MCH NURSE & HER ROLE

1. WELCOME TO THE
PRESENTATION
DR. MAHESWARI JAIKUMAR

2. ROLE OF A NURSE
MCH- PROGRAMME
IN INDIA

3. HEALTH CARE DELIVERY SYSTEM
HEALTH CARE DELIVERY SYSTEM
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ADMINISTRATOR
SERVICE PROVIDER
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ROLE OF A NURSE
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4. SERVICE PROVIDER
 ESSENTIAL NEW BORN & U5 CARE
 The community health nurse ensures
the following in the verge of providing
care,
 Provision of ante natal care.
 Monitoring the growth of the foetus &
its well being

5. CONT****
 Supplementation of requisite vitamins
& micro nutrients.
 Provision of health aspects related to
new born
 Promotion of good delivery practices.
 Promotion of breast feeding &
maternal bonding.

6. CONT****
 Promotion of optimal new born care
including clean delivery practices,
institutional delivery, provision of warmth,
care of umbilical cord, prevention of any
kind of infection, periodic newborn
assessment.
 Ensuring appropriate immunization
services.
 Screening for mal formations, congenital
anomalies & other deviations.

7. CONT****
 Promotion of child rearing practices.
 Periodic growth, development & mile
stone monitoring.
 Promotion of good child rearing practices.
 Promotion of school enrollment &
Anganwadi enrollment.
 Provision of de-worming services &
nutritional supplementation services.

8. CONT****
 Promoting enrollment of children in
schools.
 Implement ICDS initiatives.
 Co-ordinate & translate the ANP.
 Co-ordinate with like minded agencies –
WHO, UNICEF,- translate their
initiatives relevant to U5 care.
 Promote baby friendly hospital initiatives.

9. CONT**** Promote functioning of well baby clinic
& child guidance clinic.
 Implement constitutional rights of
children.
 Encourage funding agencies to provide
fund for children development activities.
 Chalk out relevant policies for children
welfare.
 Implement UN declaration for children.

10. SERVICES FOR MOTHERS
 THE COMMUNITY HEALTH NURSE ENSURE
THE IMPLEMENTATION OF INITIATIVES OF
CSSM & RCH PROG
 Promote & implement good perinatal
care
 Promote institutional deliveries
 Promote delivery by trained personnel
 Provide optimal ante natal care

11. •Ensure clean delivery table, clean hands, clean cord, clean
stump, clean scissors, & clean delivery practices.
•Promote & maintain optimal delivery progress practices
such as right identification of stage of delivery, progress of
delivery, fetal heart rate monitoring, monitoring of vital
signs during delivery, episiotomy & appropriate mode of
delivery of the baby.
•Provision of immediate post natal care.
•Promote breast feeding & maternal bonding.
•Monitoring of post natal care, abnormalities of the post
natal period.
•Examine lochia, involution pattern of the uterus.

12. •Assess for feeding difficulties.
•Promote iron & calcium supplementation.
•Monitor & promote balanced diet & good dietary
habits.
•Monitor for post natal blues.
•Encourage plenty of fluids & roughage diet.
•Promote adoption of contraception & family planning
practices.
•Educate the mother on the importance of child rearing
& self care practices including diet, exercise & sleep.

13. CONT****
 Encourage the
mother on the
importance of post
natal check ups
(minimum 2 visits
within 42 days of
delivery)

14. ROLE IN REPRODUCTIVE
HEALTH
 Identify demographic characteristics of
the adolescents & adult population &
maintain data base
 Identify target groups & advocate the
pertinent family planning methods.
 Health educate sexually active
population on the STD & means to
prevent them

15. CONT****
 Screen for sexually transmitted disease &
take necessary action.
 Promote the concept of single partner
among sexually active population.
 Promote the usage & distribution of
condoms.
 Promote & familiarize community about
contraceptive methods

16. CONT****
 Promote & implement the sex
education in school & collegiate
curriculum
 Implement the reproductive health
initiatives implemented by the RCH
programme

17. ROLE AS AN ADMINISTRATOR
 Evolve policy related to MCH.
 Serve as an information provider to
policy makers in relation to MCH
services.
 Serve as a liaison with the Govt,
community & NGO in organizing &
implementing MCH services.
 Develop counseling & MCH assistance
network in the state

18. CONT****
 Create network with peripheral MCH
units with tertiary care settings.
 Chalk out specific policies on
maintenance & establishment of
institutions catering MCH services.
 Involve other sectors in the provision of
MCH services.
 Develop MCH advisory committee at all
levels

19. CONT****
 Co-ordinate the state MCH activities with
the MCH activities of the nation
 Co-ordinate with allied systems of
medicine in the provision of MCH care.
 Translate & monitor the initiatives of
CSSM & RCH programme.
 Reserve financial packages for MCH
services.

20. CONT****
 Amend policies & legislations to suit the
existing MCH scenario of the nation.
 Create & monitor the FRU at primary,
secondary & tertiary units.
 Allocate separate budget for MCH
services.
 Define job description for health
manpower employed to render MCH
services.

21. EDUCATIONIST
 Organize training programme for
health care professionals.
 Conduct workshops & conferences
relating to MCH care & sensitize the
community, health care professionals &
policy makers.
 Design curriculum in medical & para
medical curriculum incorporating
aspects of MCH services.

22. CONT****
 Design health education materials &
distribute.
 Develop separate channels in order
to sensitize the public on MCH
services.
 Practice counseling for eligible
couples on the range of MCH
services.

23. RESEARCHER
 Identify researchable areas in MCH &
conduct research.
 Pool grant in aids to support research
activities in the areas of MCH services.
 Support research scholars undertaking
research in the area of MCH.
 Co-ordinate & net work research activities.
 Design models based on research findings.