rch reproductive child health definition new intiative reproductive care role of nurse role of community nurse ............................ ..... . . . . . . . . .. . . . .. . . . .. . .. . . .. . . ... . .. . . .

2. Reproductive
and Child Health
Ms. Bhoomika P
4th yr Bsc nursing

3. Table of Contents
01 02 04
05
03
06
INTRODUCTION DEFINITION OBJECTIVES STRATEGIES AND
INTERVENTION
COMPONENT RCH PHASE 1 RCH PHASE 2 NEW
INITIATIVES
07 08

4. Introduction
The reproductive and child
health program was formally
launched by government of
India on 15th oct 1997. As
per recommendation of
international conference on
population and development
held in Cario in 1994.

5. DEFINITION
In ICPD at Cairo, Fathallah defined
RCH as “A state of complete physical,
mental and social well being and
merely the absence of disease or
infirmity in all matters relating to
reproductive system and its function
and process”

6. DEFINITION
“States in which people have the ability to reproduce
and regulate their fertility are able to go through
pregnancy and child birth, the outcome of pregnancy
is successful in terms of maternal and infant survival
and well being, and couples are able to have sexual
relation free of the fear of pregnancy and of
contracting diseases.”

7. OBJECTIVES
● To promote the health of the
mothers and child to ensure safe
motherhood and child survival.
● The intermediate objective is to
reduce infant mortality rate and
maternal mortality rate.
● The ultimate objective is
population stabilization, through
responsible reproductive
behavior.

8. COMPONENT AND INTERVENTION
Prevention and
management of
sexually transmitted
disease
Prevention and
management of
unwanted
pregnancies
Maternal care (safe
motherhood)
Child
survival
Prevention of
HIV/AIDS

9. STRATEGY OF RCH
Bottom up planning
Decentralized participatory planning and
implementation
Integrated training package
Strengthening infrastructure
Improved management

10. • For maternal services (safe motherhood): the service components
are obstetric care, infection control and nutrition.
• For children services (child survival): the essential care of the new
born, including care of the at risk newborn by prompt referral
services, infection control measures, nutrition promotion
• Reproductive health: fertility control, MTP services (for prevention
and management of unwanted pregnancies.), adolescent, HIV/AIDS
RCH PACKAGE FOR VARIOUS
SERVICES

11. RCH PHASE -1
Under the RCH programe phase 1, various provision
were made to improve the status of maternal and
child health. These include:-
• Provision of essential and emergency care.
• Provision of equipment and drug kits to selected
PHCs and selected FRUs in all districts.
• Provision for additional ANM, staff nurse and
laboratory technicians for selected districts.
• Provision for 24 hrs delivery services at PHCs and
CHCs.
• Referral transport in case of obstetric complication

12. • Immunization and oral rehydration
therapy.
• Prevention and control of Vitamin-A
deficiency in children.
• Integrated management of childhood
illness(IMNCI)
• District surveys for focused intervention
to reduce IMR and MMR.
• New initiatives undertaken during phase
1 of RCH are
a. Setting up of blood storage units at FRUs
b. Training of MBBS doctors in anesthetic
skills for emergency obstetric care at FRUs

13. 1.The outreach services were not available to vulnerable and needy
population.
2.The management of financial resources was inadequate .
3.The human resources such as doctor, nurse, health worker etc were
deficient.
4.The management information and evaluation system was lacking
5.The effective network of first referral unit was lacking
6.Quality of services in PHCs and CHCs was poor.
7.Lack of community participation
LACUNAE/ FAILURE OF RCH 1

14. RCH
PHASE -2

15. It was started from April 1st 2005 up to 2009. The
RCH 2 vision articulates, “improving access, use and
quality of RCH services, especially for the poor and
underserved population.”
● Aims of RCH 2:
To reduce infant mortality rate, maternal mortality
rate, total fertility rate, and to increase couple
protection rate and immunization coverage especially
in rural areas.

16. OBJECTIVES OF RCH 2
● To improve the management performance.
● To develop human resources intensively.
● To expand RCH areas also
● To monitor and evaluate the services.
● To improve the quality, coverage and effectiveness
of the existing family welfare services and essential
RCH services with a special focus on the above
mentioned EAG states.

17.  ESSENTIAL OBSTETRIC CARE
a. institutional delivery
b. skilled attendance at delivery
c. policy decision
 EMERGENCY OBSTETRIC CARE
a. operationalizing first referral units
b. operationalizing PHCs and CHCs for round clock
delivery services
 STRENGTHENING REFERRAL SYSTEM
THE MAJOR STRATEGIES :

18. COMPONENT OF RCH 2
Monitoring
and evaluation
Population
stabilization.
Maternal
health
Newborn
care
Child
health
Adolescent
health
Control of
RTI/STIs
Urban
health
Tribal
health
Other
priorities

19. NEW
INITIATIVES

20. JANANI SURAKSHA
YOJANA
The national maternity benefit scheme
has been modified into janani
suraksha yojana it was launched on
12th april 2005. It is a 100% centrally
sponsored scheme. Under National
rural health mission. It integrates the
cash assistance with institutional care
during antenatal, delivery and
immediate post partum care.

21. VANDEMATRAM
SCHEME
It is a voluntary scheme wherein any
obsetric and gynaec speciality, maternity
home,nursing home, MBBS doctor can
volunteer themselves for providing safe
motherhood services. Enrolled doctor will
display vandematram logo at their clinics.
Iron and follic acid tablets, oral pills, tt
injection, etc will be provided for free
distribution.

22. JANANI SHISHU
SURAKSHA KARYAKRAM
Launced on 1st June 2011. To make better health facility for women and
child
• All pregnant women in primary health institute to have absolutely free
and no expense including C-sections.
• The entitlement include free drugs and consumables,
• free diet upto 3 days during normal delivery and upto 7 days of c-
section,
• free diagnostics and free blood,
• free transport from home to institution and between facilities on any
case of referral.
• Similar entitlement for all sick newborns.
• The scheme has now been extended to cover the complication during
ANC PNC and sick newborn

23. SAFE ABORTION SERVICES
• Medical method of abortion-under MTP act. MIFIPRISTONE followed by
MISOPROSTOL.
• Manual vacuum aspiration

24. VILLAGE HEALTH AND
NUTRITION DAY
To provide antenatal / postnatal care to pregnant
women promote institutional delivery, health
education, immunization, family planning and
nutrition services

25. The strategy for child health care aims to reduce underfive
child mortality through improved child care practices and
child nutrition:
 Nutrition rehabilitation centre
 IMNCI
 Facility based newborn care
 Home based new born care
 Navjot shishu suraksha karyakram
 Rashtriya bal swasth karyakram
CHILD HEALTH COMPONENT

26. DURING PREGNANCY
DURING DELIVERY OF
THE BABY
DURING POSTNATAL PERIOD
ROLE OF COMMUNITY HEALTH NURSE

27. 1.Registration
2. Taking history
3. blood, urine testing
4. vital sign
5. recording height and weight
6. diet and nutrition status
7.immunization and follic acid tablets
8.Educating mother and family member
9. Supervision & guidance to ANM and
healthworker
10.Referral of mother to FRU
11. Records and registers
DURING PREGNANCY

28. 1.Preparation of place
2. Preparation of equipments and
supplies
3. physical and psychological
preparation
4.examination of mothers condition
5. Conducting delivery
6.Referral of mother during
emergency
7.immediate care to baby
8. record and reporting
DURING DELIVERY OF THE BABY

29. DURING POSTNATAL PERIOD
1. Regular visit
2. Observation of general
condition of mother and child
3. Examine breast and nipple,
fundus height, lochia
4. Examination of baby’s skin
5. Inquiry about diet, sleep, pain
6. Educating about breastfeed

30. BIBLIOGRAPHY
1.K. Park, textbook of prvention and social
medicine
2.K.K. Gulani, Community health nursing
3.www.slideshare.com
4.http://main.mohfw.gov.in
5.http://rch.nhm.gov.in