Reproductive and Child Health Programme Overview
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)
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
)
Immediate Objective- To promote health of
mother and children.
Intermediate Objective- To reduce IMR and
MMR.
Ultimate Objective- Population Stabilization
Intervention / Strategies:-
Prevention $ Management of unwanted
pregnancies
Maternal Care
Child Survival
Prevention $ Management of RTIs $ STIs
Prevention of HIV / AIDs
Management Strategies :-
Bottom- up Planning
Decentralized Training
Management information and Evaluation
System (MIES) $
IEC and Community Participation
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
.
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
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
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
B
y
i
n
c
o
r
p
o
r
a
t
i
n
g
t
h
e
n
e
w
e
r
c
h
o
i
c
e
s
o
f
c
o
n
t
r
a
c
e
p
t
i
o
n
m
e
t
h
o
d
s
e
.
g
:
-
C
e
n
t
c
h
r
o
m
a
n
B
y
i
n
c
r
e
a
s
i
n
g
t
r
a
i
n
e
d
p
e
r
s
o
n
a
l
s
B
y
c
o
n
v
e
r
g
i
n
g
t
h
e
s
e
r
v
i
c
e
a
t
g
r
a
s
s
r
o
o
t
l
e
v
e
l
B
y
p
u
b
l
i
c
p
r
i
v
a
t
e
p
a
r
t
n
e
r
s
h
i
p
S
o
c
i
a
l
m
a
r
k
e
t
i
n
g
o
f
c
o
n
t
r
a
c
e
p
t
i
v
e
s
t
o
b
e
s
t
r
e
n
g
t
h
e
n
e
d
I
n
v
o
l
v
i
n
g
P
a
n
c
h
a
y
a
t
R
a
j
I
n
s
t
i
t
u
t
i
o
n
s
,
U
r
b
a
n
L
o
c
a
l
B
o
d
i
e
s
$
N
G
O
’
s
B
y
i
n
c
r
e
a
s
i
n
g
i
n
c
e
n
t
i
v
e
s
Essential Obstetrical Care
Three or More Checkups
Two doses of TT
IFA Tablet
Counseling
Emergency Obstetrical Care
First Referral Unit
Effective Newborn Health Intervention
During Antenatal Period
Labor, Birth, $ the first 1- 2 hours
Early Newborn Care
Late Newborn Care
OBJECTIVES
Skilled care at birth
Package of preventive, promotive and
curative intervention
Strengthen IMNCI services
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
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
Subcentre
Enroll newly married couple
Provision of spacing methods
Routine antenatal care and institutional
delivery
Referral service
HIV/ AIDS /STIs preventive education
Nutritional Counselling
PHC $ CHC
Contraceptive
Management of menstrual disorder
HIV/ AIDS /STIs preventive education and
management
Counseling
Controlled by syndromic approach
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
Community Level
Sub centre
PHC
Block PHC / CHC
MIES
Planning
Monitoring / Information
Quality Assessment
Evaluation
Validation
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
1
.
R
C
H
P
r
o
g
r
a
m
m
e
w
a
s
l
a
u
n
c
h
e
d
i
n
t
h
e
y
e
a
r
…
…
…
.
.
(
1
9
7
2
,
1
9
9
6
,
1
9
9
7
,
1
9
9
4
)
2
.
I
n
P
H
C
,
…
…
.
.
$
.
.
.
.
.
.
.
.
.
.
.
.
.
.
a
r
e
t
h
e
t
w
o
d
r
u
g
s
u
s
e
d
f
o
r
m
e
d
i
c
a
l
a
b
o
r
t
i
o
n
.
(
M
i
f
e
p
r
i
s
t
o
n
e
a
n
d
M
i
s
o
p
r
o
s
t
o
n
e
,
M
i
f
e
p
r
i
s
t
o
n
e
a
n
d
O
x
y
t
o
c
i
n
’
M
e
p
e
r
i
d
i
n
e
a
n
d
M
i
s
o
p
r
o
s
t
o
n
e
)
3.
R
C
H
–
I
I
w
a
s
s
t
a
r
t
e
d
f
r
o
m
1
s
t
A
p
r
i
l
…
…
…
.
U
p
t
o
…
…
…
(
2
0
0
5
-
2
0
0
9
,
2
0
0
5
-
2
0
2
5
,
2
0
0
5
-
2
0
5
0
)
Write an assignment on Janani Suraksha
Yojana and the role of ASHA in this
scheme.
The Reproductive and Child Health Programme has a rich historical background dating back to 1952, with the aim of promoting the health of mothers and children, reducing infant and maternal mortality rates, and achieving population stabilization. The programme focuses on various interventions and strategies such as maternal care, child survival, prevention of RTIs and STIs, as well as management strategies like bottom-up planning and community participation. RCH Programme II aims to further reduce IMR, MMR, TFR, increase CPR, and enhance immunization coverage, especially in rural areas, with specific goals to achieve by 2011 encompassing reductions in population growth rate, IMR, and MMR, along with increases in CPR and immunization coverage.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
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- 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)
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 -Goals Goal Target Year 2001 - 2011 Percentage 1.62% Reduction of population growth rate Reduction of IMR 2007 2010 2010 <45/1000 <30/1000 Reduction of MMR 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%
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-II Maternal Health- Strategies Essential Obstetrical Care Three or More Checkups Two doses of TT IFA Tablet Counseling Emergency 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 VitA, Iron and Folic Acid Supplimentation Strengthening the quality of UIP
Components of RCH-II Adolescent 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-II Control 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-II Monitoring 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 SurakshaYojana Scheme Vandemataram Scheme Safe abortion service Medical Method-Mifepristone $ Misoprostol Manual VaccumAspiration
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 1stApril . Up to (2005-2009, 2005-2025, 2005-2050)
ASSIGNMENT Write an assignment on Janani Suraksha Yojana and the role of ASHA in this scheme.
