National Rural Health Mission & RCH II:
Reproductive & Child Health Programme (RCH II ) phase II & National Rural Health Mission (NRHM) has got special cell is estabished in District Health Office in Z. P. Latur called as District Programme management Unit ( DPMU). The overall goal of which is to "Enhance Reproductive & Child Health Status & Population Stabilisation".
The main objective of RCH II programme is to
- Improve quality & outreach RCH services.
- Improve Organisational culture, structure & management of District Health Dept.
Indicator-wise status & goals proposed for RCH II - Maharashtra & Latur.
RCH II Goal
State
Latur
Current status
Target
08-09 09-10Current Status
Target
08-09 09-10Maternal Mortality Rate
135( JRM 08)
125
100
135( JRM 08)
125
110
Infant Mortality Rate
36 ( SRS 05)
32
27
39.43 (DLHS 04)
32
31
Total Fertility Rate
2.7 (NFHS-3)
2.00
<2.0
2.1 (HMIS 07)
2.0
1.9
The overall strategy is to minimise the shortcomings & constraints faced in RCH phase I & to adopt innovative processes/activities along with institutional strengthening to improve service delivery of infant, child & maternal health.
- Enhancing acceptance of quality and access of services by poorer, i.e. SC / ST and BPL population with respect to following indicators.
- Fully protected mother (3 ANC checkups, full dose of IFA consumption, TT 2/b, delivery by SBA and adequate PNC care)
- Fully immunized children (BCG, 3Hepatits B ,3 DPT, 3 OPV, and measles,Vit-A First Dose)
- Acceptance of sterilization on One or Two issues only.
- Increasing Issue wise couple protection rate (especially for couples with 1 and 2 issues)
- Streamlining management systems at various levels especially. Procurement and inventory, material supply (drugs and vaccines) and human resource development;
- Expanding existing monitoring and evaluation system as regards to process and impact indicators – in addition to (quantitative) outputs of the various activities and inputs; various processes and impact indicators.
- Systematic provision of training inputs to improve competence and performance of service providers at various levels within the health system;
- Facilitating coordination by taking initiative with other government departments with overlapping goals and objectives;
- Contracting services and outsourcing services where provision for permanent functionaries is not available – this will maintain tempo of work and guarantee outreach services to undeserved areas.
- Linking (wherever possible) with private medical practitioners for specialized services.
- Collaborating with NGOs and other external agencies to extend outreach services in remote tribal areas and to address non-health issues with a bearing on health impact;
- Replicating successfull approaches, systems and activities from earlier and existing, externally funded projects;
- Women and community empowerment initiatives for demand generation and for establishing interface of women’s groups with health institutions especially for quality assurance initiatives.
Partnership with suitable personnel, agencies, NGOs for BCC and demand generation- there is urgent need for creating awareness and change in behavior of the community towards danger signs related to EMOC and EMPC, need for routine immunization and MCH services, popularizing use of ORS/ home available fluids, need for early and exclusive breast feeding, limiting family size and issues related to non health interventions. The District will give priority for this activity through in-house efforts and involvement of suitable personnel, agencies, NGOs and CBOs partnership.In order to achieve this, the following outcomes need to be achieved by the District :
Improved quality & outreach of RCH services. Improved organizational culture, structure & management of District health organization.