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: Deep Priya Lall, Pankaj B. Shah, Shazina Saeed, Karuna Nidhi Kaur, Sama Mahalati, Suhaib Hussain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Preventive Medicine: Research & Reviews
Subjects:
Online Access:https://journals.lww.com/10.4103/PMRR.PMRR_16_25
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author Deep Priya Lall
Pankaj B. Shah
Shazina Saeed
Karuna Nidhi Kaur
Sama Mahalati
Suhaib Hussain
author_facet Deep Priya Lall
Pankaj B. Shah
Shazina Saeed
Karuna Nidhi Kaur
Sama Mahalati
Suhaib Hussain
author_sort Deep Priya Lall
collection DOAJ
description 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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publishDate 2025-07-01
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series Preventive Medicine: Research & Reviews
spelling doaj-art-bd8a902339bb426890d2dc690d941cda2025-08-20T03:02:59ZengWolters Kluwer Medknow PublicationsPreventive Medicine: Research & Reviews2950-58282950-58362025-07-012Suppl 1S64S6910.4103/PMRR.PMRR_16_25Health Systems Strengthening for Newborn Survival and Child Health in India: A ReviewDeep Priya LallPankaj B. ShahShazina SaeedKaruna Nidhi KaurSama MahalatiSuhaib HussainThis 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.https://journals.lww.com/10.4103/PMRR.PMRR_16_25essential newborn carehealth system readinessindianewborn survival
spellingShingle Deep Priya Lall
Pankaj B. Shah
Shazina Saeed
Karuna Nidhi Kaur
Sama Mahalati
Suhaib Hussain
Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
Preventive Medicine: Research & Reviews
essential newborn care
health system readiness
india
newborn survival
title Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
title_full Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
title_fullStr Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
title_full_unstemmed Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
title_short Health Systems Strengthening for Newborn Survival and Child Health in India: A Review
title_sort health systems strengthening for newborn survival and child health in india a review
topic essential newborn care
health system readiness
india
newborn survival
url https://journals.lww.com/10.4103/PMRR.PMRR_16_25
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