REPRODUCTIVE & CHILD HEALTH PROGRAMME IN INDIA

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REPRODUCTIVE & CHILD HEALTH PROGRAMME IN INDIA

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REPRODUCTIVE & CHILD HEALTH PROGRAMME IN INDIA

  1. 1. REPRODUCTIVE CHILD HEALTH PROGRAMME IN INDIA DR. MAHESWARI JAIKUMAR
  2. 2. EVOLUTION OF MCH SERVICES IN INDIA. 1885- Association for medical aid by the women to the women of India. Established by countess of Dufferin. 1918- Lady Reading Health School. Delhi. (HV). 1992- Lady Chelmsford League was formed to develop MCH services. 1931- Indian Red Cross Society established. Victoria Memorial Scholarship fund established.
  3. 3. 1938- Indian Research Fund Association for assessing causes of IMR,MMR. 1946- Bhore Committee report. 1931- Madras State – MCH Welfare. 1951- BCG vaccination prog. 1952. PHC established 1953- NFPP started.
  4. 4. 1962- Mudhaliar Committee report. 1970- AIHPPP started. 1971- MTP Act passed. 1974-75-ICDS prod enunciated. 1976- National Prog for Prevention of Blindness formulated.
  5. 5. 1977- MPHW scheme launched 1978- EPI launched. 1983- NHP launched. 1985- UIP launched.Separate dept of women & child development launched under Min of HRD. 1987- Safe Motherhood Campaign launched by the World Bank. 1990- ARI Cont Prog –pilot project.
  6. 6. 1992- Infant Milk Substitute,Feeding bottles & Infant Food (Regulation of Production,Supply & Distribution Act). 1994- Prenatal Diagnostic Technique & Prevention of Misuse Act.In force from 1996. 1995- ICDS,PPP launched. (Dec-20 Jan 1996).
  7. 7. 1996- PPP, Family Welfare Prog made target free approach. 2000- RCH Out Reach Scheme. 2005- RCH II.
  8. 8. RCH-DEFINITION • “People have the ability to reproduce and regulate their fertility, women are able to go through their pregnancy and child birth safely, the outcome of pregnancies is successful in terms of maternal and infant survival and well being and couples are able to have sexual relations, free of pregnancy and of contracting disease”
  9. 9. IDEOLOGY • The concept of RCH is framed keeping with the evolution of an integrated approach to the programme aimed at improving the health status of young women and young children…. In terms of…..Cont,,,,,
  10. 10. 1. Family Welfare Programme. 2. Universal Immunization Programme. 3. Child Survival and Safe Motherhood Prog.(incl Oral Rehydration) 4. ARI Control Prog. THE NEED IS AN INTEGRATION OF THE AFORE SAID COMPONENTS (RCH is implemented)
  11. 11. RCH-1 PACKAGE FAMILY PLANNING CHILD SURVIVAL & SAFE MOTHRHOOD D CLIENT APPROACH TO HEALTH CARE PREVENTION & MANAGEMENT OF RRTI/STD/AIDS
  12. 12. • The Reproductive and Child Health (RCH) Programme was launched in October 1997. • The main aim of the programme is to reduce infant, child and maternal mortality rates
  13. 13. OBJECTIVES • To improve the implementation and management of policy by using a participatory planning approach and strengthening institutions to maximum utilization of the project resources. • To improve quality, coverage and effectiveness of existing Family Welfare services
  14. 14. • To gradually expand the scope and coverage of the Family Welfare services to eventually come to a defined package of essential RCH services. • Progressively expand the scope and content of existing FW services to include more elements of a defined package of essential
  15. 15. • Give importance to disadvantaged areas of districts or cities by increasing the quality and infrastructure of Family Welfare services
  16. 16. INTEGRATED SERVICES • ESSENTIAL OBSTETRIC CARE. • EMERGENCY OBSTETRIC CARE. • 24 Hr DELIVERY SERVICES at PHCs/HSCs. • MEDICAL TERMINATION OF PREGNANCY. • CONTROL OF RTI/STD/AIDS. • IMMUNIZATION. • DRUG & EQUIPMENTS PROVISION.
  17. 17. PROVISION OF DRUGS
  18. 18. ESSENTIAL OBSTETRIC CARE
  19. 19. EMERGENCY OBSTETRIC CARE
  20. 20. CARE IN ARI
  21. 21. • ESSENTIAL NEW BORN CARE. • DIARRHOEAL DISEASE CONTROL. • ARI CONTROL. • PREVENTION & CONTROL –Vit A deficiency. • PREVENTION & CONTROL OF Anaemia.
  22. 22. ESSENTIAL NEW BORN CARE
  23. 23. CARE IN ILLNESS
  24. 24. RCH II 1ST APRIL 2005
  25. 25. OBJECTIVE • To bring about a change in mainly three critical health indicators such as : • Reduction in Total Fertility Rate, Infant Mortality Rate and Maternal Mortality Rate.
  26. 26. • To realizing the outcomes envisioned in the Millennium Development Goals, the National Population Policy 2000, and the Tenth Plan Document, the National Health Policy 2002 and Vision 2020 India.
  27. 27. SALIENT FEATURES OF RCH - II PROGRAM : • Adoption of Sector vide approach which effectively extends the program reach beyond RCH to the entire Family Welfare sector. • Building State ownership by involving states and UT’s from the outset in development of the program.
  28. 28. • Decentralization through development of District and State level need based plans. • Flexible programming with a view to moving away from prescriptive scheme based micro planning and instead allowing States to develop need based work plans with freedom to decide upon program inputs.
  29. 29. • Capacity building at the District, state and the Central level to ensure improved program implementation. In particular, the emphasis being on strengthening financial management systems and monitoring and evaluation capabilities at different levels. • Adoption of the logical frame works as a program management tour to support and outcome driven approach.
  30. 30. • Performance based funding to ensure adherence to program objectives, reward good performance and support weak performers through enhance technical performance. • Pool financing by the development partners to simplify and rationalized the process of assessing external assistance.
  31. 31. • Convergence, both inter sectoral as well as intra sectoral to optimize utilization of resource as well as infra structural facilities.
  32. 32. RCH-II IMPLEMENTATION STRATEGY • Expand services to the entire sector of Family Welfare beyond RCH scope. • Holding States accountable by involving them in the development of the programme
  33. 33. • Decentralization for better services. • Allowing states to adjust and improve programmes features according to their direct needs.
  34. 34. • Improving monitoring and evaluation processes at the District, state and the Central level to ensure improved program implementation. • Give performance based funding, by rewarding good performers and supporting weak performers.
  35. 35. • Pool together financial support from external sources. • Encourage coordination and convergence, within and outside the sector to maximize use resources as well as infra structural facilities.
  36. 36. RCH-11 PACKAGE • ESSENTIAL OBSTETRIC CARE.(Institutional delivery, Skilled attendant at delivery) • EMERGENCY OBSTETRIC CARE. • STRENGTHENING REFERRAL SYSTEM. • NEW INITIATIVES (MBBS doctors in the provision of adequate & timely emergency obstetric care. & blood storage at FRUs)
  37. 37. INTERVENTIONS AT DISTRICT LEVEL • Child Survival Interventions. • Safe Motherhood Interventions. • Implementation of Target Free Approach. • High Quality Training at all levels. • IEC Activities. • Specially designed RCH package for urban slums & tribal areas
  38. 38. • Dist Sub Projects under Local Capacity Enhancement. • RTI/STD Clinics at Dt Hosp. • Facility for safe abortions at PHC. • Enhanced Community Participation through Panchayats, Women’s Groups & NGOs. • Adolescent Health & Reproductive Hygiene.
  39. 39. INTERVENTIONS AT STATE LEVEL • Screening & Treatment of RTI/STD. • Emergency Obstetric Care at selected FRUs. • Essential Obstetric care at PHCs. • Improved delivery services& emergency care. • Facility for transport & referral for pregnant women.
  40. 40. ACHIEVEMENT
  41. 41. THANK YOU

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