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The International Conference
of Population and Development (ICPD) 1994 was established
an International consensus on a new approach to policies
to achieve population stabilization. Fertility reduction
should be addressed at the level of broad social policy,
including reduction of gender discrimination in education,
health care and income generation. Reproductive health
programmes should focus the needs of actual and potential
clients, not only for limiting births but also for healthy
sexuality and child bearing. In India, the implications
of the reproductive health approach would be to shift
the focus from the use of family planning as a tool
intended essentially for population stabilization, to
use family planning as one among a constellation of
interventions that would enable women and men to achieve
their personal reproductive goals without being subjected
to additional burdens of disease and death associated
with their reproduction. |
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| Definition |
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World Health Organization (WHO)
has defined reproductive health as follows:
“Within the framework of WHO’s definition
of health as a state of complete physical, mental, and
social well-being, and not merely the absence of disease
or infirmity; reproductive health addresses the reproductive
processes, functions and systems at all stages of life.
Reproductive health therefore implies that people are
able to have a responsible, satisfying and safe sex
life and that they have the capability to reproduce
and the freedom to decide, if when, and how often to
do so. This definition focus on right of men and women
to be informed of and to have access to safe, effective,
affordable, and acceptable methods of fertility regulation
of their choice, and the right to access to appropriate
health care services that will enable women to go safely
through pregnancy and childbirth and provide couples
with the best chance of having a healthy infant”. |
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Essential Components of
RCH Programme |
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1. Prevention and management of
unwanted pregnancy. |
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2. Maternal care that includes
antenatal, delivery and postpartum services. |
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3. Child survival services for
newborns and infants. |
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4. Management of Reproductive Tract
Infection (TRIs) and Sexually Transmitted Infections
(STIs). |
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The Government have
power to restrict any unit, and to take samples of effluents
and to get them analysed in Central or State laboratories.
Whoever fails to comply with any provision o this Act
is punishable with the imprisonment or with fine or
with both. Second or third time breaking of the law
is further punishable. Under the provision of this Act
Central Pollution Control Board was established to fulfil
its object. |
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| Major
Elements of RCH Programme |
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A.
Reproductive Health Elements |
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Responsible and healthy sexual
behaviour
Interventions to Promote Safe Motherhood
Essential Obstetric Care for All
Prevention of Unwanted Pregnancies: Increase Access
to Contraceptives
Emergency Contraceptives
Safe Abortion
Pregnancy and Delivery Services
First Referral Units (FRUs) for Emergency Obstetric
Care
Management of RTIs/STDs
Infertility & Gynecological Disorders
Referral facilities by Government /Private Sector for
Pregnant Woman at Risk
Reproductive Health Services for Adolescent Health
Global Reproductive Health Strategy |
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B.
Child Survival Element |
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Essential New Born Care
Prevention and Management of Vaccine Preventable Disease
Urban Measles Campaign
Elimination of Neonatal Tetanus
Cold Chain System
Polio Eradication: Pulse Polio Programms
Hepatitis B Vaccine
MMR Vaccine
Global Alliance for Vaccine and Immunization (GAVI)
Diarrhea Control Programme and ORS Programme
Prevention and Control of Vitamin A deficiency among
children |
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| Strategy |
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1. Bottom-up Planning
2. Decentralized Participatory Planning & Implementation
3. Strengthening Infrastructure
4. Integrated Training Package
5. Improved Management |