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