This document summarizes the history and development of maternal and child health services in India from 1880 to present. It outlines key programs and policies established over time to promote safe motherhood and reduce infant and child mortality, including establishment of midwifery training in 1880, the Midwifery Act of 1902, setting up an advisory committee on maternal mortality in 1930, development of primary health centers and family planning programs in the 1950s-60s, enactment of the MTP Act in 1971, expansion of family planning services through RCH programs from 1977-2005. It also discusses current programs and schemes under NRHM/NUHM and highlights issues like skilled birth attendance and the need for continued efforts to improve MCH outcomes.

1. PRESENTED BY
MS. PRIYANKA SINHA
B.SC NURSING IV YEAR

8. 1880 – Establishment of training of dais in
Amritsar.
1902 – 1st Midwifery Act to promote safe
delivery.
1930 – setting up of Advisory committee on
maternal mortality.
1952 – primary health centre network & family
planning programme.
1956 – MCH centres become integral part of
PHCs.
1961 – department of family planning created
1971 - MTP Act

9. 1974 – family planning services incorporated in
MCH care
1977 – renaming family planning to family
welfare programme.
1978 – expanded programme on immunization
1985 - universal immunization programme
1992 - child survival and safe motherhood
programme
1996 – target free approach for family planning
1997 - RCH programme Phase I
2005 – RCH programme Phase II

24. THESE ARE ONE OF THE PART
OF MCH SERVICES. ACCORDING
TO UNICEF, INFANT MORTALITY
IN INDIA IS AS HIGH AS 63
DEATHS PER 100 LIVE BIRTHS.
MOST INFANT DEATHS OCCUR
IN THE FIRST MONH OF LIFE
UPTO 47% IN FIRST WEEK
ITSELF.

30.  This is tool intended to improve the quality
of care for women and babies at the time of
childbirth.
 The checklist is an organised list of evidence
based essential birth practices targeting
major causes of maternal deaths,
intrapartum related stillbirths and neonatal
deaths.
 This checklist has been developed to
support the delivery of essential maternal
and perinatal care practices.

31.  This recorded 130 million an
estimated , 3.03milloion result in the
mothers death , 2.6 in stillbirth and
another 2.7 million in a new born
death within the 28 days of birth .
 The majority of these death occur in
low-resources setting & most could
be prevented.

33. PROGRAMS
 NRHM
 NUHM
 RCH
SCHMES
 JSY
 ASHA
 VS
 HBNC
 NSSK
 SBA
 IMNCI
 RBSK

44. SKILLED BIRTH ATTENDANT
WHO defines a skilled birth
attendant as “an accredited
health professional – such as a
midwife, doctor or nurse – who has
been educated and trained to
proficiency in the skills needed to
manage normal (uncomplicated)
pregnancies, childbirth and the
immediate postnatal period, and in the
identification, management
and referral of complications in women
and newborns.”

60.  INRODUCTION
It is a legal process by which a child is placed with a
married couple or a single female who agree to raise him
as their own and assume all responsibilities for him.
CRITERIA
 Who can adopt: single woman or married couple. They
can be Indian, NRI & foreign citizens.

61. Who can give child in adoption:
guardian of child, if one is ceased
or became insane. If both parents
are dead. Curt will give the
permission.
Eligibility of adoptive parent: must
be 21yrs>, financial stable and not
having the same sex of the adoptive
child as own.

62. REGISTRATION
HOME STUDY AND COUNSELLING
REFERRAL OF THE CHILD
FILING OF PETITION
HEARING
COURT ORDER
FOLLOW UP

63.  Mother and child care one unit and most vulnerable to
the morbidity and mortality. Hence it is essential to
protect them through appropriate action at each level.
MCH epidemiology programme emphasizes the
analytical skills to address the health problems of the
mother and child.
 Nurse as a team member of the health can contribute
her skill for the promotion of health of mother and
children.

64.  Saxena ravi prakash “ text book of community health
nursing II” published by lotus publisher, Punjab,
edition 3rd, 2020 page no. 150-182, 547, 494, 496.
 Park k “ park’s textbook of preventive & social
medicine” published by Bhanot publisher edition 24th
page no. 590-613, 540