Reproductive and Child Health Programme PHASE 2

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By: stevelawrence005 (18 month(s) ago)

Thank you

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ORIENTATION TRAINING FOR PHC MEDICAL OFFICERS HFWTC – Egmore RCH – PHASE II

RCH – PHASE 2:

Maternal Health Component Improving Quality of Ante Natal Care Ensure fixed day AN Clinics in all Government Health Institutions, Estimation of Hb, Blood grouping and RH typing for all pregnant woman at the PHCs and GH. Strength outreach services through outreach camps encourage and sustain institutional deliveries Operationlise Birth Companionship programme Educate community in danger signs of pregnancy, labor and post –partum period RCH – PHASE 2

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Establish referral help line at the districts and create awarness and encourage the community use of referral help line for essential and emergency obstetric and newborn care Introduce Partograph to Monitor the Progress of labour and organize prompt referral Develop Infection Control Protocols for all health facilities to prevent puerperal sepsis and neonatal sepsis.

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Improving Quality of Post Natal Care Ensure Post Natal Visit on Day one and seven and then at six weeks Train the Anganwadi Works and SHG Members to identify the danger signs during the postnatal period Empower VHNs in the use of injection Gentamycin, Tab.Metronidazole and cap. Amoxycillin for management of puerperal sepsis.

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Round the Clock access to Essential Obstetric and Newborn care and Emergency Obstetric First Aid Services. The staff nurse assist in PHC MOs in tubetomy operations and in treatment of minor ailments, (beyond the OP hours). Improved the delivery performance in the PHCs and early identification of complicated cases.

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Round the Clock access to Comprehensive Emergency Obstetric and Newborn care Services. Establishment of CEmONC Centres by upgrading FRUs to provide 24 hours Emergency Obstetric and Newborn care services. CEmONC centres will have separate obstetric and paediatric casualty in addition to general casualty Referral Information Networking System – Emergency Helpline. The Tamil Nadu Health Systems Project provide ambulance service at the rate of one per Block.

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Blood Donation Campaign Ensure the ready availability of the required group of blood 24 hours in a day, 365 days in a year. To organize community based blood donation camps at Villages Create and update a directory of voluntary donors so that the required available on request.

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Birth Companionship programme. The presence of companion during child birth us meant to ensure that a woman is never left alone during this intensely and frightening time in her life. Monitoring Programme in RCH There is need to create a platform for meeting of the field health functionaries with specialist in the relevant disciplines to share the real life experience, clarify doubts and If need be, to get the skills reinforced under the guidance and supervision of the specialists Mentored - VHN/ANMs / Staff Nurse Mentors - O&G Specialities and Paediatric Specialists of CEmONC Centres

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Operationalisation of Maternal Death Audit Emergency Transport Services Mainstreaming ISM in RCH-II 13 days training to the female field health functionaries are given A list of 50 drugs have been identified and issued to all HSCs

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Infant Health and Child Health Component Home based new born care delivered by anganwadi workers. IMNCI training Management of sick neonates and sick children with parenteral and oral antibiotics. Community based care of children with diarrhoea and ARI. Facilitating referral and provding quality care to sick children. Promote exclusive breastfeeding. Vitamin A and anemia prophylaxis initiatives. Identify causes of infant death and introduce corrective measures. Early detection of disability among new borns.

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Adolescent Health Component - Adolescent Friendly Health Services. - Adolescent Health Counseling Services. - Adolescent Health Education Programme. - Capacity Building of Adolescent girls to act as Link Volunteers in the Community.

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Family Welfare and Population Stabilisation - meet the unmet need for contraception of 13 % - reach CPR 65 % - reduce HOB from 20.2 % to 10 %. RTI / STI / Cancer Control Diagnosis and treatment at HSC / PHC and FRUs. Fixed day Clinics. Basic Lab Services for RTI / STI diagnosis Councelling Services for motivating the partners to take treatment.

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Tribal Health Urban Health - The Slums population is posed to with greater health hazards due to over crowding, Poor sanitation, lack of access to safe drinking water and environmental pollution. - Provide Technical assistants and enhance the capacity of urban local bodies.

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Training and Human Resource Development Behavior Change Communication. Health Management Information System Strengthening of Teaching Institutions. Physical Infrastructure Strengthening. Bio -Medical Waste Management of PHCs.

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THANK YOU