tailieunhanh - REPRODUCTIVE AND CHILD HEALTH STATUS IN INDIA: DISTRICT LEVEL ANALYSIS

A number of methodological issues related to the assessment of obesity inter- vention and prevention programmes were identified and offer insight into how research protocols can be enhanced to strengthen evidence for obesity interven- tions. Further research is required to understand the merits of the various forms in which interventions (singly and in combination) are delivered and in which circumstances they are effective. There is a critical need for the development of consistent indicators to ensure that comparisons of programme outcomes can be made to better inform best practice | REPRODUCTIVE AND CHILD HEALTH STATUS IN INDIA DISTRICT LEVEL ANALYSIS Suresh Sharma Population Research Center Institute of Economic Growth University Enclave Delhi-8 suresh@ INTRODUCTION Paradigm shifts have taken place in India s population policies from the earlier methods-mix target approach to the target free approach TFA in April 1996 subsequently renamed as the community s need assessment CNA approach in late 1997. These shifts have duly emphasized the reproductive and child health RCH quality services package which is geared towards an improvement in the quality of life having implicit implications for a reduction in infant and maternal mortality. The immediate objective of the National Population Policy 2000 is to address the unmet needs for contraception health care infrastructure and health personnel and to provide an integrated service delivery for basic reproductive and child health care MoHFW 2000 . Addressing the unmet need of contraception of course the informed choice of contraception while avoiding past pitfalls would bring about an easy availability and accessibility to affordable quality contraceptives and would thereby help in controlling unwanted fertility which was around 20 in 1992-93 and has come down to around 16 in 1998-99 NFHS-2 1998-99 . Furthermore the availability and accessibility to the reproductive and child health package of quality services would facilitate a reduction in infant and maternal mortality and would improve not only the quality of life but also lead to a faster reduction in the wanted fertility component of the total fertility. Meeting these immediate objectives is essential in order to attain the medium term objective of bringing down fertility to replacement level which implies a total fertility level TFR of around by 2010 and population stabilization by 2045. Added concerns about gender issues infertility reproductive tract infections HIV AIDs 1 women children and adolescent girl s health etc. have

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