CM10.4 | CM10.4 | Child Survival and Safe Motherhood Interventions — Summary & Reflection

KEY TAKEAWAYS

RMCH interventions under RMNCH+A cover the full continuum from preconception through childhood. Maternal interventions: full ANC (≥4 visits, IFA, TT, screening), PMSMA on the 9th of each month, JSY cash transfer (Rs 1,400 rural BPL), JSSK free-service entitlement, SBA at delivery, BEmOC at CHC (oxytocin/MgSO4/antibiotics/MVA/assisted delivery), CEmOC at district hospital (adds CS and blood transfusion), and 3-contact PNC. Newborn interventions: ENC (warmth, breastfeeding within 1 hour, dry cord care, vitamin K, eye prophylaxis), HBNC 6 home visits by ASHA in 42 days, NBSU at CHC, SNCU at district hospital. Child interventions: ORS-Zinc for diarrhoea, vitamin A 100,000 IU at 9 months then 200,000 IU 6-monthly, IMNCI case management, RBSK 4Ds screening (Defects, Deficiencies, Diseases, Developmental delays). Monitoring: MCTS name-based tracking, HMIS monthly indicators, LaQshya labour room quality dashboard, MDSR for maternal death investigation.

REFLECT

Your district has an institutional delivery rate of 78% (NFHS-5), which is 10 percentage points below the national average of 88.6%. The JSY enrolment rate is also low at 62%. Using the supply-demand determinant framework covered in this module, identify TWO supply-side and TWO demand-side factors that could explain this gap. For each factor, name one specific programme tool (HMIS indicator, MCTS feature, LaQshya audit element, or ASHA incentive mechanism) you would use to investigate and address it.