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Abstract
Meeting the commitment to reach the Millennium Developmental Goal of reducing infant mortality rate to less than 30 in India is only possible through improved neonatal survival. The formidable hurdles that contribute to the high neonatal mortality include domiciliary births aided by unskilled birth attendants, low exclusive breastfeeding rates, high burden of low-birthweight infants, poor care-seeking practices for sick children (with female infants receiving less care), and high cost of care for sick newborns compared with family incomes. Creating models of community and domiciliary newborn care and establishing low-cost newborn care units at district health facilities have reduced neonatal mortality significantly. Taking these experiments to scale appears to be the road map for India to reduce its burden of neonatal deaths.
- Copyright © 2009 by the American Academy of Pediatrics
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