Mcpc

Mother and Child Protection Card(MCPC)

What is MCPC?

• Is a Recording cum Counseling Card for pregnant & postpartum women and under-five children

• Will gradually replace Immunization Card• Developed Jointly by MWCD, MHFW, with

support from UNICEF & NIPPCD• Originally used by ICDS in some states, now

adopted by NRHM/RCH• State has made few alterations like adding a

counterfoil

Why the card?

• For record-keeping of services provided during pregnancy, postpartum period and childhood

•Tool for families to learn, understand and follow positive practices for achieving good health of pregnant women, young mothers and children

• Helps families to know about various types of services which they need to access for the health and well being of women and children.

• Empowers families to make decisions for improved health and nutritional status and development of young children on a continual basis.

Who uses the card?

• Family members (Mothers, Fathers, Mother-in-laws, Adolescent girls and others) – gaining knowledge, using available services, practicing optimal health behaviour, monitoring growth of children

• Village groups/Women (Mahila Mandal) groups – Discussion tool; monitoring effective service delivery

• ANM / AWW – educating families; recording information and appropriate referral

• Health and ICDS Supervisors – ensure card is introduced to targeted families; use properly explained to families and ensure effective and efficient delivery of services

Who are the specific target groups for the card?

• Pregnant women• Families with children under 5 years of age

Who keeps the card?

• Pregnant and postpartum women• Mothers of children under 5 years of age

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MCPC - Side A

FRONT COVERAWW should fill in as much information as she can with the help of the family

Family Identification:Name & Address - Mother’s Education – tick one

Date of Birth Fill in the correct dateIn case of doubt, help the woman determine the datewith the help of local calendar / events /festivals.Birth WeightThe birth weight is recorded in grams.If the child is born at home, the weight should be taken immediately and recorded in the card.If the child is born in hospital, birth weight should be recorded by the hospital authorities.Birth Registration No.Fill in the numberIf the Birth Registration number of the child is not available, ask the family to register the child with the panchayat / local authorities and obtain a Birth Registration Number

Institutional Identification and Date and details of referral

Pregnancy RecordDate of last menstrual period -Fill in the correct date as reported.In case of doubt, help the woman determine the date with the help of local calendar / events / festivalExpected Date of DeliveryNo. of Pregnancies (includes miscarriages, abortions, still births) / Previous live birthsLast delivery conducted - Put a cross either in the Institution or Home box

16 Digit Code

Across

Nine columns in this section depict Months of Pregnancy with pictures of pregnant women

The first column corresponds with the first month of pregnancy, the second with the second month of pregnancy and so on.

Down

Six picture boxes depict services that a woman must seek during a pregnancy

The columns alongside each picture are for recording the appropriate information.

The worker should explain to the mother each picture box and column as she moves down the side

Antenatal Care

Hb & Urine examination

If you or anyone in your family sees any of these danger signs, take the womanIf you or anyone in your family sees any of these danger signs, take the woman

Emergency

Post Natal CareInitiate EBFAdvise Family Planning

Identify FRU

Danger Signs

Post natal care of mother and child

The schedule in the card gives information about the immunization and the doses of the Vitamin A to be given to the child during the first three years

Boxes in the chart indicate each type of vaccine, date to be given, date when it was given and the age.

Pink row on top of each box is for filling the date when the child is expected to come for next immunization.

White row on the bottom of each box is for filling the date when the child actually came for immunization

It is important that child be given the vaccine at the right age at the right time. Full course should be completed for all the vaccination

Feeding, Playing, Talking with the child &

Monitoring growth of the child by parents

Counterfoil – Side A

Same information as on front cover

MCPC - Side B

Counterfoil – Side B

Information on Pregnancy & vaccination

Feeding, playing and communicating with the children helps them grow and develop well

Continue family foods five times a dayHelp the child feed herself / himself Supervise feeding

WHO Growth Chart - For Girls

An upward growth curve, showing adequate weight gain for the age of the child indicates that the child is growing and is healthy

A flat growth curve indicates child has not gained weight and requires attention by the AWW and the mother

A downward growth curve indicates loss of weight and requires immediate attention by AWW and the family

Two main reasons for not gaining,or losing weight:-Child has not been fed or cared properly and/ or -s/he has been sick

WHO Growth Chart - For Boys

Interpretation same as that for girls

Sixteen digit Identity Numbers to be allocated to the pregnant women and children

Digits (Nos) Item Description /Remarks

01-02 (2) State Code As per Census codes

03-04 (2) District Code As per Census codes

05-07 (3) Block PHC/CHC Code As per Census codes given to Block HQ

08-09 (2) Health Sub-Centre Code To be serially given by Block HQ.

10-10 (1) Pregnant Woman – Code 1Child – Code 2

11-12 (2) Year Code Last 2 digits for the year is to be given, for example, for the year 2009, “09” will be entered and so on

13-16 (4) To be given serially to each mother/child from 1st December, 2009 starting from 5000

From 1st April each year, the codes will be given afresh starting from 0001.

Total: 16 digits