REPRODUCTIVE & CHILD HEALTH PROGRAMMES (RCH), MIZORAM

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 so that the targeted group may get better health at maximum level.

B. Objectives of the programme 

The vision of RCH programme is to bring about outcomes as envisages in the National Population policy 2000 (NPP-2000), the National population policy 2002, minimizing the regional variations in the areas of Reproductive and Child Health and population stabilization through integrated, focused, participatory programme, meeting the unmet demands of the target population and provision of assured, equitable, responsive quality services. RCH programme focuses on reduction of Maternal Mortality Ratio, Infant Mortality Rate and Total Fertility Rate. It also aims to increase the couple protection rate and coverage of child immunization. The goals are -

  1. To reduce Maternal Mortality Ratio from 60 (State Report) to 55
  2. To reduce Infant Mortality Rate from 34 (NFHS-3) to 25
  3. To reduce Total Fertility Rate from 2.9 (NFHS-3) to 2.5

PHYSICAL ACHIEVEMENT OF RCH

(Source : State NHM-HMIS )

Sl.No

Data Items

2020-21

%

 

Ante Natal Care

 

 

1

Pregnant women registered for ANC

22759

 

2

Pregnant women registered for ANC within 1st trimester

17578

77.00

3

Pregnant women received 3 or more ANC check up

NA

0.00

4

Pregnant women received 4 ANC check up

13929

61.00

 

Pregnancy Outcomes

 

 

1

Live Birth

19677

100.00

2

Still birth

196

0.99

3

Delivery

19765

87.00

4

Home delivery

2603

13.00

5

Institutional delivery

17162

87.00

6

Safe Delivery

17624

89.00

7

Low Birth Weight

859

5.00

8

Newborns breastfed within 1 hour of birth

19134

97.00

 

Fully immunised below One year

 

 

1

Fully Immunized - children 9 to 11 months old

18746

95.00

 

Family Planning Services

 

 

1

Female sterilisation

1031

 

2

IUCD insertion (including PPIUCD)

1544

 

3

Injectable Contraceptive-Antara Program

2242

 

4

Oral Pills users

7234

 

5

Comdom users

1725

 

 

Mortality

 

 

1

Neo Natal death

235

 

2

Neo Natal Mortality Rate

12

 

3

Total no of Infant death

432

 

4

Infant Mortality Rate

22

 

5

Total no of under 5 yrs death

494

 

6

Uunder 5 years Mortality Rate

25

 

7

No of Maternal death

22

 

8

Maternal Mortality Ratio

112

 

 


Achievement during 2018-19        

Following the guidelines and recommendations of Government of India to reduce Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR), the following activities and strategies have been adopted by Health & Family Welfare Department, Mizoram to promote Maternal and Child Health, to reduce IMR & MMR and eventually to contribute to attainment of SDG 3.

 

  • To reduce MMR to less than 70 per 100,000 live births by 2030
  • To end preventable deaths of newborns to at least as low as 12/1000 live births and deaths of children less than 5 years to at least as low as 25 deaths per 1000 live births.


PHYSICAL ACHIEVEMENT OF RCH

(Source : State NHM-HMIS )

Sl.No

Data Items

2020-21

%

 

Ante Natal Care

 

 

1

Pregnant women registered for ANC

22759

 

2

Pregnant women registered for ANC within 1st trimester

17578

77.00

3

Pregnant women received 3 or more ANC check up

NA

0.00

4

Pregnant women received 4 ANC check up

13929

61.00

 

Pregnancy Outcomes

 

 

1

Live Birth

19677

100.00

2

Still birth

196

0.99

3

Delivery

19765

87.00

4

Home delivery

2603

13.00

5

Institutional delivery

17162

87.00

6

Safe Delivery

17624

89.00

7

Low Birth Weight

859

5.00

8

Newborns breastfed within 1 hour of birth

19134

97.00

 

Fully immunised below One year

 

 

1

Fully Immunized - children 9 to 11 months old

18746

95.00

 

Family Planning Services

 

 

1

Female sterilisation

1031

 

2

IUCD insertion (including PPIUCD)

1544

 

3

Injectable Contraceptive-Antara Program

2242

 

4

Oral Pills users

7234

 

5

Comdom users

1725

 

 

Mortality

 

 

1

Neo Natal death

235

 

2

Neo Natal Mortality Rate

12

 

3

Total no of Infant death

432

 

4

Infant Mortality Rate

22

 

5

Total no of under 5 yrs death

494

 

6

Uunder 5 years Mortality Rate

25

 

7

No of Maternal death

22

 

8

Maternal Mortality Ratio

112

 

 

S.No

Indicator

Source: HMIS 2018-19

1

Total no. of pregnant women Registered for ANC

22838

2

Total no. of Pregnant women registered within first trimester (within 12 weeks)

16870 (74%)

3

Number of pregnant women received 4 ANC check-ups during their pregnancy

11014 (48%)

4

Number of PW having Hb level<11 (tested cases)

13648 (60%)

5

Number of PW having Hb level<7 (tested cases)

559 (2%)

6

Number of PW having severe anaemia (Hb<7) treated

132 (24%)

7

Total no. of delivery conducted at Home

2243

8

Total no. of delivery conducted at Home by SBA

563 (25%)

9

Total no. of Institutional Delivery

17184 (88%)

10

Total no. of Live birth

19289

11

Total no. of still birth

189 (1%)

12

Total No of New Born weighed at Birth

18524 (96%)

13

Total No of LBW 

947 (5%)

14

Number of Newborns breast fed within 1 hour of birth

18365 (95%)

15

Total number of children (9 to 11 months old) fully immunised 

15704 (81%)

16

Total No of Female Sterilization

1530

17

Total no. of IUCD Insertion (including PPIUCD)

1654

18

Total no. of Oral pills users

5721

19

Total no. of condom pieces distributed

171356

20

Number of Emergency Contraceptive Pills distributed

1858

21

Total No of Injectable Contraceptive Anatara given

387

22

Neo Natal Mortality Ratio (NNMR)

9

23

Total No of Infant death

340

24

Infant Mortality Rate (IMR)

18

25

Total No of Under 5 death

407

26

Under 5 Mortality Rate

21

27

Total No of Maternal death

26

28

Maternal Mortality Ratio (MMR)

135

 

ACHIEVEMENTS OF VARIOUS ACTIVITIES UNDER RCH

Sl. No

Indicator

Year 2017-18

MATERNAL HEALTH

1

Total ANC registered

21,582

2

Total ANC registered within 1st trimester

16,265

3

No. Of Pregnant women who had at least 4 ANCs

9,547

4

No. Of High-Risk pregnant women referred

14

5

No. Of Pregnant women who had 2 doses of TT Injection

13,642

6

No. Of Pregnant women under Prophylaxis & Treatment of Anaemia

5,193

7

No. Of Home Deliveries by trained & untrained birth attendants

2,169

8

No. of deliveries last health institutions both Public & Private

17,403

9

No. of RTI/STI cases detected, treated & referred

1,968 treated/ 2,527 detected

10

No. of children fully immunized

16,155

11

No. of MBBS Doctors trained in EmOC

7

12

No. Of MBBS Doctors trained in LSAS

11

13

No. of Maternal Death Reviews conducted

3

14

Janani Suraksha Yojana (JSY)

No. Of beneficiaries - Mother

6,945

No. Of beneficiaries - ASHA

6,526

15

Janani Shishu Suraksha Karyakram (JSSK)

Drugs & Consumables

6,955

Diagnostic

3,792

Diet

2,701

Referral transport

7,196

16

Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

Total ANC

8,535

Severe Anaemia

83

Pregnancy Induced Hypertension (PIH)

9

Others

5

CHILD HEALTH

1

No. of Live Births

19,393

2

No. of Newborns with Low Birth Weight

872

3

No. Of Newborns with birth weight recorded

18,468

4

No. of Newborns breastfed within 1 hour of birth

17,994

5

No. Of Institutions having Sick Newborn Care Unit (SNCU)

4

6

No. of Sick Newborns admitted at SNCU

1,332

7

Janani Shishu Suraksha Karyakram (JSSK)

Drugs & Consumables

1,058

Diagnostic

98

Referral transport

1,045

8

Intensified Diarrhoea Control Fortnight (IDCF)

No. Of Children given ORS

1,07,636 (92%)

No. of Children with diarrhoea given ORS

1,330

No. of Zinc-ORS corners established

1,256

No. of Schools having Handwashing demonstration

1,430

9

National Deworming Day (NDD)

No. of children administered Albendazole

August 2017 - 3,46,816 (91%)

February 2018 - 3,74,743 (92.6%)

10

Special Newborn Care Unit (SNCU)

Total deliveries

6,213

Admission - Male

720

Admission - Female

612

LBW

322

Preterm

194

Successfully discharged

1220 (91.2%)

Death

104 (7.8%)

FAMILY PLANNING

1

Female Sterilization

1,336

2

IUCD Insertion

1,965

3

PPIUCD

268

4

Family Planning Indemnity Scheme

8

5

Injectable Contraceptives - DMPA & Oral Contraceptive Pills training of Medical Officers/Staff Nurses & Health workers conducted

202 personnel trained