REPRODUCTIVE AND CHILD HEALTH PROGRAMME - PowerPoint Presentation

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REPRODUCTIVE AND CHILD HEALTH PROGRAMME

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Historical Background

1952- National Family Planning

Programme

1977- National Family Welfare

Programme1985- Universal Immunization Programme1992- Child Survival And Safe Motherhood Programme1997- RCH (Phase-1)2005- RCH (Phase-11)

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RCH Programme- I

Definition

“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

)

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RCH Programme- I

Immediate Objective- To promote health of mother and children.

Intermediate Objective- To reduce IMR and MMR.

Ultimate Objective- Population Stabilization

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RCH Programme- I

Intervention / Strategies:-

Prevention $ Management of unwanted pregnancies

Maternal Care

Child SurvivalPrevention $ Management of RTIs $ STIsPrevention of HIV / AIDs

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RCH Programme- I

Management Strategies :-

Bottom- up Planning

Decentralized Training

Management information and Evaluation System (MIES) $IEC and Community Participation

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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

.

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RCH Programme- II -Goals

Goal

Target Year

Percentage

Reduction of population growth rate

2001 - 2011

1.62%

Reduction of IMR

2007

2010

<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 – 03

2010

39.8%

80%

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Lacunae of RCH-I

Poor out reach service

Inadequate financial resources

Inadequate human resources

MIES was lackingEffective network of FRU was lackingPoor infrastructureQuality of PHC’s $CHC’s service was poorPoor Neonatal and Adolescent health careMinimum community participationRegional variation

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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) statesTo monitor and evaluate services

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Components of RCH-II

Population Stabilization

Maternal Health

Newborn Care and Child Health

Adolescent HealthControl of RTIs / STIsUrban and Tribal HealthMonitoring and EvaluationOther Priority areas

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Components of RCH-II Population Stabilization- Strategies

By incorporating the newer choices of contraception methods

e.g

:-Centchroman

By increasing trained personalsBy converging the service at grass root levelBy public private partnershipSocial marketing of contraceptives to be strengthenedInvolving Panchayat Raj Institutions, Urban Local Bodies $ NGO’s

By increasing incentives

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Components of RCH-II

Maternal Health- Strategies

Essential Obstetrical Care

Three or More Checkups

Two doses of TTIFA TabletCounselingEmergency Obstetrical CareFirst Referral Unit

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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 CareLate Newborn Care

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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

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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 fundsPermitting ANMs to administer selected antibiotics like Gentamycin and co-trimoxazole by AWW

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Cont…..

Availability of drugs and supplies

Good supervision and monitoring

Efficiency of the administrative/ financial system

Community based interventionPromoting breast feeding practices Vit A, Iron and Folic Acid SupplimentationStrengthening the quality of UIP

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Components of RCH-II

Adolescent Health

Subcentre

Enroll newly married couple

Provision of spacing methodsRoutine antenatal care and institutional deliveryReferral serviceHIV/ AIDS /STIs preventive educationNutritional Counselling

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Cont…..

PHC $ CHC

Contraceptive

Management of menstrual disorder

HIV/ AIDS /STIs preventive education and managementCounseling

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Components of RCH-IIControl of RTIs /STIs

Controlled by

syndromic

approach

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Components of RCH-II Urban Health

Urban Health Centers- 1:50,000 Population

Medical Officer- 1

ANMs- 3-4

Lab Assistant- 1Public Health Nurse- 1Clerk- 1Chowkidar- 1Peon- 1

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Components of RCH-II Tribal Health

Community Level

Sub centre

PHC

Block PHC / CHC

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Components of RCH-IIMonitoring and Evaluation

MIES

Planning

Monitoring / Information

Quality AssessmentEvaluationValidation

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Newer Schemes and Services

Training of MOs

Training of traditional birth

attendents

Prasoothi araikeJanani Suraksha Yojana Scheme

Vandemataram

Scheme

Safe

abortion service

Medical Method-

Mifepristone

$

Misoprostol

Manual

Vaccum

Aspiration

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SUMMARY

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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

)

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Cont….

RCH –II was started from 1

st

April………. Up to………

(2005-2009, 2005-2025, 2005-2050)

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ASSIGNMENT

Write an assignment on

Janani

Suraksha Yojana and the role of ASHA in this scheme.

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CONCLUSION

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