REPRODUCTIVE & CHILD HEALTH PROGRAMMES

A. Introduction: Health & Family Welfare Programme started in India in 1951, with the National Family Planning Programme. The Family Planning Programme focused mainly on terminal methods with a view to control over population growth. As a result, it received set back owing to rigid implementation of target-based approach. The experiences gained throughout the country revealed that improvement of the health of women in the reproductive age group and children (up to 5 years) is of crucial importance to reduce the problem of population growth. This realization led to change in the approach from Family Planning to Family Welfare. Since the 7th Plan implemented during 1984 – 89, the Family Welfare programme have evolved on the health needs of mothers and children, as well as on providing contraceptives and spacing services to the targeted group. The main objective of Family Welfare programme has been to stabilize the population at level of the need of the country’s development.


In 1997, the Government of India followed up the International recommendation on Reproductive and Child Health (RCH) as a National Programme. RCH programme integrates all the related programmes of the eight plan and it aims to bring all RCH services easily available for the community.
Accordingly, RCH Programme has been started in Mizoram since mid 1998. Various Maternal and Child Health Schemes have been implemented. In addition to these, Mizoram was included among the selected 24 districts of 17 states for the implementation of RCH Sub-Project (Area Project). The Sub-Project covered the entire state of Mizoram and it was mainly concerned with Infrastructure development of rural health care. The RCH Sub-project had come to an end on 31st March 2004.


Since the Schemes which had been implemented during RCH I were mostly concerned with rural health, the GoI has approved Urban Health Project for Aizawl and Lunglei towns since January 2004. Consequently, Other District capitals are also to take up under Urban health project for which proposals have already been submitted to Government of India.
RCH I has technically ended on 31st March 2004. The Government of India has however extended one year Interim period for preparation of project implementation plan (PIP) for RCH II. Since there have been improvements in the areas of services provided to some extent during RCH I, the Government of India decided to continue RCH phase II during 2005 – 2010, so that the targeted group may get better health at maximum level.

B. Objectives of the programme
The main objective of RCH is to provide quality Integrated and sustainable Primary Health Care services to the women in the reproductive age group and young children and special focus on family planning and Immunisation.

Physical Achievement durng

State Perfomance during 2010 & upto 2nd Quarter 2011 under RCH/NRHM
(Sources State HMIS and State level Review Meeting)
Sl. No Indicators 2010-2011 % 1st Qtr 2011-2012 % 2nd Qtr 2011-2012 % Total upto 2nd Qtr 2011-2012 %
1 Population 1019040   1,053,861  
2 Eligible Couple 105487   115,687  
3 Total no of ANC Registered 29,337   7,919   8,012   15,931  
4 Total no of ANC registered within 1st trimester 13,382 46 3,449 44 3,891 49 7,340 46
5 Total no of ANC with 3 checkup 22,464 77 5,655 71 5,758 72 11,413 72
6 TT2 or Booster (TT) 21,496 73 5,834 74 5,723 71 11,557 73
7 Total no of Pregnant women IFA (100 mg) given 20,064 68 4,603 58 4,930 62 9,533 60
8 Total pregnant women detected hypertension during pregnancy (Bp> 140/90) 0 0 25 0 33 0 58 0
9 Total no of pregnant women having Hb level<11 Hb level 2,024 7 639 8 779 10 1,418 9
10 No of pregnant women with severe anaemia (Hb<7) 45 0 29 0 24 0 53 0
11 Total No of Home delivery 4,225 19 1,078 20 862 17 1,940 19
12 Total delivery conducted at Public institutions 15,477 69 3,613 68 3,750 73 7,363 70
13 Total delivery conducted at Private Institutions 2,742 12 631 12 601 12 1,232 12
14 Total Institutional Delivery 18219 81 4,244 80 4,351 85 8,595 82
15 Total no of deliveries (Total of 9+10+11) 22,444   5,322   5,140   10,462  
16 No of new women registered under JSY (from Total ANC) 0   1,511   3,133   4,644  
17 Total no of live birth 22,249   5,284   5,174   10,458  
18 Total no of Still birth 187 1 40 1 37 1 77 1
19 Abortion 686 4 217 5 227 5 444 5
20 C-Section 2,024 11 485 11 465 11 950 11
21 No of complicated Pregnancy Detected & Treated 131 0 24 0 1,367 17 1,391 9
22 No of women received Post Partum check up within 48 hrs of delivery 16,611 75 3,919 74 3,248 63 7,167 69
23 No of women received PNC between 48 hrs and 14 days 14,191 64 3,577 68 2,814 54 6,391 61
24 Total no of Post natal Complication detected and treated 122 1 1 0 9 0 10 0
25 Total no of Maternal Death/MMR 16 72 5 95 3 58 8 76
26 No. of MDR Review 0 0 4 80 0 0 4 50
27 Total no of Infant death/IMR 585 26 109 21 112 22 221 21
28 No. of Infant death Audit 0 0 91 83 93 83 184 83
29 Total no of Newborn weighted at birth 21,084 95 5,078 96 4,850 94 9,928 95
30 Total no of Newborn weight less than 2.5 kg 1,332 6 234 4 279 5 513 5
31 Children 0-11 months given BCG  (% against Total Live Birth) 22,977 103 7,822 148 5,358 104 13,180 126
32 0-11 months Children fully immunized (% against Total Live Birth) 21,466 96 7,834 148 5,766 111 13,600 130
33 Total no of Infant Breastfed within 1 Hour 20,811 94 4,503 85 4,438 86 8,941 85
34 Total no of AEFI 1,337   300   570   870  
35 Total no of MTP conducted                
  (a) At public institutions 483   101   84   185  
  (b) At Pvt institutions 20   0   0   0  
36 RTI/STI                
  Male 1,226   251   448   699  
  Female 1,655   543   623   1,166  
37 VHND held 4,360   834   1,143   1,977  
  FAMILY PLANNING                
38 Total no of Vasectomy 5   0   0   0  
39 Total no of Laparoscopic Sterilization 23   94   37   131  
40 Total no of Mini Lap Sterilization 1,165   306   273   579  
41 Total no of Post Sterilization done 1,296   180   254   434  
42 Total Permanent Sterilization 2,489   580   564   1,144  
43 Total no of IUD insertion done 2,484   639   564   1,203  
44 Total no of Oral pills Users  6,610   1,274   812   2,086  
45 Total no of Condom Users 4,189   917   397   1,314  
46 Total no of Cenchroman ( weekly) pills given 2,396   1,613   5   1,618  
47 Total no of emergency pills distributed 631   190   678   868  

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