SUPW

PROJECT
BASED ON - RCH
PROGRAMME
(REPRODUCTIVE AND CHILD HEALTH
PROGRAMME)
 BY – RISHI SARKAR
Class-XI-A.
Roll number – 35
INTRODUCTION:
The Reproductive and Child Health (RCH)
program was launched in India in 1997 with
the objectives of reducing infant and maternal
mortality rates and promoting population
stabilization. The RCH program provides
services related to family planning, child
survival, safe motherhood, and prevention and
management of reproductive tract infections
and HIV/AIDS. RCH Phase 1 from 1997-2005
aimed to improve access to essential maternal
and child health services. RCH Phase 2 from
2005-2009 further expanded services and
focused on improving quality and access for
underserved populations.

RCH PROGRAMME HAS BEEN

DIVIDED INTO TWO PHASES
The Aims of the First phase are as
follows-

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• To bring down the birth rate below 21 per 1000
population,
• To reduce the infant mortality rate below 60 per
1000 live birth
• To bring down the maternal mortality rate
<400/1,00,000lakh.
• 80%% institutional delivery, 100% antenatal l
care and 100% immunization of children were other
targeted aims of the RCH programme.

The Aims of the Second phase are

as follows-
• To bring about outcomes as envisioned in the
Millennium Development Goals, the National
Population Policy 2000 (NPP 2000), the Tenth Plan,
the National Health Policy 2002 and Vision 2020
India,
• Minimizing the regional variations in the areas of
RCH and population stabilization through an
integrated, focused, participatory programme
meeting the unmet needs of the target population,
and provision of assured, equitable, responsive
quality services.
The detailed goals of both the RCH programme
phases are tabulated below
It is tabulated on the basis of

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 1. Population growth
2. Infant mortality rate
3. Under 5 mortality rates
4. Maternal mortality rate
5. Total fertility rate
6. Couple protection rate

The components of these

programmes are-
1. Essential obstetrical care
2. Emergency obstetrical care
3. Strengthening referral system

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4. Strengthening project
management
5. Strengthening infrastructure
6. Capacity building
7. Improving referral system
8. Strengthening MIS
9. Innovative schemes
Essential Obstetric Care
• Promotion of institutional deliveries
– 50% of the PHCs and CHCs made
operational as 24 hours delivery
centers.
• Skilled attendance at birth
• Policy decisions to permit Health
workers to use drugs in emergency
situations to reduce maternal
mortality
Emergency obstetric care
Operationalization of FRUs to provide:
- 24 hours delivery services
-. New born care and emergency care of
the sick child
- Full range of family planning services
- Safe abortion services
- Treatment of RTI and STI

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- Blood storage facility
- Essential laboratory services
- Referral (transport) services
Training in Obstetric
Management
•Training of MBBS doctors in obstetric
management and skills including C.S. in RCH‐II
•Training to be conducted in collaboration with
FOGSI •Duration of training to be 16 weeks
•Expert Group is considering other details
24 hrs. Functioning of PHCs
(Primary Health Care)
Availability of Services such as
1. 24 Hrs. Delivery services
2. New Born care
3. Family Planning, Counselling and
services
4. Availability of RTI, STI services
5. Safe abortion services (MVA etc.)
New initiatives
Training of PHC doctors in life saving
anesthetic skills for emergency obstetric
care
Setting up of blood storage centers at
FRUs
Janani Suraksha Yojana (JSY)

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Vandemataram scheme
Safe abortion services
Integrated Management of Neonatal &
Childhood illnesses (IMNCI).
Vandematram Scheme
• It is a voluntary scheme wherein any
obstetric and gynae specialist, maternity
home can volunteer
• Enrolled doctors will display
‘vandemataram logo’ at their clinics.
• Iron and folic acid tablets, oral pills, TT
injections, etc. will be provided for free
distribution.

Janani Surkasha Yojna

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•To promote Institutional Deliveries
– To reduce overall Maternal Mortality
Ratio &Infant Mortality Rate
•A safe motherhood intervention,
replacing the “National Maternity
Benefit Scheme”, under NRHM •100 %
centrally sponsored
•Integrates cash assistance with
delivery & postdelivery care.
Referral Transport

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Key issues:
–RCH I fund poorly Utilized,
–Community participation lacking
Under Consideration:
–Place funds with AWW /ANM, JSY
–Develop community mechanisms
–Provide outsource ambulances at PHC
(primary health care) s, CHC
(community health center) s, and FRU
(first referral unit) s
Role of ASHA (Accredited
Social Health Activist)
•A village level link worker attached to
AWW/ANM
• Motivator for ANC, PNC, Institutional
Delivery, Immunization and Family Planning
Services
•Provide Escort to beneficiary for above
services.
• Adolescents Health Counsellor
• Janani‐Shishu Suraksha Karyakram (JSSK)
• Village Health & Nutrition Day (VHND)
• Pregnancy Tracking (MCT i.e. Maternal &
Child Tracking)
• Maternal Death Review (MDR)

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Integrated Management of
Neonatal & Childhood
Illnesses (IMNCI)
• Inclusion of 0‐7 days age in the
programme
• Training of health personnel
begins with sick young infants up to
2 months
• Proportion of training time
devoted to sick young infant and
sick child is almost equal
• Skill based
Safe Abortion Practices
• MEDICAL METHOD
– Termination of early pregnancy
(49days)
– Mifepristone followed by
Misoprostol • MANUAL VACCUM
ASPIRATION
– Safe and simple technique for
termination of pregnancy.
– Can be used at PHC or
comparable facility – FOGSI

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(Federation of Obstetric and
Gynecological Societies of India),
WHO (World Health Organization) &
State govt. are coordinating the
project
Adolescent Reproductive
and Sexual Health (ARSH)
A two‐pronged strategy will be
supported:
– Incorporation of adolescent issues in
all the RCH training programs and all
RCH materials developed for
communication and behavior change.
– Dedicated days and dedicated timings
for adolescents at PHC’s.
Health Outcome Goals
established in the 12th
Fiver Year Plan
A significant reduction is observed in the
following fields-
[Link] Mortality Rate (IMR) to 25 per
1,000 live births by 2017
[Link] Mortality Ratio (MMR) to
100 per 100,000 live births by 2017

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[Link] Fertility Rate (TFR) to 2.1 by
2017
Coverage Target for the
Future
• Increase facilities equipped for
perinatal care (designated as ‘delivery
points’) by 100%
• Increase proportion of all births in
government and accredited private
institutions at annual rate of 5.6 %
from the baseline of 61% (SRS 2010)
• Increase proportion of pregnant
women receiving antenatal care at
annual rate of 6% from the baseline of
53% (CES 2009)
• Increase proportion of mothers and
newborns receiving postnatal care at
annual rate of 7.5% from the baseline
of 45% (CES 2009)
• Increase proportion of deliveries
conducted by skilled birth attendants
at annual rate of 2% from the baseline
of 76%n of pregnant women receiving
antenatal care at annual rate of 6%
from the baseline of 53% (CES 2009)

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• Increase exclusive breast-feeding
rates at annual rate of 9.6% from the
baseline of 36% (CES 2009)
• Reduce prevalence of under‐five
children who are underweight at
annual rate of 5.5% from the baseline
of 45% (NFHS 3)
• Increase coverage of three doses of
combined diphtheria‐tetanus‐pertussis
(DTP3) (12–23 months) at annual rate
of 3.5% from the baseline of 7% (CES
2009)
• Increase ORS use in under‐five
children with diarrhea at annual rate
of 7.2% from the baseline of 43% (CES
2009)
• Increase exclusive breast-feeding
rates at annual rate of 9.6% from the
baseline of 36% (CES 2009)
• Reduce prevalence of under‐five
children who are underweight at
annual rate of 5.5% from the baseline
of 45% (NFHS 3)
• Increase coverage of three doses of
combined diphtheria‐tetanus‐pertussis
(DTP3) (12–23 months) at annual rate

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of 3.5% from the baseline of 7% (CES
2009)
• Increase ORS use in under‐five
children with diarrhea at annual rate
of 7.2% from the baseline of 43% (CES
2009)
CONCLUSION:
Playing a vital role in key decision
making and monitoring the
implementation of health schemes in
the country. Helps health workers in
planning for service delivery and
identification of beneficiary due for
Antenatal Check-up, Post Natal Check-
up and Immunization Services.
Identification of high-risk pregnant
women and tracking of health
conditions and assistance during the
delivery of pregnant women. Helps
Health Worker in generation of work
plan for delivery of immunization
services to children. Improve
healthcare service delivery in the
country

ACKNOWLEDGEMENT

PAGE 13
I would like to express my
sincere gratitude towards my
teacher Mr. Nilanjan
Bhattacharjee for his continuous
guidance, encouragement and
expertise. I am grateful for the
knowledge I have gained under
his mentorship and guidance.
I am also grateful to my parents
for their unwavering support and
belief in me and my abilities.
I would also like to thank my
friends and classmates for their
camaraderie and assistance in
helping me complete my project.
Lastly, I am grateful for the
collective efforts and support of
everyone involved in the making
of this project. Thank you for all
your valuable contributions and
for making this project a
fulfilling and enriching
experience for me.

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 Bibliography:
In the making of this project, I
have taken reference from the
following websites and the
ownership of the photos belong
to the respective owners-
1. [Link]
2. [Link]
3. [Link]
4. [Link]
5. [Link]

THANK YOU!

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