Table 1 Newborn services at various levels of facilities
From: Inpatient care of small and sick newborns in healthcare facilities
NBCC (at all delivery points) | NBSU (FRUs/CHCs) | SNCU (sub-district/district) | |
|---|---|---|---|
Services to be provided | |||
Care at birth | Resuscitation, provision of warmth, prevention of infection, early initiation of breastfeeding and weighing the newborn | Resuscitation, provision of warmth, prevention of infection, early initiation of breastfeeding and weighing the newborn | Resuscitation, provision of warmth, prevention of infection, early initiation of breastfeeding and weighing the newborn |
Care of normal newborn | Breastfeeding/ feeding support | Breastfeeding/ feeding support | Breastfeeding/ feeding support |
Care of sick newborn | Identification and prompt referral of ‘at risk’ and ‘sick’ newborn | Management of low birth weight infants ⩾1800 g with no other complication, phototherapy for newborns with hyper-bilirubinemia, management of newborn sepsis, stabilization and referral of sick newborns and those with very low birth weight (rooming in) and referral services | Managing of low birth weight infants <1800 g, managing all sick newborns ⩾1800 g or those who have any complications from delivery like asphyxia, meconium aspiration (except those requiring mechanical ventilation and major surgical interventions), follow-up of all babies discharged from the unit and high risk newborns and referral services |
Infrastructural requirements | |||
Beds | 1 | 4 | 12–20 |
Area (sq. feet) | 20–30 | 200 | Min. 1200 (100 sq. ft/extra bed) |
Location | Within labor room & OT | Close to the labor room | Vicinity of labor room |
Civil work | None or minimum | Power supply, water supply, lighting, floor spaces and walls | Power supply, floor spaces, walls, water supply, lighting and temperature |
Personnel | |||
Specialist | 0 | 0 | 1 |
Doctors | 1 | 1 | 3 |
Nurses | 1 | 4 | 10 |
ANMs | 1 | – | – |
