REPRODUCTIVE &

CHILD HEALTH
PROGRAMME
Presented by :-
Vaishnavi Janwe
GNM 3RD YEAR
Nov. 2021 batch
 INTRODUCTIO
N
• The reproductive and childhood health
programme was formally launched by
government of India on 15th October 1997.
• the main name of programme is to reduce IMR &
MMR
• the definition was adopted by ICPD (international
conference of population development).
■ 1950 - MCH services
■ 1952 - national family planning programme
■ 1966 – all india hospital post partum programme
■ 1977 – national family welfare programmes
■ 1992 – child servival and safe motherhood (CSSM)
programme
■ 1997 - reproductive and child health phase 1
■ 2005 - RCH phase 2 (ended in 2012)
■ 2013 - RMNCH+A (reproductive maternal
neonatal child +adolescent health)
DEFINITION
Reproductive health can be defined as a state
in which “people have the ability to
reproduce and regulate their fertility ;are able
to go through pregnancy and childbirth; the
outcome of pregnancy is successful in term of
maternal and infant survival and well-being
and couple are able to have sexual relation
free of the fear of pregnancy and of
contracting disease.
 Objectives
• Safely reduce the unwanted pregnancy and fulfilling
the reproductive need of people .
• It paying attention on stability in population, safe
childhood and health of children .
• special attention to the health of women ,boys and
girls.
• fulfill various need of the woman and children.
• protection from sexually transmitted infection or
diseases .
• Provide antenatal , intranatal and post-natal care.
• availability of appropriate health services for safe
abortion are essential.
Main point
■ Control of infection and disease of reproductive
system.
■ safe abortion services.
■ sterility services .
■ control and treatment of STDs or STIs .
■ contraception .
■ Information and protection from HIV or AIDS.
■ child welfare and child health.
■ improving the social status of women .
■ effective control on maternal morbidity and mortality
rate.
 Component of reproductive and
child health
Family planning services

Client approach to Child servival and

health care RCH
safe motherhood

Prevention and
management of
RTI/STD/AIDS
RCH programme intervention phase I
Under the RCH program phase I various provision
where made to improve the status of maternal and child
health.
Maternal health intervention :-
essential obstetrics care :-
■ Early registration of pregnancy .
■ Provision of 3 antenatal check ups.
■ Immunization
■ institutional deliveries
■ 3 post-natal check-ups.
Emergency obstetrics care:-
■ identifying and strengthening first referral unit under the
RCH programme.
■ provision of skilled manpower.
■ providing obstetric kit.
24 hours delivery services at PHC :-
■ to promote institutional delivery
■ 24-hour services to women in labor.
MTP Medical termination of pregnancy :-
■ Provision of supply of MTP equipment.
■ Provision for engaging doctor trained in MTP
■ to visit PHC on fixed date to perform MTP.
Control of reproductive tract infection and sexually
transmitted
disease :-
■ training of the manpower and drug kit including
disposable equipment .
■ Each district is assisted by two laboratory technician on
contract basis for testing blood urine and RTI or STD
Child health intervention :-
Universal immunization programme :-
■ children are immunized against 6 killer disease .
Essential newborn care :-
■ to decline rate of infant mortality rate.
■ the main component resuscitation of newborn with asphyxia,
prevention of hypothermia , prevention of infection , exclusive
breastfeeding and referral of sick newborn
Diarrhoeal disease control :-
■ Oral rehydration therapy for diarrheal control among the
children
Acute respiratory disease control
:-
■ case management of ARI and
prevention of death due to
pneumonia is now an integral part
of RCH programme
prevention and control of vitamin
A deficiency in children
■ under the program those of vitamin
A are given to all children under
five year of age .
prevention and control of
anaemia in children:-
■ iron deficiency anaemia is widely
prevalent in young children and are
Intervention in all districts
■ Child survival .
■ safe motherhood .
■ community need assessment approach.
■ good quality training .
■ Information; communication and education
activities.
■ RTI or STD’s clinic.
■ Adolescent reproductive health and hygiene.
■ safe abortion
■ Good quality training at all level.
Intervention in selected state
■ Screening and treatment of RTI or STD
■ essential or emergency obstetrics care
■ facility of transport
■ IUD insertion
■ improved delivery services.
Drug and equipment kit
The drug and kits which are supplied at various
level one as under :-
At subsenter level :-
-Drug kit A
-Drug kit B
-Midwifery kit
-Subcenter equipment kit.
At PHC level :-
-PHC equipment kit D
At CHC /FRU level :-
-Equipment kit E - kit P
kit E- laparotomy set.
Kit F- mini laparotomy set
kit G- IUD Insertion bet
kit H -Vasectomy see
kit I- Normal delivery set
Kit J- vacuum extraction set
kit K- Embryotomy set
kit L- Uterine evacuation set.
Kit m- equipment for anaesthesia
Kit N -Neonatal resuscitation set
kit O- equipment and reagents for blood test
Kit P- Donor blood transfusion set
Rch programme intervention
phase Ii
■ The RCH II vision was “improving assess,use
and quality of RCH services ,especially for the
poor and underserved population” on an
important outcome of the programme.
■ RCH II started from April 2005 and ended in
2012
■ to further consolidation and strengthen RCH
programme intervention to achieve reduction in
maternal and child mortality and morbidity rate.
Essential obstetric care :-
■ quality antenatal care including prevention and treatment of
anemia.
■ promotion of institutional delivery .
■ linkage with referral services for emergency and effective
management of ANC.
1. Quality antenatal care :-
Registration of first trimester,physical and abdominal
examination, HB estimation and urine examination ,2 doses of
TT, immunization.
2. Institutional or safe delivery services:-
Providing around the clock delivery services by placing at least
3 to 5 staff nurse and one medical officer in this facility
3. Post natal care for mother and newborn.
Skilled attendance at birth :-
■ Training of 3-6 weeks periods to SN or LHVor ANM in
skilled attendance at birth is being given.
Emergency obstetrics and neonatal care
■ 24 hrs delivery services, skilled attendance for all
deliveries.
■ training of MBBS doctors in obstetrics management skills
include cesarian section.
■ newborn care and emergency care of sick children.
■ Family planning services including laparoscopic services.
■ blood storage facilities.
■ essential laboratory services
■ transport services
Role of community health nurse:-
Direct care
Reasercher
provider

Role of
community
health nurse

Supervisor & Communicator

manager & educator
1. Direct care provider:-
The nurse plays a vital role in providing care to the
reproductive couples including both man and woman at
the appropriate marriage age.
■ Services include
- antenatal care
- intranatal care
- postnatal care
a) Antenatal care
Care of the woman starts before the pregnancy
(preconceptional care) and the care will continue
throughout the pregnancy period
1. Perform the general health history
- general health history
- family history
- environmental history
- social history
- past obstetrics history
- present health history especially pregnancy.
2. Prenatal examination :-
- take the vital signs including BP.
- check the height and weight of pregnant women.
- blood grouping, RH determination, HB % etc.
- doing the general medical examination.
- obstetrics examination
1st trimester
2nd trimester
3rd trimester
■ the examination include pelvimetry, and an abdominal
examination consisting of inspection ,palpation,
auscultation for fetal heart sound ,inspection of vulva
and vagina examination.
■ Calculation of expected date of delivery.
3. Prenatal health education :-
it given to the pregnant mother regarding
■ Diet
■ Rest
■ Avoidance of habits like drug abuse, alcohol, smoking
■ mental preparation
■ Regular visits
■ Knowledge regarding the warning signs
■ Primigravida regarding delivery
b) Intranatal care :-
Care of the mother during the delivery period or time.
■ Main aim of delivery care :-
- To reduce the maternal and child mortality and
mobidity rates.
- To preserve the life of the mother and child
■ The domiciliary Midwifery must follow the following “5-
Cs” :-
- Clear floor
- Clean hands
- Clean gloves and blade
- Clean thread
■ Post-natal care :-
- The nurse will observe the general condition of both
mother and baby
- check the vital signs and BP for mother.
- asses for any abnormal condition like over bleeding,fits or
high BP etc
- Educate the mother about the importance of breast
feeding soon after the delivery.
- Advice the mother empty the bladder every 5hours.
- provided immediate newborn care and gentle neonatal
examination soon after the delivery of baby.
- informed the mother and family regarding the importance
of breastfeeding , immunization, weaning food, growth
monitoring, etc.
As a communicator and educator
:-
■ Important aspect in health education and
communication regarding:-
1) Dais – training and supervision
2) Educate the mother regarding :-
- antenatal care
- intranatal care
- postnatal care
- Registration
- maintenance of record
- Follow up check
- Immunization
- diet
- mental relaxation
- regular antennatal exercise
- preparation of the mother
antenatally
- Breast feeding for baby
- regular growth monitoring
- Family planning
As a supervisor and manager
■ Dais, ANM, Anganwadi workers ,multipurpose health
worker ect.
■ maintenance of record and report
■ Conducting the clinic and conference
■ organized refferal services
■ Organizes the inservice educational programmes
■ conduct the conference & counseling.
■ involving the people in the community health
activities .
■ motivating the people to participate in different
community health programmes ,etc
Act as a evaluator
■ To influence welfare of mother and children she
evaluate the series of criteria
■ She can also involve in the research activity to
upgrade the health status of mother and children
Bibliography
Book name Author name Page no.

Community Swarnakar 830 -833

health Nursing
Community K.k. Gulani 426 -433
health Nursing
Preventive and K. Park 472 -475
social medicine
Community Neelam Kumari 100 -111
health Nursing