Reproductive and Child Health Programme: Prepared By: Dr. Charan Singh RN, RM, MSN, PH.D

REPRODUCTIVE AND CHILD HEALTH
PROGRAMME
Prepared by:
Dr. Charan Singh
RN,RM,MSN,Ph.D,
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)
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.
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
Maternal Health- Strategies
Essential Obstetrical Care
Three or More Checkups
Two doses of TT
IFA Tablet
Counseling
Emergency Obstetrical Care
First Referral Unit
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
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
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 Supplementation
Strengthening the quality of UIP
Adolescent Health
Sub-centre
Enroll newly married couple
Provision of spacing methods
Routine antenatal care and institutional delivery
Referral service
HIV/ AIDS /STIs preventive education
Nutritional Counseling
Cont…
PHC & CHC
Contraceptive
Management of menstrual disorder
HIV/ AIDS /STIs preventive education and
management
Counseling
Control of RTIs /STIs
Controlled by syndromic approach
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
Tribal Health
Community Level
Sub centre
PHC
Block PHC / CHC
Monitoring and Evaluation
MIES
Planning
Monitoring / Information
Quality Assessment
Evaluation
Validation
Newer Schemes and Services
Training of Mos
Training of traditional birth attendants
Prasoothiaraike
Janani Suraksha Yojana Scheme
Vande mataram Scheme
Safe abortion service
Medical Method-Mifepristone & Misoprostol
Manual Vaccum Aspiration
SUMMARY
Evaluation
• RCH Programme was launched in the year………..(1972, 1996, 1997,
1994)
• In PHC,…….. $.............. Are the two drugs used for medical
abortion.
(Mifepristone and Misoprostone,
Mifepristone and Oxytocin
Meperidine and Misoprostone)
• RCH –II was started from 1st April………. Up to……… (2005-2009,
2005-2025,2005-2050)
• ASSIGNMENT:Write an assignment on Janani SurakshaYojana and
the role of ASHA in this scheme.
• CONCLUSION
THANK
YOU

Reproductive and Child Health Programme: Prepared By: Dr. Charan Singh RN, RM, MSN, PH.D

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Reproductive and Child Health Programme: Prepared By: Dr. Charan Singh RN, RM, MSN, PH.D

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REPRODUCTIVE AND CHILD HEALTH

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