Bangladesh has shown remarkable progress in improving child health and survival, achieving Millennium Development Goal 4—to reduce the under-five mortality rate by two-thirds between 1990 and 2015—well before the deadline. However, the pace of mortality reduction among newborns is much slower than that of older children. To address this and continue the progress made on child survival, the project supports the Government of Bangladesh in all priority newborn and child health interventions, including:

National Scale up of 7.1% chlorhexidine (CHX) for umbilical cord care
The project is rolling out CHX in all the 64 districts in phases. This involves developing guidelines, training providers, promoting behavior change via mass media, ensuring sufficient manufacturing, supply and implementation tracking, routine monitoring,evaluation, and documenting the process and achievements. The project is also collaborating with the private sector and non-government service providers to extend the reach of this intervention to all newborns in the country.

Kangaroo Mother Care
Kangaroo mother care (KMC) is an evidence-based method of caring for preterm and low birth weight newborns, which includes continuous skin-to-skin contact, early and frequentbreastfeeding, and early discharge from a health facility with follow-up. KMC has been shown to prevent hypothermia and decrease neonatal mortality, and encourages caregiver-infant bonding, improves growth, and reduces infection. MaMoni HSS is introducing KMC in several districts, which will serve as learning sites for further scale up throughout the country.

Use of Antenatal Corticosteroids for Preterm Birth Complications
The project supports the implementation of national guidelines on the use of antenatal corticosteroids (ACS) to prevent complications of preterm births. Currently, the focus is at district-level facilities that meet criteria for the use of this intervention.

Advanced Newborn Care through Special Care Newborn Units
Establishment of Special Care Newborn Units (SCANU) at secondary- and tertiary-level facilities in several districts to improve the management of sick newborns. This includes technical support and facilitation to ensure functionality and quality of SCANUs, including renovations, equipment, training, staffing, monitoring and supervision. In addition, the project will strengthen the functioning of Newborn Stabilization Units (NSU) established at selected facilities.

Strengthening IMCI and Community Case Management
MaMoni HSS supports the Newborn and Child Health Cell for improved monitoring and reporting of IMCI. In selected high intensity upazilas, the project supports community case management for IMCI through training of frontline health workers, which focuses on counseling, identification of complications and referral.

Implementation of Comprehensive Newborn Care Package (CNCP)
MaMoni HSS is supporting full implementation of CNCP in six focus districts, including capacity building for community level providers. In 10 focus upazilas, MaMoni HSS us supporting the implementation of the recently approved national protocol for management of infections among young infants. The support includes training, follow up on reporting, and availability of supplies and commodities.

 

For more information, please read Newborn Health Factsheet