SAANS 2021 Guidance Note - 14102021
SAANS 2021 Guidance Note - 14102021
SAANS 2021 Guidance Note - 14102021
According to SRS 2018 report, the under-5 mortality is 36 per1000 live births and the
goal of National Health Policy 2017 is to reduce U5M to 23 per 1000 live births by 2025.
In order to achieve the National Health Policy goals, the Pneumonia mortality in children
needs to reduce to less than 3 per 1000 live births. This is also in tune with the goal of
India Integrated Action Plan for Pneumonia & Diarrhoea (IAPPD) in the State like Bihar,
Madhya Pradesh, Rajasthan and Uttar Pradesh.
Pneumonia being the number one infectious cause of death of Under-five children
in India. It demands prioritization & more investment of resources in view of the
ongoing COVID-19 pandemic.
Early preparedness, roll out and monitoring of the SAANS 2021 campaign by
States/UTs and districts would be key to the success of control of childhood pneu-
monia
Additional emphasis and focus for early identification and appropriate management
of childhood pneumonia cases through home visits by ASHAs and other front-line
workers during the campaign period.
Front Line Workers will be sensitized towards COVID-19 appropriate behaviors such
as wearing masks, maintaining social distance and hand hygiene as per MoHFW
guidelines
Learning from the second wave of COVID-19 and considering the vulnerability of
children; SAANS 2021 campaign should also focus on sstrengthening of health fa-
cilities for pediatric care.
Ensure that all eligible children receive 3 doses of Pneumococcal Conjugate Vaccine
(two primary doses at 6 weeks and 14 weeks and a booster dose at 9 months) as per
the national immunization schedule under the universal immunization programme
(UIP).
2. SAANS initiative
1
State of World Children, 2019
2
‘Fighting for breath call to action – end childhood pneumonia deaths’ report, 2019
3
Lancet Volume 17, November 2017
4
Pneumonia Estimates based on Census 2011, SRS 2017 and Pneumonia morbidity data from Lancet Volume 17, November 2017
5
Estimates based on Census 2011 population, SRS 2017 and Pneumonia mortality data from Lancet Volume 17, November 2017
It is expected that the SAANS (Social Awareness & Action to Neutralize Pneumonia Suc-
cessfully) campaign will ensure health system strengthening and community awareness
towards childhood pneumonia. The SAANS campaign will carry the tagline “Pneumonia
nahi, toh bachpan sahi” which clearly establishes the positive impact of a Pneumonia
Free Childhood.
6. Awareness &
8. Management
Promotion of
7. Screen under- of suspected 9. Supportive 10. Reporting
Pneumococal
five children at Pneumonia supervision and and feedback
Vaccine (PCV)
household level cases at monitoring mechanism
& its
Facilities
administration
o Map facilities that provide comprehensive Pneumonia care & share list with FLWs
for further dissemination
o Establish Triage Areas for triaging, management and referral (including COVID-19
management)
o Modify patient record keeping template – include ‘close proximity’ individual details
for contact-tracing if the child is diagnosed with COVID-19
o Display of pneumonia treatment protocols in health facilities
o Oxygen Therapy:
Ensure medical Oxygen supply to health facilities that treat Pneumonia cases
Give oxygen to all children with oxygen saturation < 90% (< 94% if they also
have other emergency signs like shock etc).
Use nasal prongs as the preferred method of oxygen delivery to young infants;
if not available, a nasal or nasopharyngeal catheter may be used.
Use a pulse oximeter to guide oxygen therapy (keep oxygen saturation >
90%). If a pulse oximeter is not available, continue oxygen until the clinical
signs of hypoxia (such as inability to breastfeed or breathing rate > 70/min)
are no longer present.
Key Objectives
Promote awareness amongst caregivers to accept & adopt protection & preven-
tion interventions for their children (including vaccination of infants with PCV)
& associating air pollution with Pneumonia
Enable caregivers to identify & recognize the early signs & symptoms and seek
care immediately for on-time referral & treatment of Pneumonia
Dispel myths & notions and trigger behaviour change to take Pneumonia seri-
ously and seek care early
Strategy for communication to caregivers
1. Ensure sufficient budget for mass media (TV, Radio) under SAANS for generating
awareness about early identification of Pneumonia (shift budget from physical out-
reach program).
2. Use of digital platforms / mobile platforms to help disseminate Pneumonia mes-
sages. Help promote messaging through local WhatsApp groups or other social
media platforms like facebook, twitter etc
3. Orientation sessions to be conducted at the PRI level to sensitise the community.
Other associations like youth community, CBOs, SHGs & teacher orientations us-
ing virtual mediums can be involved
4. Sensitise field staff, deployed by partner organisations, working across other pro-
grams etc.
All Digital Content, Mass media content & IEC materials can be downloaded from
https://nhm.gov.in/index1.php?lang=1&level=4&sublinkid=1336&lid=716
Count the breathing rate and decide if child has fast breathing
Fast breathing:
(2 months up to 12 months-50 breaths
per minute or more)
(12 months up to 5 years- 40 breaths
per minute or more)
Classify & Manage the child as per classification table given below
Signs Classify as Management by ASHAs
* Oxygen saturation (SpO2) is between 90% to less than 94% then refer to health facility for assessment and management
ASSESSMENT AND CLASSIFICATION OF A SICK CHILD (AGE 0-59) DAYS BY ASHA
DURING HOME VISIT