PNC RELATED

PROGRAMMES

Dr. Gowtham Vimal B

Postgraduate
Community Medicine
 Targets: MMR, NMR, IMR, U5MR and TFR

Indicator Current National Health SDG 2030

status Policy
Maternal 113
93 * 100 by 2020 <70
Mortality Ratio
Neonatal 23
19# 16 by 2025 <12
Mortality rate
Infant Mortality 27#
32 28 by 2019 -
Rate
31
Under 5 Mortality 36# 23 by 2025 ≤25
Rate 2.0
Replacement
Total Fertility 2.2# level -
National Health Policy Targets more ambitious than SDGs
Rate
fertility
As per the Sample Registration System (SRS) Report 2021 released by the Registrar General of India (RGI), on
07th May, 2025
 Strategic Interventions under RMNCAH+N
Basket of Choices, Home Delivery of

R Contraceptives, Enhanced
Compensation Scheme , MPV etc.

R eproductive

M SUMAN, JSY, JSSK, LaQshya, PMSMA,

Midwifery, FRUs, MCH Wings, etc.

Nutrition Maternal FBNC, HBNC, HBYC,

N Immunization, Promotion of Breast
Feeding etc.
CONTINUUM
OF CARE
C Immunization, RBSK,
control, SAANS, NDD etc.
Diarrhoea

Adolescent Newborn
RKSK, WIFS, AFHS, MHS , School
AH Health & Wellness Ambassador
Initiative etc.
Child
MAA,CLMC, AMB, Poshan Abhiyan,
N NDD, HBYC, NRC, Vit A etc.
 To improve institutional delivery
100% central scheme -2015
Irrespective of age and parity

10 low performing states

(Low institutional delivery rate)
(Uttar Pradesh, Uttarakhand, Madhya
Pradesh, Jharkhand, Bihar, Rajasthan,
Chhattisgarh, Odisha, Assam and Jammu
and Kashmir)

LPS:- All pregnant women including those from BPL , SC and ST families, delivering in government health
centers like Subcentre, PHC’s, CHC’s, First Referral Unit, General wards of District and State hospitals or
accredited private institutions

HPS:- All Below Poverty Line women and the SC and ST pregnant women .
JSSK :
 PMMVY
•Launched on: 1st January 2017.
•Legal basis: Section 4, National Food Security Act (NFSA), 2013.
•Implementing Ministry: Ministry of Women & Child Development (MWCD), GoI.
•Objective: To provide financial support to pregnant and lactating mothers for improved
maternal and child health, nutrition, and partial wage loss compensation.
•First child – 5000
Benefit for 2nd child (only if girl)
₹6,000/- (one instalment post-delivery, registration mandatory during pregnancy)
PMMVY
 SURAKSHIT MATRITVA AASHWASAN (SUMAN)
Initiative for Zero Preventable Maternal and Newborn Deaths
Ensuring Service
guarantee with
no denial of
High quality of maternity care delivered Services.
Respect For
with dignity and respect through service Intersectoral
Convergence
Women's
Autonomy, Dignity ,
guarantee packages Feelings And
Choices
 Respectful maternal care with no
Attributes of a
denial to services SUMAN
Community Client Feedback
 104 Grievance redressal mechanism Linkages and complaint Mechanism
Support (Mera Aspatal)
and health helpline will be integrated facility
under SUMAN
 Community participation, ownership Grievance
Award to Redressal
and sustained action for equitable SUMAN Mechanism
Champion
and high-quality delivery of s Maternal and
(104)
Infant Death
entitlements Reporting and
Reviews
Newborn Health
 Strategic Interventions under Child Health

Pneumonia and
Newborn & Nutrition related diarrhea RBSK
Child Health intervention related
intervention
Essential Newborn Care Nutrition Rehabilitation Screening at delivery
IMNCI and F-IMNCI
Centres (NRCs) points for birth defects
Facility Based Newborn
Care-SNCU/NBSU/NBCC IYCF promotion / MAA Screening at AWC and
IDCF/ D2 Campaign
Program/ CLMCs Schools for 4 Ds
Paediatric Care
(Paediatric Ward, ETAT, Promotion of ORS and
Anaemia Mukt Bharat DEICs establishment
HDU) Zinc use by ASHA
(AMB) and Vitamin A
HBNC & HBYC suppl.
SAANS
Newer Interventions – ECD Call Centre
Deworming
KMC, FPC, Inj.
Gentamycin etc

Child Death & Still Birth Reviews

Home Based Newborn Care (HBNC)

Community based newborn care practices through

frontline workers (ASHAs) for Early identification of
illness and prompt referral

Counsel care givers, examine the newborn (for

feeding, skin, cord or eye infection), weigh the baby,
check temperature and respiratory rate, check for
signs of illness

Targets home + institutional deliveries (6 / 7 home

visits by ASHAs within 42 days of birth)
Rashtriya Bal Swastya Karyakram (RBSK)
• RBSK is an innovative and comprehensive initiative to improve
quality survival of children, through early identification and
timely management (both medical & surgical) of 32 selected
health conditions at Zero cost to the families
• Systemic approach of early identification and management of
4Ds: Defects at birth, Diseases, Deficiencies and Developmental
delays including Disabilities in children 0 to 18 years of age in a
holistic manner
• School health programme under NRHM subsumed under RBSK
to include comprehensive screening for all children at
anganwadis, schools, all delivery points and at Home (ASHA)
ensuring free treatment even at tertiary level hospitals
• To prevent and minimize disability, High risk children are
managed at District Early Intervention Centre (DEIC) by team of
multidisciplinary specialists
 Nutrition
Programmes
 MAA - Programme for Promotion of Breastfeeding

Begin breastfeeding within one hour of birth

Exclusive breast feeding for six months
After six months - complimentary feeding and breast
feeding
Continue breast feeding at least for two years
 Anaemic Mukt Bharat (AMB)

Anemia Mukt Bharat (AMB) strategy, launched in 2018 to reduce

anaemia prevalence (due to nutritional and non-nutritional causes)

Six target age groups Six interventions Six Institutional Mechanisms

124
million Intra-ministerial National Anemia
Children 1 2 Mukt
17 coordination
(6-59 months)
134 Bharat Unit
million
women of million
reproductiv children
e age (5-9 years) National Centre
(20-24 6 of Excellence and Convergence
years) 3 4 with other
Advanced
Research on ministries
27 115 Anemia Control
million million
adolescent
lactatin boys
Anemia Mukt
g and girls Strengthening Bharat
mothers 30 5 6
(10-19 years) supply chain dashboard and
million
pregnan
and logistics digital Portal -
t one-stop shop
women
for anemia
 Preconception & upto 1st trimester – 400mcg FA
daily

TO WITHHOLD IF – ACUTE ILLNESS & THALESSEMIA ( major h/o transfusion )

20
 MOHFW is one of the stakeholders of POSHAN Abhiyaan
Nutrition implemented by MWCD – It is India’s flagship programme to
Promotion improve nutritional outcome of children, adolescent,
pregnant and lactating mothers by leveraging technology,
targeted approach and convergence as undernutrition is
underlying cause in one-third of child deaths.

• Anemia Mukt Bharat (AMB), Home Based care for Young Child (HBYC)
are the important activities under POSHAN Abhiyaan

• The other activities of MoHFW under POSHAN Abhiyaan are Home

Based Newborn Care (HBNC), Intensified Diarrhoea Control Fortnight
(IDCF), National Deworming Day (NDD), Universal Immunization
Programme (UIP)

• MoHFW actively participates in POSHAN ‘Maah’ (September) and

POSHAN ‘Pakhwada’ (starting from 8th March) celebrated every year
National Family
Planning
Programme
 Key highlights of FP Programmes
• India was the first country to launch National Family Planning Program

• Target free approach

Policy Level • Voluntary adoption of Family Planning Methods
• Based on felt need of the community
• Children by choice and not chance

• More emphasis on spacing methods

Service Level • Assuring Quality of services
• Expanding Contraceptive choices

54
 Contraceptive Basket of Choice
Injectable MPA and Centchroman has been recently introduced in contraceptive basket
Temporary Methods
• Condoms (Nirodh)
• Oral Contraceptive Pills-
• Combined Oral Contraceptives (Mala N)
IUCD 380 A
• Centchroman (Chhaya)
• Emergency Contraceptive Pills (Ezy Pill)
• IUCD-380A, 375
• Injectable MPA (Antara Program)
Permanent Methods
• Male Sterilization (Conventional Vasectomy/NSV)
• Female Sterilization (Minilap/Laparoscopic)
IUCD 375

57
 Mission Parivar Vikas (MPV)

Objective: To accelerate access to high quality Family Planning choices in

146 districts in UP, BH, RJ, MP, CG, JH and AS

Supply Side Strategies: Demand Generation Strategies:

• Revision of sterilization compensation • Distribution of Nayi Pehl Kits
• Operationalization of all delivery points • Saas Bahu Sammellan
for PPIUCD • Installation of Condom boxes
• Incentive scheme for Injectable MPA • SAARTHI- Awareness vehicles
• MPV Campaigns • Advocacy meetings at district and block
• Distribution of CC, OCP through SAARTHI level
• COT Scheme
• Dedicated workforce for FPLMIS
Thank You!!!!!!