Establishment of special care new-born units (SCNU) in hospitals not only serves to provide the intensive care to sick neonates, but presents with opportunities to enhance knowledge and modify attitude and practices of their parents through behavior change communication (BCC). A cross-sectional study was conducted in Dibrugarh District, Assam from January to June, 2011 to assess differences in health-care seeking behavior of these mothers from mothers of newborns who were born at home and mothers who had normal uneventful institutional deliveries. Mothers of 29 SCNU discharged, 34 institutions delivered and 26 home delivered children were interviewed using a semi-structured interview schedule and a knowledge, attitude and practice (KAP) survey tool. Mothers of children admitted to SCNU scored better in questions related to vaccination, contraception, protection of child from infections and cold and perceptions about traditional healers, but overall KAP scores in the three groups were not found significantly different.
Background-IMNCI offers a strategy for improving the state of health of children in India. This approach could help the country in achieving the MDG Goals of reducing the under-five mortality. Objectives-To assess and compare the knowledge and skills of IMNCI service providers at peripheral level and effect of monitoring and supervision. Methods-A baseline cross sectional study to compare the activity of frontline workers of both health and ICDS sector and then follow up to assess the effect of monitoring and supervision in a subgroup. Results and Conclusion-IMNCI is found effective in improving knowledge, skill, accuracy in assessment, classification, treatment and counselling amongst both health and ICDS sector. Assessment by ANM and AWW for bacterial infection shows highly significant difference in 0-2 month, assessment of immunization and other problems also showing significant difference, but no significant difference is found in assessment of diarrhoea and breast feeding(p<0.05.). Monitoring and supervision; showing significant improvement in implementation of IMNCI in the district (p<0.05.).
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