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REPRODUCTIVE AND CHILD HEALTH PROGRAMME

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The main aim of the programme is to reduce IMR and MMR.
It was launched in 1997.......

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REPRODUCTIVE AND CHILD HEALTH PROGRAMME

  1. 1. Reproductive child health programme HARSHITA IIIrd YEAR A.B.C.O.N
  2. 2. INTRODUCTION •The main aim of the programme is to reduce IMR and MMR. •It was launched in 1997.
  3. 3. INTRODUCTION •State of complete physical , mental and social well being and not merely absence of disease. •It implies that people are able to have a satisfying and safe sex life. •The definition was adopted by ICDP ( International conference of population development).
  4. 4. ELEMENTS •SAFE MOTHERHOOD ALONGWITH ADDED ELEMENT OF MANAGEMENT OF RTI AND STI. •CHILD SURVIVAL •FERTILITY REGULATIONS
  5. 5. OBJECTIVES •TO MEET ALL THE FELT NEEDS FOR CONTRACEPTION •TO REDUCE IMR •TO REDUCE INFANT AND MATERNAL MORBIDITY
  6. 6. FACTORS AFFECTING SOCIO-ECONOMIC STATUS STATUS OF WOMEN EDUCATIONAL OPPERTUNITIES RTI ; STD ; INFERTILITY MMR ADOLESCENT HEALTH
  7. 7. FACTORS AFFECTING UNSAFE ABORTION GENDER RELATION ENVIRONMENT NUTRITION
  8. 8. RCH PROGRAMME INTERVENTION [PHASE -1]
  9. 9. MATERNAL HEALTH INTERVENTION •ESSENTIAL OBSTETRIC CARE:- EARLY REGISTRATION OF PREGNANCY PROVISION OF 3 AN CHECK UPS IMMUNIZATION INSTITUTIONAL DELIVERIES 3 POST NATAL CHECK YUPS
  10. 10. MATERNAL HEALTH INTERVENTION •EMERGENCY OBSTETRIC CARE:- IDENTIFYING AND STRENGTHENING FIRST REFERRAL UNITS UNDER THE RCH PROGRAMME. PROVIDING OBSTETRIC KIT PROVISION OF SKILLED MAN POWER
  11. 11. MATERNAL HEALTH INTERVENTION •24 hrs. DELIVERY SERVICES AT PHC:- TO PROMOTE INSTITUTIONAL DELIVERIES 24 hrs. SERVICE TO WOMEN IN LABOUR
  12. 12. MATERNAL HEALTH INTERVENTION •MTP(MEDICAL TERMINATION OF PREGNANCY) PROVISION OF MTP EQUIPMENT ASSISTING STATES FOR ENGAGING DOCTORS TRAINED IN MTP PROVISION OF MTP EQUIPMENTS
  13. 13. MATERNAL HEALTH INTERVENTION •PREVENTION MANAGEMENT CONTROL OF RTI •PROVISION HAS BEEN MADE FOR TRANSPORT FACILIY •TRAINING OF TRADITIONAL BIRTH ATTENDENT •PROVISION OF CONTRACEPTIVES
  14. 14. CHILD HEALTH INTERVENTION •UNIVERSAL IMMUNIZATION PROGRAMME:- CHILDREN ARE IMMUNIZED AGAINST 6 KILLER DISEASES T.B ; DIPTHERIA ; POLIOMYELITIS ; MEASELS ; NEONATAL TETANUS
  15. 15. CHILD HEALTH INTERVENTION •REDUCE DROP OUT RATE •PULSE POLIO IMMUNIZATION IS CARRIED TO ERADICATE POLIO •HEPATITIS – B INTRODUCED AS A PART OF UNIVERSAL IMMUNIZATION PROGRAMME. •CONTROL OF ARI’s
  16. 16. CHILD HEALTH INTERVENTION •ESSENTIAL NEW BORN CARE TO DECLINE RATE OF IMR •ORAL REHYDRATION THERAPY FOR DIARRHOEA CONTROL AMONG CHILDREN •PREVENTION AND CONTROL OF VITAMIN – A DEFICIENCY ; ANAEMIA
  17. 17. INTERVENTION TO REACH RCH IN REMOTE AREAS •BORDER DISTRICT CLUSTER STRATEGY (BDCS) LAUNCHED ON 3rd MAY 2000 •RCH CAMPS INITIATED IN JANUARY 2001 •RCH OUT-REACH SCHEME LAUNCHED DURING 2000-2001 INCLUDING DELIVERY OF IMMUNIZATION IN URBAN SLUMS •HOME BASED NEONATAL CARE
  18. 18. RCH PROGRAMME INTERVENTION [PHASE -2]
  19. 19. INTRODUCTION •RCH PHASE 2 WAS INITIATED IN APRIL 2005 TO FURTHER CONSOLIDATE AND STRENGTHEN RCH PROGRAMME INTERVENTION TO ACHIEVE REDUCTION IN MATERNAL AND CHILD MORTALITY AND MORBIDITY RATE •CONTINUED WITH ALL THE INTERVENTION PLANNED IN PHASE- 1
  20. 20. ESSENTIAL OBSTETRIC CARE • PROMOTION OF INSTITUTIONAL DELIVERY •PROVISION OF SKILLED ATTENDENT AT EVERY BIRTH •LINKAGE WITH REFERAL SERVICES FOR EMERGENCIES AND EFFECTIVE MANAGEMENT OF ANC •NORMAL DELIVERY
  21. 21. ESSENTIAL OBSTETRIC CARE •TO PROVIDE OBSTETRIC CARE •NEW BORN CARE
  22. 22. EMERGENCY OBSTETRIC CARE •MINIMUM STRENGTH OF 20-30 BED •FULLY EQUIPPED AND FUNCTIONAL LABOUR ROOM ; OT •ADEQUATELY EQUIPPED SPECIFIED PLACE IN LABOUR ROOM •24 hrs. BLOOD STORAGE •ARRANGEMENTS OF ELECTRICITY ; WATER ;AMBULANCE
  23. 23. STRENGTHENING OF REFERRAL SYSTEM •PROVIDE TRANSPORT TO WOMEN DURING OBSTETRIC EMERGENCIES •BASED ON RCH PHASE – 1 FEEDBACK THE REFERRAL SYSTEM IS BEING STRENGTHENED BY INVOLVING LOCAL NGO’s
  24. 24. OTHER STRATEGIES •TRAINING OF MBBS DOCTORS IN OBSTETRIC MANAGEMENT ; ANAESTHESIA ; CAESAREAN SECTION •PROVIDING FINANCIAL HELP •USE OF TELECOMMUNICATION SYSTEM
  25. 25. INTEGRATED MANAGEMENT OF NEONATAL CHILDHOOD ILLNESS •INTEGRATED SERVICE TO MANAGE CHILDHOOD DISEASES SUCH AS ARI ; MEASLES ; DIARRHOEAL etc. •DEVELOP UNDER UNICEF AND WHO •AIM OF BETTER MANAGEMENT BY:- ASSESMENT IDENTIFY AND CLASSIFY THE CONDITION TREATMENT FOLLOW UP
  26. 26. INTERVENTION IN ALL DISTRICT •CHILD SURVIVAL •SAFE MOTHERHOOD •COMMUNITY NEED ASSESSMENT APPROACH •GOOD QUALITY TRAINING •INFORMATION; COMMUNICATION ; AND EDUCATION
  27. 27. INTERVENTION IN ALL DISTRICT •RTI/STD’s CLINICS •ADOLESCENT REPRODUCTIVE HEALTH AND HYGIENE •SAFE ABORTION •GOOD QUALITY TRAINING AT ALL LEVEL
  28. 28. INTERVENTION IN SELECTED STATES/DISTRICTS •SCREENING AND TREATMENT OF RTI/STD •ESSENTIAL/EMERGENCY OBSTETRIC CARE •FACILITY OF TRANSPORT •IUD INSERTIONS
  29. 29. DRUGS AND KITS PROVIDED •AT SUB-CENTRE LEVEL DRUG KIT A DRUG KIT B MIDWIFERY KIT SUB-CENTRE EQUIPMENT KIT
  30. 30. DRUGS AND KITS PROVIDED •AT PHC LEVEL PHC EQUIPMENT KIT D
  31. 31. DRUGS AND KITS PROVIDED •AT CHC/FRU LEVEL KIT E- LAPAROTOMY SET KIT F- MINI-LAPAROTOMY SET KIT G-IUD INSERTION SET KIT H-VASECTOMY SET KIT I –NORMAL DELIVERY SET
  32. 32. DRUGS AND KITS PROVIDED •KIT J- VACUUM EXTRACTION SET •KIT K –EMBRYOTOMY SET •KIT L-UTERINE EVACUATION SET •KIT M –EQUIPMENT FOR ANAESTHESIA •KIT N-NEONATAL RESUCITATION •KIT O-EQUIPMENT AND REAGENT FOR BLOOD TEST •KIT P-DONOR BLOOD TRANSFUSION SET
  33. 33. JANANI SURAKSHA YOJNA •JSY IS FOR SAFE MOTHERHOOD UNDER NRHM •SCHEMES INTEGRATE CASH ASSISTANCE WITH INSTITUTIONAL ANTENATAL ; NATAL ; POSTNATAL CARE •UNDER THIS ASHA [ACCREDITED SOCIAL HEALTH ACTIVIST]HAS IDENTIFIED AS EFFECTIVE LINK
  34. 34. JANANI SURAKSHA YOJNA •ASHA IDENTIFIES ; ASSIST PREGNANT WOMEN IN GETTING CERTIFICATION •FACILITATES REGISTRATION FOR ANC , ASSIST ATLEAST 3 AN CHECK UP, IMMUNIZATION AND IRON FOLIC ACID TABLET
  35. 35. JANANI SURAKSHA YOJNA •CONSELS PREGNANT WOMEN FOR INSTITUTIONAL DELIVERY •NOTIFY THE BIRTH OR DEATH OF CHILD AND MOTHER TO ANM •PAYS VISIT WITHIN 7 DAYS OF DELIVERY •COUNSELS FOR BREAST FEEDING
  36. 36. VANDE MATRAM SCHEME •TO PROMOTE PUBLIC PRIVATE PARTERNERSHIP •LAUNCHED IN 9th FEB ITH INVOLVEMENT OF INDIAN MEDICAL ASSOCIATION,FEDRATION OF OBSTETRIC AND GYNAECOLOGICAL SOCIETY.
  37. 37. VANDE MATRAM SCHEME •VOLUNTARY ENROLLMENT OF DOCTORS, NURSING HOME; MATERNITY HOME •SPECIFIC SERVICES:- ANTENATAL AND POSTNATAL CHECKUP DISTRIBUTION OF IRON AND FOLLIC ACID TABLETS IMMUNIZATION COUNSELLING REFERAL CASE REQUIRE SPECIAL CARE
  38. 38. ROLE OF COMMUNITY HEALTH NURSE •CARE ,SUPERVISION ,GUIDANCE OF MOTHER DURING PREGNANCY AND AFTER DELIVERY •CARE OF MOTHER AND CHILD SOON AFTER DELIVERY •REGISTRATION OF ALL EXPECTANT MOTHER •MEDICAL AND SURGICAL HISTORY RECORD OBSTETRICAL HISTORY RECORD
  39. 39. ROLE OF COMMUNITY HEALTH NURSE •ARRANGING AN CHECK UPS , IMMUNIZATION •PREARATION OF SURROUNDING EQUIPMENT SUPPLIES AND PLACE DURING DELIVERY •PHYSICAL AND PSYCHOLOGICAL PREPARATION OF MOTHER
  40. 40. ROLE OF COMMUNITY HEALTH NURSE •EXAMINATION OF FHS; VITALS ;CONTRACTION DURINF LABOUR PAIN •GIVING IMMEDIATE CARE TO MOTHER AND CHILD AFTER DELIVERY •REGULAR VISIT FOR 7 DAYS IN POST NATAL PERIODGENERAL EXAMINATION OF MOTHER LOCHIA, STICHES, BREAST •GIVING MOTHER HEALTH EDUCATION REGARDING BREAST FEED AND HYGIENE

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