Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
This review summarises the status of India’s health system in relation to newborn and child health care. The analysis suggests persistent state-level disparities in neonatal mortality rates (NMR) and lists the bottlenecks across key health system pillars. The review deliberates the extent to which t...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Preventive Medicine: Research & Reviews |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/PMRR.PMRR_16_25 |
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| Summary: | This review summarises the status of India’s health system in relation to newborn and child health care. The analysis suggests persistent state-level disparities in neonatal mortality rates (NMR) and lists the bottlenecks across key health system pillars. The review deliberates the extent to which the India Newborn Action Plan (INAP) has been effectively integrated into existing maternal and child health frameworks and identifies both progress and policy gaps. Key challenges include under-resourced Special Newborn Care Units, inconsistent implementation of evidence-based practices and limited access to timely and quality care, particularly in rural and underserved regions. The review recommends state and district-specific as well as context-specific INAP action plans, investments in health infrastructure, promotion of institutional deliveries and scaling up of proven interventions such as immediate Kangaroo mother care and early childhood intervention centres. Strengthening data systems and enhancing intersectoral coordination are also emphasised to improve accountability and impact. This review concludes that sustained and accelerated efforts are vital to achieving India’s goal of reducing NMR to single digits by 2030. |
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| ISSN: | 2950-5828 2950-5836 |