SlideShare a Scribd company logo
1 of 41
Download to read offline
REPRODUCTIVE AND CHILD
HEALTH PROGRAM(RCH)
Dr. KANUPRIYA CHATURVEDI
Dr. KANUPRIYA CHATURVEDI 2
Lesson Objectives
 To Learn about the various components of RCH
program
 To know about the goals. objectives target groups,
service components and RCH program
 To know about the services/activities under the
program
 To know about the new initiatives in the program
Dr. KANUPRIYA CHATURVEDI 3
Components
 The RCH program incorporated the earlier
existing programs i.e. National Family
Welfare Program and Child Survival and
Survival & Safe Motherhood Program
( CSSM) and added two more components
one relating to sexually transmitted disease
and the other relating to reproductive tract
infections. The program was formally
launched on 15 October 1997.
Dr. KANUPRIYA CHATURVEDI 4
Components:
FAMILY PLANNING
CHILD SURVIVAL
AND SAFE
MOTHERHOOD
PREVENTION/
MANAGEMENTOF
RTI/STD/AIDS
CLIENT
APPROACH
TO HEALTH
CARE
Adolescent
Health Care
and Family
Life
Education
Dr. KANUPRIYA CHATURVEDI 5
RCH PROGRAM
Family
Planning
 Improved
method mix
 Private sector
inclusion
 Address quality
 Collaborate
with NACO in
condom
distribution
Maternal Health
•Quality ANC
•Institutional
Deliveries
•Skilled Birth
Attendance
• EmObstetric care
•Home based post-
partum & NBC
•Quality safe abortion
services
•RTI/STI
Child Health)
•Intensify existing
services :
Immunization,
NBC
Micronutrient
Supply
CDD
ARI
• IMNCI.
Adolescent
health
•Anemia
•Awareness about
RH issues
Dr. KANUPRIYA CHATURVEDI 6
RCH Program (cross cutting Issues)
Human
Resources
 Anesthetists
 Obstetricians
 Lady doctors
 Contractual
ANMs
 Staff Nurses in
24 Hrs PHCs
 Counselor
IEC
•Branding
•Involving
Professional
Agencies
•Media
•Inter-personal
Communication
•Celebrity
involvement
ISC
•Awareness
about RH
issues
•Anemia
MIS
•Output based
Monitoring
•Triangulation of
Data
•CES/DHS
Dr. KANUPRIYA CHATURVEDI 7
The Paradigm Shift
Vertical Programmes Integrated Service Delivery
Camp Oriented Client Oriented
Target Oriented Goal Oriented
Quantity Oriented Quality Oriented
Dr. KANUPRIYA CHATURVEDI 8
Camp Oriented Client Oriented
• Sterilization
Camps
• IUD Camps
• Immunisation
Camps
• Full Range of RCH
Services
• Need Based
.
Dr. KANUPRIYA CHATURVEDI 9
Target Oriented Goal Oriented
Performance by
Numbers
Performance by
Quality
• Top Down
• Target Driven
• Bottom up
• Client Need Based
• Community
Participation
• To the Govt. System • To the Clients,
Community
Dr. KANUPRIYA CHATURVEDI 10
Program Objectives
 Promotion of MCH to ensure safe
mother hood and child survival
 Reduction of maternal and child
morbidity and mortality
 Attainment of population stabilization
Dr. KANUPRIYA CHATURVEDI 11
Highlights of the program
 Integration of all programs related fertility regulation,
maternal and child health and reproductive health.
 Services are client oriented, demand driven through
decentralized participatory process and target free
approach
 Up-gradation of facilities : creation of First referral
units
 Provision of specialist services for STD and RTI
 Provision of out reach services for vulnerable groups
Dr. KANUPRIYA CHATURVEDI 12
Categories:
 Differential approach
 Based on CBR and female literacy rate,
 Category A:58 districts
 Category B:184 districts
 Category C:265 districts
 All the districts covered in a phased manner
over a period of 3yrs
Dr. KANUPRIYA CHATURVEDI 13
Service Package: for mothers
 Essential obstetric care
 Early registration
 Minimum 3 ANC
 Safe delivery
 3 PNC
 Referral
 More relevant for Assam, Bihar,Rajasthan,
Orissa,UP, MP
Dr. KANUPRIYA CHATURVEDI 14
Emergency obstetric care
 Strengthen FRUs
 Supply of kits and skilled manpower
 TBA (Traditional Birth Attendants) Dai training
 NGOs involved: More local specific
 24-hr Delivery services at
PHCs/CHCs:
 Promote institutional deliveries Additional
honorariumto staff
 Safe deliveries
Dr. KANUPRIYA CHATURVEDI 15
Contd.
 Deliveries by trained personnel in safe and hygienic
surroundings are encouraged
 Institutional deliveries are encouraged for women
having complications.
 In case of complication referrals are made to First
Referral Units for Management of obstetric
emergencies.
 Three postnatal checkups are given to mothers after
the delivery.
 Spacing of at least three years between children are
encouraged.  
Dr. KANUPRIYA CHATURVEDI 16
For children
 Essential newborn care like keeping the baby
warm, checking the baby’s weight and giving
the baby mother’s first milk are encouraged.
 Babies that are premature or have low birth
weight are provided special care.
 Babies with any complications refereed to
the health center.
 Exclusive breast-feeding are encouraged for
the first three months.
Dr. KANUPRIYA CHATURVEDI 17
Contd.
 Immunization are administered to every child
meticulously to prevent death and disabilities.
 Vitamin A Prophylaxis
 ORT.
 Acute respiratory infection in children treated by
cotrimoxazole tablets.
 Treatment of Anemia
Dr. KANUPRIYA CHATURVEDI 18
For Eligible Couples
 Promoting use of contraceptive methods among
eligible couples is important to prevent unwanted
pregnancies. Couples should be able to choose from
various contraceptive methods including
condoms,oral pills, IUDs,male and female
sterilization
 Safe services for medical termination of pregnancies
should be encouraged for women desiring abortions  
 Other New Services
 Treatment of RTI/STI is given.
 Promotion activities for adolescents health.
Dr. KANUPRIYA CHATURVEDI 19
Drug and equipment kits: Mid-wifery kit &
drug kit
 Kit-E – Laparotomy set
 Kit-F - Mini– Laparotomy set
 Kit-G – IUD insertion set
 Kit-H – Vasectomy set
 Kit- I – Normal delivery set
 Kit- J – Vacuum extraction set
 Kit- k – Embryotomy set
 Kit- L – Uterine evacuation set
 Kit-M – Equipment for anesthesia
 Kit-N- Neonatal resuscitation set
 Kit-O- Equipment and reagent for blood test
 Kit-P – Donor blood transfusion set
Dr. KANUPRIYA CHATURVEDI 20
Goals set for various national /int. policies
Dr. KANUPRIYA CHATURVEDI 21
RCH Program: Phase II
 RCH Phase II began from 1 April 2005. The components
being:
 Essential obstetrical care
 Emergency obstetrical care
 Strengthening referral system Strengthening project
management
 Strengthening infrastructure
 Capacity building
 Improving referral system
 Strengthening MIS
 Innovative schemes
Dr. KANUPRIYA CHATURVEDI 22
Essential obstetric care
 Promotion of institutional deliveries
 50% of the PHCs and CHCs made operational as 24
hours delivery centers.
 Skilled attendance at birth
 Policy descions to permit Health workers to use
drugs in emergency situations to reduce maternal
mortality
Dr. KANUPRIYA CHATURVEDI 23
Emergency obstetric care
 Operationalisation of FRUs to provide:
 24 hours delivery services
 Emergency obstetric care
 New born care and emergency care of the sick child
 Full range of family planning services
 Safe abortion services
 Treatment of RTI and STI
 Blood storage facility
 Essential laboratory services
 Referral ( transport ) services
Dr. KANUPRIYA CHATURVEDI 24
New initiatives
 Training of PHC doctors in life saving anesthetic
skills for emergency obstetric care a FRUs
 Setting up of blood storage centres at FRUs
 Janani suraksha yojana
 Vandemataram scheme
 Safe abortion services
 Integrated Management of Childhood illnesses.
Dr. KANUPRIYA CHATURVEDI 25
24 hrs. Functioning of PHCs
• It is planned to establish 2000 FRUs in phases in
RCH-II 50% PHCs and all CHCs to be
operationalised in phases
• Availability of Services such as
- 24 Hrs. Delivery services
- New Born care
- Family Planning, Counselling and services
- Availability of RTI, STI services
- Safe abortion services (MVA etc.)
Dr. KANUPRIYA CHATURVEDI 26
Training in Anaesthesia
• Training of MBBS Doctors in Life Saving
Anaesthetic Skills for Emergency Obstetric Care.
• 18 weeks training course
• The First Training Programme
Conducted at AIIMS for Chhattisgarh
• Training to be conducted in phases
and limited to the requirement at
FRUs.
Dr. KANUPRIYA CHATURVEDI 27
Training in Obstetric Management
• Training of MBBS doctors in obstetric
management and skills including C.S. in
RCH-II
• Training to be conducted in collaboration
with FOGSI
• Duration of training to be 16 weeks
• Expert Group is considering other details
Dr. KANUPRIYA CHATURVEDI 28
Blood Storage Facility
 Management of obstetric emergencies is sometimes
not possible due to non-availability of blood.
 The Drugs and Cosmetics Act was therefore
modified to facilitate establishment of blood
storage centres at FRU’s.
Dr. KANUPRIYA CHATURVEDI 29
Janani Surkasha Yojna
To promote Institutional Deliveries
 To reduce overall
 Maternal Mortality Ratio
 Infant Mortality Rate
A safe motherhood intervention, replacing the
“NationalMaternity Benefit Scheme”, under NRHM
100 % centrally sponsored
Integrates cash assistance with delivery
& post-delivery care.
Dr. KANUPRIYA CHATURVEDI 30
Vandematram Scheme
 It is a voluntary scheme wherein any obstetric and
gynaec specialist, maternity home can volunteer
 Enrolled doctors will display ‘vandemataram logo’
at their clinics.
 Iron and folic acid tablets, oral pills, TT injections,
etc will be provided for free distribution.
Dr. KANUPRIYA CHATURVEDI 31
Referral Transport
Key issues: Roads, transportation, RCH I funds
poorly Utilized, Community participation lacking
Under Consideration
– Place funds with AWW /ANM; [ JSY]
– Develop community mechanisms
– Provide out source ambulances at PHCs
CHCs, and FRUs
Easy access to ambulance & assistance from AWW
Dr. KANUPRIYA CHATURVEDI 32
Role of ASHA
• A village level link worker attached to
AWW/ANM
• Motivator for ANC, PNC, Institutional
Delivery, Immunization and
Family Planning Services
• Provide Escort to beneficiary for above
services.
• Adolescents Health Counsellor.
Dr. KANUPRIYA CHATURVEDI 33
Strategy for addressing Adolescent
Reproductive and Sexual Health (ARSH)
A two-pronged strategy will be supported:
 Incorporation of adolescent issues in all the
RCH training programs and all RCH materials
developed for communication and behaviour
change.
 Dedicated days and dedicated timings for
adolescents at PHC’s.
Dr. KANUPRIYA CHATURVEDI 34
Infection Management and Environment
Plan
IMEP which is being extended to health care
facilities includes:
a) Treatment and disposal of
biomedical wastes
b) Disposal of syringe waste
c) Provision of water sanitation and
good hygiene conditions
Dr. KANUPRIYA CHATURVEDI 35
Safe Abortion Practices
 MEDICAL METHOD
 Termination of early pregnancy (49days) using 2 drugs
- mifeprestone followed by mesoprostol
 MANUAL VACCUM ASPIRATION
 Safe and simple technique for termination of pregnancy.
 Can be used at PHC or comparable facility
 FOGSI, WHO & state govt. are coordinating the project
Dr. KANUPRIYA CHATURVEDI 36
Some Innovative State Initiatives
Gujarat
 Increase access to safe delivery services. It is in partnership
with private providers (Chiranjivi Yojana)
 A Dai Sangathan has been formed by 10 leading NGOs of
the state to facilitate interface between the health system and
the community
Punjab
 Proposed to pay an incentive of Rs. 500/- to BPL SCs
belonging to urban areas
 Purchase and supply of nutrients like iron, calcium, D-
worming tablets for pregnant mothers belonging to SC
classes.
Dr. KANUPRIYA CHATURVEDI 37
Contd….
 Screening code for Ca Cervix – Tamil Nadu
Subsidized Medical Practitioner (SMP) scheme-
Assam, Bihar
Nurse Practitioners Scheme
Laproscopic Training – Maharashtra
Implementation of Health Insurance scheme on
pilot basis.
Dr. KANUPRIYA CHATURVEDI 38
Monitoring :
Accessibility Indicators
 No. of eligible couples registered/ANM
 No. of Antenatal Care sessions held as planned
 % of sub Centers with no ANM
 % of sub Centers with working equipment of ANC
 % ANM/TBA without requisite skill
 % sub centers with DDKs
 % of sub centers with infant weighing machine
 % subcenters with vaccine supplies
 % sub centers with ORS packets
 % sub centers with FP supplies
Dr. KANUPRIYA CHATURVEDI 39
Quality Indicators
Following are the quality indicators used to monitor and evaluate
RCH programme through monthly reports:
1. Number of antenatal cases registered
2. Number of pregnant women who had 3 antenatal checkups
3. Number of high risk pregnant women referred
4. Number of pregnant women who had 2 doses of TT
5. Number of pregnant women under prophylaxis and treatment of
anaemia
6. Number of deliveries by trained and untrained attendants
7. Number of cases with complications referred to
PHC/FRU
8. Number of newborn with birth weight recorded
Dr. KANUPRIYA CHATURVEDI 40
Contd..
9. No. of women given 3 post natal check-ups
10. No. of RTI/STD cases detected, treated and referred
11. No. of children fully immunized
12. No. of adverse reactions reported after immunization
13. No. of cases of ARI and diarrhea under 5yrs
14. No. of cases motivated and followed for contraception.
Dr. KANUPRIYA CHATURVEDI 41
Impact Indicators
 % DEATHS FROM MATERNAL CAUSES
 MATERNAL MORTALITY RATIO
 PREVALENCE OF MATERNAL MORBIDITY
 % LOW BIRTH WEIGHT
 NEO-NATAL MORTALITY RATIO
 PREVALENCE OF POST NATAL MATERNAL MORBIDITY
 % BABY BREAST FEED WITHIN 6 HRS OF DELIVERY
 COUPLE PROTECTION RATE
 PREVALENCE OF TERMINAL METHOD OF STERILIZATION
 PREVALENCE OF SPACING METHOD
 % ABORTION RELATED MORBIDITY
 PREVALENCE OF ADD
 PREVALENCE OF ARI
 PREVALENCE OF RTI/STDs

More Related Content

What's hot

Reproductive child health Programme
Reproductive child health ProgrammeReproductive child health Programme
Reproductive child health ProgrammeAnand Gowda
 
FAMILY WELFARE SERVICES.pptx
FAMILY WELFARE SERVICES.pptxFAMILY WELFARE SERVICES.pptx
FAMILY WELFARE SERVICES.pptxbeminaja
 
Reproductive and child health program
Reproductive and child health programReproductive and child health program
Reproductive and child health programHarsh Rastogi
 
Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)fredrick_Stephen
 
Rch programme in india
Rch programme in indiaRch programme in india
Rch programme in indiasobana M
 
National rural health mission
National rural health missionNational rural health mission
National rural health missionPavithra Reddy
 
ChCs (community health centres)
ChCs (community health centres)ChCs (community health centres)
ChCs (community health centres)RijoLijo
 
National health mission
National health missionNational health mission
National health missionmary jacob
 
IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) Nagamani Manjunath
 
Family welfare services
Family welfare servicesFamily welfare services
Family welfare servicestusharkedar2
 
REPRODUCTIVE AND CHILD HEALTH PROGRAMME
REPRODUCTIVE AND CHILD HEALTH  PROGRAMMEREPRODUCTIVE AND CHILD HEALTH  PROGRAMME
REPRODUCTIVE AND CHILD HEALTH PROGRAMMEHARSHITA
 
Government Health Insurance Schemes in India
Government Health Insurance Schemes in India Government Health Insurance Schemes in India
Government Health Insurance Schemes in India NaheedaFatimaKhan
 

What's hot (20)

ESI
ESIESI
ESI
 
First referral unit
First referral unitFirst referral unit
First referral unit
 
Reproductive child health Programme
Reproductive child health ProgrammeReproductive child health Programme
Reproductive child health Programme
 
FAMILY WELFARE SERVICES.pptx
FAMILY WELFARE SERVICES.pptxFAMILY WELFARE SERVICES.pptx
FAMILY WELFARE SERVICES.pptx
 
Ayushman bharat
Ayushman bharatAyushman bharat
Ayushman bharat
 
National rural health mission
National rural health missionNational rural health mission
National rural health mission
 
Reproductive and child health program
Reproductive and child health programReproductive and child health program
Reproductive and child health program
 
Nrhm
Nrhm Nrhm
Nrhm
 
Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)Jannai Shishu Suraksha Karyakaram (JSSK)
Jannai Shishu Suraksha Karyakaram (JSSK)
 
Rch programme in india
Rch programme in indiaRch programme in india
Rch programme in india
 
JSY
JSYJSY
JSY
 
Iphs for subcentre
Iphs for subcentreIphs for subcentre
Iphs for subcentre
 
National rural health mission
National rural health missionNational rural health mission
National rural health mission
 
ChCs (community health centres)
ChCs (community health centres)ChCs (community health centres)
ChCs (community health centres)
 
National health mission
National health missionNational health mission
National health mission
 
IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards) IPHS - Subcentre ( Indian Public Health Standards)
IPHS - Subcentre ( Indian Public Health Standards)
 
Family welfare services
Family welfare servicesFamily welfare services
Family welfare services
 
REPRODUCTIVE AND CHILD HEALTH PROGRAMME
REPRODUCTIVE AND CHILD HEALTH  PROGRAMMEREPRODUCTIVE AND CHILD HEALTH  PROGRAMME
REPRODUCTIVE AND CHILD HEALTH PROGRAMME
 
Government Health Insurance Schemes in India
Government Health Insurance Schemes in India Government Health Insurance Schemes in India
Government Health Insurance Schemes in India
 
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): Latest Guidelines
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): Latest GuidelinesPradhan Mantri Surakshit Matritva Abhiyan (PMSMA): Latest Guidelines
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): Latest Guidelines
 

Viewers also liked

Reproductive and child health programme
Reproductive and child health programmeReproductive and child health programme
Reproductive and child health programmeThomaskutty Saji
 
Reproductive and child health phase II
Reproductive  and  child  health  phase IIReproductive  and  child  health  phase II
Reproductive and child health phase IIManoj Vaidya
 
Maternal and child health programme
Maternal and child health programmeMaternal and child health programme
Maternal and child health programmeIndra Mani Mishra
 
Maternal and child health care
Maternal and child health careMaternal and child health care
Maternal and child health careSabeena Sasidharan
 
National cancer control program
National cancer control programNational cancer control program
National cancer control programJORRY POULOSE
 
Integrated Child Development Scheme (ICDS)
Integrated Child Development Scheme (ICDS)Integrated Child Development Scheme (ICDS)
Integrated Child Development Scheme (ICDS)Akhilesh Bhargava
 
RMNCH+A- NEW INITIAVE OF GOVT OF INDIA
RMNCH+A- NEW INITIAVE OF GOVT OF INDIARMNCH+A- NEW INITIAVE OF GOVT OF INDIA
RMNCH+A- NEW INITIAVE OF GOVT OF INDIADr.Kaushik Nag
 
National health programmes related to child health and welfare
National health programmes related to child health and welfareNational health programmes related to child health and welfare
National health programmes related to child health and welfareUniversity of Hyderabad
 
Reproductive & Child Health
Reproductive & Child HealthReproductive & Child Health
Reproductive & Child HealthAmandeep Kaur
 
Presentation1 on Reproductive & Child Health
Presentation1 on Reproductive & Child HealthPresentation1 on Reproductive & Child Health
Presentation1 on Reproductive & Child HealthShan Damrolien
 
National iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idaNational iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idadpmo123
 
Primary Health Care 2
Primary Health Care 2Primary Health Care 2
Primary Health Care 2Doc Lorie B
 

Viewers also liked (20)

RCH
RCHRCH
RCH
 
Reproductive and child health programme
Reproductive and child health programmeReproductive and child health programme
Reproductive and child health programme
 
Reproductive and child health phase II
Reproductive  and  child  health  phase IIReproductive  and  child  health  phase II
Reproductive and child health phase II
 
Dr. bhuwan rch
Dr. bhuwan rchDr. bhuwan rch
Dr. bhuwan rch
 
Recent Advances in RCH - India
Recent Advances in RCH - IndiaRecent Advances in RCH - India
Recent Advances in RCH - India
 
Mch and rch programmes
Mch and rch  programmesMch and rch  programmes
Mch and rch programmes
 
Maternal and child health programme
Maternal and child health programmeMaternal and child health programme
Maternal and child health programme
 
Rch part i
Rch part iRch part i
Rch part i
 
Maternal and child health care
Maternal and child health careMaternal and child health care
Maternal and child health care
 
National cancer control program
National cancer control programNational cancer control program
National cancer control program
 
Integrated Child Development Scheme (ICDS)
Integrated Child Development Scheme (ICDS)Integrated Child Development Scheme (ICDS)
Integrated Child Development Scheme (ICDS)
 
RMNCH+A- NEW INITIAVE OF GOVT OF INDIA
RMNCH+A- NEW INITIAVE OF GOVT OF INDIARMNCH+A- NEW INITIAVE OF GOVT OF INDIA
RMNCH+A- NEW INITIAVE OF GOVT OF INDIA
 
National health programmes related to child health and welfare
National health programmes related to child health and welfareNational health programmes related to child health and welfare
National health programmes related to child health and welfare
 
Rch ii baseline survey-report
Rch ii baseline survey-reportRch ii baseline survey-report
Rch ii baseline survey-report
 
Dr. Liza Hopkins - Incoporating Education into the holistic Care of paediatri...
Dr. Liza Hopkins - Incoporating Education into the holistic Care of paediatri...Dr. Liza Hopkins - Incoporating Education into the holistic Care of paediatri...
Dr. Liza Hopkins - Incoporating Education into the holistic Care of paediatri...
 
Reproductive & Child Health
Reproductive & Child HealthReproductive & Child Health
Reproductive & Child Health
 
Presentation1 on Reproductive & Child Health
Presentation1 on Reproductive & Child HealthPresentation1 on Reproductive & Child Health
Presentation1 on Reproductive & Child Health
 
National iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_idaNational iron plus_initiative_guidelines_for_control_of_ida
National iron plus_initiative_guidelines_for_control_of_ida
 
Primary Health Care 2
Primary Health Care 2Primary Health Care 2
Primary Health Care 2
 
W 2s vs-1099s
W 2s vs-1099sW 2s vs-1099s
W 2s vs-1099s
 

Similar to RCH program

Rmnch+a (maternal component)
Rmnch+a (maternal component)Rmnch+a (maternal component)
Rmnch+a (maternal component)Dr Bushra Jabeen
 
1535975311475 national family welfare programme 2
1535975311475 national family welfare programme 21535975311475 national family welfare programme 2
1535975311475 national family welfare programme 2Cindrella Zinnia Burge
 
reproductive child health .pptx
reproductive child health .pptxreproductive child health .pptx
reproductive child health .pptxBhoomikaPushpajan
 
Maternal health care ppt
Maternal health care pptMaternal health care ppt
Maternal health care pptNikita Sharma
 
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, Chamarajanagar
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarRMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, Chamarajanagar
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarDr Girish B
 
RMNCH+A 5 x 5 matrix
RMNCH+A 5 x 5 matrixRMNCH+A 5 x 5 matrix
RMNCH+A 5 x 5 matrixRakesh Verma
 
Safe Motherhood and Newborn Program
Safe Motherhood and Newborn Program Safe Motherhood and Newborn Program
Safe Motherhood and Newborn Program Public Health
 
Safe motherhood Nepal presentation.pptx
Safe motherhood Nepal  presentation.pptxSafe motherhood Nepal  presentation.pptx
Safe motherhood Nepal presentation.pptxKhem Sharma
 
National health Programme related to child health
National health Programme related to child healthNational health Programme related to child health
National health Programme related to child healthSurendra Sharma
 
National health programmes related to child health
National health programmes related to child healthNational health programmes related to child health
National health programmes related to child healthMahaveer Swarnkar
 
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...Ghia Foundation
 
High impact interventions in rmnch+a(mch)part
High impact interventions in rmnch+a(mch)partHigh impact interventions in rmnch+a(mch)part
High impact interventions in rmnch+a(mch)partSudha Goel
 
Global Health Action - Haiti
Global Health Action - HaitiGlobal Health Action - Haiti
Global Health Action - Haitijehill3
 
Trends in Newborn Care in India
Trends in Newborn Care in IndiaTrends in Newborn Care in India
Trends in Newborn Care in IndiaDr. Ramkesh Prasad
 

Similar to RCH program (20)

RCH PROGRAMME PPT.ppt
RCH PROGRAMME PPT.pptRCH PROGRAMME PPT.ppt
RCH PROGRAMME PPT.ppt
 
Rmnch+a (maternal component)
Rmnch+a (maternal component)Rmnch+a (maternal component)
Rmnch+a (maternal component)
 
Reproductive and Child Health Programme
Reproductive and Child Health ProgrammeReproductive and Child Health Programme
Reproductive and Child Health Programme
 
RCH .pptx
RCH .pptxRCH .pptx
RCH .pptx
 
NRHM - NEW.pptx
NRHM - NEW.pptxNRHM - NEW.pptx
NRHM - NEW.pptx
 
1535975311475 national family welfare programme 2
1535975311475 national family welfare programme 21535975311475 national family welfare programme 2
1535975311475 national family welfare programme 2
 
reproductive child health .pptx
reproductive child health .pptxreproductive child health .pptx
reproductive child health .pptx
 
Maternal health care ppt
Maternal health care pptMaternal health care ppt
Maternal health care ppt
 
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, Chamarajanagar
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, ChamarajanagarRMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, Chamarajanagar
RMNCH + A MCH Program Dr Girish .B Associate Professor, CIMS, Chamarajanagar
 
RMNCH+A 5 x 5 matrix
RMNCH+A 5 x 5 matrixRMNCH+A 5 x 5 matrix
RMNCH+A 5 x 5 matrix
 
Safe Motherhood and Newborn Program
Safe Motherhood and Newborn Program Safe Motherhood and Newborn Program
Safe Motherhood and Newborn Program
 
Safe motherhood Nepal presentation.pptx
Safe motherhood Nepal  presentation.pptxSafe motherhood Nepal  presentation.pptx
Safe motherhood Nepal presentation.pptx
 
National health Programme related to child health
National health Programme related to child healthNational health Programme related to child health
National health Programme related to child health
 
National health programmes related to child health
National health programmes related to child healthNational health programmes related to child health
National health programmes related to child health
 
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...
Ghia Fdn overview-strategy update january 2017 (presentation resaved sept 14_...
 
Takur R Baragi
Takur R Baragi Takur R Baragi
Takur R Baragi
 
Rch ppt
Rch pptRch ppt
Rch ppt
 
High impact interventions in rmnch+a(mch)part
High impact interventions in rmnch+a(mch)partHigh impact interventions in rmnch+a(mch)part
High impact interventions in rmnch+a(mch)part
 
Global Health Action - Haiti
Global Health Action - HaitiGlobal Health Action - Haiti
Global Health Action - Haiti
 
Trends in Newborn Care in India
Trends in Newborn Care in IndiaTrends in Newborn Care in India
Trends in Newborn Care in India
 

Recently uploaded

Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....sharyurangari111
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11crzljavier
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learningNehaKewat
 
person with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxperson with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxMUKESH PADMANABHAN
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYRMC
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024Traumasoft LLC
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfhezamzaki1
 
Diseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxDiseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxEMADABATHINI PRABHU TEJA
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxPamela McKinney
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxHanineHassan2
 
Identifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxIdentifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxsandhulove46637
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsIris Thiele Isip-Tan
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal TutorNehaKewat
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementIris Thiele Isip-Tan
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareratilalthakkar704
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLyons Health
 
Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxCliniminds India
 

Recently uploaded (20)

Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
Toothpaste for bleeding gums and sensitive teeth. Teeth whitening, Mouthwash....
 
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES  11
FINAL PROJECT IN EMPOWERMENT TECHNOLOGIES 11
 
EYE CANCER.pptx prepared by Neha kewat digital learning
EYE CANCER.pptx prepared by  Neha kewat digital learningEYE CANCER.pptx prepared by  Neha kewat digital learning
EYE CANCER.pptx prepared by Neha kewat digital learning
 
person with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptxperson with disability and pwd act ppt.pptx
person with disability and pwd act ppt.pptx
 
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHYCECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
CECT NECK NECK ANGIOGRAPHY CAROTID ANGIOGRAPHY
 
21 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 202421 NEMT Trends & Statistics to Know in 2024
21 NEMT Trends & Statistics to Know in 2024
 
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdfAnatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
Anatomy Shelf Notevbhhhhhhhhhhhhhhhs.pdf
 
Diseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptxDiseases of the Respiratory System (J00-J99),.pptx
Diseases of the Respiratory System (J00-J99),.pptx
 
Painting Rats White Angers Them to No End
Painting Rats White Angers Them to No EndPainting Rats White Angers Them to No End
Painting Rats White Angers Them to No End
 
Health literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptxHealth literacies in marginalised communities LILAC 24.pptx
Health literacies in marginalised communities LILAC 24.pptx
 
The Power of Active listening - Tool in effective communication.pdf
The Power of Active listening - Tool in effective communication.pdfThe Power of Active listening - Tool in effective communication.pdf
The Power of Active listening - Tool in effective communication.pdf
 
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptxNEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
NEONATAL RESPIRATORY CARE FROM A PHYSIO POV.pptx
 
Identifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptxIdentifying Signs of Mental Health Presentation (1).pptx
Identifying Signs of Mental Health Presentation (1).pptx
 
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, BenefitsArtificial Intelligence in Healthcare: Challenges, Risks, Benefits
Artificial Intelligence in Healthcare: Challenges, Risks, Benefits
 
Annual Training
Annual TrainingAnnual Training
Annual Training
 
ARTHRITIS.pptx Prepared by monika gopal Tutor
ARTHRITIS.pptx Prepared  by monika gopal TutorARTHRITIS.pptx Prepared  by monika gopal Tutor
ARTHRITIS.pptx Prepared by monika gopal Tutor
 
Artificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes ManagementArtificial Intelligence: Diabetes Management
Artificial Intelligence: Diabetes Management
 
Assisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCareAssisted Living Care Residency - PapayaCare
Assisted Living Care Residency - PapayaCare
 
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete HealthLiving Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
Living Well Every Day: Lyons Wellness Practice | Nurtures Your Complete Health
 
Pharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptxPharmacovigilance audits inspections.pptx
Pharmacovigilance audits inspections.pptx
 

RCH program

  • 1. REPRODUCTIVE AND CHILD HEALTH PROGRAM(RCH) Dr. KANUPRIYA CHATURVEDI
  • 2. Dr. KANUPRIYA CHATURVEDI 2 Lesson Objectives  To Learn about the various components of RCH program  To know about the goals. objectives target groups, service components and RCH program  To know about the services/activities under the program  To know about the new initiatives in the program
  • 3. Dr. KANUPRIYA CHATURVEDI 3 Components  The RCH program incorporated the earlier existing programs i.e. National Family Welfare Program and Child Survival and Survival & Safe Motherhood Program ( CSSM) and added two more components one relating to sexually transmitted disease and the other relating to reproductive tract infections. The program was formally launched on 15 October 1997.
  • 4. Dr. KANUPRIYA CHATURVEDI 4 Components: FAMILY PLANNING CHILD SURVIVAL AND SAFE MOTHERHOOD PREVENTION/ MANAGEMENTOF RTI/STD/AIDS CLIENT APPROACH TO HEALTH CARE Adolescent Health Care and Family Life Education
  • 5. Dr. KANUPRIYA CHATURVEDI 5 RCH PROGRAM Family Planning  Improved method mix  Private sector inclusion  Address quality  Collaborate with NACO in condom distribution Maternal Health •Quality ANC •Institutional Deliveries •Skilled Birth Attendance • EmObstetric care •Home based post- partum & NBC •Quality safe abortion services •RTI/STI Child Health) •Intensify existing services : Immunization, NBC Micronutrient Supply CDD ARI • IMNCI. Adolescent health •Anemia •Awareness about RH issues
  • 6. Dr. KANUPRIYA CHATURVEDI 6 RCH Program (cross cutting Issues) Human Resources  Anesthetists  Obstetricians  Lady doctors  Contractual ANMs  Staff Nurses in 24 Hrs PHCs  Counselor IEC •Branding •Involving Professional Agencies •Media •Inter-personal Communication •Celebrity involvement ISC •Awareness about RH issues •Anemia MIS •Output based Monitoring •Triangulation of Data •CES/DHS
  • 7. Dr. KANUPRIYA CHATURVEDI 7 The Paradigm Shift Vertical Programmes Integrated Service Delivery Camp Oriented Client Oriented Target Oriented Goal Oriented Quantity Oriented Quality Oriented
  • 8. Dr. KANUPRIYA CHATURVEDI 8 Camp Oriented Client Oriented • Sterilization Camps • IUD Camps • Immunisation Camps • Full Range of RCH Services • Need Based .
  • 9. Dr. KANUPRIYA CHATURVEDI 9 Target Oriented Goal Oriented Performance by Numbers Performance by Quality • Top Down • Target Driven • Bottom up • Client Need Based • Community Participation • To the Govt. System • To the Clients, Community
  • 10. Dr. KANUPRIYA CHATURVEDI 10 Program Objectives  Promotion of MCH to ensure safe mother hood and child survival  Reduction of maternal and child morbidity and mortality  Attainment of population stabilization
  • 11. Dr. KANUPRIYA CHATURVEDI 11 Highlights of the program  Integration of all programs related fertility regulation, maternal and child health and reproductive health.  Services are client oriented, demand driven through decentralized participatory process and target free approach  Up-gradation of facilities : creation of First referral units  Provision of specialist services for STD and RTI  Provision of out reach services for vulnerable groups
  • 12. Dr. KANUPRIYA CHATURVEDI 12 Categories:  Differential approach  Based on CBR and female literacy rate,  Category A:58 districts  Category B:184 districts  Category C:265 districts  All the districts covered in a phased manner over a period of 3yrs
  • 13. Dr. KANUPRIYA CHATURVEDI 13 Service Package: for mothers  Essential obstetric care  Early registration  Minimum 3 ANC  Safe delivery  3 PNC  Referral  More relevant for Assam, Bihar,Rajasthan, Orissa,UP, MP
  • 14. Dr. KANUPRIYA CHATURVEDI 14 Emergency obstetric care  Strengthen FRUs  Supply of kits and skilled manpower  TBA (Traditional Birth Attendants) Dai training  NGOs involved: More local specific  24-hr Delivery services at PHCs/CHCs:  Promote institutional deliveries Additional honorariumto staff  Safe deliveries
  • 15. Dr. KANUPRIYA CHATURVEDI 15 Contd.  Deliveries by trained personnel in safe and hygienic surroundings are encouraged  Institutional deliveries are encouraged for women having complications.  In case of complication referrals are made to First Referral Units for Management of obstetric emergencies.  Three postnatal checkups are given to mothers after the delivery.  Spacing of at least three years between children are encouraged.  
  • 16. Dr. KANUPRIYA CHATURVEDI 16 For children  Essential newborn care like keeping the baby warm, checking the baby’s weight and giving the baby mother’s first milk are encouraged.  Babies that are premature or have low birth weight are provided special care.  Babies with any complications refereed to the health center.  Exclusive breast-feeding are encouraged for the first three months.
  • 17. Dr. KANUPRIYA CHATURVEDI 17 Contd.  Immunization are administered to every child meticulously to prevent death and disabilities.  Vitamin A Prophylaxis  ORT.  Acute respiratory infection in children treated by cotrimoxazole tablets.  Treatment of Anemia
  • 18. Dr. KANUPRIYA CHATURVEDI 18 For Eligible Couples  Promoting use of contraceptive methods among eligible couples is important to prevent unwanted pregnancies. Couples should be able to choose from various contraceptive methods including condoms,oral pills, IUDs,male and female sterilization  Safe services for medical termination of pregnancies should be encouraged for women desiring abortions    Other New Services  Treatment of RTI/STI is given.  Promotion activities for adolescents health.
  • 19. Dr. KANUPRIYA CHATURVEDI 19 Drug and equipment kits: Mid-wifery kit & drug kit  Kit-E – Laparotomy set  Kit-F - Mini– Laparotomy set  Kit-G – IUD insertion set  Kit-H – Vasectomy set  Kit- I – Normal delivery set  Kit- J – Vacuum extraction set  Kit- k – Embryotomy set  Kit- L – Uterine evacuation set  Kit-M – Equipment for anesthesia  Kit-N- Neonatal resuscitation set  Kit-O- Equipment and reagent for blood test  Kit-P – Donor blood transfusion set
  • 20. Dr. KANUPRIYA CHATURVEDI 20 Goals set for various national /int. policies
  • 21. Dr. KANUPRIYA CHATURVEDI 21 RCH Program: Phase II  RCH Phase II began from 1 April 2005. The components being:  Essential obstetrical care  Emergency obstetrical care  Strengthening referral system Strengthening project management  Strengthening infrastructure  Capacity building  Improving referral system  Strengthening MIS  Innovative schemes
  • 22. Dr. KANUPRIYA CHATURVEDI 22 Essential obstetric care  Promotion of institutional deliveries  50% of the PHCs and CHCs made operational as 24 hours delivery centers.  Skilled attendance at birth  Policy descions to permit Health workers to use drugs in emergency situations to reduce maternal mortality
  • 23. Dr. KANUPRIYA CHATURVEDI 23 Emergency obstetric care  Operationalisation of FRUs to provide:  24 hours delivery services  Emergency obstetric care  New born care and emergency care of the sick child  Full range of family planning services  Safe abortion services  Treatment of RTI and STI  Blood storage facility  Essential laboratory services  Referral ( transport ) services
  • 24. Dr. KANUPRIYA CHATURVEDI 24 New initiatives  Training of PHC doctors in life saving anesthetic skills for emergency obstetric care a FRUs  Setting up of blood storage centres at FRUs  Janani suraksha yojana  Vandemataram scheme  Safe abortion services  Integrated Management of Childhood illnesses.
  • 25. Dr. KANUPRIYA CHATURVEDI 25 24 hrs. Functioning of PHCs • It is planned to establish 2000 FRUs in phases in RCH-II 50% PHCs and all CHCs to be operationalised in phases • Availability of Services such as - 24 Hrs. Delivery services - New Born care - Family Planning, Counselling and services - Availability of RTI, STI services - Safe abortion services (MVA etc.)
  • 26. Dr. KANUPRIYA CHATURVEDI 26 Training in Anaesthesia • Training of MBBS Doctors in Life Saving Anaesthetic Skills for Emergency Obstetric Care. • 18 weeks training course • The First Training Programme Conducted at AIIMS for Chhattisgarh • Training to be conducted in phases and limited to the requirement at FRUs.
  • 27. Dr. KANUPRIYA CHATURVEDI 27 Training in Obstetric Management • Training of MBBS doctors in obstetric management and skills including C.S. in RCH-II • Training to be conducted in collaboration with FOGSI • Duration of training to be 16 weeks • Expert Group is considering other details
  • 28. Dr. KANUPRIYA CHATURVEDI 28 Blood Storage Facility  Management of obstetric emergencies is sometimes not possible due to non-availability of blood.  The Drugs and Cosmetics Act was therefore modified to facilitate establishment of blood storage centres at FRU’s.
  • 29. Dr. KANUPRIYA CHATURVEDI 29 Janani Surkasha Yojna To promote Institutional Deliveries  To reduce overall  Maternal Mortality Ratio  Infant Mortality Rate A safe motherhood intervention, replacing the “NationalMaternity Benefit Scheme”, under NRHM 100 % centrally sponsored Integrates cash assistance with delivery & post-delivery care.
  • 30. Dr. KANUPRIYA CHATURVEDI 30 Vandematram Scheme  It is a voluntary scheme wherein any obstetric and gynaec specialist, maternity home can volunteer  Enrolled doctors will display ‘vandemataram logo’ at their clinics.  Iron and folic acid tablets, oral pills, TT injections, etc will be provided for free distribution.
  • 31. Dr. KANUPRIYA CHATURVEDI 31 Referral Transport Key issues: Roads, transportation, RCH I funds poorly Utilized, Community participation lacking Under Consideration – Place funds with AWW /ANM; [ JSY] – Develop community mechanisms – Provide out source ambulances at PHCs CHCs, and FRUs Easy access to ambulance & assistance from AWW
  • 32. Dr. KANUPRIYA CHATURVEDI 32 Role of ASHA • A village level link worker attached to AWW/ANM • Motivator for ANC, PNC, Institutional Delivery, Immunization and Family Planning Services • Provide Escort to beneficiary for above services. • Adolescents Health Counsellor.
  • 33. Dr. KANUPRIYA CHATURVEDI 33 Strategy for addressing Adolescent Reproductive and Sexual Health (ARSH) A two-pronged strategy will be supported:  Incorporation of adolescent issues in all the RCH training programs and all RCH materials developed for communication and behaviour change.  Dedicated days and dedicated timings for adolescents at PHC’s.
  • 34. Dr. KANUPRIYA CHATURVEDI 34 Infection Management and Environment Plan IMEP which is being extended to health care facilities includes: a) Treatment and disposal of biomedical wastes b) Disposal of syringe waste c) Provision of water sanitation and good hygiene conditions
  • 35. Dr. KANUPRIYA CHATURVEDI 35 Safe Abortion Practices  MEDICAL METHOD  Termination of early pregnancy (49days) using 2 drugs - mifeprestone followed by mesoprostol  MANUAL VACCUM ASPIRATION  Safe and simple technique for termination of pregnancy.  Can be used at PHC or comparable facility  FOGSI, WHO & state govt. are coordinating the project
  • 36. Dr. KANUPRIYA CHATURVEDI 36 Some Innovative State Initiatives Gujarat  Increase access to safe delivery services. It is in partnership with private providers (Chiranjivi Yojana)  A Dai Sangathan has been formed by 10 leading NGOs of the state to facilitate interface between the health system and the community Punjab  Proposed to pay an incentive of Rs. 500/- to BPL SCs belonging to urban areas  Purchase and supply of nutrients like iron, calcium, D- worming tablets for pregnant mothers belonging to SC classes.
  • 37. Dr. KANUPRIYA CHATURVEDI 37 Contd….  Screening code for Ca Cervix – Tamil Nadu Subsidized Medical Practitioner (SMP) scheme- Assam, Bihar Nurse Practitioners Scheme Laproscopic Training – Maharashtra Implementation of Health Insurance scheme on pilot basis.
  • 38. Dr. KANUPRIYA CHATURVEDI 38 Monitoring : Accessibility Indicators  No. of eligible couples registered/ANM  No. of Antenatal Care sessions held as planned  % of sub Centers with no ANM  % of sub Centers with working equipment of ANC  % ANM/TBA without requisite skill  % sub centers with DDKs  % of sub centers with infant weighing machine  % subcenters with vaccine supplies  % sub centers with ORS packets  % sub centers with FP supplies
  • 39. Dr. KANUPRIYA CHATURVEDI 39 Quality Indicators Following are the quality indicators used to monitor and evaluate RCH programme through monthly reports: 1. Number of antenatal cases registered 2. Number of pregnant women who had 3 antenatal checkups 3. Number of high risk pregnant women referred 4. Number of pregnant women who had 2 doses of TT 5. Number of pregnant women under prophylaxis and treatment of anaemia 6. Number of deliveries by trained and untrained attendants 7. Number of cases with complications referred to PHC/FRU 8. Number of newborn with birth weight recorded
  • 40. Dr. KANUPRIYA CHATURVEDI 40 Contd.. 9. No. of women given 3 post natal check-ups 10. No. of RTI/STD cases detected, treated and referred 11. No. of children fully immunized 12. No. of adverse reactions reported after immunization 13. No. of cases of ARI and diarrhea under 5yrs 14. No. of cases motivated and followed for contraception.
  • 41. Dr. KANUPRIYA CHATURVEDI 41 Impact Indicators  % DEATHS FROM MATERNAL CAUSES  MATERNAL MORTALITY RATIO  PREVALENCE OF MATERNAL MORBIDITY  % LOW BIRTH WEIGHT  NEO-NATAL MORTALITY RATIO  PREVALENCE OF POST NATAL MATERNAL MORBIDITY  % BABY BREAST FEED WITHIN 6 HRS OF DELIVERY  COUPLE PROTECTION RATE  PREVALENCE OF TERMINAL METHOD OF STERILIZATION  PREVALENCE OF SPACING METHOD  % ABORTION RELATED MORBIDITY  PREVALENCE OF ADD  PREVALENCE OF ARI  PREVALENCE OF RTI/STDs

Editor's Notes

  1. • Training guidelines giving criteria for certification, selection of trainees & training instt./medical college, minimum procedures etc. finalized
  2. • Link between beneficiaries and ANMs.
  3. 40 plus care including screening code for CaCx- in /tn BCC including IEC, counseling, family & community participation. Subsidized Medical Practitioner (SMP) scheme – This scheme is based on success achieved of this scheme in Pune district . Districts will identify remote and hilly areas where medical care is not available . Newly passed out Medical Graduates (Preferably Ayurvedic) will be provided with assistance in the form of honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice. Nurse Practitioners Scheme– Similar to SMP scheme districts will identify villages where nurses can practice Midwifery and other minor ailment treatment on payment basis, they will be provided with honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice. Implementation of Health Insurance scheme on pilot basis.
  4. There is increased trained of Laproscopic Sterilization. Laproscopic Sterilization is on going activity. To train eligible candidates (Gynaecologist & General Surgeon) in Laproscopic sterilization, the following institutes are identified - 1) Sasoon Hospital, Pune 2) YCM Hospital, Pimpari Chinchwad 3) Shri Sali Hospital, Manchar,Dist. Pune 4) Women Hospital - Jalna 5) District Hospital - Alibag 6) Govt. Medical College,Dhule Contribution from Private Sector is there in the form of performance as well as training to Surgeons. The training of Laproscopic Sterilization is to be imparted to team comprising of Gynaecologist / General Surgeon Private Practitioners who are eligible for training and has desired to under go training Family Planning Association of India and Sangamnerkar Dwarika Subsidized Medical Practitioner (SMP) scheme – This scheme is based on success achieved of this scheme in Pune district . Districts will identify remote and hilly areas where medical care is not available . Newly passed out Medical Graduates (Preferably Ayurvedic) will be provided with assistance in the form of honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice. Nurse Practitioners Scheme– Similar to SMP scheme districts will identify villages where nurses can practice Midwifery and other minor ailment treatment on payment basis, they will be provided with honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice.
  5. SINCE IT IS A TARGET FREE APPROACH MONTHLY MONITORING IS MANDATOTRY.