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REPRODUCTIVE AND CHILD HEALTH PROGRAMME
Historical Background
1952- National Family Planning Programme
1977- National Family Welfare Programme 1985- Universal Immunization Programme 1992- Child Survival And Safe Motherhood
Programme 1997- RCH (Phase-1) 2005- RCH (Phase-11)
RCH Programme- IDefinition “People have the ability to
reproduce and regulate their fertility, women are able to go through pregnancy and child birth safety, the outcome of pregnancies is successful in terms of maternal and infant survival and wellbeing and couples are able to have sexual relations free of fear of pregnancies and of contracting diseases”.
(Fathalla,1989)
RCH Programme- I
Immediate Objective- To promote health of mother and children.
Intermediate Objective- To reduce IMR and MMR.
Ultimate Objective- Population Stabilization
RCH Programme- I
Intervention / Strategies:- Prevention $ Management of
unwanted pregnancies Maternal Care Child Survival Prevention $ Management of RTIs $
STIs Prevention of HIV / AIDs
RCH Programme- I
Management Strategies :- Bottom- up Planning Decentralized Training Management information and
Evaluation System (MIES) $ IEC and Community Participation
RCH Programme- II
AIM To reduce Infant Mortality Rate
(IMR), Maternal Mortality Rate (MMR), Total Fertility Rate (TFR), To increase Couple Protection Rate (CPR), and Immunization coverage, specially in rural areas.
RCH Programme- II -GoalsGoal Target Year Percentage
Reduction of population growth
rate
2001 - 2011 1.62%
Reduction of IMR 20072010
<45/1000<30/1000
Reduction of MMR 2010 1.5/1000 live births
Reduction of TFR 2010 2.1%
Increase of CPR 2010 From 48.2% to 100%
Increase of Immunization
Coverage
2010 From 44.5% to 89%
Improvement in the coverage of rural
institutional deliveries
2002 – 032010
39.8%80%
Lacunae of RCH-I Poor out reach service Inadequate financial resources Inadequate human resources MIES was lacking Effective network of FRU was lacking Poor infrastructure Quality of PHC’s $CHC’s service was
poor Poor Neonatal and Adolescent health
care Minimum community participation Regional variation
RCH Programme- II, Objectives
To improve the management performance To develop human resources intensively To expand RCH services to tribal areas
also To improve the quality, coverage and
effectiveness of the existing services and more focused on empowered action group (EAG) states
To monitor and evaluate services
Components of RCH-II
Population Stabilization Maternal Health Newborn Care and Child Health Adolescent Health Control of RTIs / STIs Urban and Tribal Health Monitoring and Evaluation Other Priority areas
Components of RCH-II Population Stabilization- Strategies By incorporating the newer choices of contraception methods e.g:-Centchroman
By increasing trained personals By converging the service at grass
root level By public private partnership Social marketing of contraceptives
to be strengthened Involving Panchayat Raj Institutions,
Urban Local Bodies $ NGO’s By increasing incentives
Components of RCH-IIMaternal Health- Strategies
Essential Obstetrical Care
Three or More Checkups Two doses of TT IFA Tablet CounselingEmergency Obstetrical Care First Referral Unit
Components of RCH-II New Born Care and Child Health
Effective Newborn Health Intervention
During Antenatal Period Labor, Birth, $ the first 1- 2 hours Early Newborn Care Late Newborn Care
Components of RCH-II New Born Care and Child Health
OBJECTIVES Skilled care at birth Package of preventive,
promotive and curative intervention
Strengthen IMNCI services
Components of RCH-II New Born Care and Child Health
Strategies IMNCI plus Strengthening of health
infrastructure and FRUs Ensuring referral service of sick
neonates and utilization of referral funds
Permitting ANMs to administer selected antibiotics like Gentamycin and co-trimoxazole by AWW
Cont…..
Availability of drugs and supplies Good supervision and monitoring Efficiency of the administrative/
financial system Community based intervention Promoting breast feeding practices Vit A, Iron and Folic Acid
Supplimentation Strengthening the quality of UIP
Components of RCH-IIAdolescent Health
Subcentre Enroll newly married couple Provision of spacing methods Routine antenatal care and
institutional delivery Referral service HIV/ AIDS /STIs preventive education Nutritional Counselling
Cont…..
PHC $ CHC Contraceptive Management of menstrual disorder HIV/ AIDS /STIs preventive education
and management Counseling
Components of RCH-IIControl of RTIs /STIs
Controlled by syndromic approach
Components of RCH-II Urban Health
Urban Health Centers- 1:50,000 Population
Medical Officer- 1 ANMs- 3-4 Lab Assistant- 1 Public Health Nurse- 1 Clerk- 1 Chowkidar- 1 Peon- 1
Components of RCH-II Tribal Health
Community Level
Sub centre
PHC
Block PHC / CHC
Components of RCH-IIMonitoring and Evaluation
MIES Planning Monitoring / Information Quality Assessment Evaluation Validation
Newer Schemes and Services
Training of MOs Training of traditional birth
attendents Prasoothi araike Janani Suraksha Yojana Scheme Vandemataram Scheme Safe abortion service Medical Method-
Mifepristone $ Misoprostol Manual Vaccum Aspiration
SUMMARY
Evaluation
1.RCH Programme was launched in the year………..
(1972, 1996, 1997, 1994)2. In PHC,…….. $.............. are the two
drugs used for medical abortion. (Mifepristone and Misoprostone, Mifepristone and Oxytocin’ Meperidine and Misoprostone)
Cont….
3. RCH –II was started from 1st April………. Up to………
(2005-2009, 2005-2025, 2005-2050)
ASSIGNMENT
Write an assignment on Janani Suraksha Yojana and the role of ASHA in this scheme.
CONCLUSION
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