Reproductive and Child Health Programme
Reproductive and Child Health Programme
an International consensus on a new approach to policies to achieve population stabilisation. ertilit! reduction should be addressed at the level of broad social polic!" includin# reduction of #ender discrimination in education" health care and income #eneration. $eproductive health pro#rammes should focus the needs of actual and potential clients" not onl! for limitin# births but also for health! se%ualit! and child bearin#. In India" the implications of the reproductive health approach would be to shift the focus from the use of famil! plannin# as a tool intended essentiall! for population stabilisation" to use famil! plannin# as one amon# a constellation of interventions that would enable women and men to achieve their personal reproductive #oals without bein# sub&ected to additional burdens of disease and death associated with their reproduction. Definition World Health Or ani!ation "WHO# has defined reproductive health as follows' ()ithin the framewor* of )+,-s definition of health as a state of complete ph!sical" mental" and social well.bein#" and not merel! the absence of disease or infirmit!/ reproductive health addresses the reproductive processes" functions and s!stems at all sta#es of life. $eproductive health therefore implies that people are able to have a responsible" satisf!in# and safe se% life and that the! have the capabilit! to reproduce and the freedom to decide" if when" and how often to do so. This definition focus on ri#ht of men and women to be informed of and to have access to safe" effective" affordable" and acceptable methods of fertilit! re#ulation of their choice" and the ri#ht to access to appropriate health care services that will enable women to #o safel! throu#h pre#nanc! and childbirth and provide couples with the best chance of havin# a health! infant(. E$$ential Co%&onent$ of RCH Pro ra%%e 1. Prevention and mana#ement of unwanted pre#nanc!. 0. 1aternal care that includes antenatal" deliver! and postpartum services. 2. Child survival services for newborns and infants. 4. 1ana#ement of $eproductive Tract Infection (T$Is) and 3e%uall! Transmitted Infections (3TIs). The 4overnment have power to restrict an! unit" and to ta*e samples of effluents and to #et them anal!sed in Central or 3tate laboratories. )hoever fails to compl! with an! provision of this 5ct is punishable with the imprisonment or with fine or with both. 3econd or third time brea*in# of the law is further punishable. 6nder the provision of this 5ct Central Pollution Control 7oard was established to fulfill its ob&ect.
Ma'or Ele%ent$ of RCH Pro ra%%e 5. $eproductive +ealth 8lements $esponsible and health! se%ual behaviour Interventions to Promote 3afe 1otherhood 8ssential ,bstetric Care for 5ll Prevention of 6nwanted Pre#nancies' Increase 5ccess to Contraceptives 8mer#enc! Contraceptives 3afe 5bortion Pre#nanc! and Deliver! 3ervices irst $eferral 6nits ( $6s) for 8mer#enc! ,bstetric Care 1ana#ement of $TIs93TDs Infertilit! : 4!necolo#ical Disorders $eferral facilities b! 4overnment 9Private 3ector for Pre#nant )oman at $is* $eproductive +ealth 3ervices for 5dolescent +ealth 4lobal $eproductive +ealth 3trate#! () Child *ur+i+al Ele%ent 8ssential ;ew 7orn Care Prevention and 1ana#ement of <accine Preventable Disease 6rban 1easles Campai#n 8limination of ;eonatal Tetanus Cold Chain 3!stem Polio 8radication' Pulse Polio Pro#rammes +epatitis 7 <accine 11$ <accine 4lobal 5lliance for <accine and Immunisation (45<I) Diarrhea Control Pro#ramme and ,$3 Pro#ramme Prevention and Control of <itamin 5 deficienc! amon# children *trate , 1. 7ottom.up Plannin# 0. Decentralised Participator! Plannin# : Implementation 2. 3tren#thenin# Infrastructure 4. Inte#rated Trainin# Pac*a#e =. Improved 1ana#ement