PSM High-Yield: RMNCH+A Strategy
The RMNCH+A (Reproductive, Maternal, Newborn, Child and Adolescent Health) strategy was launched in 2013 to address health outcomes across the life cycle, replacing the vertical approach with an integrated model.
The “+A” Component & Life-Cycle Approach
| Stage | Key Focus |
|---|---|
| R (Reproductive) | Family planning, contraception, and preconception care. |
| M (Maternal) | Antenatal, Intranatal, and Postnatal care (JSSK, JSY). |
| N (Newborn) | Essential newborn care, Home Based Newborn Care (HBNC). |
| C (Child) | Immunization, IMNCI, nutrition (Rashtriya Bal Swasthya Karyakram). |
| +A (Adolescent) | RKSK (Rashtriya Kishor Swasthya Karyakram), WIFS, menstrual hygiene. |
Strategic Pillars
- Continuum of Care: Linking facility-based care with community-based interventions.
- Life-Cycle Approach: Addressing health at every stage of development, recognizing that maternal health determines newborn health.
- High-Priority Districts (HPDs): Intense focus on 184 districts that contribute the highest burden of maternal and infant mortality.
High-Yield Exam Pearl:
- The “+A”: This addition highlights the shift to include adolescents (10–19 years) as a distinct demographic group requiring specific sexual, reproductive, and nutritional interventions.
- Implementation: RMNCH+A is the primary vehicle for achieving the targets of the National Health Mission (NHM).