History of CB-NCP 2004-2010
Over the past several years, neonatal health has been the focus of increasing attention both globally and in Nepal. The vision for SNL in Nepal is, through supporting the Ministry of Health and Population (MoHP) and partners, and identification of key catalytic opportunities, that newborn health care will be recognized, integrated, and implemented at scale on a national level through new and existing programs. Saving Newborn Lives (SNL) Nepal Program was launched in November 2000 and started from 2001. The SNL Nepal program with its partners has made remarkable gains in improving newborn health in Nepal. Three community models tested successful in changing newborn care behaviors. National Neonatal Health Strategy was developed to provide direction for the improvement of newborn health in the country. The neonatal health components of Pre Service Training curricula of physicians and nurses have been standardized and significantly improved to reflect current evidence and training methodologies. The MINI trial addresses the critical question of management of neonatal infections in a potentially scalable context of the government health system.
Following advocacy and technical support provided by the Save the Children through the Saving Newborn Lives (SNL) program, the MoHP endorsed a National Neonatal Health Strategy in 2004 that focuses on the reduction of newborn mortality through interventions at the community level, improving access to and use of facility-based services, and expanding successful feasible interventions through community-based child and maternal health programming at scale throughout the country. The Save the Children health team in Nepal initiated the strategic planning process for SNL Phase II. SNL Phase II (2005-2011) is a follow on to the highly successful of SNL Phase I.
Saving Newborn Lives Phase II (2006-2011), SNL Nepal is one of the intensive focus country based on the government interest and commitment to newborn health programs, potential for leveraging resources from the bilateral and multilateral partner agencies to take results to scale and due to established presence of successful maternal and child health programs. Furthermore, SNL Nepal has played a catalytic and leadership role to ensure newborn Health is prioritized and strongly incorporated into the Ministry of Health and Population's plans,
To implement the National Neonatal Health Strategy, with support from SNL Phase II, the MoHP in early 2007 formed a Technical Working Group (TWG) to develop a Community-Based Newborn Care Package. Save the Children is the driving force behind the TWG, and has been working closely with the Child Health Division and the Family Health Division of the MoHP to develop CB-NCP interventions. The TWG recognizes that the CB-NCP is a dynamic set of interventions and guidelines, which will continue to evolve to reflect ongoing progress in global evidence and experience in Nepal. CB-NCP package has been developed and endorsed by the MoHP as the national program for newborn health in the country for testing in 10 districts in partnerships with the MoHP, CARE, PLAN, and UNICEF, with a plan to scale up in 15 districts by 2011. CB-NCP program had started to implement in pilots districts in 2008.
Based on the direction of National Neonatal Health Strategy, priority areas identified for Nepal included the development, testing and scaling up of an effective Community-Based Newborn Care Package (CB-NCP) and the expansion of a strengthened neonatal health pre-service curriculum for physicians and staff nurses in the country. CB-NCP has been supporting CB-IMCI expansion and maintenance by supporting review meeting and is invited to participate in the CB-IMCI TWG meetings. Through advocacy and technical support, we have been successful incorporating young infants in the existing CB-IMCI (2months-5years) included Gentamycin into the essential drugs list. The scaling up of newborn health interventions will not only follow the existing CB-IMCI scale up pathway but also will increase coverage through integration into other ongoing national programs, such as the safe motherhood program, CB-MNC, and NFHP
CB-NCP incorporates the lessons learnt from all well tested community based newborn health program in Nepal through CB-NCP. The program has been the successful the adding ten core newborn specific indicators into the National HMIS. It is anticipated and strategic review the most cost effective and feasible components of CB-NCP will be identified for further scale up and expansion though out the country.
Other Information inside History of CB-NCP 2004-2010
Levels of Process to develop the package for CB-NCP