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

Achievement during 2017-18

Maternal Health

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Data

Mizoram Status

1.

Total Number of Pregnant women registered for ANC

20041

2.

Of which Number registered within first trimester (within 12 weeks)

14703 (73.36%)

3.

Number of pregnant women received 4 or more ANC check up

during pregnancy

7972 (39.77%)

4.

Number of pregnant women having Hb level <7 detected

454 (2.26%)

5.

Number of pregnant women tested positive for GDM

223 (1.11%)

6.

Number of new cases of Hypertension (BP>140/90) detected in Pregnant women at the institution

333 (1.66%)

7.

Number of Institutional Deliveries conducted (Including C-Sections)

12576

8.

Total Number of Caesarean (C-Section) deliveries performed

1971

9.

Total numbers of deliveries conducted at Home and attended by trained and non-trained SBA

1978

10.

Number of newborns received 7 Home Based Newborn Care (HBNC) visits in case of Home delivery

570

11.

Number of newborns received 6 HBNC visits after Institutional Delivery

1437

12.

Number of Complicated pregnancies treated with Blood Transfusion

71

PMSMA (Pradhan Mantri Surakshit Matritva Abhiyan)

Free special Antenatal checkup for 2nd and 3rd trimester pregnancy (i.e.4 – 9 months) on 9th of every month by Doctor at PHCs, CHCs, SDH and DH.

Observed on

9th of every month (working days and on 10th if it falls on holidays)

No of Pregnant Women receiving ANC (Jan – Oct 2017)

6956

Received Antenatal care under PMSMA on 2nd or 3rd trimester for the first time

4207 (60.48%)

No. of ultrasound conducted

1794 (25.79%)

No. of other High Risk Pregnancy detected

117 (1.68%)

Volunteer Doctors who give free Antenatal checkup during PMSMA

1.Dr. Lalhmingliana

2.Dr. Abirami B

3.Dr. R. Lianzama

4.Dr. RL Dangvela

5.Dr. Eileen Lalrinpuii

6.Dr. Mohanapriyas

Child Health

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Data

Mizoram Status

1.

Total number of live births

14815

2.

Number of Pre term newborns ( < 37 weeks of pregnancy)

141

3.

Number of still births

131

4.

Live birth + still birth

14946

5.

Number of Abortions (spontaneous or induced)

911

6.

Number of newborns having weight less than 2.5 kg

643

7.

Number of Newborns breast fed within 1 hour of birth

13820

8.

Number of children who were administered Albendazole (1-19 yrs) at National Deworming day 10th August round

346816 (91%)

9.

Number of children who were administered Albendazole (1-19 yrs) at National Deworming day 10th February round

374743 (92.7%)

IDCF(Intensified Diarrhoea Control Fortnight)

Launched & Observed

12th June 2017- 24thJune2017

Free ORS given

107865 out of 111083 children i.e 97%

No. of schools where hand-washing demonstration was carried out

2167

Family Planning

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Data

Mizoram Status

1.

Total Fertility Rate

2.3 (NFHS 4)

2.

Total sterilizations

1043

3.

Total IUCD insertion

1441

4.

Total PPIUCD inserted

192

5.

Total PAIUCD inserted

45

6.

Total Number of Condom distributed

140746

7.

Total Number of Oral pills distributed

78742

8.

Total Number of Emergency pills distributed

2227

9.

Total Number of PTK used

11919

10.

Number of FPIS claim paid

10/10

11.

Number of districts where Antara is rolled out

7/9

World Population Fortnight

WPD 2017 was launched on 11th July, 2017 at Vanapa Hall Gate, Aizawl. The programme was launched by Shri _, Hon’ble Minister, H&FW Dept. at 6:30 a.m. under the chairmanship of Dr. Lalrozama, IAS, Mission Director, Mizoram.

Total female sterilization performed

137

Total IUCD inserted

254

PPIUCD inserted

2

Deaths

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Data

Mizoram Status

1.

NeoNatal death

Number-148

2.

Infantdeath (Lesser than last year)

Number-319

3.

U5MR(Under 5 Mortality Rate) death

Number-387

4.

Maternal death

Number-14

SNCU (SpecialNewborn Care Unit)

Special Newborn Care Unit at 4 Districts namely Aizawl East, Lunglei , Saiha and Lawngtlai District where intensive treatment is provided for newborn who requires it.

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Data

Mizoram Status

1.

Total SNCU admitted

1066

2.

Percentage of Male admitted

573 (53.8%)

3.

Percentage of Female admitted

493 (46.2%)

4.

Number of Low Birth Weight admitted

259 (24.3%)

5.

Percentage of Baby successfully discharged

960 (90%)

Institutions

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Data

Mizoram Status

1.

Number of Institutions having Operational Sick New Born and Child Care Units (SNCU)

4(Aizawl East, Lunglei, Saiha & Lawngtlai)

2.

Number of Institutions having designated New Born Stabilisation Units (NBSU)

11

3.

Number of Institutions having New Born Care Corner (NBCC)

110

4.

Number of CHC or SDH or DH functioning as First Referral units (FRUs

14(8 DHs,1SDH,5CHCs)

5.

Number of Delivery Points

45 (9 DHs, 7 CHCs, 1 SDH, 18 PHCs & 11 Sub-centres )


Physical Achievement During 2016

Maternal Health

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Data

Mizoram Status

1.

Total Number of Pregnant women registered for ANC

22391

2.

Of which Number registered within first trimester (within 12 weeks)

16482 (74%)

3.

Number of Pregnant women registered under JSY

19008 (85%)

4.

Number of pregnant women received 3 ANC check ups during pregnancy

15792 (71%)

5.

Number of new cases of Hypertension (BP>140/90) detected in Pregnant women at the institution

371 (2%)

6.

Number of deliveries conducted at Home and attended by trained SBA(i.e. Doctor or Nurse or ANM)

500 (24%)

7.

Number of newborns visited within 24 hours of delivery for deliveries conducted at home

1058 (50%)

8.

Deliveries conducted at Public Institutions (Including C-Sections)

14597 (81%)

9.

Total Number of Caesarean (C-Section) deliveries performed at Public facilities i.e. PHC, CHC, SDH, DH)

1810 (12%)

10.

Number of JSY Mother paid

4269 (47%)

11.

Number of JSY ASHA paid

3894 (44%)

Child Health

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Data

Mizoram Status

1.

Total number of live births

19945

2.

Number of male live births

10200 (51%)

3.

Number of female live births

9745 (49%)

4.

Number of still births

202 (1%)

5.

Live birth + still birth

20147

6.

Institutional delivery

18007 (89%)

7.

Number of Abortions (spontaneous or induced)

1088 (5%)

8.

Number of Newborns weighed at birth

19405 (97%)

9.

Number of Newborns having weight less than 2.5 kg

902 (5%)

10.

Number of Newborns breast fed within 1 hour of birth

19253 (97%)

Family Planning

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Data

Mizoram Status

1.

Total Fertility Rate

2.1

2.

Total sterilizations

1281

3.

Total IUCD insertion

2475

4.

Total Number of Contraceptives(Condom,OCP & ECP)

38621 (20.4%)

Deaths

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Data

Mizoram Status

1.

Early NeoNatal death

Number-182 Rate-9

2.

Infant death (Lesser than last year)

Number-449 IMR-23

3.

U5MR(Under 5 Mortality Rate) death

Number-486 Rate-24

4.

Maternal death

Number-17 MMR- 85

Institutions

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Data

Mizoram Status

1.

Number of Institutions having Operational Sick New Born and Child Care Units (SNCU)

4(Aizawl East, Lunglei, Saiha & Lawngtlai)

2.

Number of Institutions having designated New Born Stabilisation Units (NBSU)

11

3.

Number of Institutions having New Born Care Corner (NBCC)

110

4.

Number of CHC or SDH or DH functioning as First Referral units (FRUs

14(8 DHs,1SDH, 5CHCs)

5.

Nutritional rehabilitation centre established

1 (Saiha)

6.

MAA (Mother Absolute Affection) observation

Launched at 2nd Aug 2016

PMSMA (Pradhan Mantri Surakshit Matritva Abhiyan)

Launched

9th July 2016

Observed

9th of every month (working days and on 10th if it falls on holidays)

No of Pregnant Women receiving ANC (july-Nov)

5131

No of Anaemia Detected

254

No of Pregnancy Induced Hypertension Detected

28

No of other High Risk Pregnancy detected

94

Issue

1.No Volunteer for PMSMA from Private Practitioner

2. Ultrasound Machine not available in Lawngtlai DH & Serchhip

IDCF (Intensified Diarrhoea Control Fortnight)

Launched & Observed

11th July 2016- 23rd July 2016

Free ORS given

108573 out of 116252 children i.e 93.39%

No. of children with Diarrhoea provided with ORS

1045

No. of children with Diarrhoea provided Zinc for 14 days

869

No. of ORS-Zinc corner established (including block level)

671

No. of ORS-Zinc corner established in private medical practitioners

4

No. of schools where hand-washing demonstration was carried out

1153

SNCU (Special Newborn Care Unit)

Sl.no

Data

Mizoram Status

1.

Total Deliveries (April – September 2016)

2938

2.

Total SNCU admitted

651 (22.15%)

3.

Percentage of Male admitted

81.87% (533)

4.

Percentage of Female admitted

18.12% (118)

5.

Percentage of Low Birth Weight admitted

32.87% (214)

6.

Percentage of Preterm Baby admitted

9.83% (64)

7.

Percentage of successfully discharged babies

90.47% (589)

8

Percentage of death

6.7% (44)