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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 (SRS 2014-2016)

130

100 by 2020

<70

Neonatal Mortality rate*

23

16 by 2025

<12

Infant Mortality Rate*

33

28 by 2019

-

Under 5 Mortality Rate*

37

23 by 2025

≤25

Total Fertility Rate*

2.2

Replacement level fertility

-

*SRS 2017

A Strategic Approach to Reproductive, Maternal, Newborn, Child and Adolescent Health In India