DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20164250

Preconception care: an Indian context

Yatin V. Pimple, Madhura D. Ashturkar

Abstract


Sustainable Development Goal -3 is to ensure healthy lives and promote well-being for all ages. To achieve this goal by 2030; targets are to reduce the global maternal mortality ratio to less than 70 per 100,000 live births and end preventable deaths of new-born and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 deaths to at least as low as 25 per 1,000 live births by 2030. Neonatal mortality in India varies by states, but it was reported to be 29 per 1000 live births in the year 2012. India New-born Action Plan (INAP) has stated to achieve neonatal mortality to a single digit by the year 2030. Continuum of care for neonatal survival begins from preconception and continues up to postpartum care. In India, National health programmes exist for adolescent health, safe motherhood and new-born care. However, the crucial period of preconception remains neglected. Strategic interventions targeted towards preconception care include adolescent reproductive health and family planning, nutrition interventions, counselling and birth preparedness. The major challenges faced by India are; compliance towards care from the target population, lack of awareness, delivery of care with inefficient program monitoring and evaluation. 


Keywords


Continuum of care, Neonatal survival, Preconception care

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