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Original Research



A situational analysis of essential newborn care in maternity homes of Ahmedabad Municipal Corporation area

Niyati Harshadkumar Zaveri, Bala D V.




Abstract
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Background: The Ministry of Health and Family Welfare of India has come up with this essential newborn care services (ENBC) to reduce the neonatal mortality rates, and it is provided free of cost at all Government Healthcare facilities. This study was done to see the impact of ENBC services.

Objectives: The objectives of this study are (1) to evaluate the provision of ENBC services in all maternity homes under the aegis of Ahmedabad Municipal Corporation (AMC) and (2) to assess the availability of adequate human resources, infrastructure, and equipment.

Materials and Methods: A study design is cross-sectional. The study was conducted at all maternity homes in AMC. Sampling technique is the purposive type. Observation of health-care facility infrastructure under which assessment of availability of essential drugs, infrastructure and ENC equipment, observation of type of care, eye care and umbilical cord care at birth, infrastructure etc was done. Written permission from the Institutional Review Board, NHLMMC, Medical Officer of Health, AMC, Dean, was taken.

Results: It was found out that a total number of rooms ranged from 3 to 20, number of beds ranged from 8 to 36, and deliveries per year ranged from 90 to 1646. Two of the maternity homes had assisted deliveries and cesarean section facilities. All the maternity homes had 100% availability of the medical. Resuscitator was present in 75% of the maternity homes.100% maternity homes were equipped with radiant warmers, 91.67 % had pump suction, weight scale was present in 100%, 83.33% had thermometer, and 91.67% had Hub Cutter. Cotton swabs, bag mask, gloves, mucus extractor, and needle syringe were present in all the maternity homes in our study.

Conclusion: All maternity homes are providing sufficient ENBC. Only two maternity homes are providing cesarean section delivery. Essential infrastructure and service facilities are provided in all maternity homes except a few minor things like less nursing staff. Newborn care corner is present in all the maternity homes.

Key words: Essential Newborn Care; Maternity Homes; Newborn Care Corner






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