National Health Mission Tamil Nadu, Department of Health & Family Welfare Govt. of Tamil Nadu, India

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National Health Mission – Tamil Nadu

Department of Health & Family Welfare Govt. of Tamil Nadu, India

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HBYC

Home Based Care for Young Child (HBYC)

Home Based Care for Young Child (HBYC)

Home Based Care for Young Child (HBYC) is a joint initiative of the Ministry of Health and Family Welfare and the Ministry of Women and Child Development. The programme is implemented under the National Health Mission as an extension of the Home Based New Born Care (HBNC) programme. Under HBNC, ASHAs conduct home visits for newborns until the 42nd day after birth. However, a gap existed in household health system contact beyond this period. To address this gap, HBYC introduces additional home visits between the 3rd and 15th months of a child’s life.
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Scheduled Home Visits Between 3rd & 15th Month
Under HBYC, ASHAs and Anganwadi Workers (AWW) conduct quarterly home visits during the 3rd, 6th, 9th, 12th and 15th months. The visit schedule for low birth weight babies, SNCU discharges and NRC discharges is harmonized with the HBYC schedule.

Goals of the Programme

Child Nutrition

Promoting good child nutrition through appropriate infant and young child feeding practices.

Immunization

Ensuring age appropriate immunization.

Early Childhood Development

Promoting optimal early childhood development.

Reduced Morbidity & Mortality

Reducing child morbidity and mortality through appropriate health care seeking behaviour.

Infant and Young Child Feeding Practices

  • Early initiation of breastfeeding within one hour of birth
  • Exclusive breastfeeding for the first six months
  • Appropriate complementary feeding after six months with continued breastfeeding

Four Key Intervention Domains

Nutrition Child Nutrition Promotion
Health Health Monitoring & Support
Development Early Childhood Development
WASH Water, Sanitation & Hygiene

Implementation of the Programme

Phase 1

Programme initiated in aspirational districts: Ramanathapuram and Virudhunagar.
  • 22 Blocks covered (11 blocks in each district).
  • HBYC guidelines prepared with Directorate of Public Health & Preventive Medicine and issued by NHM.
  • Guidelines translated and communicated to districts in Tamil.
  • Training conducted at State, District, Block and Facility level.
Jan 2019 – Mar 2019 Training Period
129 Batches Conducted
3837 Functionaries Trained
30,204 Children Benefitted
Performance-based incentives provided to ASHA and AWW workers. ₹250 incentive provided for completion of 5 home visits.

Phase 2

To scale up HBYC implementation, additional districts were selected based on high Infant Mortality Rate (IMR) indicators.
Tiruvannamalai
Thanjavur
Tirupathur
Krishnagiri
Pudukkottai
Theni
Kallakurichi
Villupuram
Tiruvarur
Dindigul

Supportive Supervision

Supervision by SHN / CHN / BMO / DMCHO for ASHA & VHN services.
CDPO and Programme Officers supervise AWW services.
At least one supervisory visit conducted every month.
VHN conducts joint visits with ASHAs/AWWs for at least 10% of newborns.
Activities monitored by Medical Officers and reviewed at district level.

Monitoring and Evaluation

Monitoring and reporting are carried out by officials from the Maternal and Child Health Wing under the Directorate of Public Health and Preventive Medicine. Programme progress is reviewed monthly at the State level. Districts submit regular reports on trainings and home visits conducted under HBYC. Quarterly reports are submitted to the Ministry of Health and Family Welfare, Government of India. A structured data collection system tracks children receiving HBYC visits and integrates with the RCH Portal of Government of India. Programme outcomes are evaluated based on child health and nutrition indicators and reviewed as part of child health programme monitoring.
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