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India Newborn Action Plan
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 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. 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.
For the first time, INAP also articulates the Government of India’s specific attention on preventing stillbirths. It includes six pillars of intervention packages across various stages with specific actions to impact stillbirths and newborn health. Newborn health has been identified as the thrust area under National health mission as 56 % of child mortality is contributed by neonatal mortality.
The plan has clear timeline and goal to track the impact of various interventions specifically introduced to reduce neonatal mortality. INAP has set the target to reach single digit Neonatal mortality rate i.e. less than 10 by 2030. The present neonatal mortality rate is 28 per thousand live births. INAP has considered life cycle approach to address the neonatal mortality.
That means health of adolescents as well as care of mother during pregnancy; at the time of delivery and after delivery has direct bearing on the health of newborn. Accordingly six life stages have been identified with specific intervention to reduce neonatal mortality. The concept of continuum of care i.e linking institutions with community care is another strategic approach in the India newborn action plan. The home based newborn care provided by ASHA addresses this issue appropriately.
The newer evidence based approaches like empowering ANM to give injection Gentamycin, Injection Vitamin K at birth, Kangaroo mother care for preterm newborn and strengthening of care of sick newborn services have been incorporated in INAP.
The State governments have started implementing INAP and this is expected to reduce neonatal mortality and thereby overall child mortality in the country. INAP is to be implemented within the existing Reproductive, Maternal, Newborn, Child and Adolescent health (RMNCH+A) framework of the National Health Mission (NHM).
