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Reproductive and child health programme
 

Reproductive and child health programme

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    Reproductive and child health programme Reproductive and child health programme 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
    • 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-IIMaternal 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
      Vit A, Iron and Folic Acid Supplimentation
      Strengthening the quality of UIP
    • 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
    • Cont…..
      PHC $ CHC
      Contraceptive
      Management of menstrual disorder
      HIV/ AIDS /STIs preventive education and management
      Counseling
    • Components of RCH-IIControl 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-IIMonitoring and Evaluation
      MIES
      Planning
      Monitoring / Information
      Quality Assessment
      Evaluation
      Validation
    • 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
    • SUMMARY
    • 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)
    • Cont….
      RCH –II was started from 1st April………. Up to………
      (2005-2009,
      2005-2025,
      2005-2050)
    • ASSIGNMENT
      Write an assignment on JananiSurakshaYojana and the role of ASHA in this scheme.
    • CONCLUSION