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Child Health

The Reproductive and Child Health programme (RCH) II under the National Rural Health Mission (NRHM) comprehensively integrates interventions that improve child health and addresses factors contributing to Infant and under-five mortality. Reduction of infant and child mortality has been an important tenet of the health policy of the Government of India and it has tried to address the issue right from the early stages of planned development. The National Population Policy (NPP) 2000, the National Health Policy 2002 and the Eleventh Five Year Plan (2007-12) and National Rural Health Mission (NRHM - 2005 – 2012) have laid down the goals for child health. Further, Twelfth Five Year plan (2012-2017) and National Health Mission (NHM) laid down the Goal to Reduce Infant Mortality Rate (IMR) to 25 per 1000 live births by 2017.

Child Health Indicator

Current status

RCH II/NHM 2010/2012

MDG 2015

NHM (By 2017)

IMR (Infant Mortality Rate)

40 (SRS 2013)

<30

<28

 25

Neonatal Mortality rate

28 (SRS 2013)

--

--

--

Under 5Mortality Rate

49 ( SRS 2013)

-- 

<42

-- 

Source: Sample Registration System (SRS) 2013

Thrust areas under Child Health Programme

1. Neonatal Health

  • Essential new born care (at every ‘delivery’ point at time of birth)
  • Facility based sick newborn care (at FRUs & District Hospitals)
  • Home Based Newborn Care

2. Nutrition

  • Promotion of optimal Infant and Young Child Feeding Practices
  • Micronutrient supplementation (Vitamin A, Iron Folic Acid)
  • Management of children with severe acute malnutrition

3. Management of Common Child hood illnesses

  • Management of Childhood Diarrhoeal Diseases & Acute Respiratory Infections Immunization
  • Intensification of Routine Immunisation
  • Eliminating Measles and Japanese Encephalitis related deaths
  • Polio Eradication

The strategies for child health intervention focus on improving skills of the health care workers, strengthening the health care infrastructure and involvement of the community through behaviour change communication.