Reproductive and child Program STATUS.pptx

RCH Program which was previously focused on mother and child was now upgraded into RMNCH+A

1. RATIONAL OF RMNCH A+ STRATEGIES In order to bring greater impact through RCH programme, it is important to recognize that reproductive, maternal and child health cannot be addressed in isolation RMNCH+A strategic approach focuses on what the Health Delivery System can do to help achieve maternal and child health goals Purpose RMNCHA +A approach is to provide an understanding of comprehensive approach to improve child survival and safe motherhood 1

2. WHY ‘ PLUS’ IN RMNCHA? The ‘Plus’ in the strategic approach of RMNCH+A denotes: 1. Inclusion of adolescence as a distinct ‘life stage’ in the overall strategy 2. Linking of maternal and child health to reproductive health and other components like family planning, adolescent health, HIV, and Preconception and Prenatal Diagnostic Techniques (PC&PNDT) 3. Linking of community and facility-based care as well as referrals between various levels of health care system to create a continuous care pathway, and to bring an additive /synergistic effect in terms of overall outcomes and impact. 2

3. STRATEGIC RMNCH+A INTERVENTIONS ACROSS LIFE STAGES There are two dimensions to healthcare: (1) stages of the life cycle (2) places where the care is provided These together constitute the ‘Continuum of Care’ 3

4. HEALTH SYSTEMS STRENGTHENING FOR RMNCH+A SERVICES Prepare and implement facility specific plans for ensuring quality and meeting service guarantees as specified under IPHS Assess the need for new infrastructure, extension of existing infrastructure on the basis of patient load and location of facility The key steps proposed for strengthening health facilities for delivery of RMNCH+A interventions are as follows: 4

5. HEALTH SYSTEMS STRENGTHENING FOR RMNCH+A SERVICES c) Equip health facilities to support forty-eight-hour stay of mother and newborn. d) Engage private facilities for family planning services, management of sick newborns and children, and pregnancy complications. e) Strengthen referral mechanisms between facilities at various levels and communities. f) Provision for adequate infrastructure for waste management 5

6. MONITORING, INFORMATION & EVALUATION SYSTEMS Civil registration system Web enabled Mother and Child Tracking System (MCTS) Maternal Death Review (MDR) Perinatal and Child Death Review Health Management Information System (HMIS) based monitoring and review: Indicator that reflect outcome such as Full Antenatal Care, Institutional Delivery, Sterilization procedure, IUCD insertion, Full Immunization, Child & Maternal Death should be regularly monitored and interpreted at National, State & District levels 6

7. REPRODUCTIVE HEALTH

8. TFR indicates the average number of children expected to be born per woman during her entire span of reproductive period assuming that the age specific fertility rates, to which she is exposed to, continue to be the same and that there is no mortality. TFR NFHS 5 INDIA 2.0 TELANGANA 1.8 HIGHEST BIHAR 3.4 LOWEST SIKKIM 1.2 TOTAL FERTILITY RATE

9. CONTRACEPTION As of 2020: 13.9 CRORE Women and girls are using modern contraception in India +1.5 53 CRORE additional women and girls are using modern contraception compared to 2012 AS A RESULT OF MODERN CONTRACEPTIVE USE CRORE Unintended pregnancies were averted LAKH Unsafe abortions were averted THOUSAND Maternal deaths were averted 5.5 18.3 23

10. CONTRACEPTION REGION USING ANY METHOD OF CONTRACEPTION USING MODERN METHODS OF CONTRACEPTION UNMET NEEDS FOR FAMILY PLANNING INDIA 67% 56.5 9.4% TELANGANA 68% 66.7% 6.4% HIGHEST CHANDIGARH 77% MAHARASHTRA 81% MEGHALAYA 27% LOWEST MEGHALAYA 27% MEGHALAYA 12% ANDHRA PRADESH 4.7%

11. CONTRACEPTION

12. MATERNAL HEALTH

13. REGION MMR DATA OF SRS 2020 INDIA 97/1 LAKH LB TELANGANA 43/ 1 LAKH LB HIGHEST ASSAM 195/1 LAKH LB LOWEST KERALA 19/1 LAKH LB REGION MOTHERS WHO HAD ATLEAST 4 ANC VISITS INSTITUTIONAL BIRTHS INDIA 58 89% TELANGANA 70 97% HIGHEST GOA 93% TN, PUDUCHERRY, LAKSADWEEP, KERALA, GOA 100% LOWEST NAGALAND 21% NAGALAND 46% TABLE 1 TABLE 2

14. CHILD HEALTH

15. REGION SRS 2020 NFHS 5 INDIA IMR- 28/1000LB NMR- 20/1000LB U5MR-32/1000LB IMR- 35 NMR-25 U-5MR- 42 TELANGANA IMR- 21/1000 LB NMR-15/1000 LB U5MR-23/1000 LB IMR- 12 NMR-26 U-5MR- 29 HIGHEST IMR-MADHYA PRADESH 43 NMR-MADHYA PRADESH 51 U5MR- MADHYA PRADESH 51 IMR- UP -50 NMR- UP- 35.7 U-5MR- UP- 60 LOWEST IMR- KERALA 6/1000 LB NMR- KERALA 4/1000 LB U5MR- KERALA 8/1000LB IMR- PUDUCHERRY 3 NMR- CHANDIGARH 1.6 U5MR- PUDUCHERRY 4 TABLE 1

16. REGION NFHS 5 INDIA 76% TELANGANA 79% HIGHEST DADRA & NAGAR HAVELI 95% LOWEST NAGALAND 58% VACCINATION STATUS

17. NUTRITION

18. REGION NFHS 5 INDIA 67% TELANGANA 70% HIGHEST 94% LADAKH LOWEST 39% KERALA ANEMIA STATUS

19. REGION STUNTING WASTING UNDERWEIGHT INDIA 36% 19% 32% TELANGANA 33% 22% 32% HIGHEST 47% MEGHALAYA 26% MAHARASHTRA 41 BIHAR LOWEST 20% PUDUCHERRY 8% CHANDIGARH 12.7 % MIZORAM MALNUTRITION STATUS

20. EBF NFHS-5 INDIA 64% TELANGANA 68% HIGHEST CHATTISGARH 71% LOWEST MEGHALAYA 23% EXCLUSIVE BREASTFEEDING STATUS