RMNCHA

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 15

SANKAR MADHAB

COLLEGE OF NURSING
Seminar on:
“RMNCH+A”
Subject: Community Health Nursing II
INTRODUCTION
DEFINITION
It is a comprehensive stratergy for improving the maternal and child
health outcome.
“PLUS” WITHIN THE STARTEGY
It focuses on:-
Including adolescence for the first time as a district life stage.
Linking maternal and child health to reproductive health, family
planning, adolescent health, HIV, gender, preconception and prenatal
diagnostic technique.
Linking home and community-based services to facility based care.
Ensuring linkage, referrals and counter-referrals between and among
health facilities at primary, secondary and tertiary levels.
AIMS
To reached the maximum number of people in the remoted corners
of the country through a:-
 Continum services.
 Constant innovation and
 Routine monitoring of intervention.

GOALS AND TARGET


Reduction of Infant Mortality Rate (IMR) to 25 per 1,000 live birth by
2017.
Reduction in Maternal Mortality Rate (MMR) to 100 per 100,000 live
birth by 2017.
Reduction in Total Fertility Rate (TFR) to 21 by 2017.
COVERAGE TARGETS
Increase facilities equipped for perinatal care by 100%.
Increased proportion of all births in government and private institution
at annual rate of 5.6% from the baseline of 61%.
Increase proportion of pregnant women receiving antenatal care at
annual rate of 6% from the baseline of 53%.
Increase proportion of mothers and newborns receiving postnatal care
at annual rate of 7.5% from the baseline of 45%.
Increase proportion of deliveries conducted by skilled birth attendants
at annual rate of 2% from the baseline of 45%.
Increase exclusive breastfeeding rate at annual rate of 9.6% from the
baseline of 35%.
Contd….

Reduced prevalence of underfive children who are underweight at


annual rate 5.5% from the baseline of 45%.
Increase coverage of three doses of combined DPT3(12-23months) at
annual rate of 3.5% from the baseline of 7%.
Increase ORS use in underfive children with diarrhoea at annual rate of
7.2%from the baseline of 43%.
Reduce unmet needs for family planning methods among eligible
couples, married and unmarried at annual rate of 8.8% from the baseline
of 21%.
Reduce anemia in adolescent girls and boys at annual rate of 6% from
the baseline of 5.6% and 30% respectively.
Decreased the proportion of total fertility contributed by adolescents at
annual rate of 3.8% per year from the baseline of 16%.
RMNCH+A INTERVENTIONS
STRATEGIES FOR IMPLEMENTATION
OF RMNCH+
Coverage of affected population
Quality of services
Availability
Accessibility
Actual utilization of services.
SCORE BORDS
1) Survey- Based Score Card:-
a) Mortality
b) Fertility
c) Nutritions
d) Gender
e) Cross-cutting
f) Diarrhoea
g) Pneumonia
h) Services delivery
METHODS OF USING SURVEY- BASED
SCORE CARD
Considering of the latest data available from national survey’s.
All India average for each indicator is to be taken as the reference
point.
States to be colour- coded based on:
Mortality indicator, nutrition, fertility:
 Green
 Yellow
 Red
Remaining indicators
 Green
 Yellow
 Red
HEALTH MANAGEMENT INFORMATION
SYSTEM- BASED DASHBOARD
MONITORING SYSTEM
1) Pregnancy care
2) Childbirth
3) Postnatal material and newborn care
4) Reproductive age group
METHODS OF USING DASHBOARD
MONITORING SYSTEM
Proportion of each indicator is calculated.
All India average for each indicator is to be taken as the reference
point.
State score to be determined on the basis of national average:
 Positive score 1-4 for above national average.
 Negative score 1-4 for below national average.
 All the indicators scores for each state are to be considered as state score.
CONCLUSION
THANK YOU

You might also like