Mnemonic for Reproductive Child Health Services – Phase I / Community Health Nursing.
RCH
I. Concept
– An integrated Approach
– Aimed at improving the health status of young women young
children.
II. Definition
RCH has been defined as
“ People have the ability to reproduce and regulate their fertility, women are able to go through pregnancy and child birth safely, the outcome of pregnancies is successful in terms of maternal and infant survival and well being and couples are able to have sexual relations, free of fear of pregnancy and of contracting disease”. (Fathella)
III. Historical Background
1952 – National Family Planning Programme
1977 – National Family Welfare Programme
1985 – UIP / Universal Immunization Programme
1992 – CSSM / Child Survival and Safe Motherhood
1997 – RCH – I
2005 – RCH – II
IV. Components of RCH
a. Family Planning (FP)
b. Child Survival & Safe Motherhood (CSSM)
c. Client Approach to Health Care
d. Px. & Mx. of RTI / STD / AIDS
V. RCH – Phase –I
I. Concept
– Formally launched in 15th Oct 1997.
– It is incorporated the components of relating to CSSM and included two
additional components
a. STD and
b. RTIs
– Differential Approach
– All districts divided into 3 categories according to CBR & female literacy.
Category A (58 Districts)
Category B (184 Districts)
Category C (265 Districts)
– All districts were covered in phased manner over a period of ‘3’ Years
II. Objectives of RCH – I
1. Immediate Objective
– To promote health of mother and children.
2. Intermediate Objective
– To reduce IMR and MMR.
3. Ultimate Objective
– Population Stabilization
III. Interventions / Strategies
A. Interventions in all Districts
B. Intervention in Selected Districts
A. Interventions in all Districts
(Mnemonic)
1. Enhanced Community Participation
2. District Sub-Projects
3. IEC
4. Safe Motherhood
5. High Quality Training
6. Special RCH Package
7. Facility for Safe Abortion
8. Child Survival
9. Target Free Approach
10. Adolescent Health and Reproductive Hygiene (AHRH)
11. RTIs / STDs Clinics
B. Interventions in Selected Districts
(Mnemonic)
1. Referral Transport
2. Additional ANMs at SC
3. Improved Delivery Services & Emergency
4. Screening & Rx of RTIs / STDs.
5. Essential Obstetrical Care at PHC
6. Emergency Obstetric Care at CHC
IV. Major Interventions RCH – I
( Mnemonic)
1. Vitamin A Def. Px and Cx.
2. Immunization
3. Twenty four (24- hour Delivery Services
4. ARI control
5. MTP
6. Essential Obstetrical Care – PHC
7. Essential New Born Care
8. Emergency Obstetric Care – CHC
9. Diarrhoeal disease Control /
10. Drug and equipment kit
11. Prevention Cx of Anaemia in Children
12. Control of RTI & STI
Thank You.
