Reproductive and Child Health

(RCH) Programme

A Presentation by
Soumya Biswas
Roll No: 171
Dept: AdCoMM

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 3
periodical check-ups with a referral services to high risk
mother.

For Child:
Neonatal care with an administration of 0 polio dose and BCG
vaccination 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 and
Vitamin A deficiency

Introduction:
The Reproductive and Child Health (RCH)
Programme Phase-1 was launched in
October 1997. The main aim of the
programme is to reduce infant, child and
maternal mortality rates.

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.

Effectiveness:
RCH-I had a number of successful and unsuccessful
outcomes. Base line statistics were recorded in 199899 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 family
planning 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.

Reproductive and Child Health (RCH)

Programme Phase-II
The second phase of RCH program i.e. RCH II 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.

Salient features of RCH - II Program :

Adoption of Sector vide approach which effectively extends the
program 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 being
on 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 and
rationalized the process of assessing external assistance.

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.

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 with
one-two months of delivery, which is particularly
important in the case of non-intuitional delivery.

Various step by NHM

Surakhit-Janani Swasth-Shishu
Janani-Shishu Surakha Karyakram
Janani Suraksha Yojana

Various Campign
WHO ORC
Pulse Polio
RMNCH+A

Campaigns for PNC

Campaigns for Child health

by World Bank

Pulse Polio
Objective: To make India polio free.
Message: The agency BBD mudra has
designed this message with some emotional
touch of happiness.

OOH

Campaigns for Pulse Polio

BBD Mudra

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 being
reported in last three years.

Thank You