Interventions for Maternal and Child Health in Nepal Essay

Macro- and micro-nutrient malnutrition is a major public health line of work and a key factor in determining unwholesomeness and deathrate. Its primal determinants accommodate poverty, education, sanitation, climate, food production, heathen norms, and accessibility and quality of health cargon. pregnant women and young children argon incidently at risk owing to the duplication nutritionary demands of rapid result.Malnutrition is the direct cause of approximately 300,000 deaths per year (Muller & Krawinkel, 2005), and a contributing factor in over a third 3.5 megof all child deaths annually (Horton, 2008). These deaths are largely preventable. For infants, there is a golden interval for intervention from pregnancy to 2 years, during which advancements in nutritional status can have long- unchanging benefits (Horton, 2008). Strong associations exist mingled with maternal and child undernutrition and reduced adult economic productivity and other(a)(a) negative outcomes ( Victoria et al., 2008). part Nepal has recently demonstrated progress toward improving ecumenic maternal and child health (MCH), there are still opportunities to move on improve nutritional status of mothers and children. This paper examines and makes recommendations about interventions that have the authorization to improve maternal and child nutritional status in Nepal.The interventions discussed in this paper address the underlying causes of nutrition-related maternal and child mortality and morbidity, as outlined by the UNICEF Conceptual framework for maternal and neonatal mortality and morbidity (UNICEF, 2008), and are organized based on the pointedness of intervention, including prenatal care, delivery care, and post-partum and ahead of time childhood care.Antenatal care Within the prenatal period of development, maternal add-on has been one of the most studied interventions. demonstrate is strongest in support of maternal subjunction of multiple micronutrients, calci um, and iron-folic acid. Given the keel grade of micronutrient deficiencies among pregnant Nepali women and the mild cost of supplementation, maternal supplementation of multiple micronutrients, calcium and iron-folic acid is high-pitchedly recommended.These micronutrients have a trim of benefits, including reduction of maternal anemia, maternal mortality, pre-eclampsia, hypertension, puerperal infection, and low birthweight (LBW). This paper to a fault examines the evidence around maternal smoking cessation interventions because of the extraordinary electromotive force for impact of such programs in a population where smoking rates among women are high and knowledge about negative outcomes associated with smoking is low and because maternal smoking cessation appears to have not been a concentrate of government and other programs in Nepal. However, there is a lack executive director Summary iof solid evidence to suggest that a particular intervention to reduce maternal smok ing could be both impelling and efficient in developing countries.Delivery care This paper also examines interventions during delivery that can have an impact on nutritional status. traditionalistic birth attendants (TBAs) play a crucial role in diminish nenonatal and maternal mortality during delivery. They also dispense advice regarding antenatal, perinatal, and postnatal care, including nutrition and diet, breastfeeding, and immunizations. cardinal important aspect of training for TBAs, as well as other health professionals, is the furtherance of delayed umbilical heap clamping. Due to the high rates of anemia and iron deficiency in children, delayed cord clamping is a critical intervention because it is a cost- rough-and-ready way to improve hematologic status, increase blood volume, and decrease anemia in infancy.Post-partum and early childhood care Finally, nutritional interventions in the post-partum and early childhood period can reduce childhood morbidity and mortalit y and ensure that children are developing in a healthy way. This section of the paper focuses on the promotion of breastfeeding, infant and child vitamin A supplementation and growth monitor and promotion (GMP). There exists decades of research showing that breastfeeding is a highly effective strategy to reduce all-cause mortality, diarrheal morbidity and mortality, and the risk of gastrointestinal infections and respiratory infections. There is a wealth of empirical data supporting the promotion of breastfeeding in developed and developing countries alike.Vitamin A supplementation for infants and young children has already been successful in Nepal, and it should remain a priority there. Vitamin A supplementation is associated with reductions in night-blindness, Bitots spots, xerophthalmia, and severe morbidity and mortality from infectious diseases, and when tending(p) before certain immunizations, it can enhance the immune response to the immunizations, fashioning them more effe ctive. Also, the use of GMP, measuring and charting the growth of children and using this information to discuss parents to motivate behaviors that promote growth, provides a cost-effective opportunity to identify growth issues before severe malnutrition manifests.For summary information on recommended interventions, refer to the one-page apprize after this Executive Summary.The interventions examined in this paper collectively have an huge potential for impact in Nepal. At the same time, it is important to address some of the challenges and feasibility concerns that these interventions may face. These mayExecutive Summaryinclude access to and utilization of antenatal care and other health serve the status of the health system infrastructure financial resource availability, and cultural considerations. Also, while these recommended interventions can be successful in addressing the underlying causes of malnutrition-related morbidity and mortality, long-term solutions for improvi ng maternal and child nutritional status moldiness address the basic causes, such as political, economic and social conditions.While challenges and other considerations exist, the interventions recommended have the potential to make a real and lasting impact in Nepal by reducing the burden of nutrition-related morbidity and mortality. These interventions are cost-effective tools that should be central to any plan to create a bright and healthy future generation in Nepal.