a student presentation based on field visit to a primary health centre

1. By Students
110201442-110201452

2.  Introduction
 Maternal and child health care including family
planning
• Antenatal care
• Intra-natal care
• Post natal care
• New born care
• Care of the child
• Family planning

3.  Each year, lakhs of women, newborns, and children
die from preventable causes.
 While the interventions that could save their lives
are widely known, they are often not available to
those most in need.
 With the intention of avoiding these preventable
deaths the government of Karnataka set up the
Primary Health Care Centre in rural villages.

4. A look at the statistics worldwide shows that
each year:
• More than 60 million women deliver at home
without skilled care.
• About 530,000 women die from pregnancy related
complications, with some 68,000 of those deaths
resulting from unsafe abortion.

5. • About 4 million babies die within the first
month of life (the newborn period), and more
than 3 million die as stillbirths.
• Over 10 million children under the age of 5 die.
• Moreover, nearly all (99 percent) maternal,
newborn, and child deaths occur in low- and
middle-income countries.

6. MATERNAL AND CHILD HEALTH CARE
INCLUDING FAMILY PLANNING
Antenatal care:
 Early registration of all pregnancies ideally in the
first trimester (before 12th week of pregnancy).
However, even if a woman comes late in her
pregnancy for registration she should be registered
and care given to her according to gestational age.

7. • Minimum 3 antenatal checkups and provision of
complete package of services. First visit as soon as
pregnancy is suspected/between 4th and 6th month
(before 26 weeks), second visit at 8th month (around
32weeks) and third visit at 9th month (around 36
weeks).
• Associated services like providing iron and folic acid
tablets, injection Tetanus toxoid etc (as per the
“guidelines for ante-natal care and skilled
attendance at birth by ANMs and LHVs)

8. • Minimum laboratory investigations like
haemoglobin, urine albumin, and sugar, RPR test
for syphilis
• Nutrition and health counseling
• Identification of high-risk pregnancies/ appropriate
management
• Chemoprophylaxis for Malaria in high malaria
endemic areas as per NVBDCP (National Vector
Borne Disease Control Programme) guidelines.

9. • Referral to First Referral Units (FRUs)/other
hospitals of high risk pregnancy beyond the
capability of Medical Officer, PHC to manage.

10. Intra-natal care:
(24-hour delivery services both normal and assisted)
i) Promotion of institutional deliveries
ii) Conducting normal deliveries
iii) Assisted vaginal deliveries including forceps /
vacuum delivery whenever required

11. iv) Manual removal of placenta
v) Appropriate and prompt referral for cases needing
specialist care.
vi) Management of Pregnancy Induced hypertension
including referral
vii) Pre-referral management (Obstetric first-aid) in
Obstetric emergencies that need expert assistance
(Training of staff for emergency management to be
ensured)

12. LABOUR WARD

14. Postnatal Care:
• A minimum of 2 postpartum home visits, first
within 48 hours of delivery, 2nd within 7 days
through Sub-centre staff.
• Initiation of early breast-feeding within half-hour
of birth
• Education on nutrition, hygiene, contraception,
essential new born care (As per Guidelines of GOI
on Essential new-born care)
• Others: Provision of facilities under Janani
Suraksha Yojana (JSY)

15. New Born care:
 Facilities and care for neonatal resuscitation
 Management of neonatal hypothermia / jaundice
Care of the child:
 Emergency care of sick children including
Integrated Management of Neonatal and Childhood
Illness (IMNCI)

16. • Care of routine childhood illness
• Essential Newborn Care
• Promotion of exclusive breast-feeding for 6 months.
• Full Immunization of all infants and children
against vaccine preventable diseases as per
guidelines of GOI.
• Vitamin A prophylaxis to the children as per
guidelines.
• Prevention and control of childhood diseases,
infections, etc.

17. Family Planning:
• Education, Motivation and counseling to adopt
appropriate Family planning methods.
• Provision of contraceptives such as condoms, oral
pills, emergency contraceptives, IUD insertions.
• Permanent methods like Tubal ligation and
vasectomy / NSV.
• Follow up services to the eligible couples adopting
permanent methods (Tubectomy/Vasectomy).
• Counseling and appropriate referral for safe
abortion services (MTP) for those in need.

18. • Counseling and appropriate referral for couples
having infertility.
 Medical Termination of Pregnancies using Manual
Vacuum Aspiration (MVA) technique. (wherever
trained personnel and facility exists)
 Management of Reproductive Tract Infections /
Sexually Transmitted Infections:
 Health education for prevention of RTI/ STIs
 Treatment of RTI/ STIs

19.  Nutrition Services (coordinated with ICDS)
 Diagnosis of and nutrition advice to malnourished
children, pregnant women and others.
 Diagnosis and management of anaemia, and
vitamin A deficiency.
 Coordination with ICDS.
 School Health: Regular check ups, appropriate
treatment including deworming, referral and
follow-ups.
 Adolescent Health Care: Life style education,
counseling, appropriate treatment.

21. THANK YOU