Saturday, December 15, 2018 | ePaper

Health

Neonatal nursing is a holistic approach: Needs bottom lining

  • Print


AHM Nouman :

Neonatology is a subspecialty of Pediatrics that consists neonatal and newborn nursing care. It is now acceptable that, mother and child must be considered as one unit. Nursing is a holistic approach. Neonatology is a scientific total way of nursing. Neonatal is the important care part of total neonatology.
Since the bottom lining mothers' role is the integral, meaning a holistic approach needs to invest from the womb - a Bottom up-Top down match making planning. Development Organization of the Rural Poor-DORP innovated, Bangladesh Government provides having seven criterion for Maternity Allowances to the poor mothers for 24 months (thanks Government, for extending to 36 months from next 2018 - '19 budget)  from conception day investing @ USD 10/month per mother covering 0.7 million yearly by state support, promoting, safe delivery, economic-social freedom, privacy, nutritious food, mothers' economic decision making power, hesitation free useable latrine, available safe drinking water, enough sun light, women friendly family members supportive environment, protecting child mortality, cleanliness, six steps hand washing, One month full rest before possible delivery day, Maintaining new born body temperature, mother's chest centered transmit heat care (Kangaroo style), Mothers breast feeding, colostrum, Delaying the new born's bath and Vaccinating, ANC & PNC etc. are the stewards of the mother. These are the main of many to bring into front line for self-propelling enhancement for both mother and healthy baby.
Centering Maternity Allowance bridging for graduation, further INVESTMENT needs titled Social Assistance Program for Non-Asseters (SAPNA) package, providing 1250 USD/mother with holistic partnership supports like Health, Education, Housing, Livelihood and Savings plus by 20 years a generation staggering - stands self-reliant. This innovated SAPNA Package primarily is implemented by DORP from the year 2009-2012 supported by AECID of Spain Government.  
The Public Poor Private Partnership - SAPNA broadly brings YES to marriage Registration, birth Registration, employed, all goes School, Education mainstreaming, health system mainstreaming, countable, happy couple, breast feeding, nutritional food taker, feel prestigious/honored, feel one out of many, understand self-well-being, life style visible, decision making, dialectic, shock bearing, self-confident, patriot, feel accountable, responsible, development Entrepreneurship, ownership accelerating, spread effect example/ show piece, sense of personal achievement, mentally healthy and control by being involved in decision making.
SAPNA broadly NO to early marriage, divorce/separation/multi marriage, disable birth, malnutrition birth, maternal death, infantile death, drop out from school, dependency, venerability, lonely feeling, unconscious, hesitant, suffering helplessness and children more than two (boy or girl, black & white)
Homegrown, practiced, evidence based, DORP evolved loop closed SAPNA package subsequently from 2015-2017, replicated by Women and Children Affairs Ministry, for Ending Poverty linking SDG one estimating 10 million mothers lessening discrimination. Because poverty and peace can't walk together. Poverty is the root cause of all discrimination and it matters worldly.
We all want to have a cute baby but not want to face labor pain. To have a cute baby, build and work for a generation, we have to face 'pain' and have a 'cute' baby both. Wide disparity between rich and poor needs low/ cost self-propelling in-built affordable, self-sustained authoritian management approach is very much needed for our country especially to the marginal group.
Mother is a God gifted best Coordinator, Manager, Economist, Guardian, Nurse, Teacher, Monitor, Supervisor and what not. Thus, if we can overcome Influenced, consciously or unconsciously terrorized syndication of unnecessary medical interventions, Doctors, Pharmaceutical Companies and Hospitals control and dominate over the birthing process shall defeat. WHO's global care model for healthy pregnant women, low cost, self-sustaining, to capture, self-propelling, affordable and combat maternal and neonatal well-being shall win, where another world is possible.
To make 'health truly for all' it is to be designed around 'with' people and not around 'for' medicine. Bringing health in central targeting SDG No 1 agenda 'Ending Poverty' is an Everest Height Essential to address. Any kind of treatment or prescriptions (?) is linked to financial hardship of mass community - low income who are in poverty trap. Described holistic approach needs translation into action with short and mid-term plan and should be for at least 20 years of a generation strategy, organizing health system efficient and equitable. So that, we need not count the stars in the sky years' together - needing bottom lining. Mentionable, that the bottom lining Mothers' criterion are:
1) Only one child but not acceptable more than two,
2) Age must be more than 20 years,
3) Total monthly income is less than 1500.00,
4) Women headed family priority,
5) Disabled,
6) Only the homesteads or living in another person's place and
7) No agricultural land, fish pond or livestock.
Hence practicing Maternity Allowance centered SAPNA Package a simple designed evidence based model shall change the whole scenario for leaving no one behind.
(AHM Nouman, CEO and Founder, Development Organization of the Rural Poor - DORP)

More News For this Category

Hot air balloons to fill the London  skyline soon

Hot air balloons to fill the London skyline soon

Weekend Plus Desk :Have you ever seen 50 hot air balloons scattered across the blue sky at the same time, with the exception of Cappadocia in Turkey? London will

From bananas to coffee: Here are some healthy foods that can improve stamina

Weekend Plus Desk :Many-a-times, we may feel run-down at some point during the day when we least expect or want it. This could be just before hitting the gym

Writer Mohammad Yakub Ali Chowdhury

Khondkar Sirajul Haque :Mohammad Yakub Ali Chowdhury  (1888-1940) was a writer and journalist, was born on 18 Kartik 1395 BS (November 1888) in the village of Maguradanga of Pangsha

Venturous Runa to reach the goal

Venturous Runa to reach the goal

Rabiul Alam :Runa Akter is a 3rd year student of Jagannath University English department. She had to pass a life of suffering, heartsore and misery to come to the

The Victory Celebration

-Asad Chowdhury    Rivers, and our poor streams Suddenly get excited all over in a frolicsome manner like that of a maiden; What has happenep? what's the matter? Asks the

Bengali language

Bengali language

Literature Desk :Bengali language is the member of the Indo-Aryan group of the Indo-Iranian branch of the Indo-European language family. It is spoken by more than 270 million people

Folk Poet Abdul Hye Mashreki

Folk Poet Abdul Hye Mashreki

Literature Desk :Abdul Hye Mashreki (1 April 1909 - 4 December 1988) was a renowned Folk Litterateur and Poet in Bangladesh.  In the 30s and 40s he got a

Poet Mahmuda Khatun Siddiqua

Poet Mahmuda Khatun Siddiqua

Mahmud Shah Qureshi :Mahmuda Khatun Siddiqua, (1906-1977) writer, was born in Pabna on 16 December 1906. Her father, Khan Bahadur Mohammad Sulaiman, was an Inspector of Schools, and her

Educationist, litterateur Munier Choudhury

Educationist, litterateur Munier Choudhury

Literature Desk :Munier Choudhury was a famous political dissident, educationist and literary critic. He invented the advanced Bangla typewriter. He frequently visited East Germany to make this new typewriter.

 Decent menstrual hygiene management, SDGs and budget

Decent menstrual hygiene management, SDGs and budget

Mohammad Zobair Hasan :Menstrual Hygiene Management (MHM) is one of the core issues that need proper policy attention to achieve at least two Sustainable Development Goals (SDGs), viz. Healthy