1. Reproductive & Child healthProgrammebyDr.Polly Nula p

2. Introduction: RCH Programme was launched in October 1997 as recommended in the International Conference on population and Development held at Cairo in 1994 The programme integrated and strenthened the services under CSSM Programme and Family Planning with new area on RTI/STI were added It aims at providing need based, client centered, demand driven, high quality services to the beneficiaries with the view to enhancing the quality of reproductive life of the population and enabling the country to achieve the population stabilisation.

3. Family welfare/planning Reproductive and Child Health Services Management of RTIs/STIs Client Centered approach Child survival and safe motherhood

4. Strategies of RCH Programme It integrate all intervention of fertility regulation & MCH Services provided are client oriented, demand driven, based on needs of community through participatory planning and target free approach. Upgradation of service, FRUs being set up sub district level which provides comprehensive obsts emergency care and new born care Specialist facilities for STD/RTI are available in all districts hospital and in a fair No. sub-district levels. Facilities of obststetric care, MTP & IUD insert in the PHCs & IUD insertion at the subcentre. Special programme is taken up for urban slum, tribal population and adolescents. Involvement of NGOs, voluntary health organisation and panchayat for implementing the programme.

5. Intervention in all districts Child survival interventions i.e. Immunisation , Vit-A prophylaxis, ORT, early diagnosis of Resp tract ds and Tx. Safe Motherhood intervention eg. ANC, Immunization for TT, IFA, safe delivery. Implementation of target free approach. High quality training at all levels. IEC activities. Specially designed RCH package for urban slum and tribal areas. District subproject under local capacity enhancement. RTI/STI Clinics. Facility for safe abortions. Enhance community participation through NGO, Panchayat, Women group. Adolescent health and reproductive hygiene.

6. Intervention in selected state/districts Screening and treatment of RTI/STD at sub-divisional level Emergency obsteteric care at selected FRUs by providing drugs Essential obstetric care by providing drugs and PHN/Staff nurses at PHCs. Additional ANM at sub-centres in the weak districts for ensuring MCH care. Improve delivery services and emergency care by providing equipment kits, IUD insertions, and ANM Kits at sub-centres. Facility for referral transport for pregnant women during emergency to the nearest referral centre through panchayat in weak districts.

7. RCH Phase II program The 2nd phase of RCH program was launched on 1st April 2005 with the following goals:-

8. RCH-II Major strategies Essential Obstetrics Care - Institutional Delivery - Skilled attendance at delivery . Emergency obstetric care - Operationalising first referral units - Operationalising PHCs and CHCs for round the clock delivery system . Strengthening the referral system - Training of MBBS Doctors in life saving anaethetics skills for emergency obsteteric care for 16 weeks - setting up blood storage centres at FRU - Janani Suraksha Yojana - Vandemataram scheme - Safe abortion services

9. National Health indicators:

10. Comparison of health indicators between Pre and Post NRHM Program

11. Estimated crude birth rate, Death Rate, Infant mortality rate,2009 SRS Bulletin Volume 45 No. 1, January 2011

12. Quality Indicators used to monitor and evaluate RCH programme through monthly report No. of ANC case registered- total and less than 12 weeks No. of Pregnant women who had 3 ANC. No. of high risk pregnant women referred. No. of pregnant women who had 2 doses of TT toxoid. No. of Pregnant women under prophylaxis and treatment of anemia. No. of deliveries by train and untrained birth attendant. No. of cases with complication referred to PHC/FRU. No. of new born with birth weight record. No. of women attended 3 PNC. No. RTI/STI case detected, treated and referred. No. of children fully immunized. No. of adverse reaction reported after immunized. No. of ARI and diarrhoea under 5 years treated, reffered, and death.

13. Ministry of health & family welfare( Perfomance statistic – Status as on January 7, 2010)Perfomance of Manipur on RCH parameters.

14. Ministry of health & family welfare( Perfomance statistic – Status as on January 7, 2010) Perfomance of Manipur on RCH parameters.

15. Thank Q