Reproductive and child health programme

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  • 1. REPRODUCTIVE AND CHILD HEALTH PROGRAMME
  • 2. 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)
  • 3. 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)
  • 4. RCH Programme- I
    Immediate Objective- To promote health of mother and children.
    Intermediate Objective- To reduce IMR and MMR.
    Ultimate Objective- Population Stabilization
  • 5. RCH Programme- I
    Intervention / Strategies:-
    Prevention $ Management of unwanted pregnancies
    Maternal Care
    Child Survival
    Prevention $ Management of RTIs $ STIs
    Prevention of HIV / AIDs
  • 6. RCH Programme- I
    Management Strategies :-
    Bottom- up Planning
    Decentralized Training
    Management information and Evaluation System (MIES) $
    IEC and Community Participation
  • 7. 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.
  • 8. RCH Programme- II -Goals
  • 9. 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
  • 10. 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
  • 11. 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
  • 12. 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
  • 13. Components of RCH-IIMaternal Health- Strategies
    Essential Obstetrical Care
    Three or More Checkups
    Two doses of TT
    IFA Tablet
    Counseling
    Emergency Obstetrical Care
    First Referral Unit
  • 14. 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
  • 15. 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
  • 16. 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
  • 17. 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
  • 18. 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
  • 19. Cont…..
    PHC $ CHC
    Contraceptive
    Management of menstrual disorder
    HIV/ AIDS /STIs preventive education and management
    Counseling
  • 20. Components of RCH-IIControl of RTIs /STIs
    Controlled by syndromic approach
  • 21. 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
  • 22. Components of RCH-II Tribal Health
    Community Level
    Sub centre
    PHC
    Block PHC / CHC
  • 23. Components of RCH-IIMonitoring and Evaluation
    MIES
    Planning
    Monitoring / Information
    Quality Assessment
    Evaluation
    Validation
  • 24. Newer Schemes and Services
    Training of MOs
    Training of traditional birth attendents
    Prasoothiaraike
    JananiSurakshaYojana Scheme
    Vandemataram Scheme
    Safe abortion service
    Medical Method-Mifepristone $ Misoprostol
    Manual Vaccum Aspiration
  • 25. SUMMARY
  • 26. Evaluation
    1.RCH Programme was launched in the year………..
    (1972, 1996, 1997, 1994)
    2. In PHC,…….. $.............. arethe two drugs used for medical abortion.
    (Mifepristone and Misoprostone,
    Mifepristone and Oxytocin’
    Meperidine and Misoprostone)
  • 27. Cont….
    RCH –II was started from 1st April………. Up to………
    (2005-2009,
    2005-2025,
    2005-2050)
  • 28. ASSIGNMENT
    Write an assignment on JananiSurakshaYojana and the role of ASHA in this scheme.
  • 29. CONCLUSION