Reproductive and Child Health

Programme
01. Dr. Nitin Yeola-32
02. Dr. Yogesh Agrawal-45
03. Dr. Meghraj Pingle-60
04. Dr. Hrishikesh Phate-58
05. Dr. Darshan Sinojia-61
06. Dr. Prashant Agrawal-24
07. Dr. Vrushali Kakde-09
08. Dr. Vijaya Kaveri-07
09. Dr. Mohseen Landge-80
10. Ms. Sayali Tungare-14
11. Dr. Kiran Shingote-67
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 Description of RCH Project in India

RCH is a five year project launched within the framework of

fifty year old nationwide National Family Planning Program
in India.

It’s a new approach of managing Population Growth by

eliciting more community participation and empowering
people to take care of their reproductive health.

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 Goal of RCH Programme

1. People have ability to regulate their fertility

2. Women are able to go through pregnancy and
childbirth safely
3. The outcome of pregnancy is successful in terms
of maternal and infant survival and well being
4. Couples are able to have sexual relations free of
fear of pregnancy and of contracting disease.

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 Objectives of RCH Project in India

Introduce a new system of service delivery through

decentralized planning and broadening the menu of services
delivered under the banner of Family Planning Program in
India.

Maneuvering the health care services in a way that it may

induce a desired change in specific community health
indicators like IMR, TFR, MMR, CBR, effective CPR,
Immunization Coverage and delivery by trained hands.

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 Main Highlights of the Programme
Integration of fertility regulation interventions,
maternal and child health with reproductive health for
both men and women.
Decentralized, Target free approach, Demand driven,
High quality, and community need based.
 Set up of FRUs and up gradation of PHCs
Facilities of Obs care, MTP and IUD insertion at PHC.
Specialist facilities for STD and RTI at district hospital

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 Interventions in all Districts
 Child survival intervention
 Safe motherhood intervention.
 Target free approach
 IEC activities
 Training
 RTI and STD clinic at district hospitals
 Safe abortion facility at PHC level
 Enhance community participation through Panchayats,
Women’s groups and NGOs.
 Adolescent health and Reproductive hygiene

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 Intervention In selected states and Districts
 RTI and STD treatment and screening at Sub
Divisional level
 Emergency Obs care at selected FRUs
 Essential Obs care by providing drugs and staff nurse
 Additional ANM at sub centers in the weak districts for
ensuring MCH care
 Improvement of delivery services and emergency care
by providing equipment kits
 Facility of referral transport for pregnant women
during emergency

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 Relationship to other projects
Integrated approach to the programme aimed at
Improving the health status of young women and young children
This has been going on in the country under the
FWP
UIP
ORT
CSSM
ARI control
Prevention and control of Vit A deficiency in Children
Prevention and control of Anaemia in children
Control of RTI and STD

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 Two Phases of RCH
Phase I- Began from Oct.1997-Components
CSSM
STD
RTI
Phase II- began from 1st April 2005-Focused on
Reduce child and Maternal mortality
Emphasis on rural health care

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 Components of CSSM
Early registration of Pregnancy
Minimum Three ANC
TT immunization to pregnant women
Advice on food, nutrition and rest
Detection of High risk pregnancy and prompt referral
Clean Delivery by Trained personnel
 Promotion of institutional deliveries and Birth spacing

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 Major interventions of RCH
 Essential Obs and Newborn care
 Emergency Obs care
 24- Hours delivery services at PHCs and CHCs
 MTP
 Control of RTI & STD
 Immunization
 Drug and equipment kits
 ORT
 ARD control
 Prevention and control of Vit A deficiency and Anaemia in
Children

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 Initiative taken after Adoption of
National Population Policy 2000
RCH camps
RCH outreach scheme
Operationalization of District New born care
Home based Neonatal care
Border District Cluster Strategy
Hepatitis B Vaccination project
Training of Dais

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 Evaluation - Impact Indicators

Maternal Mortality Rate.

Total Fertility Rate.
Institutional Delivery.
Reduction in the prevalence of RTI/STD.
Infant Mortality Rate.
Under five Mortality Rate.
Effective Couple Protection Rate.

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 Thank You

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