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 1952- National Family Planning Programme  1977- National Family Welfare Programme  1985- Universal Immunization Programme  1992- Child Survival And.

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Presentation on theme: " 1952- National Family Planning Programme  1977- National Family Welfare Programme  1985- Universal Immunization Programme  1992- Child Survival And."— Presentation transcript:

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2  National Family Planning Programme  National Family Welfare Programme  Universal Immunization Programme  Child Survival And Safe Motherhood Programme  RCH (Phase-1)  RCH (Phase-11)

3 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 )

4  Immediate Objective- To promote health of mother and children.  Intermediate Objective- To reduce IMR and MMR.  Ultimate Objective- Population Stabilization

5 Intervention / Strategies:-  Prevention $ Management of unwanted pregnancies  Maternal Care  Child Survival  Prevention $ Management of RTIs $ STIs  Prevention of HIV / AIDs

6 Management Strategies :-  Bottom- up Planning  Decentralized Training  Management information and Evaluation System (MIES) $  IEC and Community Participation

7 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.

8 GoalTarget YearPercentage Reduction of population growth rate % Reduction of IMR <45/1000 <30/1000 Reduction of MMR /1000 live births Reduction of TFR % Increase of CPR2010From 48.2% to 100% Increase of Immunization Coverage 2010From 44.5% to 89% Improvement in the coverage of rural institutional deliveries 2002 – % 80%

9  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

10  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

11  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

12 BBy incorporating the newer choices of contraception methods e.g:-Centchroman BBy increasing trained personals BBy converging the service at grass root level BBy public private partnership SSocial marketing of contraceptives to be strengthened IInvolving Panchayat Raj Institutions, Urban Local Bodies $ NGO’s BBy increasing incentives

13 Essential Obstetrical Care  Three or More Checkups  Two doses of TT  IFA Tablet  Counseling Emergency Obstetrical Care  First Referral Unit

14 Effective Newborn Health Intervention  During Antenatal Period  Labor, Birth, $ the first 1- 2 hours  Early Newborn Care  Late Newborn Care

15 OBJECTIVES  Skilled care at birth  Package of preventive, promotive and curative intervention  Strengthen IMNCI services

16 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 co- trimoxazole by AWW

17  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

18 Subcentre  Enroll newly married couple  Provision of spacing methods  Routine antenatal care and institutional delivery  Referral service  HIV/ AIDS /STIs preventive education  Nutritional Counselling

19 PHC $ CHC  Contraceptive  Management of menstrual disorder  HIV/ AIDS /STIs preventive education and management  Counseling

20  Controlled by syndromic approach

21 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

22  Community Level  Sub centre  PHC  Block PHC / CHC

23 MIES  Planning  Monitoring / Information  Quality Assessment  Evaluation  Validation

24  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

25 SUMMARY

26 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)

27 3. RCH –II was started from 1 st April………. Up to……… ( , , )

28  Write an assignment on Janani Suraksha Yojana and the role of ASHA in this scheme.

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