 1952-
National Family Planning Programme
 1977- National Family Welfare Programme
 1985- Universal Immunization Programme
 1992- Child Survival And Safe Motherhood
Programme
 1997- RCH (Phase-1)
 2005- RCH (Phase-11)
Definition
“People have the ability to reproduce
and regulate their fertility, women are able to
go through pregnancy and child birth safety, the
outcome of pregnancies is successful in terms
of maternal and infant survival and wellbeing
and couples are able to have sexual relations
free of fear of pregnancies and of contracting
diseases”.
(Fathalla,1989)
 Immediate
Objective- To promote health of
mother and children.
 Intermediate
Objective- To reduce IMR and
MMR.
 Ultimate
Objective- Population Stabilization
Intervention / Strategies: Prevention $ Management of unwanted
pregnancies
 Maternal Care
 Child Survival
 Prevention $ Management of RTIs $ STIs
 Prevention of HIV / AIDs
Management Strategies : Bottom- up Planning
 Decentralized Training
 Management information and Evaluation
System (MIES) $
 IEC and Community Participation
AIM
 To reduce Infant Mortality Rate (IMR),
Maternal Mortality Rate (MMR), Total
Fertility Rate (TFR), To increase Couple
Protection Rate (CPR), and Immunization
coverage, specially in rural areas.
Goal
Target Year
Percentage
Reduction of population
growth rate
2001 - 2011
1.62%
Reduction of IMR
2007
2010
<45/1000
<30/1000
Reduction of MMR
2010
1.5/1000 live births
Reduction of TFR
2010
2.1%
Increase of CPR
2010
From 48.2% to 100%
Increase of Immunization
Coverage
2010
From 44.5% to 89%
Improvement in the
coverage of rural
institutional deliveries
2002 – 03
2010
39.8%
80%
 Poor
out reach service
 Inadequate financial resources
 Inadequate human resources
 MIES was lacking
 Effective network of FRU was lacking
 Poor infrastructure
 Quality of PHC’s $CHC’s service was poor
 Poor Neonatal and Adolescent health care
 Minimum community participation
 Regional variation
 To
improve the management performance
 To develop human resources intensively
 To expand RCH services to tribal areas also
 To improve the quality, coverage and
effectiveness of the existing services and
more focused on empowered action group
(EAG) states
 To monitor and evaluate services
 Population
Stabilization
 Maternal Health
 Newborn Care and Child Health
 Adolescent Health
 Control of RTIs / STIs
 Urban and Tribal Health
 Monitoring and Evaluation
 Other Priority areas
 By
incorporating the newer choices of
contraception methods e.g:-Centchroman
 By increasing trained personals
 By converging the service at grass root level
 By public private partnership
 Social marketing of contraceptives to be
strengthened
 Involving Panchayat Raj Institutions, Urban
Local Bodies $ NGO’s
 By increasing incentives
Essential Obstetrical Care
 Three or More Checkups
 Two doses of TT
 IFA Tablet
 Counseling
Emergency Obstetrical Care
 First Referral Unit
Effective Newborn Health Intervention
 During Antenatal
Period
 Labor, Birth, $ the first 1- 2 hours
 Early Newborn Care
 Late Newborn Care
OBJECTIVES
 Skilled care at birth
 Package of preventive, promotive and
curative intervention
 Strengthen IMNCI services
Strategies
 IMNCI plus
 Strengthening of health infrastructure and
FRUs
 Ensuring referral service of sick neonates and
utilization of referral funds
 Permitting ANMs to administer selected
antibiotics like Gentamycin and cotrimoxazole by AWW
 Availability
of drugs and supplies
 Good supervision and monitoring
 Efficiency of the administrative/ financial
system
 Community based intervention
 Promoting breast feeding practices
 Vit A, Iron and Folic Acid Supplimentation
 Strengthening the quality of UIP
Subcentre
 Enroll newly married couple
 Provision of spacing methods
 Routine antenatal care and institutional
delivery
 Referral service
 HIV/ AIDS /STIs preventive education
 Nutritional Counselling
PHC $ CHC
 Contraceptive
 Management of menstrual disorder
 HIV/ AIDS /STIs preventive education and
management
 Counseling
 Controlled
by syndromic approach
Urban Health Centers- 1:50,000 Population
 Medical Officer- 1
 ANMs- 3-4
 Lab Assistant- 1
 Public Health Nurse- 1
 Clerk- 1
 Chowkidar- 1
 Peon- 1
 Community
 Sub
Level
centre
 PHC
 Block
PHC / CHC
MIES
 Planning
 Monitoring / Information
 Quality Assessment
 Evaluation
 Validation
 Training
of MOs
 Training of traditional birth attendents
 Prasoothi araike
 Janani Suraksha Yojana Scheme
 Vandemataram Scheme
 Safe abortion service
Medical Method-Mifepristone $
Misoprostol
Manual Vaccum Aspiration
SUMMARY
1.RCH Programme was launched in the
year………..
(1972, 1996, 1997, 1994)
2. In PHC,…….. $.............. are the two drugs used
for medical abortion.
(Mifepristone and Misoprostone,
Mifepristone and Oxytocin’
Meperidine and Misoprostone)
3.
RCH –II was started from 1st April………. Up
to………
(2005-2009,
2005-2025,
2005-2050)
Write
an assignment on Janani Suraksha
Yojana and the role of ASHA in this
scheme.