Learning Objectives • To learn about the evolution and various components of RCH program • To know the shift in approach in Reproductive and Child Health Program from the previous approach
Reproductive health • “Reproductive health is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.” • Implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when and how often to do so. • Implicit - right of men and women • to be informed • to have access to safe, effective, affordable and acceptable methods of family planning of their choice • to have access to appropriate health-care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant
Reproductive Morbidity and its categories • Any morbidity or dysfunction of the reproductive tract, or any morbidity, which is a consequence of reproductive behavior including pregnancy, abortion, childbirth or sexual behavior and may include those of a psychological nature. • Three Categories • Obstetric morbidity (i.e. direct, indirect and psychological maternal morbidity and deaths due to these morbidities); • Gynecological morbidity (i.e. direct, indirect and psychological morbidity of the reproductive system, including sexually transmitted diseases and deaths due to these morbidities); and • Contraceptive morbidity (i.e. local and systemic morbidity caused by modern and traditional fertility regulation and deaths due to these morbidities).
Gynecological morbidity • Gynecological morbidities include any condition, disease or dysfunction of the reproductive system which is not related to pregnancy, abortion or childbirth, but which may be related to sexual behavior. • Reproductive tract infections include – 1) Non-sexually transmitted infections; & 2) Sexually transmitted infections • Non-sexually transmitted infections • Endogenous infections caused by organisms normally present in the vagina, e.g. bacterial vaginosis, vulvovaginal candidiasis • Exogenous infections caused by unsafe obstetric and gynecological practices (traditional and modern) and poor genital hygiene. • Sexually transmitted infectionsinclude chlamydia, trichomoniasis, gonorrhea, syphilis and genital warts.
Maternal Health Child Health Family Planning MCH Family Welfare Safe Motherhood Child Survival CSSM Management of RTI/ STI Reproductive Health Child Health RCH Adolescent Health Management of Infertility Management of Gynaec Cancers
Components: FAMILY PLANNING Adolescent Health Care and Family Life Education CLIENT APPROACH TO HEALTH CARE CHILD SURVIVAL AND SAFE MOTHERHOOD PREVENTION/ MANAGEMENTOF RTI/STD/AIDS
RCH PROGRAM • Maternal Health • Quality ANC • Institutional Deliveries • Skilled Birth Attendance • EmObstetric care • Home based post-partum & Newborn Care • Quality safe abortion services • RTI/STI • Child Health • Intensify existing services : Immunization, • NBC • Micronutrient Supply • CDD • ARI • IMNCI. • Adolescent health • Anemia • Awareness about RH issues Family Planning • Improved method mix • Private sector inclusion • Address quality • Collaborate with NACO in condom distribution