Title: RMNCH+A – An Update
Author: Mithila Dayanithi
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.213
Abstract
India is the second populous country of the world after China. India’s population has already reached 1.26 billion and with a high decadal growth rate of 17.64, the country’s population may surpass that of China by 2028. Almost 19% of all global maternal deaths and more than 22% of under five child deaths is contributed by India. From 1990 till now there has been reduction in MMR, IMR and the under five mortality and institutional delivery has increased from 38.7% (2005) to 78.9% (2015) and full ANC increased from 11.6 % to 21% from 2005 to 2015, almost double in 10 years, there is lot of hope and scope that we will be positive partners in achieving the global MMR of <70 per lakh, NMR of < 12/ 1000 live births, Under 5 MR to < 25/1000 by 2030, the Sustainable Development Goals. In the area maternal and child care, India has evolved from Child Survival & Safe Motherhood (CSSM) of vertical approach in 1992 to the RMNCH +A Strategy of comprehensive approach in 2013.The life cycle approach with a continuum of care at each life stage is the strategy in RMNCH+A. Integrated skilled care is required in all stages of the life cycle approach from pre-pregnancy, childbirth, post-natal period, childhood, adolescence, and throughout the reproductive years for sustainable impact on a healthy India.
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