As per SRS 2013, IMR of Odisha is 51 per 1000 live birth and under 5 mortality is 66/1000 live births. Again this data varies from district to district. Mostly the children are dying due to Pneumonia, Diarrhoea, Malaria and Measles, the underlying cause being malnutrition.
For community level
VHND-Village Health Nutrition Day- To be organised in each village either on Tuesday or Friday every month where ANM will examine all 0-5 yr children for any illness. For early identification of common childhood illnesses, ANMs, AWW and ASHAs were trained in IMNCI and ASHA 6, 7 modules.
After identification of sickness the child can be referred to nearest facility for treatment.
Immunisation-on every Wednesday ANM along with ASHA and AWW will do immunisation as per the schedule planed. For difficult villages VHND and immunisation can be combined together with extra manpower and mobility support to visit the village.
Micro nutrient supplementation
All the babies have to receive 1ml IFA Syp. biweekly from 6month of age up to 5 yrs. These syps are being supplied by AWWs and supervised by ASHA. At 9th month each child will get Vitamin A 1 lakh unit and after 1yr all the babies will get Albendazole syp. on every 6month interval along with vitamin A 2 lakhs unit.
Facility level intervention
For management of sick child, facilities are strengthened by procurement of glucometers, nebulisers, oxygen concentrators and free supply of drugs to the FRUs. Pediatrics Specialists, Medical Officers and Staff Nurses working in paediatrics deptts have been trained on management of child hood illnesses. Charts on protocols of management are supplied to facilities for ready reference.
Management of Mal nutrition
AS per estimation around 40% of under 5 children in the state are suffering from different kinds of malnutrition and among them 4-5% are severely malnourished .To address this issue 45 Nutritional Rehabilitation Centres are functional in Odisha where these children are being managed by specially trained nutritional counselers. They are being provided with free food both for child and mother, loss of wages for the family and counselling for mother how to feed the child at home.