The reproductive child health programme was launched in 1997 with the main aims of reducing infant and maternal mortality rates. It has elements of safe motherhood, child survival, and fertility regulation. The objectives include meeting all contraceptive needs, reducing infant and maternal morbidity and mortality rates. The programme interventions include essential and emergency obstetric care, immunization services, and interventions for maternal, neonatal and child health. It provides drugs, medical equipment and kits to different levels of healthcare facilities. The programme has been implemented in two phases with the second phase strengthening referral systems and integrating management of neonatal and childhood illnesses.

1. Reproductive child health
programme
HARSHITA
IIIrd YEAR
A.B.C.O.N

2. INTRODUCTION
•The main aim of the programme is to
reduce IMR and MMR.
•It was launched in 1997.

3. INTRODUCTION
•State of complete physical , mental and
social well being and not merely absence of
disease.
•It implies that people are able to have a
satisfying and safe sex life.
•The definition was adopted by ICDP (
International conference of population
development).

4. ELEMENTS
•SAFE MOTHERHOOD ALONGWITH ADDED
ELEMENT OF MANAGEMENT OF RTI AND
STI.
•CHILD SURVIVAL
•FERTILITY REGULATIONS

5. OBJECTIVES
•TO MEET ALL THE FELT NEEDS FOR
CONTRACEPTION
•TO REDUCE IMR
•TO REDUCE INFANT AND MATERNAL
MORBIDITY

6. FACTORS AFFECTING
SOCIO-ECONOMIC STATUS
STATUS OF WOMEN
EDUCATIONAL OPPERTUNITIES
RTI ; STD ; INFERTILITY
MMR
ADOLESCENT HEALTH

7. FACTORS AFFECTING
UNSAFE ABORTION
GENDER RELATION
ENVIRONMENT
NUTRITION

8. RCH PROGRAMME INTERVENTION
[PHASE -1]

9. MATERNAL HEALTH INTERVENTION
•ESSENTIAL OBSTETRIC CARE:-
EARLY REGISTRATION OF PREGNANCY
PROVISION OF 3 AN CHECK UPS
IMMUNIZATION
INSTITUTIONAL DELIVERIES
3 POST NATAL CHECK YUPS

10. MATERNAL HEALTH INTERVENTION
•EMERGENCY OBSTETRIC CARE:-
IDENTIFYING AND STRENGTHENING FIRST
REFERRAL UNITS UNDER THE RCH
PROGRAMME.
PROVIDING OBSTETRIC KIT
PROVISION OF SKILLED MAN POWER

11. MATERNAL HEALTH INTERVENTION
•24 hrs. DELIVERY SERVICES AT PHC:-
TO PROMOTE INSTITUTIONAL DELIVERIES
24 hrs. SERVICE TO WOMEN IN LABOUR

12. MATERNAL HEALTH INTERVENTION
•MTP(MEDICAL TERMINATION OF
PREGNANCY)
PROVISION OF MTP EQUIPMENT
ASSISTING STATES FOR ENGAGING DOCTORS
TRAINED IN MTP
PROVISION OF MTP EQUIPMENTS

13. MATERNAL HEALTH INTERVENTION
•PREVENTION MANAGEMENT CONTROL OF
RTI
•PROVISION HAS BEEN MADE FOR
TRANSPORT FACILIY
•TRAINING OF TRADITIONAL BIRTH
ATTENDENT
•PROVISION OF CONTRACEPTIVES

14. CHILD HEALTH INTERVENTION
•UNIVERSAL IMMUNIZATION
PROGRAMME:-
CHILDREN ARE IMMUNIZED AGAINST 6
KILLER DISEASES T.B ; DIPTHERIA ;
POLIOMYELITIS ; MEASELS ; NEONATAL
TETANUS

16. CHILD HEALTH INTERVENTION
•REDUCE DROP OUT RATE
•PULSE POLIO IMMUNIZATION IS CARRIED
TO ERADICATE POLIO
•HEPATITIS – B INTRODUCED AS A PART OF
UNIVERSAL IMMUNIZATION PROGRAMME.
•CONTROL OF ARI’s

17. CHILD HEALTH INTERVENTION
•ESSENTIAL NEW BORN CARE TO DECLINE
RATE OF IMR
•ORAL REHYDRATION THERAPY FOR
DIARRHOEA CONTROL AMONG CHILDREN
•PREVENTION AND CONTROL OF VITAMIN –
A DEFICIENCY ; ANAEMIA

18. INTERVENTION TO REACH RCH IN
REMOTE AREAS
•BORDER DISTRICT CLUSTER STRATEGY
(BDCS) LAUNCHED ON 3rd MAY 2000
•RCH CAMPS INITIATED IN JANUARY 2001
•RCH OUT-REACH SCHEME LAUNCHED
DURING 2000-2001 INCLUDING DELIVERY
OF IMMUNIZATION IN URBAN SLUMS
•HOME BASED NEONATAL CARE

19. RCH PROGRAMME INTERVENTION [PHASE -2]

20. INTRODUCTION
•RCH PHASE 2 WAS INITIATED IN APRIL 2005
TO FURTHER CONSOLIDATE AND
STRENGTHEN RCH PROGRAMME
INTERVENTION TO ACHIEVE REDUCTION IN
MATERNAL AND CHILD MORTALITY AND
MORBIDITY RATE
•CONTINUED WITH ALL THE INTERVENTION
PLANNED IN PHASE- 1

21. ESSENTIAL OBSTETRIC CARE
• PROMOTION OF INSTITUTIONAL DELIVERY
•PROVISION OF SKILLED ATTENDENT AT
EVERY BIRTH
•LINKAGE WITH REFERAL SERVICES FOR
EMERGENCIES AND EFFECTIVE
MANAGEMENT OF ANC
•NORMAL DELIVERY

22. ESSENTIAL OBSTETRIC CARE
•TO PROVIDE OBSTETRIC CARE
•NEW BORN CARE

23. EMERGENCY OBSTETRIC CARE
•MINIMUM STRENGTH OF 20-30 BED
•FULLY EQUIPPED AND FUNCTIONAL LABOUR
ROOM ; OT
•ADEQUATELY EQUIPPED SPECIFIED PLACE IN
LABOUR ROOM
•24 hrs. BLOOD STORAGE
•ARRANGEMENTS OF ELECTRICITY ; WATER
;AMBULANCE

24. STRENGTHENING OF REFERRAL SYSTEM
•PROVIDE TRANSPORT TO WOMEN DURING
OBSTETRIC EMERGENCIES
•BASED ON RCH PHASE – 1 FEEDBACK THE
REFERRAL SYSTEM IS BEING
STRENGTHENED BY INVOLVING LOCAL
NGO’s

25. OTHER STRATEGIES
•TRAINING OF MBBS DOCTORS IN
OBSTETRIC MANAGEMENT ; ANAESTHESIA ;
CAESAREAN SECTION
•PROVIDING FINANCIAL HELP
•USE OF TELECOMMUNICATION SYSTEM

26. INTEGRATED MANAGEMENT OF NEONATAL
CHILDHOOD ILLNESS
•INTEGRATED SERVICE TO MANAGE CHILDHOOD
DISEASES SUCH AS ARI ; MEASLES ; DIARRHOEAL
etc.
•DEVELOP UNDER UNICEF AND WHO
•AIM OF BETTER MANAGEMENT BY:-
ASSESMENT
IDENTIFY AND CLASSIFY THE CONDITION
TREATMENT
FOLLOW UP

27. INTERVENTION IN ALL DISTRICT
•CHILD SURVIVAL
•SAFE MOTHERHOOD
•COMMUNITY NEED ASSESSMENT
APPROACH
•GOOD QUALITY TRAINING
•INFORMATION; COMMUNICATION ; AND
EDUCATION

28. INTERVENTION IN ALL DISTRICT
•RTI/STD’s CLINICS
•ADOLESCENT REPRODUCTIVE HEALTH AND
HYGIENE
•SAFE ABORTION
•GOOD QUALITY TRAINING AT ALL LEVEL

29. INTERVENTION IN SELECTED
STATES/DISTRICTS
•SCREENING AND TREATMENT OF RTI/STD
•ESSENTIAL/EMERGENCY OBSTETRIC CARE
•FACILITY OF TRANSPORT
•IUD INSERTIONS

30. DRUGS AND KITS PROVIDED
•AT SUB-CENTRE LEVEL
DRUG KIT A
DRUG KIT B
MIDWIFERY KIT
SUB-CENTRE EQUIPMENT KIT

31. DRUGS AND KITS PROVIDED
•AT PHC LEVEL
PHC EQUIPMENT KIT D

32. DRUGS AND KITS PROVIDED
•AT CHC/FRU LEVEL
KIT E- LAPAROTOMY SET
KIT F- MINI-LAPAROTOMY SET
KIT G-IUD INSERTION SET
KIT H-VASECTOMY SET
KIT I –NORMAL DELIVERY SET

33. DRUGS AND KITS PROVIDED
•KIT J- VACUUM EXTRACTION SET
•KIT K –EMBRYOTOMY SET
•KIT L-UTERINE EVACUATION SET
•KIT M –EQUIPMENT FOR ANAESTHESIA
•KIT N-NEONATAL RESUCITATION
•KIT O-EQUIPMENT AND REAGENT FOR BLOOD
TEST
•KIT P-DONOR BLOOD TRANSFUSION SET

34. JANANI SURAKSHA YOJNA
•JSY IS FOR SAFE MOTHERHOOD UNDER
NRHM
•SCHEMES INTEGRATE CASH ASSISTANCE
WITH INSTITUTIONAL ANTENATAL ; NATAL ;
POSTNATAL CARE
•UNDER THIS ASHA [ACCREDITED SOCIAL
HEALTH ACTIVIST]HAS IDENTIFIED AS
EFFECTIVE LINK

35. JANANI SURAKSHA YOJNA
•ASHA IDENTIFIES ; ASSIST PREGNANT
WOMEN IN GETTING CERTIFICATION
•FACILITATES REGISTRATION FOR ANC ,
ASSIST ATLEAST 3 AN CHECK UP,
IMMUNIZATION AND IRON FOLIC ACID
TABLET

36. JANANI SURAKSHA YOJNA
•CONSELS PREGNANT WOMEN FOR
INSTITUTIONAL DELIVERY
•NOTIFY THE BIRTH OR DEATH OF CHILD
AND MOTHER TO ANM
•PAYS VISIT WITHIN 7 DAYS OF DELIVERY
•COUNSELS FOR BREAST FEEDING

37. VANDE MATRAM SCHEME
•TO PROMOTE PUBLIC PRIVATE
PARTERNERSHIP
•LAUNCHED IN 9th FEB ITH INVOLVEMENT
OF INDIAN MEDICAL
ASSOCIATION,FEDRATION OF OBSTETRIC
AND GYNAECOLOGICAL SOCIETY.

38. VANDE MATRAM SCHEME
•VOLUNTARY ENROLLMENT OF DOCTORS, NURSING
HOME; MATERNITY HOME
•SPECIFIC SERVICES:-
ANTENATAL AND POSTNATAL CHECKUP
DISTRIBUTION OF IRON AND FOLLIC ACID TABLETS
IMMUNIZATION
COUNSELLING
REFERAL CASE REQUIRE SPECIAL CARE

40. ROLE OF COMMUNITY HEALTH NURSE
•CARE ,SUPERVISION ,GUIDANCE OF MOTHER
DURING PREGNANCY AND AFTER DELIVERY
•CARE OF MOTHER AND CHILD SOON AFTER
DELIVERY
•REGISTRATION OF ALL EXPECTANT MOTHER
•MEDICAL AND SURGICAL HISTORY RECORD
OBSTETRICAL HISTORY RECORD

41. ROLE OF COMMUNITY HEALTH NURSE
•ARRANGING AN CHECK UPS ,
IMMUNIZATION
•PREARATION OF SURROUNDING
EQUIPMENT SUPPLIES AND PLACE DURING
DELIVERY
•PHYSICAL AND PSYCHOLOGICAL
PREPARATION OF MOTHER

42. ROLE OF COMMUNITY HEALTH NURSE
•EXAMINATION OF FHS; VITALS ;CONTRACTION
DURINF LABOUR PAIN
•GIVING IMMEDIATE CARE TO MOTHER AND
CHILD AFTER DELIVERY
•REGULAR VISIT FOR 7 DAYS IN POST NATAL
PERIODGENERAL EXAMINATION OF MOTHER
LOCHIA, STICHES, BREAST
•GIVING MOTHER HEALTH EDUCATION
REGARDING BREAST FEED AND HYGIENE