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Original Research



Appraisal of integrated management of neonatal and childhood illness program in two districts of Assam

Swapna D Kakoty, Priyanka Das.




Abstract

Background: Integrated management of neonatal and childhood illness (IMNCI) is an important reproductive and child health strategy to lower infant and neonatal mortality in the country. In India, Assam is one of the states with very high infant mortality.

Objectives: Assess the status of IMNCI implementation in Barpeta and Nalbari district/s of Assam.

Materials and Methods: A rapid appraisal of IMNCI was undertaken in Nalbari and Barpeta districts of Assam. Qualitative survey methods and secondary data analysis was used. Interview of stakeholders, observation of services, logistic, and supervisory support to the program was assessed. The data were manually analyzed for thematic areas.

Results: Logistics and drug support were good. Gaps in program implementation were found at all level. Integrated Child Development Services involvement lacked clear direction.

Conclusion: An intersectoral resource intensive program requires supportive environment for implementation.

Key words: Integrated Management of Neonatal and Childhood Illness; Infant Mortality Rate; Neonatal Mortality Rate; Appraisal; Assam






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