RCH - Ii

Community Health Nursing Seminar on
Reproductive Child Health- Phase 2
By: Betsey John

4th Year Basic BscNursing
Roll no- 13
OBJECTIVES
1) Definition
2) Incidence
3) Components of RCH Phase 2
4) Strategy of RCH Phase 2
5) Programmes of RCH Phase 2
6) Roles and Responsibilities of Nurse
7) Conclusion
8) Bibliography
DEFINITION
“A stateof complete, physical, mental, and social well-being and merely the absence of
disease or infirmity in all matters relating to reproductive system and its function and
process.”
In 1997 the government of India followed up the International recommendation on

Reproductive child health as a National Programme.
The main concepts that were introduced in the RCH programme are:
 Unwanted pregnancy prevention and management
 Maternal care (safe motherhood)
 Child survival
 STD prevention and management
 HIV AIDS prevention
RCH PHASE 2
RCH was inaugurated on 1st april 2005 .The projects key objective was to modify three
key physiological parameters:- total fertility rate, infant mortality rate and maternal
mortality rate, in order to achieve the millennium development goals. It is a program that
aims at combating and reducing the mortality rates of mothers, infants and children.
Situation in India
 High Maternal Mortality- 1000,000 maternal deaths occurs annually
 High Child Mortality-2.1 million deaths annually
 Unmet demand for contraception
 Increasing concern over-Adolescent health
Urban slums
Tribal health
STATISCAL DETAILS
The 5 year RCH phase 2 is being launched in tamil nadu on 2005 with a vision to
bring about outcomes as envisioned in the millennium developmental goals the
National Population Policy (NPP-2000) and vision 2020 India
• Infant mortality rate: RCH 2 (2005-2010)- 35/1000 goals

• Maternal mortality rate: RCH 2 (2005-2010)- 150/100,000 millennium
development goals(by 2015) has reduce by 3/4th from 1990 levels
Components of RCH 2
STRATEGY OF RCH 2
The major strategies are 1) Essential obstetric care
a. Institutional delivery
b. Skilled attendance at delivery
c. Policy decisions
2) Emergency obstetric care
a. operationalizing first referral units
b. operationalizing PHCs and CHCs for round clock delivery services
3) Strengthening referral system
The Government of India has given some broad guidelines and strategies for
achieving the reduction in maternal mortality rates and infant mortality rate. The
initiatives which have been planned are:
1) ESSENTIAL OBSTETRIC CARE
a) Institutional delivery: To promote institutional delivery 50% of PHC and CHC
would be made operational as 24 hours delivery centre.
b) Skilled attendance at delivery: At every birth it is essential to reduce the maternal
mortality in any country. Guidelines for normal delivery and management of obstetric
complications at PHC/CHC for medical officers and for ANC and skilled attendance at
birth for ANMs/LHVs – guidelines for conducting normal delivery and management
of obstetric complications.
c) Policy decisions: ANMs/LHVs/SNs – Permitted to use drugs in specific emergency
situations to reduce maternal mortality.
2) EMERGENCY OBSTETRIC CARE

The FRUs be made operational for providing emergency obstetric care. The minimum
services provided by a fully functional FRUs
 24 hrs delivery services including normal and assisted deliveries
 Emergency obstetric care including surgical interventions like caesarean section.
 New-born care
 Emergency care of sick children.
 Full range of family planning services including laproscopic services.
 Safe abortion services
 Treatment of RTIs/STIs.
 Blood storage facility
 Essential lab services
 Referral (transport ) services.
3) STRENGTHENING REFERRAL SYSTEM

Funds were given to panchayat for providing assistance to poor people in case of
obstetric emergencies. • Involvement of local self-help groups, NGOs and women
groups.
NEW INTIATIVES 1. Training of MBBS doctors in life saving anesthetic skills for
emergency obstetric care -Govt .of India is also introducing training of MBBS
doctors of obstetric management skills, prepared training plan for 16 weeks in all
obstetric management skills,inculding caesarean section operation.
2.Setting up of blood storage centres at FRUs according to government of India
guidelines.
4) JANANI SURAKSHA YOJANA

The national maternity benefit scheme has been modified into a (JSY) JANANI
SURAKSHA YOJANA. It was launched on 12th April 2005. It is a 100% centrally
sponsored scheme.
Under national rural health mission,it integrates the cash assistance with institutional
care during antenatal, delivery and immediate post-partum care
ASHA would work as a link worker between the poor pregnant women and public
sector health institutional in low performing states.
The eligibility of cash assistance • In LPS : all women including SC &ST families.
delivering in government health centres like PHC, CHC
• In HPS : BPL women and SC, ST pregnant women delivering in Govt health centres
The limitation of cash assistance for institutional delivery:
• In LPS: all births delivered in health centre.
• In HPS: upto 2 live births.
5)VANDEMATARAM SCHEME
It is a voluntary scheme wherein any obstetric and gynaec specialist, maternity home,
nursing home, MBBS DOCTORS can volunteer themselves for providing safe motherhood
services. Enrolled doctors will display ‘vandemataram logo’ at their clinics. Iron and folic
acid tablets, oral pills, TT injections, etc. will be provided for free distribution.
6)SAFE ABORTION SERVICES

Under RCH – II the following services are provided: -
 Medical method of abortion: Under preview of MTP act-1971(Mifepristone RU 486)
followed by Misoprostol. It is recommended upto 7 weeks(49 days) of amenorrhoea.
 Manual vacuum aspiration: -MVA technique has been piloted in coordination with
FOGSI (FEDERATION OF OBSTETRIC AND GYNECOLOGICAL SOCIETIES OF
INDIA), WHO and respective state Govts.
7)JANANI SHISHU SURAKSHA KARYAKRAM
 Government of India launched on 1st June 2011. To make available better health
facilities for women and child.
The facilities to pregnant women:-
 All PW delivering in PH institutions to have absolutely free and no expense
including C-Section.
 The entitlements include free drugs & consumables, free diet upto 3 days during
normal delivery and upto 7 days for C-section, free diagnostics and free blood, free
transport from home to institution & between facilities an case of referral.
 Similar entitlements for all sick newborns.
 The scheme has now been extended to cover the complications during ANC, PNC
& sick newborn.
ROLE AND RESPONSIBILITIES OF NURSE IN RCH PHASE 2
1) Antenatal care:- Nurses provide antenatal care services to pregnant women,

including regular check-ups, monitoring of vital signs, and screening for
complications. They also educate women about healthy pregnancy practices,
nutrition, and the importance of prenatal care.
2) Delivery and postnatal care:- Nurses assist in safe deliveries, ensuring a clean
and sterile environment. They provide immediate care to the newborn and mother
after delivery, including monitoring vital signs, promoting breastfeeding, and
providing postpartum counseling and support.
3) Family planning services:- Nurses educate couples about various family

planning methods, including contraception, and help them make informed choices
based on their preferences and needs. They also provide counseling, administer
contraceptives, and monitor their effectiveness.
4) Immunization:- Nurses play a vital role in administering vaccines to infants and
children as per the immunization schedule. They ensure proper storage and handling of
vaccines, maintain accurate records, and educate parents about the importance of
immunization.
5) Health Education And Counselling:- Nurses conduct health education sessions and
provide counseling to individuals and communities on various aspects of reproductive
and child health. They address concerns, provide information on healthy practices, and
promote behavior change for better health outcomes.
6) Referral And Coordination:- Nurses identify high-risk cases and refer them to higher-
level healthcare facilities for specialized care. They also coordinate with other healthcare
providers and community health workers to ensure comprehensive and coordinated care
for women and children.
GROUP ACTIVITY
 RCH was inaugurated on and where
1)
2)
 Components of RCH Phase 2 3)
4)
5)
 Programmes of RCH Phase 2

(mention any 4)
BIBLIOGRAPHY
1) Park K. Preventive and Social Medicine, Essentials Of Community Health

Nursing, 4th Edition 2004 Jabalpur.
2) Swarnkar K, Community Health Nursing, 2nd Edition 2008, Indore.
3) Kumari Neelam, Essentials Of Community Health Nursing, 1st Edition 2011,

PV books, Jalandhar.
4)https://www.slideshare.net/reproductive and child health phase-ii
5)https://www.community nursing.net/instructions

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Community Health Nursing Seminar on

Reproductive Child Health- Phase 2

By: Betsey John

In 1997 the government of India followed up the International recommendation on

• Infant mortality rate: RCH 2 (2005-2010)- 35/1000 goals

2) EMERGENCY OBSTETRIC CARE

3) STRENGTHENING REFERRAL SYSTEM

4) JANANI SURAKSHA YOJANA

6)SAFE ABORTION SERVICES

1) Antenatal care:- Nurses provide antenatal care services to pregnant women,

3) Family planning services:- Nurses educate couples about various family

 RCH was inaugurated on and where

 Programmes of RCH Phase 2

1) Park K. Preventive and Social Medicine, Essentials Of Community Health

2) Swarnkar K, Community Health Nursing, 2nd Edition 2008, Indore.

3) Kumari Neelam, Essentials Of Community Health Nursing, 1st Edition 2011,

4)https://www.slideshare.net/reproductive and child health phase-ii

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