Rch

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

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 of Vitamin-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