAP) is India’s committed response to the Global Every Newborn Action Plan (ENAP), launched in June 2014 at the 67th World Health Assembly, to advance the Global Strategy for Women’s and Children’s Health.
The ENAP sets forth a vision of a world that has eliminated preventable newborn deaths and stillbirths.
India Newborn Action Plan (INAP) lays out a vision and a plan for India to end preventable newborn deaths, accelerate progress, and scale up high-impact yet cost effective interventions.
India Newborn Action Plan (INAP) has a clear vision supported by goals, strategic intervention packages, priority actions, and a monitoring framework. For the first time, INAP also articulates the Government of India’s specific attention on preventing stillbirths.
India Newborn Action Plan (INAP) is guided by the principles of Integration, Equity, Gender, Quality of Care, Convergence, Accountability, and Partnerships. It includes six pillars of intervention packages across various stages with specific actions to impact stillbirths and newborn health.
India Newborn Action Plan – Six pillars are:
- Preconception and antenatal care;
- Care during labour and child birth;
- Immediate newborn care;
- Care of healthy newborn;
- Care of small and sick newborn;
- Care beyond newborn survival.
The India Newborn Action Plan is a concerted effort towards translating commitments into meaningful change for newborns. It will serve as a framework for the States to develop their area-specific action plans.
India Newborn Action Plan (INAP) – Goals
Goal 1: Ending Preventable Newborn Deaths to achieve “Single Digit NMR” by 2030, with all the states to individually achieve this target by 2035
Goal 2: Ending Preventable Stillbirths to achieve “Single Digit SBR” by 2030, with all the states to individually achieve this target by 2035
|NMR (per 1000 live births)||29||24||21||15||<10|
|SBR (per 1000 live births)||22||19||17||13||<10|
|Safe delivery (institutional + home delivery by SBA (%)||76||90||95||95||95|
|Initiation of breastfeeding within one hour of birth (%)||–||75||90||90||90|
|Women with preterm labour receiving at least one dose of antenatal corticosteroids (%)||–||75||90||95||95|
|Babies born in health facilities with birth asphyxia received resuscitation (%)||–||75||90||95||95|
|Babies received complete schedule of home visits under HBNC by ASHA (%)||–||50||75||95||95|
|Newborn with sepsis in the community received Gentamicin by ANM (%)||–||50||75||75||75|
|Newborn discharged from SNCU followed until age one (%)||–||35||50||75||75|
|Newborn with low birth weight / Prematurity managed with KMC at facility (%)||–||35||50||75||90|
India Newborn Action Plan (INAP) – Snap shot
Builds on existing commitments under the National Health Mission and ‘Call to Action’ for Child Survival and Development
• Aligns with the Global Every Newborn Action Plan (ENAP); defines commitments based on specific contextual needs of the country
• Aims at attaining Single Digit Neonatal Mortality Rate by 2030, five years ahead of the global plan
• Emphasizes strengthened surveillance mechanism for tracking stillbirths
• Focuses on ending preventable newborn deaths, improving quality of care and care beyond survival
• Prioritizes those babies that are born too soon, too small, or sick—as they account for majority of all newborn deaths
• Aspires towards ensuring equitable progress for girls and boys, rural and urban, rich and poor, and between districts and states
• Identifies major guiding principles under the overarching principle of Integration: Equity, Gender, Quality of Care, Convergence, Accountability, and Partnerships
• Defines six pillars of interventions: Pre-conception and antenatal care; Care during labour and child birth, Immediate newborn care; Care of healthy newborn; Care of small and sick newborn; and Care beyond newborn survival
• Serves as a framework for states/districts to develop their own action plan with measurable indicators.