Published on March 6, 2014
WELCOME TO THE PRESENTATION DR. MAHESWARI JAIKUMAR
ROLE OF A NURSE MCH- PROGRAMME IN INDIA
ROLE OF A NURSE H C D S HEALTH CARE DELIVERY SYSTEM R E ADMINISTRATOR S E A R A R E R C H E SERVICE PROVIDER R HEALTH CARE DELIVERY SYSTEM E D U C A T I O N H C D S
SERVICE PROVIDER ESSENTIAL NEW BORN & U5 CARE The community health nurse ensures the following in the verge of providing care, Provision of ante natal care. Monitoring the growth of the foetus & its well being
CONT**** Supplementation of requisite vitamins & micro nutrients. Provision of health aspects related to new born Promotion of good delivery practices. Promotion of breast feeding & maternal bonding.
CONT**** Promotion of optimal new born care including clean delivery practices, institutional delivery, provision of warmth, care of umbilical cord, prevention of any kind of infection, periodic newborn assessment. Ensuring appropriate immunization services. Screening for mal formations, congenital anomalies & other deviations.
CONT**** Promotion of child rearing practices. Periodic growth, development & mile stone monitoring. Promotion of good child rearing practices. Promotion of school enrollment & Anganwadi enrollment. Provision of de-worming services & nutritional supplementation services.
CONT**** Promoting enrollment of children in schools. Implement ICDS initiatives. Co-ordinate & translate the ANP. Co-ordinate with like minded agencies – WHO, UNICEF,- translate their initiatives relevant to U5 care. Promote baby friendly hospital initiatives.
CONT**** Promote functioning of well baby clinic & child guidance clinic. Implement constitutional rights of children. Encourage funding agencies to provide fund for children development activities. Chalk out relevant policies for children welfare. Implement UN declaration for children.
SERVICES FOR MOTHERS THE COMMUNITY HEALTH NURSE ENSURE THE IMPLEMENTATION OF INITIATIVES OF CSSM & RCH PROG Promote & implement good perinatal care Promote institutional deliveries Promote delivery by trained personnel Provide optimal ante natal care
•Ensure clean delivery table, clean hands, clean cord, clean stump, clean scissors, & clean delivery practices. •Promote & maintain optimal delivery progress practices such as right identification of stage of delivery, progress of delivery, fetal heart rate monitoring, monitoring of vital signs during delivery, episiotomy & appropriate mode of delivery of the baby. •Provision of immediate post natal care. •Promote breast feeding & maternal bonding. •Monitoring of post natal care, abnormalities of the post natal period. •Examine lochia, involution pattern of the uterus.
•Assess for feeding difficulties. •Promote iron & calcium supplementation. •Monitor & promote balanced diet & good dietary habits. •Monitor for post natal blues. •Encourage plenty of fluids & roughage diet. •Promote adoption of contraception & family planning practices. •Educate the mother on the importance of child rearing & self care practices including diet, exercise & sleep.
CONT**** Encourage the mother on the importance of post natal check ups (minimum 2 visits within 42 days of delivery)
ROLE IN REPRODUCTIVE HEALTH Identify demographic characteristics of the adolescents & adult population & maintain data base Identify target groups & advocate the pertinent family planning methods. Health educate sexually active population on the STD & means to prevent them
CONT**** Screen for sexually transmitted disease & take necessary action. Promote the concept of single partner among sexually active population. Promote the usage & distribution of condoms. Promote & familiarize community about contraceptive methods
CONT**** Promote & implement the sex education in school & collegiate curriculum Implement the reproductive health initiatives implemented by the RCH programme
ROLE AS AN ADMINISTRATOR Evolve policy related to MCH. Serve as an information provider to policy makers in relation to MCH services. Serve as a liaison with the Govt, community & NGO in organizing & implementing MCH services. Develop counseling & MCH assistance network in the state
CONT**** Create network with peripheral MCH units with tertiary care settings. Chalk out specific policies on maintenance & establishment of institutions catering MCH services. Involve other sectors in the provision of MCH services. Develop MCH advisory committee at all levels
CONT**** Co-ordinate the state MCH activities with the MCH activities of the nation Co-ordinate with allied systems of medicine in the provision of MCH care. Translate & monitor the initiatives of CSSM & RCH programme. Reserve financial packages for MCH services.
CONT**** Amend policies & legislations to suit the existing MCH scenario of the nation. Create & monitor the FRU at primary, secondary & tertiary units. Allocate separate budget for MCH services. Define job description for health manpower employed to render MCH services.
EDUCATIONIST Organize training programme for health care professionals. Conduct workshops & conferences relating to MCH care & sensitize the community, health care professionals & policy makers. Design curriculum in medical & para medical curriculum incorporating aspects of MCH services.
CONT**** Design health education materials & distribute. Develop separate channels in order to sensitize the public on MCH services. Practice counseling for eligible couples on the range of MCH services.
RESEARCHER Identify researchable areas in MCH & conduct research. Pool grant in aids to support research activities in the areas of MCH services. Support research scholars undertaking research in the area of MCH. Co-ordinate & net work research activities. Design models based on research findings.
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