RCH

PROGRAM

Historical background

Milestones of family Welfare Programme

195156

National Family Planning Programme adopted by government of

India

196166

- Extension education approach; expansion of service facilities

along with spread of small family norm
- Deptt. of Family Planning created in Ministry of Health
- Lippies loop introduced & massive effort to promote IUCDs &
condom

197479

- Campaign for male sterilization

- Renaming Family Planning to Family Welfare

1983

National Health Policy

198085

Strengthening of Maternal and Child Health

199297

Child survival and Safe Motherhood Programme (CSSM)

199702

Reproductive and Child Health, RCH I

2000

National Population Policy

CSSM

Early registration of pregnancy.

Minimum three antenatal check ups.
100% TT immunization.
Detection of high risk pregnancy.
Clean deliveries by trained personal.
Birth spacing.
Promotion of institutional delivery.

REPRODUCTIVE CHILD
HEALTH-I

RCH Package

Family planning

Client approach to
health care

Child survival
and safe motherhood
Prevention /management
of RTI/STD
AIDS

Maternal components

Essential obstetric care.

Emergency obstetric care.
24 hour delivery services.
Medical termination of pregnancy.
Control of RTI.

Child survival components

Essential new born care

Prevention and management of VPD
ARI control programme
ORS programme
Prevention and control of Vit A deficiency
Prevention and control of anemia.
Introduction of hep B vaccine.
Training of dais.

RCH II

1.

Essential obstetric care

-Institutional delivery
-skilled attendance at delivery

2.

Emergency obstetric care

-operationalising First Referral System
-operationalising PHC,& CHC for round the
clock delivery
services

Strengthening referral system

Essential obstetric care

1.Institutional delivery50% PHC
All CHC---------24 Hour delivery centers
In phased manner---by 2010
services needs to be provided. emergency obstetric care
. essential new born care.
. basic new born resuscitation

2.Skilled attendance at delivery

Skilled attendance at every birth

Management of obstetric complication
at
PHC/CHC for medical officers

Emergency obstetric care

1.
2.
3.
4.
5.

6.
7.
8.
9.
10.

24 Hr delivery services-normal/assisted
Emergency obstetric care- LSCS
New born care
Emergency care of sick children
Full range family planning services including
laparoscopy
Safe abortion services
Treatment of STI/RTI
Blood storage services
Essential laboratory services
Referral (transportation) services

FRU: are centers which have at least

1.

Availability of surgical interventions

2.

New born care

3.

Blood storage facilities

24hrs basis

Full range functional FRU :

1.
20-30 beds(10-12 beds in NE States)
2.
Fully functional OT
3.
,,
,,
labour room
4.
equipped area for new born care-in
labour room and in ward
5.
Blood storage facility
6.
24hr-water,electricity
7.
Waste disposal
8.
Ambulance facility

Strengthening referral
facilities
Funds were given with panchayats but
there was no active involvement (RCH-I)
Now NGO
Women groups
Self help groups

Vandemataram Scheme:

Voluntary scheme
Any gynecologist/nursing homes/lady
doctor/MBBS doctors may volunteer for
this
Enrolled doctor will display logo
District Medical Officer will provide free
IFA tablets, TT injections, OC Pills to
these enrolled doctors for distribution

Other interventions:

Additional ANM
Public health nurse
RCH camp
Training of dais
New born care
JSY

Child components

Nutritional rehabilitation center.

IMNCI.
Home based newborn care

IMNCI

Integrated management of neonatal and

childhood illness
Major child health intervention in RCH II
LOOK BEYOND TREAMENT OF SINGLE
DISEASE
Provision of standard case management
protocol

Major highlights of INDIAN adaptation:

1.
2.

3.

4.

5.

Inclusion of 0-7 days age programme

Incorporating national guidelines on
malaria,anemia, vitamin-A
supplementation
Training of health personnel begins with
sick young infant up to 2 months
Proportion of training time devoted to sick
young infant and sick child is almost equal
Skill based

Facility based newborn care

Health facility

All new borns

Sick new borns

PHC/SC

Newborn Care
Corner in labor
room

referral

CHC/FRU

Newborn Care
Corner in labor
room and OT

Newborn
stabilization unit

District level

Newborn Care
Corner in labor
room and OT

Special new born

care unit

Home based newborn care

6 visits in case of institutional delivery3, 7, 14, 21, 28, 42

7 visits in case of home delivery- 0, 3, 7,

14, 21, 28, 42

THANK YOU