Reproductive and Child Health Care DK Dutta
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1Reproductive and Child Health Care
2
Dr. Dilip Kumar Dutta presenting RCH Book to Mrs Sonia Gandhi During NARCHI Conference at Ashoka Hotel, New Delhi, November 2004
3Reproductive and Child Health Care
DK Dutta MBBS MD, MAMS, FICOG, FICMCH, MAFS (USA) Diploma in Pelvic Surgery (Germany) President Kalyani Obstetrics and Gynecological Society Kalyani, West Bengal
“SAFE THE MOTHER – THUS SAVE THE FAMILY – NATION – WORLD TOO”
4Published by
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Jaypee Brothers Medical Publishers (P) Ltd
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© 2006, Federation of Obstetric and Gynaecological Societies of India (FOGSI)
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2006
9788180617126
Typeset at JPBMP typesetting unit
Printed at Replika
5Preface
The rapidly growing population due to (a) Low fertility rate (b) High birth rate against low death rate (c) Increase Teenage pregnancy (d) Poverty (e) Poor RCH care, had been a major headache for health planners and administrations, in India since independence.
Inspite of National Planning Program, maternal and child health (MCH) care, the child survival and safe motherhood (CSSM) program (1992), the desired impact on the population growth and health and development of women and children in the country could not be achieved and the need for a new approach to the problem was felt.
Following International Conference (1994) on population and development (ICPD) held in Cairo, India also agreed to implement reproductive and child health (RCH) program in October, 1997. The RCH program is to provide an integrated package of services, which will include the following:
  1. Services for mothers during pregnancy, childbirth and postnatal period including safe abortion services when required.
  2. Services for children including newborn care immunization, vitamin in A prophylaxis, oral rehydration therapy (ORT) for diarrhea, management of acute respiratory infections (ARI), anemia control, etc.
  3. Services for eligible couples through promotion of use of contraceptive methods as well as infertility services when required.
  4. Prevention and management of reproductive tract infections (RTIs), and adolescent health services including counseling on family life and reproductive health.6
For rendering the above services the new approach under the RCH program places special emphasis on client-oriented, need-based, high quality, integrated services to the beneficiaries. There has been a major shift/change in the approach from the past and some important ones among these are :
  1. Target-free program based on community needs.
  2. Participatory planning.
  3. Greater emphasis on quality of care and client satisfaction.
Main objects of this booklet are divided into different categories which include:
  1. Fact on maternal and neonatal mortality and morbidity in India.
  2. The state on maternal health.
  3. Health system on India.
  4. Policies and programs.
  5. Steps to reduce maternal mortality and morbidity at domiciliary, Phc, rural hospital and district hospital.
  6. Board guidelines for referral during pregnancy and child.
  7. Fact on MTP and family planning.
And finally for better understanding on RCH. It is divided into three areas.
  1. SAFE MOTHERHOOD CRISES — is highlighting the various crises during pre-reproductive, reproductive and post-reproductive period.
  2. SAFE MOTHERHOOD CARE — is basically for prevention of pediatric and adolescent diseases, complication of pregnancy and childbirth, family planning program and post-reproductive period.
  3. SAFE MOTHERHOOD CURE — is meant for prompt and safe management of any problem arises during pregnancy and childbirth, family planning procedure and post-reproductive period.
I am thankful to FOGSI for allowing me to publish this book during 48th AICOG at Aurangabad.7
The efforts shall be considered worthwhile if policy makers and program managers are accepting this book for better RCH program at rural India.
DK Dutta