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HPSSC Staff Nurse - 2021
Community Health Nursing
Hard

Component of RCH II include all except?

Appeared in: HPSSC Staff Nurse - 2021

Explanation

  • right answer is ==C: Family planning==.

While family planning services are always available throughout public health facilities, the strategic framework of RCH Phase II specifically categorized its foundational maternal health pillars into:

  1. Essential Obstetric Care
  2. Emergency Obstetric Care (EmOC)
  3. Strengthening of the Referral System

Family planning was emphasized as an overarching standalone component in RCH Phase I and was later structurally driven through separate national programs aimed directly at population stabilization

Why Other Options Were Wrong

  • Option A: Emergency Obstetric Care (EmOC) was a cornerstone strategy of RCH-II. A major goal was to make First Referral Units (FRUs) and Community Health Centers (CHCs) operational for 24/7 emergency services to manage obstetric complications.
  • Option C: Family planning has been a continuous and integral component of India's health programs, including both phases of RCH. It is a core part of the 'Reproductive Health' aspect of the program.
  • Option D: Strengthening the referral system was a critical strategy in RCH-II. Initiatives like Janani Suraksha Yojana (JSY) were launched to provide referral transport and incentives, effectively linking communities with health facilities for institutional deliveries and emergency care.

Related Visual

A timeline chart comparing the key goals and strategic focus of RCH Phase I introduction of EOC, integrated approach versus RCH Phase II focus on EmOC, institutional delivery...
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Components of India's Reproductive and Child Health (RCH) Programme Phase II as background academic context rather than a clinical decision trigger.
  • Nurses, especially in community health settings, are the primary implementers of RCH program components. Understanding the focus of each phase helps in prioritizing activities, counseling families, and contributing to national health goals.
  • Knowledge of RCH-II components like EmOC and referral systems is vital for ANMs and staff nurses to identify high-risk cases, ensure timely referrals, and manage emergencies, directly impacting maternal and infant survival.
  • What if? If a nurse is working in a PHC that is not yet a 24/7 delivery point under RCH-II, their priority action for a woman in labor would be to ensure a swift and safe referral to the nearest designated FRU or delivery point, utilizing the referral transport system established under the program.
How to Approach the Question
  • First, identify the core subject of the question, which is India's National Health Programmes, specifically the Reproductive and Child Health (RCH) Programme Phase II.
  • Pay close attention to the keyword 'except'. This signals that you need to find the option that does not fit with the others as a primary component of RCH-II.
  • Recall the key differences between RCH Phase I and Phase II. Phase I (1997) introduced the integrated concept, including Essential Obstetric Care (EOC).
  • Remember that Phase II (2005) was launched with the National Rural Health Mission (NRHM) and focused heavily on implementation, quality, and accessibility. Its major new thrusts were operationalizing Emergency Obstetric Care (EmOC) and strengthening the referral system.
  • Evaluate each option based on this understanding. EmOC, referral systems, and the ongoing family planning services are clear components of RCH-II.
  • Recognize that while EOC services continued, the concept was foundational to Phase I. Therefore, in a question asking for an exception regarding the defining strategies of Phase II, EOC is the most likely intended answer.
Concept Tested & Keywords
  • Concept Tested: Components of India's Reproductive and Child Health (RCH) Programme Phase II.
  • Stem keywords: RCH II, Component
  • Lead-in keywords: except
  • Negative lead-in flag: The question asks to identify the option that is NOT a primary strategic component of RCH II.

Question ID

Qc9vMtQBEip20kMEwmhQzf

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 136-138, 138-140

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 258-260

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