Neonatal mortality accounts for over 60% of Infant mortality and around 40% or fewer than five mortality. Further reduction in Infant and Child mortality is critically dependant upon significant decline in Newborn deaths. Although on average 41% of deliveries are conducted in the institutions, i.e., at P.H.C, B.P.H.C & R.H and district hospitals, there are no separate facilities to manage sick Neonates in the hospital and health centers, Even at district hospital, the sick Neonates (Home delivered and Institutional delivered) are generally treated along with the older sick children.

OBJECTIVE:
The sole objective of this Project in Purulia District is to reduce the Neonatal mortality Rate or death of Newborn during the first month of life.

COMPONENTS:

(a) Coordination of Health Department, Zilla Parishad and UNICEF to provide strategic partnership to bring down the NMR.
(b) Strengthenil1g of Health facilities already existing, by developing level-II Care at the District Hospital (including Tele linkage betweel1 District Hospital, Purulia with the Advanced Neonatal Care Unit of S.S.K.M Hospital)and Stabilizing Units at the P.H.C, B.P.H,C, and R,H,
(c) Capacity development including training of Sisters and Doctors in Critical Newborn Care.

FACILITIES:

 The fully air conditioned 21, bedded (initially with 4 bed) unit has a set up with servo 'controlled radiant warmer" photo therapy units, digital weighing scale, pulse oxi-meter, syringe pump, ABG machine, electrolyte analyzer, portable X-ray, Central Oxygen supply, autoclave and washing machine (supported by AHSD, Purulia Branch) which can be compared with any modern super specialized institution.
The unit is manned with two trained Pediatricians, five trained nursing staff (already trained by the Society for Applied Studies) and other supportive staffs which are arranged from the existing manpower of Sadar Hospital, Purulia.

FUTURE EXPANSION;

• All the BPHCs / CHCI RH would have stabilization units linked up to the central unit.
• Community Mobilization, such as Women's group, TBA School Children, Adolescent girls for community

participation in Neonatal Care would be developed to reach the deprived. All such programmes will be linked and integrated with the Apex Unit (i.e., Sick Newborn Unit at Sadar Hospital).

PROTOCOLS FOR NEWBORN UNIT

• Neo-natal Unit is a separate unit within the District Hospital
• Superintendent, Sadar Hospital is the overall charge of the unit like other units of the District Hospital
• All babies born in this hospital will be looked after by this unit
• New born babies, will be admitted directly in the pediatric ward under the bed-in charge of pediatrics and if they require intensive care, they may be transferred to the Neonatal Unit subject to availability of beds. Once stabilized the newborn will be transferred back to the pediatric ward under the same pediatrician. During the newborn's stay at the Neonatal Unit his/her mother will occupy his/her bed.

• There is provision of running 21 beds, but to start with it will run with 12 beds.
•  All the beds in this unit will be treated as paying beds and charges will be levied as per Govt. norms. A maximum of 50% of the beds may be available for free treatment on production of BPL card/certificate from competent authorities to the Superintendent, Sadar Hospital

• The revenue earned from this unit, including investigation charges will be deposited to the Health and family Welfare Samity, which will be utilized for the functioning of this unit.
• The Samity will provide for any critical gap in terms of economics.
• Samity may change the terms and conditions after reviewing the progress of this unit.
• There will be no double beds/floor in this unit

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