 1952- National Family Planning Programme  1977- National Family Welfare Programme  1985- Universal Immunization Programme  1992- Child Survival And Safe Motherhood Programme  1997- RCH (Phase-1)  2005- RCH (Phase-11)

Definition “People have the ability to reproduce and regulate their fertility, women are able to go through pregnancy and child birth safety, the outcome of pregnancies is successful in terms of maternal and infant survival and wellbeing and couples are able to have sexual relations free of fear of pregnancies and of contracting diseases”.

(Fathalla,1989 )

 Immediate Objective- To promote health of mother and children.

 Intermediate Objective- To reduce IMR and MMR.

 Ultimate Objective- Population Stabilization

Intervention / Strategies:  Prevention $ Management of unwanted pregnancies  Maternal Care  Child Survival  Prevention $ Management of RTIs $ STIs  Prevention of HIV / AIDs

Management Strategies :  Bottom- up Planning  Decentralized Training  Management information and Evaluation System (MIES) $  IEC and Community Participation

AIM  To reduce Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), Total Fertility Rate (TFR), To increase Couple Protection Rate (CPR), and Immunization coverage, specially in rural areas .

Goal

Reduction of population growth rate Reduction of IMR Reduction of MMR Reduction of TFR Increase of CPR Increase of Immunization Coverage Improvement in the coverage of rural institutional deliveries

Target Year

2001 - 2011 2007 2010 2010 2010 2010 2010 2002 – 03 2010

Percentage

1.62% <45/1000 <30/1000 1.5/1000 live births 2.1% From 48.2% to 100% From 44.5% to 89% 39.8% 80%

 Poor out reach service  Inadequate financial resources  Inadequate human resources  MIES was lacking  Effective network of FRU was lacking  Poor infrastructure  Quality of PHC’s $CHC’s service was poor  Poor Neonatal and Adolescent health care  Minimum community participation  Regional variation

 To improve the management performance  To develop human resources intensively  To expand RCH services to tribal areas also  To improve the quality, coverage and effectiveness of the existing services and more focused on empowered action group (EAG) states  To monitor and evaluate services

        Population Stabilization Maternal Health Newborn Care and Child Health Adolescent Health Control of RTIs / STIs Urban and Tribal Health Monitoring and Evaluation Other Priority areas

 By incorporating the newer choices of contraception methods e.g:-Centchroman  By increasing trained personals  By converging the service at grass root level  By public private partnership  Social marketing of contraceptives to be strengthened  Involving Panchayat Raj Institutions, Urban Local Bodies $ NGO’s  By increasing incentives

Essential Obstetrical Care  Three or More Checkups  Two doses of TT  IFA Tablet  Counseling Emergency Obstetrical Care  First Referral Unit

Effective Newborn Health Intervention  During Antenatal Period  Labor, Birth, $ the first 1- 2 hours  Early Newborn Care  Late Newborn Care

OBJECTIVES  Skilled care at birth  Package of preventive, promotive and curative intervention  Strengthen IMNCI services

Strategies  IMNCI plus  Strengthening of health infrastructure and FRUs  Ensuring referral service of sick neonates and utilization of referral funds  Permitting ANMs to administer selected antibiotics like Gentamycin and co trimoxazole by AWW

 Availability of drugs and supplies  Good supervision and monitoring  Efficiency of the administrative/ financial system  Community based intervention  Promoting breast feeding practices  Vit A, Iron and Folic Acid Supplimentation  Strengthening the quality of UIP

Subcentre  Enroll newly married couple  Provision of spacing methods  Routine antenatal care and institutional delivery  Referral service  HIV/ AIDS /STIs preventive education  Nutritional Counselling

PHC $ CHC  Contraceptive  Management of menstrual disorder  HIV/ AIDS /STIs preventive education and management  Counseling

 Controlled by syndromic approach

Urban Health Centers- 1:50,000 Population  Medical Officer- 1     ANMs- 3-4 Lab Assistant- 1 Public Health Nurse- 1 Clerk- 1   Chowkidar- 1 Peon- 1

 Community Level  Sub centre  PHC  Block PHC / CHC

MIES  Planning  Monitoring / Information  Quality Assessment  Evaluation  Validation

 Training of MOs  Training of traditional birth attendents  Prasoothi araike  Janani Suraksha Yojana Scheme  Vandemataram Scheme  Safe abortion service Medical Method-Mifepristone $ Misoprostol Manual Vaccum Aspiration

SUMMARY

1.RCH Programme was launched in the year………..

(1972, 1996, 1997, 1994) 2. In PHC,…….. $.............. are the two drugs used for medical abortion.

(Mifepristone and Misoprostone, Mifepristone and Oxytocin’ Meperidine and Misoprostone)

3.

RCH –II was started from 1 st to……… April………. Up (2005-2009, 2005-2025, 2005-2050)



Write an assignment on Janani Suraksha Yojana and the role of ASHA in this scheme.