D.

C Poudel
 IMCI started in 1997 from Mahottari District
CBAC component has been merged into IMCI
and Started to implementation as CB-IMCI
from 1999/2000 from Nawalparasi, Bardiya
and Kanchanpur District.

CB-IMCI had revised and incorporated

neonatal (ENC) on 2004.

Zinc has been incorporated to treat diarrhoea

in 2006, Piloted in Rautaht and Parbat
 CB-IMCI has been implemented through out
the country in 2009/2010

CB-NCP package started to prepare on 2008

incorporating 7 different components

CB-NCP started as pilot in 10 district in 2009

CB-NCP gradually expanded in different

districts and covered 39 district by the year
2011/2012
 Assessment of CB-NCP has been carried out in
2011/2012, Result of assessment couldnt met
the expectation.
 Increased institutional delivery from 33% to
64% but no evidence that CBNCP contributed
to this change.

15% home delivery attended by FCHV

1.6% were reported resuscitation support

1.2% stimulation only,

0.1% stimulation plus suction,
0.3% bag and mask.
 Care seeking for Newborn by mothers from
FCHV 11% , most of the cases, sought
directly from the health facility.

Only 7% had a post-natal visit within the 1st

2 days of life

FCHVs identified a small proportion of low

birth weight babies, 4.3% were found to be
LBWt (vs. expected 15%);
 FCHVs misclassified over 70% of LBW babies
as normal weight.

Of all LBWt babies born (health facility and

home deliveries), FCHVs identified only 5%.
 Integration of CB-IMCI and NCP in 2014,
given the name CB-IMNCI

Plan for CB-IMNCI implementation in 35

district by GoN and Partners

SCI/SNL is providing support to

implementation and monitoring in Rasuwa,
Nuwakot and Nawalparasi by July 2015 with
the financial support of DFID.
 Reduced duration of the training for both HF
and community level
- HF level training: 5 days in
IMCI/NCP implemented district and
6 days for IMCI implemented
district.

- Total 4 days for FCHV level training

including MGM and VDC
orientation
 Changed protocol based on WHO technical
guidelines

Focus has been provided for Newborn/case

management including non-breathing babies

Interlinked interventions (WASH, HIV/AIDS,

Nutrition, IYCF, IMAM, etc.)

Reduced case management at FCHV level

(Pneumonia case management, Management of
LBW, Hypothermia, birth asphyxia and neonatal
infection)
 Focus on dispensing Iron, ORS, Zinc, CHX,
Miso and Albendazole vitamin A, and
counseling for referral/utilization of MNCH
services from HFs.

Postnatal follow up is not mandatory for

FCHV. Removed FCHVs incentive

I. District need assessment and context

specific planning
II. HWs training
III. FCHV training /orientation
IV. VDC orientation
V. Mothers groups orientation
VI. Follow up
VII. Information management
VIII. Program performance monitoring and
follow up
IX. Program outcome evaluation
Thank you and Namaste