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ACCELERATING CHILD SURVIVAL AND DEVELOPMENT IN GUJARAT AND IN INDIA Jan 03, 2016



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RECOM M ENDED Accelerating Child Survival And Development In Gujarat And In India Dr Genevieve Begkoyian, MD MPH Chief (/Documents/Accelerating-Child-SurvivalOf Health, India Country And-Development-In-Gujarat-And-InOffice Healthy Gujarat.

Accelerating Child Survival and Development in Gujarat and in India Dr Genevieve Begkoyian, MD MPH Chief of India-Dr-Genevieve.html) Health, India Country Office Healthy Gujarat – Agenda for Action Mahatma Mandir, Gandhinagar, Gujarat 3 December, 2013 Child Heath- Status And India today No case of polio in 33 months 60 million new toilet users 11.1 million more children in school Food Initiatives In Gujarat security bill passed Nutrition missions formed NMR declined by 9% in 2 years And …. Stunting decreased by (/Documents/Child-Heath16% in Maharashtra since 2006 U5MR reduction from 118 to 55 between 1990 and 2011 IMR in Gujarat 10 Status-And-Initiatives-In-Gujarat.html) points decline in last 3 years Source: SRS 2007-09 Goal Current Interventions SBA, BEmOC, CEmOC VHND/ Mamta Diwas Referral GUJARAT Shaishav Child transport through EMRI 108 Chiranjeevi Yojana Janani Suraksha Yojana Janani Shishu Suraksha Karyakram Rights. Gujarat Gujarat Is: Focus on Adolescent Health Chart5 389 202 172 160 148 2010-12 100 Gujarat Maternal Mortality Ratio Chart1 One Of The Richest And (/Documents/GujaratMost Industrialised States 69 63 50 Gujarat Per 1000 birth Sheet1 Gujarat NFHS-1 69 NFHS-2 63 NFHS-3 50 Chart2 2.99 2.72 2.4 Gujarat Shaishav-Child-Rights-Gujarat-Gujarat-IsIn India A Manufacturing Chart3 2.99 2.72 2.4 2.1 Gujarat Rate Trend in Total Fertility Rate - Gujarat Chart4 69 63 50 30 Gujarat Rate One-Of-The-Richest.html) Hub, Producing A Number. Infant Mortality Rate - Gujarat Chart6 37 46 55 80 Gujarat Percentage Status of Institutional Delivery- Gujarat Sheet2 NFHS-1 NFHS-2 NFHS-3 2010 Gujarat 2.99 2.72 2.4 2.1 Gujarat NFHS-1 69 NFHS-2 63 NFHS-3 50 ICT4D 2013 Conference 2010 30 NFHS-1 NFHS-2 NFHS-3 2010 Gujarat 37 46 55 80 Year 1989 1999-2001 2001-2003 2010 Maternal Going Mobile For Maternal Mortality 389 202 172 100 Gujarat 1989 389 1999-01 202 2001-03 172 2004-06 160 2007-09 148 2010-12 And Child Survival In India (/Technology/Ict4d-20132015 100 Sheet3 Year Mortality 1989 389 2001 202 2003 172 2010 100 Conference-Going-Mobile-For-MaternalTotal 38 Rural 45 Urban 24 Source: Latest SRS reference -2012 by RGI Goal 29 > 50,000 deaths among underAnd-Child-Survival-In-India.html) ones annually 70 % infant deaths during neonatal period Chart1 123 116 89 120 111 89 120 106 71 126 106 56 1 112 98 64 124 107 66 113 97 59 101 90 64 92 86 70 79 72 54 73 69 57 72 67 53 65 58 42 70 64 51 68 62 47 Chiranjeevi Reducing 68 61 46 69 62 46 71 64 46 70 63 45 69 62 45 68 60 42 68 60 37 65 57 36 62 53 38 63 54 37 62 53 37 60 52 All materials on our website are shared by users. If you have any questions about copyright issues, please (/download/link/acceleratingMaternal And Neonatal child-survival-and36 58 50 35 55 48 33 51 44 30 48 41 27 45 38 24 2013 2013 2013 2014 2014 2014 2015 27 2015 Rural Total report (/document/report/accelerating-child-survival-and-development-in-gujarat-and-in-india) us to resolve development-in-gujarat-and-inMortality Through PPPP (/Documents/Chiranjeeviindia) Urban Sheet1 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 Gujarat Experience In Safe them. We are always happy to assist you. Reducing-Maternal-And-NeonatalMotherhood And Child 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Rural 123 Report (/document/report/accelerating-child-survival-and-development-in-gujarat-and-in-india) Mortality-Through-Pppp-GujaratSurvival Achieving MDG 5 120 120 126 112 124 113 101 92 79 73 72 65 70 68 68 69 71 70 69 68 68 65 62 63 62 60 58 55 51 48 45 Total Dr Amarjit Singh. Experience-In-Safe-Motherhood-And 116 111 106 106 98 107 97 90 86 72 69 67 58 64 62 61 62 64 63 62 60 60 57 53 54 53 52 50 48 44 41 38 27 Child-Survival-Achieving-Mdg-5-DrUrban 89 89 71 56 64 66 59 64 70 54 57 53 42 51 47 46 46 46 45 45 42 37 36 38 37 37 36 35 33 30 27 24 (https://www.facebook.com/sharer.php? (https://twitter.com/home? (https://plus.google.com/share? (https://pinterest.com/pin/create/bookmarklet/? (https://www.linkedin.com/shareArticle? Amarjit-Singh.html) Data Source : CHERG Estimates for Causes of Under 5 Deaths 2012, based on 2010 DESCRIPTION s=100&p[url]=https://documents.mx/documents/acceleratingstatus=Accelerating url=https://documents.mx/documents/acceleratingmedia=https://documents.mx/public/others/images/default.png&url=https://documents.mx/documents/acceleratingmini=true&url=https://documents.mx/documents/acceleratingSuccess factor 1 Leadership at the highest level to ensure priority to child health and development outcomes across sectors, with large investments Accelerating Child Survival and Development in Gujarat and in India. Dr Genevieve Begkoyian , MD MPH Chief of Health, India child-

Child child- child- child69% of partially and un-immunized children in 6 states: Uttar Pradesh Bihar Madhya Pradesh, Rajasthan West Bengal Gujarat Source: CES 2009; Full immunization of children surveyed 12-23 months survival-Survival survival-survival-survivalNo case of polio in 33 months - PowerPoint PPT Presentation Migrant sites High risk areas in settled population Source: CES (2009) Reaching the 7 millions children un immunized and- Success factor 2 RESULTS BASED focusing on most deprived Reduction in neonatal mortality and andandand TEXT Adolescent Out of school Early marriage Early pregnant Anemia, Malnutrition High risk Mother & child developmentDevelopment developmentdevelopmentdevelopmentAccelerating Child Survival and Development in Gujarat and in India Dr Genevieve Begkoyian, MD MPH Chief of Health, India Country Office Prematurity Low birth weight Post partum Hemorrhage Healthy Gujarat – Agenda for Action Mahatma Mandir, Gandhinagar, Gujarat 3 December, 2013 Success factor 3 Evidence based: facility based, outreach community based strategies inin No case of polio in 33 months 60 million new toilet users 11.1 million more children in school Food security bill passed Nutrition inininIndia today District Level IMNCI / HNBC / NBCC Community/PHC level CHCs at block level Continuum of care for new born missions formed NMR declined by 9% in 2 years And …. Stunting decreased by 16% in Maharashtra since 2006 U5MR reduction from 118 survival gujarat- Gujarat gujarat- gujarat- gujaratto 55 between 1990 and 2011 IMR in Gujarat 10 points decline in last 3 years Success factor 4 Equity focused and targeted interventions maternal and newborn for most vulnerable Scale up Source: SRS 2007-09 Goal Current Interventions SBA, BEmOC, CEmOC VHND/ Mamta Diwas Referral transport through EMRI 108 Chiranjeevi Yojana Janani Suraksha Yojana Janani Shishu Suraksha Karyakram Focus on Adolescent Health Chart5 389 202 172 160 148 and- interventions, as part of continuum of care (RMNCH+A) and andandandPartnership Professional bodies Accreditation Improving quality of care Chart1 22.5 46.4 31.1 Column1 Sheet1 2010-12 100 Gujarat Maternal Mortality Ratio Chart1 69 63 50 Gujarat Per 1000 birth Sheet1 Gujarat NFHS-1 69 NFHS-2 63 NFHS-3 50 Chart2 2.99 2.72 2.4 Gujarat Chart3 2.99 2.72 2.4 2.1 Gujarat Rate Trend in Total Fertility Rate - Gujarat Chart4 69 63 50 30 Gujarat Rate Column1 Government 22.5 Private 46.4 No formal care 31.1 To resize chart data range, drag lower right corner inin inininInfant Mortality Rate - Gujarat Chart6 37 46 55 80 Gujarat Percentage Status of Institutional Delivery- Gujarat Sheet2 NFHS-1 NFHS-2 of range. NFHS-3 2010 Gujarat 2.99 2.72 2.4 2.1 Gujarat NFHS-1 69 NFHS-2 63 NFHS-3 50 2010 30 NFHS-1 NFHS-2 NFHS-3 2010 Gujarat 37 46 55 India: Gaps in achieving optimal nutrition in children under two india.html&p[title]=Accelerating India india.html) india.html&is_video=false&description=Accelerating india.html&title=Accelerating 80 Year 1989 1999-2001 2001-2003 2010 Maternal Mortality 389 202 172 100 Gujarat 1989 389 1999-01 202 2001-03 172 2004-06 160 2007Facility to ensure Availability of functional toilet and HWWS facilities Availability of HW soap Surface cleaning 09 148 2010-12 2015 100 Sheet3 Year Mortality 1989 389 2001 202 2003 172 2010 100 Child agents Availability of clean water supply Laundry facilities Availability of disposal bin Child Child Total 38 Rural 45 Urban 24 Source: Latest SRS reference -2012 by RGI Goal 29 > 50,000 deaths among under-ones annually 70 % infant …but the change is possible The change is happening… deaths during neonatal period Chart1 123 116 89 120 111 89 120 106 71 126 106 56 112 98 64 124 107 66 113 97 59 101 90 64 92 86 70 79 SurvivalDocuments+https://documents.mx/documents/acceleratingSurvivalSurvival THANK YOU Slide 4: Since your last visit Against the background of these contradictions, let’s start with the good

Country Office Healthy Gujarat – Agenda for Action Mahatma Mandir , Gandhinagar , Gujarat 3 December, 2013. . India today.

72 54 73 69 57 72 67 53 65 58 42 70 64 51 68 62 47 68 61 46 69 62 46 71 64 46 70 63 45 69 62 45 68 60 42 68 60 37 65 57 36 62 53 38 63 news for India and its children. Since your last visit to India in 2010 the country has seen some amazing 54 37 62 53 37 60 52 36 58 50 35 55 48 33 51 44 30 48 41 27 45 38 24 2013 2013 2013 2014 2014 2014 2015 27 2015 Rural Total Urban and childand and achievements for children: [click] India has seen no case of polio in 33 months There are 60 million new toilet Sheet1 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 users 11.1 million more children are enrolled in school The country has passed the Food security bill and 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Rural 123 120 120 126 112 124 113 101 92 79 73 72 65 70 68 68 69 71 70 69 68 Development survivalDevelopment Development 68 65 62 63 62 60 58 55 51 48 45 Total 116 111 106 106 98 107 97 90 86 72 69 67 58 64 62 61 62 64 63 62 60 60 57 53 54 53 52 50 48 44 nutrition missions have been formed in 6 states NMR has declined by 9% in 2 years after years of stagnation) 41 38 27 Urban 89 89 71 56 64 66 59 64 70 54 57 53 42 51 47 46 46 46 45 45 42 37 36 38 37 37 36 35 33 30 27 24 [click] Over a longer period of time we have also seen some very promising results for children, such as: Decline in andin in Data Source : CHERG Estimates for Causes of Under 5 Deaths 2012, based on 2010 in stunting in children in Maharashtra is 16%- from 38.3% in 2006 to 22.8% in 2012 and 20% decline in Success factor 1 Leadership at the highest level to ensure priority to child health and development outcomes across sectors, with large underweight in 100 poorest districts India has accelerated response to ensure decline in child and infant COMMENTS Gujarat development- Gujarat Gujarat investments mortality rates, with U5MR reduction from 118 to 55 between 1990-2011 Finally, and as has been evident 69% of partially and un-immunized children in 6 states: Uttar Pradesh Bihar Madhya Pradesh, Rajasthan West Bengal Gujarat Source: CES during the latest cyclone Phailin that hit the east coast of India, in the area of emergency/disaster response, the 0 Comments Sort by Oldest 2009; Full immunization of children surveyed 12-23 months and inand and government of India has also has also made the transition with UNICEF to look at building resilience and Migrant sites High risk areas in settled population strengthen its disaster risk reduction capacity (moving away from earlier emergency response support provided Source: CES (2009) Reaching the 7 millions children un immunized in gujaratin in by UNICEF). * The right of the child is also to have a healthy mother! The MMR is reducing gradually in the state Success factor 2 RESULTS BASED focusing on most deprived Reduction in neonatal mortality Add a comment... Adolescent Out of school Early marriage Early pregnant Anemia, Malnutrition High risk Mother & child Prematurity Low birth weight Post India but 5 states in India (Kerala, Tamilnadu, MH, WB & AP) have lesser MMR than Gujarat 78 % deliveries are andIndia India partum Hemorrhage institutional (CES 2009) against the reported 91 % by H & FW dept 66 % stay at health facilities for two or more Success factor 3 Evidence based: facility based, outreach community based strategies days after delivery which is better than previous years Continuum of Care! * * Infant Mortality Rate is very high inDistrict Level IMNCI / HNBC / NBCC Community/PHC level CHCs at block level Continuum of care for new born survival and stagnated in the recent past in Gujarat, in spite of very good economic and infrastructure growth in the state Facebook Comments Plugin Success factor 4 Equity focused and targeted interventions maternal and newborn for most vulnerable Scale up interventions, as part of There is a wide Rural Urban disparity Most Infants (i.e 71 %) die in Gujarat during neonatal period and Gujarat Documents&p[summary]=Accelerating india.html) Documents) Documents&source=https://documents.mx/documents/acceleratingcontinuum of care (RMNCH+A) contributes to 5 % of neonatal deaths in India Factors associated with neonatal deaths are (1) Mothers agePartnership Professional bodies Accreditation Improving quality of care Chart1 22.5 46.4 31.1 Column1 Sheet1 Column1 Government 22.5 Child Lower the age, higher is the risk eg < 20yrs 54.2/1000 live births Vs 20-29 yrs 34.2/1000 live births (2.) Neonatal childPrivate 46.4 No formal care 31.1 To resize chart data range, drag lower right corner of range. deaths directly related to birth interval (< 2 yrs birth interval NMR 57.9 /1000 live births Vs >3 yrs of birth interval India: Gaps in achieving optimal nutrition in children under two

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