> Reproductive Child Health Project

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The RCH Programme will build on the Success of the Universal Immunisation Programme and Child Survival and Safe Mother Hood Programme. In addition, it will cover all aspects of Women's health across their reproductive cycle, from puberty to menopause.

RCH Programme has two parts, the first and the larger part is the "National Components" which will be implemented in all the districts of the country and the second part is in form of Districts / Rural and Urban Projects (Sub-Project).

Broad Objectives:

• To improve the health status of women, adolescents and children
  

• To improve the quality of health seeking behavior of women.
  
• To increase the credibility of service providers through improved quality of service.

Specific Objectives:

• Reduction of IMR to less than 50 per 1000 live births, and MMR to less than 1 per 1000 pregnancies
  

• Significant reduction in infant morbidity, especially that due to diarrhoea and ARI.
  
• Significant reduction in maternal morbidity
  
• Improved MTP services and reduction in pregnancy wastages
  
• Reduction in incidence of STD and RTI.
  
• Elimination of Female Infanticide.?

RCH Programme in Tamilnadu :

The RCH Project is being implemented in Tamilnadu under two components :

• A sub-project component covering Madurai and Theni districts (both rural and urban areas) with a financial outlay of Rs.23.14 crores (Rural Rs.15.24 crores + Urban Rs.7.90 crores).
  

• A state level component (State Implementation Plan) to strengthen the infrastructure needs of all the remaining districts of Tamilnadu at a cost of Rs.182.97 crores.

Sub-Project : (Madurai & Theni Districts)

This Sub-Project was implemented in Madurai and Theni Districts for a period of 5 years during 1997-98.

Rural?

• Construction of 21 Health Sub Centres (HSCs) at a cost Rs. 103.95 lakhs will be carried out during the project period.
  

• Up gradation facilities in 40 Primary Health Centres (PHCs) at a cost of Rs.218.47 lakhs is under process.
  
• Minor civil works in selected 75 HSCs at a cost of Rs.105 lakhs is under process.
  
• Maternity, Paediatric, Anaethestic, Theatre and General Equipments / Instruments worth Rs.125.00 lakhs were supplied to all PHCs.
  
• 30 Light Motor Vehicles were procured and distributed for use of PHCs at a cost of Rs.108.00 lakhs
  
• "Kalaipayanam" Programme was conducted in Theni district for mobilizing and motivating the community to promote their health and for better utilization of available health services at a cost of Rs. 25.64 lakhs.
  
• Computer System with its accessories had been installed at the Directorate of RCH and District Project Units.? "On-line Health Management Information System" is being implemented at a cost of Rs.145.00 lakhs.
  
• Health Message (30 Seconds) will be broadcast through AIR during Regional News for 9 months at a cost of Rs.13.08 lakhs.
  
• Integrated Information, Education and Communication strategy will be implemented by converging Mahalir Swasth Sangh & Self Help Groups in the grass root level at a cost of Rs.10 lakhs.??
  
• Emergency Transport with wireless network for transporting complicated deliveries and accident victims at a cost of Rs. 192 lakhs is being planned with NGO support.

Urban

• Construction of 8 Urban Health Posts (Theni, Cumbum, Chinnamanur, Melur, Thirumangalam, Bodi and Usilampatti - renovation work at Periyakulam)at a cost of Rs.126.88 lakhs is under process.
  

• Furniture, Maternity Instruments, Cots, Mattress and Pillows etc., worth Rs.30.00 lakhs were supplied to 8 Urban Health Posts.
  
• Drugs worth Rs.10.80 lakhs per annum were supplied to 8 Urban Health Posts.

State Implementation Project (National Component) :

• Major Civil Works in 63 PHCs and 31 FRUs at a cost Rs. 940 lakhs will be carried out during the project period.
  

• Minor Civil Works have been carried out in selected PHCs at a cost of Rs. 220 lakhs.
  
• Provision of 24 hour delivery care has been implemented in selected 90 PHCs in the districts viz. Thanjavur, Thiruvarur, Nagappattinam, Dharmapuri, Krishnagiri, Madurai and Theni.
  
• Deployment and Hiring of Private Anaesthetists / Obstetricians for PHCs for providing Emergency Obstetric Care and Family Welfare Services has been implemented in selected 44 PHCs in the districts viz. Thanjavur, Thiruvarur, Nagappattinam, Dharmapuri, Krishnagiri, Madurai and Theni.
  
• RTI / STI clinics have been established to treat Reproductive Tract Infections / Sexually Transmitted Infections in selected 70 PHCs in the districts viz. Thanjavur, Thiruvarur, Nagappattinam, Dharmapuri, Krishnagiri, Madurai, Theni, Cuddalore, Kallakurich, Villupuram, Salem, Namakkal, Pudukkottai and IPH Poonamallee.
  
• Hiring of Private Anaesthetists / Obstetricians for FRUs for providing Emergency Obstetric Care and Family Welfare Services has been implemented in selected 75 FRUs in 24 districts.
  
• Drugs and Dressings worth Rs.125.14 lakhs were supplied to PHCs / FRUs in Tamilnadu.
  
• Drug Kits 'A', 'B', Essential Obstetric Care Kits, Emergency Obstetric Kits, RTI / STI Drug Kits worth Rs.1000.00 lakhs were being procured for supply to HSCs / PHCs / FRUs.
  
• Medical Equipment Kits are being supplied by Government of India for use of PHCs / FRUs / Head Quarters Hospitals.

Training under RCH Programme:

• The following trainings for all the categories of medical and paramedical are under progress in co-ordination with National Institute of Health and Family Welfare, New Delhi.
  

• Awareness Generation Training (about RCH, Population Indicators of the country)
  
• Integrated Skill Development Training (Skills under essential Obstetric Care and Newborn Care)
  
• Specialised Skill Development Training (Skill training on MTP, Tubectomy and IUD)?
  
• Communication Training?
  
• Management Training for the District Health Administrators