CM10.1-2 | CM10.1-2 | RMNCH Status and High Risk Screening — Summary & Reflection

KEY TAKEAWAYS

RMNCH mortality is tracked by five indicators — MMR (per 100,000 live births), IMR, NMR, U5MR (all per 1,000 live births), and PMR (per 1,000 total births). India's current MMR is 97 (SRS 2018-20); IMR is 35.2 and NMR is 24.9 (NFHS-5 2019-21). Mortality is driven by proximate causes (haemorrhage, eclampsia, sepsis) amplified by distal determinants (anaemia, malnutrition, poverty, low literacy). High-risk maternal screening categorises risk as obstetric (previous CS, bad OBH, malpresentation), medical (severe anaemia Hb <7, PIH ≥140/90, TB, cardiac), and sociodemographic (age <18 or >35, short stature). Neonatal high-risk markers are LBW, preterm birth, and birth asphyxia; child risk uses MUAC (SAM <11.5 cm, MAM 11.5-12.4 cm) and weight-for-age Z-scores. Programme linkage tools include the MCP card, HMIS, MDSR, and HBNC visit schedule. Field application requires calculating local rates, comparing against national benchmarks, and triggering corrective action.

REFLECT

Consider a village where the ASHA registers 28 pregnant women in a year. Eight of them have haemoglobin below 9 g/dL at booking, and five of those eight plan to deliver at home. Using what you have learned today, outline the steps you would take as the PHC Medical Officer: which indicators would you calculate from this data, which screening categories do these women fall into, and what is the minimum intervention you would mandate before their expected date of delivery?