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Reproductive and Child Health

Jun 02, 2018

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Bubun Biswas
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    Reproductive and Child Health

    (RCH) Programme

    A Presentation by

    Soumya Biswas

    Roll No: 171

    Dept: AdCoMM

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    What is RCH programme?

    For Mother:

    Early detection and Registration of pregnant mother

    followed by the Service like Tetanus Toxide Injection, Iron

    & Folic Acid Tablets to prevent Anemia, and minimum 3periodical check-ups with a referral services to high risk

    mother.

    For Child:

    Neonatal care with an administration of 0 polio dose and BCGvaccination against polio and child Tuberculosis respectively.

    At the age of I and a half, 2 and a half, and 3 and a half months,

    administration of 3 doses of immunization against DPT and

    Polio.

    Between 9 and 12 months, immunization against measles andVitaminA deficiency

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    Introduction:

    The Reproductive and Child Health (RCH)

    Programme Phase-1 was launched in

    October 1997. The main aim of theprogramme is to reduce infant, child and

    maternal mortality rates.

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    Objectives:

    The main objectives of the programme in its

    first phase were: To improve the implementation and management of policy by using

    a participatory planning approach and strengthening institutions to

    maximum utilization of the project resources

    To improve quality, coverage and effectiveness of existing Family

    Welfare services.

    To gradually expand the scope and coverage of the Family Welfare

    services to eventually come to a defined package of essential RCH

    services.

    Give importance to disadvantaged areas of districts or cities by

    increasing the quality and infrastructure of Family Welfare services.

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    Effectiveness:

    RCH-I had a number of successful and unsuccessfuloutcomes. Base line statistics were recorded in 1998-

    99 and compared to 2002-03.

    Percentage of women receiving any ANC rose by about 12 % to

    reach 77.2%. But use of government health facilities has declined.

    Use of contraceptives increased by 3.3 % to 52.0 %, while familyplanning due to spacing method rose by 3.3% to 10.7 %.

    Polio though reduced has not met the eradication target. Not enough

    attention was paid to awareness of diarrhea management and Acute

    Respiratory Infection danger signs hence resulting in a rise of case

    incidents.

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    Reproductive and Child Health (RCH)

    Programme Phase-II

    The second phase of RCH program i.e. RCHII has

    been commenced from 1st April, 2005 the five year file

    2010.

    The main objective of the program is to bring about a

    change in mainly three critical health indicators i.e.

    reducing total fertility rate, infant mortality rate and

    maternal mortality rate with a view to realizing the

    outcomes envisioned in the Millennium Development

    Goals.

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    Salient features of RCH - II Program :

    Adoption of Sector vide approach which effectively extends theprogram reach beyond RCH to the entire Family Welfare sector.

    Decentralization through development of District and State level

    need based plans.

    Capacity building at the District, state and the Central level to ensure

    improved program implementation. In particular, the emphasis beingon strengthening financial management systems and monitoring and

    evaluation capabilities at different levels.

    Adoption of the logical frame works as a program management tour

    to support and outcome driven approach.

    Pool financing by the development partners to simplify andrationalized the process of assessing external assistance.

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    Antenatal Care (ANC)

    Making Pregnancy safer pregnancy related

    health care need of women include; antenatal

    care during pregnancy, provision of safe delivery

    facilities. Antenatal care is necessary in order to prevent

    certain complication, such as anemia, and

    identify woman with visible pregnancy

    complication for intervention or referral.

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    Post Natal Care (PNC)

    The postnatal care is essential for identifying

    and attending to the postpartum complication.

    Even though there is no complication.

    Post partum checkups are recommended withone-two months of delivery, which is particularly

    important in the case of non-intuitional delivery.

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    Various step by NHM

    Surakhit-Janani Swasth-Shishu

    Janani-Shishu Surakha Karyakram

    Janani Suraksha Yojana

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    Various Campign

    WHO ORC

    Pulse Polio

    RMNCH+A

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    Campaigns for PNC

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    Campaigns for Child healthby World Bank

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    Pulse Polio

    Objective: To make India polio free.

    Message: The agency BBD mudra hasdesigned this message with some emotional

    touch of happiness.

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    OOH

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    Campaigns for Pulse Polio

    BBD Mudra

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    Result

    Pulse Polio is a successful campaign in

    India. On 27 March 2014, World Health

    Organization (WHO) declared India a polio

    free country with no case of disease beingreported in last three years.

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    Thank You