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.

Year wise Physical Performance 2010-2011(State HMIS)

S/N	Name of Services	2010-11	%
1	No. of ANC	18342
2	No. of ANC (within 1st trimester)	8327	45
3	No. of 3 ANC	13296	72
4	IFA 100 tab. given to pregnant	13470	73
5	TT2 + Booster	13128	72
6	Total Delivery	13232
7	Institutional Delivery	10740	82
8	Safe Delivery	11776	89
9	No of JSY Beneficiaries (Institutional + Home Delivery)	13953	32
10	PPC within 48 hrs of delivery	10212	77
11	PPC within 2 - 14 days of delivery	8007	61
12	No. of Maternal Death	9	MMR 55
13	No. of Child death (below 1 yr.)	276	IMR 36
14	No of Child death < 5 yrs	340
15	Children below 1yr fully immunised against Annual Plan Target of EPI	13048	50
16	Male sterilisation	2
17	No. of Permanent Sterilization	1325
18	No. of IUD Insertion	1775
19	No. of Oral Pill  users	3998
20	No. of Condom  users	2748
21	No. of mothers received compensation for sterilization	2161