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Pradhan YV, Upreti SR, Pratap KC N, KC A, Khadka N, Syed U, Kinney MV, Adhikari RK, Shrestha PR, Thapa K, Bhandari A, Grear K, Guenther T, Wall SN. Newborn survival in Nepal: a decade of change and future implications. Health Policy Plan 2012; 27 Suppl 3:iii57-71. [DOI: 10.1093/heapol/czs052] [Citation(s) in RCA: 63] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Y V Pradhan
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Shyam Raj Upreti
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Naresh Pratap KC
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Ashish KC
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Neena Khadka
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Uzma Syed
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Mary V Kinney
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Ramesh Kant Adhikari
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Parashu Ram Shrestha
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Kusum Thapa
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Amit Bhandari
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Kristina Grear
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Tanya Guenther
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
| | - Stephen N Wall
- Ministry of Health and Population, Kathmandu, Nepal, 2Save the Children, Kathmandu, Nepal, 3Save the Children, Washington, DC, USA, 4Save the Children, Cape Town, South Africa, 5Institute of Medicine, Kathmandu, Nepal and 6UK Department for International Development, Kathmandu, Nepal
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Kc A, Thapa K, Pradhan YV, Kc NP, Upreti SR, Adhikari RK, Khadka N, Acharya B, Dhakwa JR, Aryal DR, Aryal S, Starbuck E, Paudel D, Khanal S, Devkota MD. Developing community-based intervention strategies and package to save newborns in Nepal. J Nepal Health Res Counc 2011; 9:107-118. [PMID: 22929839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In Nepal, the proportion of under 5 deaths that are neonatal (0-28 days) has been increasing in the last decade, due to faster declines in infant and child mortality than in neonatal mortality. This trend is likely due to a focus on maternal and child survival programs that did not adequately address newborn health needs. Policy and actions to save newborn lives resulted from increased attention to newborn deaths in 2001, culminating in the endorsement of the National Neonatal Health Strategy in 2004, a milestone that established newborn health and survival as a national priority. Operationalization of the National Neonatal Health Strategy took place in 2007 with the development of the Community-Based Newborn Care Package (CB-NCP). This paper describes how national stakeholders used global, regional and in-country research and policies to develop the CB-NCP, thus outlining key ingredients to make newborn health programming a reality in Nepal. A technical working group was constituted to review existing evidence on interventions to improve newborn survival, develop a tool to prioritize neonatal interventions, and conduct program learning visits to identify key components appropriate to the Nepal context that should be included in the Community Based Integrated Newborn Care Package. The group identified interventions based on the evidence of impact on newborn survival, potential mechanisms within the existing health system to deliver the interventions, and linkages with existing programs and different tiers of the health system. Not only was Nepal one of the first countries in south-east Asia where government adopted a national strategy to reduce neonatal deaths, but it was also one of the first to endorse a package of neonatal interventions for pilot testing and scaling up through existing community-based health systems that provide basic health services throughout the country. CB-NCP was designed to be gradually scaled up throughout the country by integration with Safe Motherhood and Child survival programs that are currently operating at scale. Under Ministry of health and Population leadership, a network of academia, professional bodies and partners developed a common vision for improving newborn health and survival, and launched district-level pilot programs to demonstrate and learn how newborn health interventions could be effectively and efficiently delivered and scaled up in Nepal.
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Affiliation(s)
- A Kc
- Save the Children Nepal, Kathmandu, Nepal.
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