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.