Home Based New Born Care (HBNC)

Home Based New Born Care (HBNC) programme was launched in 2011 for accelerated reduction of Neonatal mortality and morbidity rates especially in rural, remote areas where access to care is largely unavailable or located faraway. The guidelines were revised in 2014. Under this programme, ASHA to make visits to all newborns according to specified schedule up to first 42 days of life. This includes six visits in case of institutional deliveries on 3^rd, 7^th, 14^th, 21^st, 28^th& 42^nd days after birth and one additional visit within 24 hours of delivery in case of home deliveries.  Additional visits for babies who are pre-term, low birth weight or ill and SNCU discharged babies will be conducted. ASHAs are being paid incentive of Rs. 250/- per newborn after completion of scheduled home visits.

During the visit, ASHA will do the following activities :

• Information and skills to the mother and family on how to do better care of newborn, on special care for low weight babies, on how to identify danger signs and promote exclusive breastfeeding and immunization
• Examining every newborn for prematurity and low birth weight, identification of illness, anything unusual in baby, provision of appropriate care at home, refer to ANM or nearest health facilities as defined in the protocols
• Follow up for sick newborns after they are discharged from facilities.
• Counseling the mother on postpartum care, recognition of postpartum complications and enabling referral
• Counseling the mother for adoption of an appropriate family planning method.

Home-Based Care for Young Child Programme (HBYC)

Home-Based Care for Young Child Programme (HBYC) was launched in 2018 as part of National Health Mission and POSHAN Abhiyan for promotion of health and nutrition of young children (3-15 months), for reducing child morbidity and mortality and for promotion of growth and Early Childhood Development. Under HBYC, ASHA provides incentivized five home visits on 3rd, 6th, 9th, 12th and 15th months. ASHAs are being paid incentive of Rs.250/- per HBYC category child for five scheduled home visits.

During the visit, ASHA will do the following activities:

• Counseling for exclusive breast feeding till 6 months and continued breast feeding with adequate complementary feeding afterward
• Counseling of mothers and caregivers and support to identify and manage problems related to nutrition and health in their child
• Facilitate for early identification of delay in growth and development of children by using the MCP card
• Support in prevention and management of common childhood illnesses
• Assist in prompt referral of sick children to health facilities for management of complications and follow ups