Reproductive and Child Health Health (RCH) programme implemented by the Government of India since 1997. The RCH program is an integrated package of a number of reproductive and health services including the:
- traditional antenatal, natal and post-natal care for pregnant women,
- care of infants, including immunization of children against vaccine-preventable diseases,
- identification and treatment of sexually transmitted diseases among women,
- sex education for adolescent boys and girls,
- early detection and treatment of cervical cancer among women nearing menopause, etc.
The programme was implemented through a threetier decentralized system of sharing power, responsibility and resources at each level, and was accompanied by the introduction of community involvement through the recruitment and training of Anganwadi workers (AGW) and Accredited Social Health Activists (ASHA). Moreover the Auxiliary Nurse Midwife (ANM) is trained to act as counselor, educator, and service-provider and as a person who can arrange for the hospitalization of difficult maternity cases.