Bottlenecks, barriers, and solutions: Results from multi-state consultations focused on reduction of childhood pneumonia and diarrhea deaths. Under-5 Malnutrition plays a great role behind deaths from Pneumonia & Diarrhoea.
6. Understanding Epidemiology of
Under-5 Deaths in India
Role of Socio-cultural Factors (Exclusive Breast Feeding,
Complementary Feeding, Under-5 Malnutrition)
Environmental Condition(Drinking Water Quality, Monitoring of
water quality, Safe Water & Sanitation, Indoor and Outdoor Air
Pollution)
Behavioral Factors (Personal Hygiene, Ambient Air Pollution,
Parental Smoking)
7. Understanding Epidemiology of
Under-5 Deaths in India
Equity in Healthcare Services(Gender, Caste, Religion, Female
Literacy, Economic Status, Accessibility etc)
Preparedness and Capacity of Health System (Community and
Facility Level, Inter-sectoral Coordination between Health, ICDS, PRI
and PHED, Health <=> Economic Development, Doctor-Population
Ratio, Doctor-Nurse Ratio, Population-Bed Ratio, FLW-Population Ratio )
8. Understanding Epidemiology of Under-
5 Deaths in India
Political Environment: Viable, Stable & Conducive Political
system, Political Will and Political commitment for social and
economic development, Allocation of adequate resources for
health, Proportion of GDP spent on health related activities i.e.
i. Drinking Water Supply, ii. Basic Sanitation, iii. Housing,
iv. Nutrition, v. Community Development, vi. Primary Health care.
Role of Health, Nutrition and Environment Policies.
9. Changes that Government can make to
address these barriers.
Robust Implementation of Policies and Programs of Departments of
Health, Women & Child Development(ICDS), PHED, PRI and
Environment.
Formulation of New State Specific Policies if needed for Better Health
& Nutrition of under-five children of the state(eg. Bal Kuposhan Mukt
Bihar by Govt. of Bihar).
More inter-sectoral convergence in different platforms like VHSND.
Increasing quality of Community and Facility Based child health care.
Involving Formal and Non-formal Private Providers for Prevention &
Treatment of Pneumonia and Diarrhoea.
10. Changes that Government can make to
address these barriers.
Strategic Communications for more awareness about Pneumonia and
Diarrhea and IEC and BCC activities.
Alignment with Global Action Plan for Prevention and Control of
Pneumonia and Diarrhoea(Prevention, Promotion & Treatment Framework)
13. 1. Quality of Care at Facilities for
Pneumonia & Diarrhoea.
2. Quality of Care in Communities for
Pneumonia & Diarrhoea.
14. What drives Quality of Care in UP context?
Programs and Guidelines (Latest)
Infrastructure, Equipment & Commodities (Appropriate &
Adequate and Functional & Ready-to-Use)
Human Resources (Adequate in Number & with Appropriate
Skills)
Training & Competencies (trained service provider as per level of
facility)
Prompt Service Delivery (cost effective)
Quality of care (technically correct treatment as per level of facility)
Translation of Skills into Practice
Accountability and Commitment
15. Quality of Care in Communities for
Pneumonia & Diarrhoea.
Strategic Communication for Behavioural Changes, Care Seeking
Behaviour, Community Awareness for Pneumonia, Diarrhoea and
treatment facilities.
Strategic Communications by FLW during home visits.
Training and Capacity Building of FLWs for Early Identification,
Referral and Community Level Management(Respiratory timers,
Low Cost Pulse Oximeter, Syr Amoxicillin/Inj Gentamicin).