Transcript Reproductive and Child Health Programme (RCH)

Reproductive and
Child Health
Programme (RCH)
▪ Programme launched on 15th October 1997
▪ ‘People have the ability to reproduce and regulate
their fertility, women are able to go through
pregnancy and childbirth safely, the outcome of
pregnancies is successful in terms of maternal and
infant survival and well being, and couples able to
have sexual relations, free of fear of pregnancy and
of contracting disease’
Components of RCH
Family Planning
Child Survival and Safe
Motherhood component
Client approach to health Prevention/ Management
care
of RTI/STD AIDS
Main highlights of RCH
1. Integrates all interventions of fertility regulation, maternal &
child health with reproductive health for men & women
2. Decentralized participatory planning and target free approach
3. Upgradation of the level of health facilities for providing various
interventions & quality of care
4. Facilities of obstetric care, MTP & IUD insertion in PHC level are
improved and IUD insertion facilities are also available in subcentre
5. Specialist facilities for STD and RTI in district and sub district
hospitals
6. Improve out reach of services to vulnerable groups – Urban
slums, tribal's and adolescent population
Interventions in all districts
▪ Child survival interventions
▪ Safe motherhood interventions
▪ Implementation of target free approach
▪ High quality training at all levels
▪ IEC activities
▪ Specially designed RCH package for urban slums and tribal areas
▪ District sub projects under Local Capacity Enhancement
▪ RTI/STD clinics at district
▪ Facility for safe abortion at PHCs
▪ Adolescent health and reproductive hygiene
▪ Enhanced community participation
Interventions in selected
States/Districts
▪ Screening & treatment of RTI/STD at sub divisional level
▪ EmOC at selected FRUs by providing drugs
▪ Essential obstetric care by providing drugs and staffs at PHCs
▪ Additional ANM at sub-centres in weak districts for ensuring
MCH care
▪ Improved delivery services & emergency care by providing
equipment kits, IUDs and ANM kits at sub centers
▪ Facility for referral transport of pregnant women during
emergency
▪ Essential obstetric care
▪ Emergency obstetric care
▪ 24 hour delivery services at PHCs/CHCs
▪ Medical Termination of Pregnancy- MTP Act 1971
▪ Control of RTI and STD
▪ Immunization
▪ Essential newborn care
▪ Diarrheal disease control
▪ Acute respiratory disease control
▪ Prevention & control of vitamin A deficiency in children
▪ Prevention and control of Anemia in children
▪ Drug and equipment kits
Drug and equipment kits
▪ At sub centre level:
- Drug kit A
- Drug kit B
- Mid-wifery kit
- Sub centre equipment kit
▪ At PHC level:
- PHC equipment kit
▪ At CHC/FRU level:
-Equipment kits from kit E to kit P
 In addition, a drug kit for essential obstetric care will be supplied to
PHCs in category C districts
Initiation taken after adoption of
National Population Policy 2000
▪ RCH camps
▪ RCH Out-reach scheme
▪ Border District Cluster Strategy (BDCS)
▪ Introduction of Hepatitis B vaccination project
▪ Training of dais
▪ District surveys
RCH - PHASE II
▪ Began from 1st April 2005
▪ Major strategy includes:
 Essential obstetric care
a)
Institutional delivery
b) Skilled attendance at delivery
 Emergency obstetric care
a)
Operationalizing FRUs
b) Operationalizing PHCs & CHCs for round the clock delivery services
 Strengthening referral system
New initiatives
1. Training of MBBS doctors in life saving
anesthetic skills for emergency obstetric care
2. Setting up of blood storage centers at FRUs
3. Janani SurakshaYojana