This document discusses the various roles of a nurse in maternal and child health programs in India. It outlines that nurses serve as service providers by ensuring essential newborn and child care services. They also serve as administrators by developing policies related to maternal and child health. Additionally, nurses take on educational roles by organizing training programs and designing health education materials. Nurses also serve as researchers by identifying areas for research and supporting research activities in maternal and child health.

1. WELCOME TO THE
PRESENTATION
DR. MAHESWARI JAIKUMAR

2. ROLE OF A NURSE
MCH- PROGRAMME
IN INDIA

3. HEALTH CARE DELIVERY SYSTEM
HEALTH CARE DELIVERY SYSTEM
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ADMINISTRATOR
SERVICE PROVIDER
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ROLE OF A NURSE
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4. SERVICE PROVIDER
 ESSENTIAL NEW BORN & U5 CARE
 The community health nurse ensures
the following in the verge of providing
care,
 Provision of ante natal care.
 Monitoring the growth of the foetus &
its well being

5. CONT****
 Supplementation of requisite vitamins
& micro nutrients.
 Provision of health aspects related to
new born
 Promotion of good delivery practices.
 Promotion of breast feeding &
maternal bonding.

6. CONT****
 Promotion of optimal new born care
including clean delivery practices,
institutional delivery, provision of warmth,
care of umbilical cord, prevention of any
kind of infection, periodic newborn
assessment.
 Ensuring appropriate immunization
services.
 Screening for mal formations, congenital
anomalies & other deviations.

7. CONT****
 Promotion of child rearing practices.
 Periodic growth, development & mile
stone monitoring.
 Promotion of good child rearing practices.
 Promotion of school enrollment &
Anganwadi enrollment.
 Provision of de-worming services &
nutritional supplementation services.

8. CONT****
 Promoting enrollment of children in
schools.
 Implement ICDS initiatives.
 Co-ordinate & translate the ANP.
 Co-ordinate with like minded agencies –
WHO, UNICEF,- translate their
initiatives relevant to U5 care.
 Promote baby friendly hospital initiatives.

9. CONT**** Promote functioning of well baby clinic
& child guidance clinic.
 Implement constitutional rights of
children.
 Encourage funding agencies to provide
fund for children development activities.
 Chalk out relevant policies for children
welfare.
 Implement UN declaration for children.

10. SERVICES FOR MOTHERS
 THE COMMUNITY HEALTH NURSE ENSURE
THE IMPLEMENTATION OF INITIATIVES OF
CSSM & RCH PROG
 Promote & implement good perinatal
care
 Promote institutional deliveries
 Promote delivery by trained personnel
 Provide optimal ante natal care

11. •Ensure clean delivery table, clean hands, clean cord, clean
stump, clean scissors, & clean delivery practices.
•Promote & maintain optimal delivery progress practices
such as right identification of stage of delivery, progress of
delivery, fetal heart rate monitoring, monitoring of vital
signs during delivery, episiotomy & appropriate mode of
delivery of the baby.
•Provision of immediate post natal care.
•Promote breast feeding & maternal bonding.
•Monitoring of post natal care, abnormalities of the post
natal period.
•Examine lochia, involution pattern of the uterus.

12. •Assess for feeding difficulties.
•Promote iron & calcium supplementation.
•Monitor & promote balanced diet & good dietary
habits.
•Monitor for post natal blues.
•Encourage plenty of fluids & roughage diet.
•Promote adoption of contraception & family planning
practices.
•Educate the mother on the importance of child rearing
& self care practices including diet, exercise & sleep.

13. CONT****
 Encourage the
mother on the
importance of post
natal check ups
(minimum 2 visits
within 42 days of
delivery)

14. ROLE IN REPRODUCTIVE
HEALTH
 Identify demographic characteristics of
the adolescents & adult population &
maintain data base
 Identify target groups & advocate the
pertinent family planning methods.
 Health educate sexually active
population on the STD & means to
prevent them

15. CONT****
 Screen for sexually transmitted disease &
take necessary action.
 Promote the concept of single partner
among sexually active population.
 Promote the usage & distribution of
condoms.
 Promote & familiarize community about
contraceptive methods

16. CONT****
 Promote & implement the sex
education in school & collegiate
curriculum
 Implement the reproductive health
initiatives implemented by the RCH
programme

17. ROLE AS AN ADMINISTRATOR
 Evolve policy related to MCH.
 Serve as an information provider to
policy makers in relation to MCH
services.
 Serve as a liaison with the Govt,
community & NGO in organizing &
implementing MCH services.
 Develop counseling & MCH assistance
network in the state

18. CONT****
 Create network with peripheral MCH
units with tertiary care settings.
 Chalk out specific policies on
maintenance & establishment of
institutions catering MCH services.
 Involve other sectors in the provision of
MCH services.
 Develop MCH advisory committee at all
levels

19. CONT****
 Co-ordinate the state MCH activities with
the MCH activities of the nation
 Co-ordinate with allied systems of
medicine in the provision of MCH care.
 Translate & monitor the initiatives of
CSSM & RCH programme.
 Reserve financial packages for MCH
services.

20. CONT****
 Amend policies & legislations to suit the
existing MCH scenario of the nation.
 Create & monitor the FRU at primary,
secondary & tertiary units.
 Allocate separate budget for MCH
services.
 Define job description for health
manpower employed to render MCH
services.

21. EDUCATIONIST
 Organize training programme for
health care professionals.
 Conduct workshops & conferences
relating to MCH care & sensitize the
community, health care professionals &
policy makers.
 Design curriculum in medical & para
medical curriculum incorporating
aspects of MCH services.

22. CONT****
 Design health education materials &
distribute.
 Develop separate channels in order
to sensitize the public on MCH
services.
 Practice counseling for eligible
couples on the range of MCH
services.

23. RESEARCHER
 Identify researchable areas in MCH &
conduct research.
 Pool grant in aids to support research
activities in the areas of MCH services.
 Support research scholars undertaking
research in the area of MCH.
 Co-ordinate & net work research activities.
 Design models based on research findings.