RCH 1 - RCH 2 IN ENGLISH
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RCH-
Reproductive and child health program was launched in 1997. It is defined
as “People have the ability to reproduce and regulate their fertility; women
are able to go through pregnancy and childbirth safely, the outcome of
pregnancy is successful in terms of maternal and infant survival and well
being; and couples are able to have sexual relations free of the fear of
pregnancy and contract diseases”
OBJECTIVES-
Objectives are Reproductive and child health program are as follows:
• To bring down the birth rate below 21 per 1000 population,
• To reduce the infant mortality rate below 60 per 1000 live birth .
• To bring down the maternal mortality rate
• To increase institutional delivery 80%, proper antenatal care up
to 100% and immunization of children up
to 100% were other targeted objectives of the RCH programme
ACTIVITIES-
Ø
The RCH programme provides an
integrated package of services, which will include the following activities-
Ø
Services for mothers during pregnancy, child birth and post-natal period,
and also safe abortion services, whenever required.
Ø
Services for children like newborn care, immunization, Vitamin A
prophylaxis, Oral Rehydration Therapy (ORT) for diarrhoea, management of Acute
Respiratory Infections (ARI), anaemia control etc.
Ø
Services for eligible couples through availability and promotion of
use of contraceptive methods, and infertility services when required.
Ø
Prevention and management of Reproductive Tract Infections (RTIs) and
Sexually Transmitted Infections (STIs).
Ø
Adolescent health services including counseling of family life and
reproductive health.
RCH – II-
To further boost the services to mother and children and to stabilize
population through integrated approch, the RCH program was upgraded and the
Reproductive and child health program phase II was launched on 1st
April 2005.
OBJECTIVES-
Ø
• To bring down maternal mortality and morbidity.
Ø
• To bring down child mortality and morbidity.
Ø
• Special emphasis on rural health care
Ø
To stabilize population through integrated, focused and participatory
approach
ACTIVIITIES-
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The activities and strategy under RCH programme phase II includes-
Ø
Essential obstetric care – it includes Promotion of institutional deliveries.50%
of the PHCs and CHCs made operational as 24 hours delivery centers. Providing
skilled attendance at birth and Policy decision to permit Health workers to use
drugs in emergency situations to reduce maternal mortality
Ø
Emergency obstetric care – Emergency obstetric care includes-
Operationalization of FRUs to provide: – 24 hours delivery services
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– Emergency obstetric care
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– New born care and emergency care of the sick child
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– Full range of family planning services
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– Safe abortion services
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– Treatment of RTI and STI
Ø
– Blood storage facility
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– Essential laboratory services
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– Referral ( transport ) services
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New initiatives includes
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• Training of PHC doctors in life saving anesthetic skills for emergency
obstetric care a FRUs
Ø
• Setting up of blood storage centers at FRUs
Ø
• Janani Suraksha Yojana (JSY)
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