Transcript Document

Healthy foetus- A Global
commitment
Role of
Governmental and
Non Governmental
Organization in
foetal well being
Reproductive rights of women
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Right to have information about sexuality
and reproduction
Right have good quality and comprehensive
reproductive health services
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Right have safe pregnancy and childbirth
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Right to marry at legally correct age
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Right conceive at medically approved age
Right to obtain medical consultation during
pregnancy
Right to protect against prenatal sax
determination
Right to say “no” to female feticide
Right to refuse to get pregnant when
medically advised against it
Right to obtain safe delivery services
% Girls married before age 18
years India- RCH-I Survey
%Households with
Low Standard of Living-RCH I Survey
% Women received 3 or more
Antenatal Checkups-RCH I survey
Percentage of deliveries attended by Doctor Nurse or other
health care provider-RCH-I survey
Health services
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Public health care services (Governmental
organization)
Public private partnership (PPP)
Private :
 profit  non profit- NGO,MNGO,SNGO,FNGO
 private service provider
 Private sector
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Governmental organization
National health programmes
National Rural Health Mission
National Urban Health Mission
Rashtriya Swatha Bima Yojana
Varumun Kappom Thittam
National health Policy :
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Inter sectoral coordination
NGOs,
Civil Societies,
Panchayati Raj Institutions and
Women’s Group
Non Governmental organization
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WHO
United nations development programme (UNDP)
United nations children’s emergency fund (UNICEF)
South Asian regional cooperation (SAARC)
Department for international development (DFID)
USA-Agency for international development (USAID)
Cooperative assistance and Relief everywhere
(CARE)
Indian Red cross society
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Voluntary health association of India (VHAI)
Professional bodies:
IMA,
IAP,
FOGSI,
IPHA,
Indian association of preventive
social medicine
Reproductive and Child Health Programme
(RCH) II :
Maternal, newborn, child, and adolescent
health and Family planning services
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Community participation and
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Empowering people.
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IMNCI strategy,
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Immunization,
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Skilled care at birth,
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Infant and young child feeding.
Anemia control programme:
50- 80% pregnant women
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Improve dietary intake to meet RDA for all macro and
micronutrients
Iron and folic acid prophylaxis
Dietary diversification-inclusion of iron folate rich foods
as well as food items that promote iron absorption
Food fortification- including introduction of iron and
iodine-fortified salt and other iron-fortified items (e.g.
atta)
Health and nutrition education
Prevention and control of Vitamin A deficiency:
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40- 50 % Antenatal mothers Vit-A
>30 mcg/dl
Vit –A supplementation not more than
10000 IU/day
Health education - intake of Vitamin A rich food ,
Early detection and prompt treatment of infections
Immunization programme :
2 doses of T.T – Neonatal tetanus
Goiter control programme:
 Prevalence rate 10%
 Req 100- 150 mcg
 Iodine fortified salt
 IEC
HIV/AIDS control programme:
 PPTCT
 providing voluntary, confidential testing
 Universal precaution
 Drug prophylaxis
 Blood safety
 Infant feeding counseling for pregnant
women,
 Control and management of STDs
Nutritional programme:
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Integrated Child Development Services:
Adolescent ,
Pregnant and
Nursing women
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500 cal
&
20-25 gms
protein
Applied nutrition programme
Adolescent health initiative:
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Adolescent friendly health services
Adolescent health counseling services
National Oral health program:
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18% preterm low birth weight babies due
to peridontal diseases in pregnant women
Pilot project- 5 states
Oral health education
Formulation of basic package on oral
health
Strengthening of manpower and
infrastructure
National Rural Health Mission(2004)
2001 -72.22% of the people live in rural
 Goals:
Reduction of MMR & IMR ratio 50%
Integrated comprehensive primary health care
universalize access to public health service –MCH
Assuring population stabilization & healthy life style
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Accredited Social Health Activist (ASHA )
Vande Matram Scheme
Janani Suraksha Yojana
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Assistance to mother increased to Rs. 700 in
rural areas of Low Performing States (>25%)
and Rs. 600 to Urban areas of LPS & Rural areas
of HPS (<25%).
Assistance package of Rs. 600 in Rural Area
for Institutional Delivery in low Performing
States to meet Dai/ASHA fee, transport cost and
food and incidental charges during delivery.
Dr.Muthulakshmi Reddy Maternity
Benefit Scheme :
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Women from families listed under the
Below Poverty Line and aged above 19 are
eligible for assistance.
The annual income of the beneficiary's
family seeking assistance should not
exceed Rs. 12,000.
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Control the anaemia and malnutrition
among the women and children,
Rs.6000/- i.e. Rs.3000/- 7th month of
pregnancy and Rs.3000/- at the time of
delivery.
Millennium Development Goals:
Millennium Declaration was adopted by 189 nations during
the UN Millennium Summit in September 2000.
Goal 4: Reduce child mortality
Target: Reduce by two thirds the mortality rate among
children under five
Goal 5: Improve Maternal Health
Target: Reduce by three quarters the maternal mortality
ratio.
Goal 6: Combat HIV/AIDS, malaria and other diseases
Target: Halt and begin to reverse the spread of HIV/AIDS.
Target: Halt and begin to reverse the incidence of malaria
and other major diseases
Preconception and pre- natal
diagnostic techniques( prohibition
of sex selection) act ,1994
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No prenatal diagnostic testing except for the
detection:
Chromosomal abnormalities
Genetic metabolic diseases
Hemoglobinopathies
Sex linked genetic disorder
Congenital anomalies
Any other abnormalities specified by central
board
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No person including husband or relative
encourage to seek prenatal diagnostic
testing
No person shall communicate the sex of
the baby
no person shall conduct prenatal
diagnostic testing for the purpose of the
determine sex of the baby
Indian Penal Code (IPC, 1860)
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Section 312
Any one voluntarily causing miscarriage to a
woman with child, other than in good faith for
the purpose of saving her life is punishable by
imprisonment (simple or rigorous) &/or a fine
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Sections 313 - 316 for death due to procedure
Up to 10 years imprisonment and fine, extending
up to life imprisonment where the abortion was
conducted without consent
The MTP Act (Act No. 34 of 1971
‘An Act to provide for the termination of
certain pregnancies by registered medical
practitioners & for matters connected
therewith & incidental thereto.’
Maternity benefit act:
To safe guard mother and foetus :
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12 weeks of maternity leave
6 weeks leave for miscarriage
Pregnant woman must be exempted
from any work which involves long
working hours, break after 5 hrs,
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Free prenatal and post natal health service
or Payment of Rs250 as bonus
Two breaks for nursing the child
If employer contravenes this act
punishable with imprisonment 3- 12
month or and with fine Rs2000- 5000.
Child marriage restraint act (1929)
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Child marriage shall be punishable with
simple imprisonment or with fine