title: Evaluation of Antenatal to Neonatal Continuum Care Services Affecting Neonatal Health in a Tertiary Health-Care Setup.
abstract: BACKGROUND
  Maternal and child mortality and morbidity continue to be high despite existence of various national health programmes in India. Annually 41% of all Under 5 mortality is comprised of neonates, 3/4 of who die within the first week of life. Even though effective programmes are existing, optimum utilization is still a question. So the present study was planned to assess utilisation of maternal and neonatal health services and its influence on neonatal health.
  
  
  OBJECTIVE
  1. To assess the utilization of MCH services before admission to SNCU. 2. To analyse the process of implementation of IMNCI before referral and during the admission. 3. To observe the impact on neonatal health and give necessary recommendations.
  
  
  METHODS
  The information regarding utilization of MCH services was obtained by conducting in depth interviews with the responsible adults accompanying the sick neonate. The Pre-treatment and referral slips were verified and compared with that of the prescribed guidelines laid down by the IMNCI for young infants (0-2 months) at SNCU.
  
  
  CONCLUSIONS
  Some of the important observations were mentioned here. 100% women had TT immunization whereas 72% had the full ANC, 58.7% had full course of IFA, 76% had utilized JSY benefits and 48.34% had their PNC. 84% neonates had required immunization, 59.01% were on exclusive breast feeding. 38.9% were paid home visits, only 42% had an idea about the danger signs of neonatal period. 23% sick babies were treated under IMNCI guideline. Among them 98% given initial treatment, only 34% given proper diagnosis/classification, 56% were given adequate advice.
authors.affiliation: Department of Community Medicine, KIMS Medical College, Amalapuram, Andhra Pradesh, India.
authors.forename: Jarina
authors.initials: J
authors.lastname: Begum
authors.affiliation: Department of Community Medicine, KIMS Medical College, Amalapuram, Andhra Pradesh, India.
authors.forename: Syed Irfan
authors.initials: SI
authors.lastname: Ali
authors.affiliation: Department of Community Medicine, Maharaja Krishna Chandra Gajapati Medical College and Hospital, Berhampur, Odisha, India.
authors.forename: Radha Madhab
authors.initials: RM
authors.lastname: Tripathy
keywords: Anemia; Integrated Management of Neonatal and Childhood Illnesses (IMNCI); antenatal checkup (ANC); low birth weight; maternal and child health (MCH); postnatal checkup (PNC); sick newborn care unit (SNCU)