BY,

[Link] C
LECTURER
DEPARTMENT OF
COMMUNITY HEALTH
NURSING
VIJAYAPUR
RCH (Reproductive &Child Health)
Govt of india has launched RCH program on 15th
0ctober 1997
The concept Based on RCH approach-
-People have the ability to reproduce & regulate there
fertility
-Women are able to go through pregnancy & child birth
safely
-Successful delivery
-Target free approach &
-Improve health status of young women & young
children which name going in country as family
welfare programme
Definition of RCH Programme
A state of complete physical, Mental, Social well
being & not merely absence of disease or infirmity
in all matters relating to reproductive system & its
function & process
 (Or)
A state in which people have ability to produce &
regulate there fertility are able to go through
pregnancy & child birth outcome of pregnancy is
successful in terms of maternal & infant survival &
wellbeing & couples are able to have sexual
relation free of fear of pregnancy & controlling
diseases
Objectives of RCH programme
To promote health of mothers & children
To ensure safe motherhood & child survival
To reduce IMR & MMR
Population stabilization
Concept & interventions
Prevention & management of unwanted
pregnancies
Maternal care
Child care
Prevention & management of STD/RTIs
Prevention of HIV/AIDS
Components
Family planning
CSSM (Child survival & Safe Motherhood)
Prevention & management of STD/RTIs
Client approach to health care
Other activities-
Counseling
IEC
Referral services
Growth monitoring
Nutrition education
RCH Packages for various services
For maternal services-
-obstetric care, infection control & nutriton
For child services-
-care of newborn, nutrition
For reproductive health-
-fertility control, MTP services, adolescent
education, HIV/AIDS
RCH PROGRAMME
RCH Programme divided into 2 phase
1. Phase -1
[Link] -2
RCH Phase-1
In this phase made to improve the maternal &
child health
Interventions –
Provision of essential & emergency care
Provision of equipment & drug kit to selected PHC
Eg. Immunization, ORS
Provision for additional ANM staff nurse,
laboratory technicians
24 hrs delivery services
Referral services
IMCI(Integrated mgt of childhood illness)
Control of vit A deficiency
New initiatives
24 hrs health & delivery services
Setting a blood storage
Training of MBBS doctors & anesthetic
Lacunae of RCH-1/Failure in programme
Out rich services not available
Inadequate management & financial
resources
IEC lacking
Poor quality services in PHC & CHC
Lack of community participation
1st referral unit was lacking
Lack of health personnels
Eg doctors, nurses
RCH Phase -2
It was started in 1st April 2005 up to 2009
It mainly focusing to reduce maternal & child
mortality &
To provide rural health care
VISION OF RCH PHASE-2
To improve access or services with proper
resources
To provide quality RCH services
AIM-
Decrease IMR
Decrease MMR
Immunization at rural
Increase couple protection rate
Objectives of RCH phase-2
To increase management performance
Develop human resources
Expand RCH services in tribal area
Monitor , evaluation at the area
Improve quality package coverage
Components of RCH phase-2
Maternal health
Newborn care
Child health
Adolescent health
Population stabilization
Urban health
Tribal health
Control of STDs & RTI
Monitoring & evaluation
Other priority areas
 Strategies of RCH-2
[Link] obstetric care-
To counsel & provide institutional delivery
To provide skilled attendance at delivery
[Link] obstetric care-
24 hr emergency services
Provision of 1st referral unit
Properly utilizing PHC & CHC
[Link] referral system-
Here Govt of india given broad guideline to reduce
MMR & IMR
New initiatives-Training of MBBS doctor
-Set ups blood storage
 New initiatives in RCH-2 Programme
1. JSY(Janani Suraksha Yojna)-12th April 2005
2. JSSK(Janani Shishu Suraksha Karyakarma)-1st June 2011
3. NSSK(Navajat Shishu Suraksha Karyakarma)-2009-10
4. RBSK(Rashtriya Bal Swasthya Karyakarma)-Feb-2013
5. IMNCI(Integrated Mgt of Neonatal & Child Illness)-2003
6. Pregnancy tracking
7. Safe abortion service
8. Maternal death review
9. Village health & Nutrition day
10. Nutritional rehabilitation centre
11. Vandemataram scheme
1. JSY(Janani Suraksha Yojna)-12th April 2005
The national maternity benefit scheme has
modified & renamed as JSY
It was launched in 12th April 2005

Objectives-
To decrease maternal mortality
To decrease infant mortality
To advise institutional delivery
JSY Vision
To promote institutional delivery
To decrease maternal & child mortality

Strategy of JSY-
Early registration
Identify complicated cases
3 ANC & PNC visit
Referral services & Transport
ICDS
24X7 delivery services at PHC
Making FRU functional
Building partnership
 JSY Eligibility for Cash
LPS (Low Performing State-Example-
Bihar,jharkhand,MP,Assam,Jammu n
kashmir,rajsthan)-Women delivering in
Govt health center-SC, PHC, CHC, FRU, Dist.
& state Hospital & accredited private hosptl
HPS (High Performing State) –BPL preg.
Women
- Aged 19yr & above
LPS & HPS- All SC & ST Women delivering
in Govt health center-SC, PHC, CHC, FRU,
Dist. & state Hospital & accredited private
Total packages-
Scale of assistance for ID
Role of ASHA Worker ?

Role of Community Health

Nurse?
2. JSSK(Janani Shishu Suraksha
Karyakarma)-1st June 2011
The Govt of India Launched JSSK in 1st June
2011 in Mewat district in Haryana
 Facilities of JSSK
Collaborative effort from NRHM & MOH&FW
Free service to all preg. Women upto 42 days
Free service to all sick newborn upto 30 days
Cashless service to pregn women-normal or
LSCS
Services of irrespective of financial status
Eg-BPL or not
Free transport, drug & blood
Free diet during stay-
3-day for normal delivery
7-day for LSCS

Goals of JSSK
Provision of maternal & newborn care
Continue care approach during ANC & PNC
Transportation-Home to facility & back to
home

3 D services-
Drug, Diagnosis, Diet
Provision of blood bank
Referral transport
 Implementing new initiating
Action at state level
Action at district level
Strengthening diagnostics
Provision of diet
 Provision of blood, drugs
Referral transport
Funds
Monitoring & follow up
Child health components
Strategy for child health care
Aim to reduce under 5 child mortality
Improve child care & child nutrition
 3. NSSK(Navajat Shishu Suraksha Karyakarma)-2009-
10
This programme launched in september-
2009 by MOH & FW under NRHM

AIM-
To train health personnel in basic newborn
care & resuscitation
STRATEGIES-
Mainly focus given to prevention of
hypothermia, infection, early initiation of
breast feeding
Training Duration- 2 days
4. RBSK(Rashtriya Bal Swasthya
Karyakarma)-Feb-2013
It launched in Feb-2013 under MOH &FW &
NRHM
For provision of child health screening & early
intervention services through early detection &
mgt & 4 disease prevention
4D’s-
[Link] at birth
[Link] in children
[Link] delays including disabilities
4. Deficiency condition
 Quality indications/ activities
% pregnancy registered before 12 wks
% ANC with 3 visit
% ANC receiving all RCH services
% High risk cases referred
% delivery by ANM
%PNC receiving counseling
%PNC complication referred
% Eligible couple offered FP
% Counselling for prevention of RTI/STDs
% immunization
ORS advertisement
5. IMNCI(Integrated Mgt of Neonatal & Child
Illness)-2003
It is main intervention in RCH-2
It started in 2003 in india
By june 2010 it had implemented in 640 dist.
& more than 20,000 workers had been
trained
The objective is to implement package at
household level through ANMs at Subcenter
6. Pregnancy tracking-
It is centralized web based application launched
buy MOH&FW in December-2009
It is mission mode project under National e-
governance plan
In january 2011 it was developed through
mobile phone technology to provide timely
health care to pregnant women & children by
ANM
OBJECTIVES-
Timely delivery of full spectrum of health care to
preg women or children upto 5 year chlildren
To help reduction of IMR& MMR
7. Safe abortion service
In india abortion is major cause of maternal
morbidity & mortality
Nearly 8.9% maternal death occur in world
Majority of abortion occur unautorized &
unskilled person
Due to this mother life is in danger, seeing this
[Link] india passed MTP act in 1971
2 TYPE of SAFE ABORTION METHOD
[Link] method of abortion-Tab-
Mifepristone, Misopriston-during 7 wk preg.
[Link] Vacuum aspiration-it introduced
in Family Welfare programme in PHC
8. Maternal death review
9. Village health & Nutrition day
Here organizing village health & nutrition
day once a month at Anganwadi centre to
provide ANC/PNC women to promote
nutritional anemia, immunization, health
education, FP, Institutional delivery
10. Nutritional rehabilitation centre-2011/
POSHAN abhiyan-2018
11. Vandemataram scheme
Logo of vandemataram scheme