NATIONAL GUIDELINE FOR NEONATAL CARE | NEONATAL CARE UNIT DOWNLOAD PDF

NATIONAL GUIDELINE FOR NEONATAL CARE AND NEONATAL CARE UNIT (NCU) DOWNLOAD PDF 

 Ministry of Health, Community Development, Gender, Elderly and Children wish to express its gratitude to individuals and development partners who worked with the Ministry in the development of this National Guideline for Neonatal Care and Establishment of Neonatal Unit.

 

On behalf of the Ministry, I acknowledge the technical contribution of sta� members from: Ministry of Health, Community Development, Gender, Elderly and Children’s Department of Preventive Services; Reproductive and Child Health Section, Newborn and Child Health Unit, World Health Organization (WHO), UNICEF, Muhimbili National Hospital, Muhimbili University of Health and Allied Health Sciences, University of Dodoma, Pediatric Association of Tanzania, Mbeya Regional Referral Hospital, Mbeya Zonal Referral Hospital, Singida Regional Referral Hospital, Dodoma Regional Hospital, KCMC Hospital, CCBRT Dar es Salaam, Ndanda Hospital, Busega DC, Mbarali DC, Monduli DC and Kibaha DC, GIZ and Jhpiego.

Lastly, the Ministry would like to acknowledge � nancial support provided from GIZ Tanzania during the development of this guideline and UNICEF for supporting the printing of initial copies

 

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Globally newborn deaths (deaths within the � rst 28 days of life) account for 46 percent of all under-� ve deaths, which translates to about 2.6 million newborn deaths in the � rst month of life. Likewise, Tanzania has one of the highest numbers of newborn deaths, which accounts for 40 percent of all under-� ve deaths. Approximately 39,500 newborns die annually, nearly 50% of all deaths occur within the � rst 24 hours a� er birth and 75 % within the � rst 7 days of life. � ree conditions accounting for three�quarters of all newborn deaths are: Birth asphyxia 31%, preterm complications 25% and infections 20%. Neonatal mortality is closely related to quality of care during pregnancy, labour and delivery and immediate post-delivery.

 

Over the years, service providers In-Service have received updates for neonatal care through classroom sessions on a separate training packages that includes: Essential New-born care training package, Kangaroo Mother Care, Integrated management of Childhood Illness (IMCI), Growth monitoring and Care for Childhood Development, and yet the national coverage of these interventions has remained low. A simple analysis conducted by Newborn and Child health unit using the programme data in 2018 revealed that: IMCI was implemented in 44 % of all health facilities, Kangaroo Mother Care was in 25 % of the hospitals and health centres, implementation of Essential Newborn Care package was in only 12 % of all health facilities, while new growth charts were implemented only in 7 % of all facilities. � e WHO recommends intervention coverage of at least 80 % if the desired impact is to be attained. 

To overcome the overwhelmingly neonatal deaths in the country, quality care for neonates is critically important where service providers need to be equipped with not only commodities and equipment, but also appropriate knowledge, skills and competences to manage small and sick newborns. Moreover, majority of our admitting health facilities lack neonatal care units, and therefore quality care for sick neonates is hampered.

 

To address the gap, Ministry of Health, Community Development, Gender, Elderly and Children, the Newborn and Child Health Unit in collaboration with partners, developed this consolidated national guideline, which summarises key areas from the above-mentioned independent training packages. � e guideline will be available all over the country, at all levels of health care, used by health care providers as a reference book for neonatal care. Depending on the availability of resources, the national level capacity will advocate, disseminate and build regional capacity for smooth implementation to the councils and health facility level, and collaborate with

 

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