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An Assessment of Implementation of Family Participatory Care in Special Newborn Care Units in Three States of India

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Abstract

Objective

To study special newborn care units (SNCUs) in terms of family participatory care (FPC) quality initiative as per Government of India guidelines in select public health facilities, and to document the perspectives of the doctors and mothers.

Design

Cross-sectional.

Settings

SNCUs with functional FPC units in the states of Odisha, Madhya Pradesh and Rajasthan.

Participants

38 SNCUs; doctors and nurses in-charge of the unit; and two eligible mothers per unit, one inside the step-down unit and second outside the step-down unit whose newborns were admitted to special new-born care unit, having a stable baby weighing above 1500 g.

Intervention

The states implemented FPC as per Government of India guidelines using National Health Mission funds across special newborn care units. This assessment involved onsite observation and interviews of key providers.

Outcome

Proportion of facilities providing regular counselling sessions, enabling support to mothers, recording FPC information; perspectives of health providers on improvement of breastfeeding and kangaroo mother care; proportion of eligible mothers practicing FPC, exclusively breastfeeding, and providing kangaroo mother care services.

Results

Out of 38 SNCUs, we found that FPC sessions for mothers were happening in 36 (95%) facilities. SNCUs provided enabling support to mothers on FPC (74.2%), held regular sessions for the families (70.6%), nurses assisted mothers and family members for breastfeeding and kangaroo mother care (76.4%) and FPC information were recorded (70.6%).

Conclusions

The assessment of facilities where FPC was implemented showed that SNCUs were equipped to implement FPC in public health settings.

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Authors and Affiliations

  1. Norway India Partnership Initiative, New Delhi, India

    Harish Kumar, Ashfaq Bhat & Rajat Khanna

  2. Departments of Pediatric, Kalawati Saran Children Hospital, New Delhi, India

    Varun Alwadhi

  3. Department of Pediatrics, Ram Manohar Lohia Hospital, New Delhi, India

    Arti Maria

  4. Indian Institute of Public Health, New Delhi, India

    Sutapa B. Neogi

  5. Child Health Division, Ministry of Health and Family Welfare, Government of India, New Delhi, India

    Ajay Khera

Authors
  1. Harish Kumar
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  2. Ashfaq Bhat
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  3. Varun Alwadhi
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  4. Arti Maria
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  5. Rajat Khanna
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  6. Sutapa B. Neogi
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  7. Ajay Khera
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Corresponding author

Correspondence to Harish Kumar.

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Contributors

HK,AB: conceptualized the study design and methods and provided inputs on the manuscript; VA, AM: provided inputs during the execution of the study and provided critical inputs on the manuscript; RK: supervised the data collection process, performed analysis and interpreted results and provided inputs in the manuscript; SBN: reviewed the literature and drafted the manuscript; AK: facilitated in the study in the health system settings and provided inputs on the manuscript; All the authors reviewed and approved the final draft.

Funding

National Health Mission, Government of India

Competing Interest

None stated.

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Kumar, H., Bhat, A., Alwadhi, V. et al. An Assessment of Implementation of Family Participatory Care in Special Newborn Care Units in Three States of India. Indian Pediatr 58, 349–353 (2021). https://doi.org/10.1007/s13312-021-2194-6

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  • DOI: https://doi.org/10.1007/s13312-021-2194-6

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