Reproductive and child health programme vinod

a short knowledge about RCH program

1. Reproductive and child health programme Vinod Kumar Nawriya M. Sc. Nursing 1 st year JAIPUR NURSING COLLEGE JAIPUR By

2. Content Introduction of RCH Definition of Health Approaches of RCH Component of RCH programme phase- I Component of RCH programme phase- II Quality indicators of RCH programme Role of community health nurse in RCH programme

3. Introduction The govt. of India reoriented the family programming programme and child survival and safe motherhood (CSSM) programme in to new programme known as reproductive and child health (RCH). The RCH programme was started in august 1997.

4. Definition of health According to WHO- health is a state of physical, mental and social well being and not merely the absence of disease or infirmity. Its all maters relating to reproductive system and its function and process.

5. Approaches of RCH People have the ability to reproduce and regulate there fertility, women are able to go through pregnancy and child birth safely, the out of come pregnancies is successfully in terms of maternal and infant survival and well being, and couples are able to have sexual relations, free of fear of pregnancy and of contracting diseases.

6. Component of RCH programme phase- I The programme was formally launched on 15 th O ct. 1997.

7. RCH PHASE I PROGRAMME INCORPORATED THE 4 COMPONANT FAMILY PLANNING CLIENT APPROACH TO HEALTH CARE PREVENTION AND CONTROL OF RTI/ STD’S/ AIDS CHILD SURVIVAL AND SAFE MOTHERHOOD RCH PACKAGE

8. FAMILY PLANNING Family planning basically the planning of family size. Family planning is limited or covers the reproductive age group or period of married couples. it helps individual or couple to bring about wanted births regulate the interval between two pregnancies. It is part of family welfare. The community health nurse teach the couples can plan there family by use of contraceptive methods like as condom, IUD’s, oral pill, and permanent sterilization.

9. Objective of family planning Avoid unwanted births Bring about wanted births Regulate the intervals between two pregnancies Determine the no. of children

10. Child survival and safe motherhood 1. Child health interventions are- Provide the essential new born care. Advice the breast feeding and weaning of child. Immunized the child according to immunized schedule. Provide the vitamin A supplementations of child. Provide the ORT to prevent the diarrhea. Control the acute respiratory tract infection.

11. 2. Interventions for maternal health- Registration of all pregnant mothers. To educate pregnant mothers about the antenatal checkup and to give the advice at least three antenatal visit. Tetanus toxoid immunization . Prevention and management of anemia. Promotion hospital deliveries.

12. RCH PHASE II RCH Phase II began form 1 April 2005. the focus is to reduce maternal and child mortality and morbidity with emphasis on rural health care. The major strategies are 1.Essential obstetric care Institutional delivery. Skilled attendance at delivery. Policy decisions. 2. Emergency obstetric care a. Oprationalizing first referral units. b. Oprationalizing PHC’s and CHC’s for round clock delivery services.

13. 3. Strengthening referral system- Funds were given to panchayat for providing assistance to poor people in case of obstetric emergencies Involvement of local self help groups, NGO’s and women groups.

14. Quality indicators of rch programme % Pregnancy registered before 12 weeks. % ANC with 3 visits. % ANC receiving all RCH services. % H igh risk cases referred. % High risk cases followed up. % Delivery by ANM / TBA. % PNC with 3 PNC visits. % PNC receiving all counseling. % Eligible couples offered family planning choice. % Women screened for RTI/STD’s. % ARI treated. % Children fully immunized.

15. Role of community health nurse in RCH programme Health care service provider for mother and child Administrator Educationist Researcher

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