Important Features Planned Under RCH II
- Attention to urban areas (More than 1000 Nurses in Municipal area on contractual basis).
- Improving infrastructure and services in tribal areas with focus on improving services for new borns, under 5 children and pregnancy and delivery related issues for reducing IMR and MMR.
- Need based training strategy.
- Operationalization of First Referral Units (FRUs) for providing emergency Obstetric and Pediatric care.
- Funds made available for reimbursing transport cost for emergency obstetric care to BPL and SC/ST beneficiaries.
- Services of private specialists and hospitals will be taken up for improving family planning services and emergency obstetric services to BPL SC/ST families.
- Janani Suraksha Yojana for providing cash assistance to pregnant women from BPL category having age more than 19 years and up to first 2 deliveries.
- State RCH Society has been established which will get cash grants from GOI and will release cash grants to district societies.
- Establishment of Integrated District Health and Family Welfare Society at district level under the chairmanship of District Collector will provide flexibility and quick disbursal of funds from district to field level.
- Involvement of private doctors, private hospitals and NGOs on large scale.
- Sensitization of PRI members at the level of Zilla parishad, Panchayat Samiti and Gram panchayat level towards RCH issues so as to increase community ownership and participation in RCH programme.
- Provision of budget up to Rs. 10,000/– for strengthening of services at sub–center level.
- The new approach of 'Performance Based Funding' will be implemented with commitment from districts for annual benchmarks.
- Additional incentive money will be given to districts achieving desired service coverage to BPL and SC/ST population.
Innovative Inputs In RCH Phase II
- Subsidized Medical Practitioner (SMP) scheme – This scheme is based on success achieved of this scheme in Pune district . Districts will identify remote and hilly areas where medical care is not available . Newly passed out Medical Graduates (Preferably Ayurvedic) will be provided with assistance in the form of honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice.
- Nurse Practitioners Scheme– Similar to SMP scheme districts will identify villages where nurses can practice Midwifery and other minor ailment treatment on payment basis, they will be provided with honorarium, drugs etc. on a tapering basis for two years so as to settle their private practice.
- Contractual Services of Specialists at FRUs for providing Emergency Obstetric and Paediatric Care where they are not available.
- MCHN and New Born Care Training – To improve convergence between ICDS and Health staff, joint training to ICDS and Health Staff on maternal Child Health , Nutrition and New Born Care will be imparted at PHC level.
- Performance Based funding – Districts will indicate year wise commitments for achieving process/ outcome indicators based on which grants will be released.
- Incentive in the form of Additional grants (up to 10% of annual grants) will be released to those districts who will achieve targets committed for BPL and SC/ST population.
- Implementation of Health Insurance scheme on pilot basis.
Current Status of RCH – II programme
- GOI had approved a total grant of Rs. 181.27 crores for RCH II out of which cash grant of Rs.130.50 crores and the remaining Rs. 50.77 crores will be santioned by GOI as and when the proposals are santioned. Similarly Rs. 13.89 crores are received aunder Routine Immunization programme.
Following amounts have been released to districts for starting activities .Additional Grants will be released based on utilization of grants
- Compensation to acceptors of sterilization – Rs. 30.33 crores.
- For RCH activities – Rs.54.13crores.
- Routine Immunization programme – Rs. 5.54 crores.
- In addition following grants are being released.
- Janani Suraksha Yojana – Rs. 32.52 crores.
- Promotion of NSV programme – Rs. 1.26 crores.
- State level NRHM Mission has been established.
Establishment of District level integrated Health and Family Welfare Society is in progress.
- Detailed Guidelines for implementation of Janani Suraksha Yojna have been issued.
- G.R. for establishment of "Advisory Committee " (On lines with Rogi Kalyan samiti) at the level of Rural Hospitals have been issued.
Year wise Component wise important targets
|NFHS II||NFHS III||2005–06||2006–07|
|Deliveries by trained persons||59.5||70.7||72||75|
|ANC’s with Minimum 3 checkup||54.8||75.3||60||65|
|Health institutes providing 24 Hr. delivery services (No.)|
|Institutes providing Emergency Obstetric care including LSCS and Blood Transfusion|
|New born receiving breast feeding on day one||47.7||51.8 (within 1 Hr.)||55||60|
|Fully immunized children in the age group 13 to 24 months||78||58.8 (12–23 Months)||82||85|
|Full–filling Unmet needs of spacing||8.1||5.6||7.5||6.5|
|Couple protection rate||60.9||66.9||65||67|