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National Health Mission

Ministry of Health and Family Welfare, Government of India

RMNCH+A

Reproductive, Maternal, Newborn, Child and Adolescent Health

Improving the maternal and child health and their survival are central to the achievement of national health goals under the National Health Mission (NHM). SDG Goal 3 also includes the focus on reducing maternal, newborn and child mortality. In the past years, innovative strategies evolved under the national programme to deliver evidence-based interventions to various population groups.

Following the Government of India’s “Call to Action (CAT) Summit” in February, 2013, the Ministry of Health & Family Welfare launched Reproductive, Maternal, Newborn Child plus Adolescent Health (RMNCH+A) to influence the key interventions for reducing maternal and child morbidity and mortality. 

The RMNCH+A strategy is built upon the continuum of care concept and is holistic in design, encompassing all interventions aimed at reproductive, maternal, newborn, child, and adolescent health under a broad umbrella, and focusing on the strategic lifecycle approach.

The RMNCH+A strategy promotes links between various interventions across thematic areas to enhance coverage throughout the lifecycle to improve child survival in India. The “plus” within the strategy focuses on:

  • Inclusion of adolescence as a distinct life stage within the overall strategy.
  • Linking maternal and child health to reproductive health and other components like family planning, adolescent health, HIV, gender, and preconception and prenatal diagnostic techniques.
  • Linking home and community-based services to facility-based services.
  • Ensuring linkages, referrals, and counter-referrals between and among various levels of health care system to create a continuous care pathway, and to bring an additive /synergistic effect in terms of overall outcomes and impact.

Key features of RMNCH+A Strategy:

The RMNCH+A strategy approaches include:

  • Health systems strengthening (HSS) focusing on infrastructure, human resources, supply chain management, and referral transport measures.
  • Prioritization of high-impact interventions for various lifecycle stages.
  • Increasing effectiveness of investments by prioritizing geographical areas based on evidence.
  • Integrated monitoring and accountability through good governance, use of available data sets, community involvement, and steps to address grievance.
  • Broad-based collaboration and partnerships with ministries, departments, development partners, civil society, and other stakeholders.

The RMNCH+A strategy provides a strong platform for delivery of services across the entire continuum of care, ranging from community to various level of health care system.

Current Status of key RMNCH+A/RCH Indicators

Indicator

Current status

National Health Policy Target

SDG 2030 Target

Maternal Mortality Ratio*

130

100 by 2020

<70

Neonatal Mortality rate*

24

16 by 2025

<12

Infant Mortality Rate*

34

28 by 2019

-

Under 5 Mortality Rate*

39

23 by 2025

≤25

Total Fertility Rate#

2.2

Replacement level fertility

-

*SRS 2016  # NFHS-IV (2015-16)

A Strategic Approach to Reproductive, Maternal, Newborn, Child and Adolescent Health In IndiaPDF file that opens in new window. To know how to open PDF file refer Help section located at bottom of the site.