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Healthy foetus - A Global commitment. Role of Governmental and Non Governmental Organization in foetal well being. Reproductive rights of women. Right to have information about sexuality and reproduction

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Healthy foetus - A Global commitment


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slide2
Role of Governmental and

Non Governmental

Organization in

foetal well being

reproductive rights of women
Reproductive rights of women
  • Right to have information about sexuality and reproduction
  • Right have good quality and comprehensive reproductive health services
  • Right have safe pregnancy and childbirth
  • Right to marry at legally correct age
slide4
Right conceive at medically approved age
  • Right to obtain medical consultation during pregnancy
  • Right to protect against prenatal sax determination
  • Right to say “no” to female feticide
  • Right to refuse to get pregnant when medically advised against it
  • Right to obtain safe delivery services
health services
Health services
  • Public health care services (Governmental organization)
  • Public private partnership (PPP)

Private :

  • profit -
  • non profit- NGO,MNGO,SNGO,FNGO
  • private service provider
  • Private sector
slide10
Governmental organization
  • National health programmes
  • National Rural Health Mission
  • National Urban Health Mission
  • RashtriyaSwathaBimaYojana
  • VarumunKappomThittam
slide11
National health Policy :
  • Inter sectoral coordination
  • NGOs,
  • Civil Societies,
  • Panchayati Raj Institutions and
  • Women’s Group
non governmental organization
Non Governmental organization
  • WHO
  • United nations development programme (UNDP)
  • United nations children’s emergency fund (UNICEF)
  • South Asian regional cooperation (SAARC)
  • Department for international development (DFID)
  • USA-Agency for international development (USAID)
  • Cooperative assistance and Relief everywhere

(CARE)

  • Indian Red cross society
slide13
Voluntary health association of India (VHAI)
  • Professional bodies:
  • IMA,
  • IAP,
  • FOGSI,
  • IPHA,
  • Indian association of preventive social medicine
slide14
Reproductive and Child Health Programme (RCH) II :

Maternal, newborn, child, and adolescent health and Family planning services

  • Community participation and
  • Empowering people.
  • IMNCI strategy,
  • Immunization,
  • Skilled care at birth,
  • Infant and young child feeding.
slide15
Anemia control programme:

50- 80% pregnant women

  • Improve dietary intake to meet RDA for all macro and micronutrients
  • Iron and folic acid prophylaxis
  • Dietary diversification-inclusion of iron folate rich foods as well as food items that promote iron absorption
  • Food fortification- including introduction of iron and iodine-fortified salt and other iron-fortified items (e.g. atta)
  • Health and nutrition education
slide16
Prevention and control of Vitamin A deficiency:
  • 40- 50 % Antenatal mothers Vit-A

>30 mcg/dl

  • Vit –A supplementation not more than

10000 IU/day

  • Health education - intake of Vitamin A rich food , Early detection and prompt treatment of infections
slide17
Immunization programme :

2 doses of T.T – Neonatal tetanus

Goiter control programme:

  • Prevalence rate 10%
  • Req 100- 150 mcg
  • Iodine fortified salt
  • IEC
slide18
HIV/AIDS control programme:
  • PPTCT
  • providing voluntary, confidential testing
  • Universal precaution
  • Drug prophylaxis
  • Blood safety
  • Infant feeding counseling for pregnant women,
  • Control and management of STDs
nutritional programme
Nutritional programme:
  • Integrated Child Development Services:

Adolescent ,

Pregnant and

Nursing women

  • Applied nutrition programme

500 cal

&

20-25 gms

protein

adolescent health initiative
Adolescent health initiative:
  • Adolescent friendly health services
  • Adolescent health counseling services
national oral health program
National Oral health program:
  • 18% preterm low birth weight babies due to peridontal diseases in pregnant women
  • Pilot project- 5 states
  • Oral health education
  • Formulation of basic package on oral health
  • Strengthening of manpower and infrastructure
national rural health mission 2004
National Rural Health Mission(2004)

2001 -72.22% of the people live in rural

  • Goals:

Reduction of MMR & IMR ratio 50%

Integrated comprehensive primary health care

universalize access to public health service –MCH

Assuring population stabilization & healthy life style

  • Accredited Social Health Activist (ASHA )
  • Vande Matram Scheme
slide23
Janani Suraksha Yojana
  • Assistance to mother increased to Rs. 700 in rural areas of Low Performing States (>25%) and Rs. 600 to Urban areas of LPS & Rural areas of HPS (<25%).
  •        Assistance package of Rs. 600 in Rural Area for Institutional Delivery in low Performing States to meet Dai/ASHA fee, transport cost and food and incidental charges during delivery.
slide24
Dr.Muthulakshmi Reddy Maternity Benefit Scheme :
  • Women from families listed under the Below Poverty Line and aged above 19 are eligible for assistance.
  • The annual income of the beneficiary's family seeking assistance should not exceed Rs. 12,000.
slide25
Control the anaemia and malnutrition among the women and children,
  • Rs.6000/- i.e. Rs.3000/- 7th month of pregnancy and Rs.3000/- at the time of delivery.
millennium development goals
Millennium Development Goals:

Millennium Declaration was adopted by 189 nations during the UN Millennium Summit in September 2000.

Goal 4: Reduce child mortality

Target: Reduce by two thirds the mortality rate among children under five

Goal 5: Improve Maternal Health

Target: Reduce by three quarters the maternal mortality ratio.

Goal 6: Combat HIV/AIDS, malaria and other diseases

Target: Halt and begin to reverse the spread of HIV/AIDS.

Target: Halt and begin to reverse the incidence of malaria and other major diseases

preconception and pre natal diagnostic techniques prohibition of sex selection act 1994
Preconception and pre- natal diagnostic techniques( prohibition of sex selection) act ,1994
  • No prenatal diagnostic testing except for the detection:
  • Chromosomal abnormalities
  • Genetic metabolic diseases
  • Hemoglobinopathies
  • Sex linked genetic disorder
  • Congenital anomalies
  • Any other abnormalities specified by central board
slide28
No person including husband or relative encourage to seek prenatal diagnostic testing
  • No person shall communicate the sex of the baby
  • no person shall conduct prenatal diagnostic testing for the purpose of the determine sex of the baby
indian penal code ipc 1860
Indian Penal Code (IPC, 1860)

Section 312

Any one voluntarily causing miscarriage to a woman with child, other than in good faith for the purpose of saving her life is punishable by imprisonment (simple or rigorous) &/or a fine

Sections 313 - 316 for death due to procedure

Up to 10 years imprisonment and fine, extending up to life imprisonment where the abortion was conducted without consent

the mtp act act no 34 of 1971
The MTP Act (Act No. 34 of 1971

‘An Act to provide for the termination of certain pregnancies by registered medical practitioners & for matters connected therewith & incidental thereto.’

maternity benefit act
Maternity benefit act:

To safe guard mother and foetus :

  • 12 weeks of maternity leave
  • 6 weeks leave for miscarriage
  • Pregnant woman must be exempted from any work which involves long working hours, break after 5 hrs,
slide32
Free prenatal and post natal health service or Payment of Rs250 as bonus
  • Two breaks for nursing the child
  • If employer contravenes this act punishable with imprisonment 3- 12 month or and with fine Rs2000- 5000.
child marriage restraint act 1929
Child marriage restraint act (1929)
  • Child marriage shall be punishable with simple imprisonment or with fine