The document outlines the Reproductive and Child Health (RCH) program launched by the Government of India in 1997, aimed at improving maternal and child health, and promoting population stabilization. It covers objectives, interventions, components of the program, as well as the phases of implementation, highlighting achievements and challenges faced during each phase. Phase 2 of the program, initiated in 2005, focuses on enhancing access and quality of RCH services, particularly for underserved populations.

1. Shree Saraswati nursing college
 Subject - community health nursing
 Topic - reproductive and child health
program
 Submitted to; Submitted by;
 Mr.jay joshi Mr. Hathaliya Milan
 Principle of. Roll no - 09
 Ssnc(bhutvad). Ssnc(bhutvad)
 submission date 20/02/2024

2. REPRODUCTIVE AND
CHILD HEALTH PROGRAM

3. Introduction
 The reproductive and child health
program was formally launched by Gov. of
India on 15th
Oct 1997.
 As per recommendation of International
Conference on Population and
development held in Cario in 1994.

4. Definition
 “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.”

5. Objective
 To promote the health of the mothers and
children to ensure safe motherhood and
child survival.
 The intermediate objective is to reduce
IMR & MMR.
 The ultimate objective is population
stabilization, through responsible
reproductive behavior.

6. Intervention & concept to RCH
 Prevention and management of unwanted
pregnancies.
 Maternal care (safe motherhood)
 Child survival
 Prevention and management of STD
 Prevention of HIV/AIDS

7. Components of RCH
 Following services are included in the
reproductive health area as proposed by
Government of India.
 MAIN COMPONENTS:-
◦ Family planning
◦ Child survival and safe motherhood program
◦ Prevention /management of STD and AIDS
◦ Client approach to health care.

8. Other activities
 Providing counseling, information and
communication services on health,
sexuality and gender difference.
 Referral services for all above intervention.
 Growth monitoring, nutrition education,
reproductive health services for
adolescents etc.

9. RCH package for various services
 For maternal services (safe-
motherhood):- The service components
are obstetric care, infection control and
nutrition promotion.

10. Cont…
 For child services (child survival):-The
essential care of the newborn, including
care of the at risk newborn by prompt
referral service.
◦ Infection control measures.
◦ Nutritional Promotions.

11. Cont…
 Reproductive Health:-
◦ Fertility control
◦ MTP services (for prevention and
management of unwanted Pregnancies.
◦ Adolescent
◦ HIV/ AIDS

12. RCH Programme Phase 1
 Under the RCH Programme Phase 1,
various provision were made to improve
the status of maternal and child health.
These include:-
 Provision of emergency and essential
care.
 Provision of equipment and drug kits to
selected PHCs and selected CHCs in all
districts.

13. Cont…
 Provision for additional ANM, Staff nurse,
and Laboratory technicians for selected
districts.
 Provision for 24 hours delivery services
at PHCs and CHCs.
 Referral transport in case of obstetric
complication.
 Immunization and oral rehydration
therapy.

14. Cont…
 Prevention and control ofVitamin-A deficiency in
children.
 Integrated management of childhood illness
(IMCI).
 District surveys for focused intervention to
reduce IMR and MMR.
 New initiatives undertaken during phase 1 of RCH
are:
◦ Setting up of blood storage units at FRUs
◦ Training of MBBS doctors in anesthetic skills for
emergency obstetric care at FRU.

15. Lacunae of RCH Phase 1
They were as follows:-
 The outreach services were not available
to the vulnerable and needy population.
 The management of financial resources
was inadequate.
 The human resources such as doctors,
nurse, health worker, etc were deficient.

16. Cont…
 The management information and evaluation
system was lacking.
 The effective network of first referral units was
lacking.
 Quality of services in PHCs and CHCs was
poor.
 Lack of community participation.

17. RCH Programme Phase 2
 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.”

18. 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.

19. Objectives of RCH 2
 To improve the management
performance.
 To develop human resources intensively.
 To expand RCH services to tribal areas
also.

20. Cont…
 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
states.

21. Components of RCH 2
 Population stabilization
 Maternal health
 Newborn care
 Child health
 Adolescent health

22. Cont…
 Control of STIS
 Urban health
 Tribal health
 Monitoring and evaluation
 Other priority areas

23. Thank you