Janani Suraksha Yojana Dr Ubaid N P J

Janani Suraksha Yojana Dr Ubaid N P, J R Community Medicine, Pariyaram Medical College

RURAL AREA URBAN AREA Catergory Mothers package ASHA’S package Total Rs. LPS 1400 600 2000 1000 200 1200 HPS 700 200 900 600 200 800 600 (tribal)

�Eligibility �ASHA �Caesarean section – 1500 �Delivery at home- 500

v Vandemataram scheme v Safe abortion services v Village Health and Nutrition day v Maternal Death Review v Janani Shishu Suraksha Karyakram (JSSK)

Child health components v Nutritional rehabilitation centres (NRCs) v Integrated Management of Neonatal & Childhood Illness (IMNCI) v Facility based newborn care q. Newborn Care Corner (NBCC) q. Newborn Stabilization Unit (NBSU) q. Special Newborn Care Unit (SNCU) v. Triage of sick newborns

A. Criteria for admission to NBSU �Apnea or gasping �Respiratory distress (RR> 70/min with severe retractions/grunt) �Hypothermia (<35. 4*C) �Hyperthermia (>37. 5*C) �Shock �Significant bleeding that requires blood or component transfusion

B. Criteria for admission to SNCU I. � � � � Admission to the SNCU: Birth weight < 1800 g or gestation < 34 weeek Large baby (> 4. 0 kg) Perinatal asphyxia Apnea or gasping Respiratory distress (RR> 60/min) Central cyanosis Shock Coma, convulsions or encephalopathy

�Severe jaundice �Hypothermia (<35. 4* C) �Hyperthermia (> 37. 5* C) �Abdominal distension �Diarrhea/ dysentery �Bleeding �Major malformations

II. Criteria for transfer from SNCU to the Step. Down: �Newborn whose respiratory distress is improving and does not require O 2 supplementation �Newborn on antibiotics for completion of duration of therapy �LBW newborn who are otherwise stable �Newborn with jaundice requiring phototherapy but otherwise stable �Newborn admitted for any condition, but are now thermodynamically and hemodynamically stable.

III. Criteria for discharge from SNCU: �Newborn is able to maintain temperature with out radiant warmer �Newborn is hemodynamically stable �Newborn accepting breast feeds well �Newborn has documented weight gain for 3 consecutive days; and weight gain is > 1. 5 kg �Primary illness has resolved

v Home Based Neonatal Care (HBNC) v Navjat Shishu Suraksha Karyakram (NSSK) v Integrated Management of Neonatal and Childhood Illness (IMNCI)