FAMILY WELFARE PROGRAMME

CONTENT:-
• Concept Of Family Welfare
• Small Family Norn
• Family Planning Methods
• National Family Welfare Programmes
• National Population Policy
• Maternal & Child Health
• Reproductive Child Health
• Janani Suraksha Yojana
• CSSM
• Activities Of FWP at Sub-Centre & PHC
• Nursing Responsibility
• Bibliography
OBJECTIVES:-
• General
TO develop skills & attitude in students to
learn the family welfare programmes & implements
family welfare services in community.

• Specific
At the end of this seminar student will able to –
1. Define Family Welfare Services.
2. Enumerate the functions of different programmes &
their activities.
 CONCEPT OF FAMILY WELFARE
• Concept of family welfare is very comprehensive & is
basically related to quality of life.
• It is associated with misconceptions
eg. A strong association with studilization or with
birth control.
• Family Welfare Programme aims at achieving a
higher end i.e. to improve the quality of life of
people.
 SMALL FAMILY NORM
• It is the objective of family welfare programme
• People should adopt small family norm to stabilize country’s
population at level of some 1533 million by the year of 2050 AD
• Initially in 1970’s the programme adopted 3 child norm. It’s
slogan was famous “Do ya teen bas”
• In 1980 2 child norm was adopted with the slogan “Hum do
hamare do”
• It emphasized on 3 themes: ‘Son or daughter two will do,
‘second child after 3 years’& ‘universal immunization’
• Current slogan is, “Delay the first, postpone the second &
prevent the third”
 FAMILY PLANNING METHODS

1. SPACING METHODS
 Barrier methods: physical, chemical, combined
 Intra uterine devices
 Hormonal methods
 Post conceptional methods
2. TERMINAL METHODS
 Male sterilization- vasectomy
 Female sterilization- tubectomy
EVOLUTION OF FAMILY WELFARE PROGRAMME
• India launched Family Planning Programme in the year 1952 making the
1st country to do so
• Introduction of Lippes loop in 1965
• Leading to formation of separate department of Family Planning in
ministry of health in the year 1966
• Establishment of Family Planning infrastructure during 1966-69
• During 1969-74 programme was made an integral part of MCH services
• In 1971 MTP Act was introduce
• In April 1976, the 1st National Population Policy was made & the
disastrous forcible sterilization campaign introduced which was failed
• In 1977 new NPP was formulated & the Ministry of Family Planning was
renamed to Ministry of Health and Family welfare
• In 1978 Expanded Programme of Immunization was introduced
• In 1992 CSSM was introduced
• In 1997 RCH was included
•  
 NATIONAL POPULATION POLICY

• Launched in April 1976

• It called for an increase in legal minimum age of
marriage from 15-18 for females &
From 18-21 for males
Policy was modified in 1977
Emphasized on small family norm without compulsion &
changed the programme title to “Family Welfare
Programme”
Latest is NPP 2000
It deals with women education, empowering women for
improved health & nutrition, child survival & health, family
welfare services for under-served population, adolescent’s
health & education, increased population of men in planned
parenthood & environment protection
MATERNAL AND CHILD HEALTH SERVICES
Specific Objectives-
• Reduction of morbidity and mortality rates for mothers and children
• Promotion of reproductive health
• Promotion of physical & physiological development of child within family
Subareas-
• Maternal Health
• Family Planning
• School Health
• Child Health
• Handicapped Children
• Care of children in special settings like Day care centres
 
Targets of MCH Services-
• Current IMR- 52.3 (2008)
• Current MMR- 254(2008)
 REPRODUCTIVE & CHILD HEALTH
• Reproductive & Child Health Programme
phase I was launched in the year 1997
• Phase II was launched on 1ST April 2005
• Aimed at improving health status of young
women & children
• Components of RCH phase 1- family planning,
CSSM, client approach to health care,
prevention & management of RTI & STD
 MAJOR INTERVENTIONS OF RCH I

1. Essential obstetric care

2. Emergency obstetric care
3. 24 hrs. delivery services at PHC/CHC
4. Medical termination of pregnancy
5. Control of RTI & STD
6. Immunization
7. Essential new born care
8. Oral rehydration therapy
MAJOR INTERVENTIONS OF RCH II
1. Essential obstetric care
• Promotion of Institutional delivery
• Skilled attendance at delivery
• The policy decisions
2. Emergency obstetric care
3. Strengthening of referral system
 
New Initiatives:
• Training of MBBS doctors in life saving anaesthetic skills for emergency
obstetric care
• Setting up of blood centres at FRU’s according to Govt. of India
guidelines
 JANANI SURAKSHA YOJANA
 Launched on 12th April, 2005
 Objectives: Reducing maternal mortality & infant mortality
through encouraging delivery at health centres & focusing at
institutional care among women in below poverty line
families

SALIENT FEATURES:
1. 100% centrally sponsored scheme
2. Under NRHM
3. Beneficiaries are women(rural & urban areas), belonging to BPL &
aged 19yrs. Or above, upto 1st two live births
4. Benefits:
• In rural area- Rs. 1300/-
• In urban area- Rs. 800/-
 VANDE MATARAM SCHEME
 A voluntary scheme wherein any obstetric &
gyneacology Specialist, MBBS doctor can
volunteer themselves for providing safe
motherhood services

SAFE ABORTION SERVICES:

Facilities are provided under RCH phase II
a. Medical method of abortion
b. Manual Vacuum Aspiration(MVA)
 CHILD SURVIVAL AND SAFE MOTHERHOOD
PROGRAM
 Launched in 1992
 Integrated all the scheme for better compliance
 Has following components:
 Early registration of pregnancy
 Minimum three ANC check ups
 Universal coverage of all pregnant womens wiiith TT
immunization
 Advise on food, nutrition & rest
 Detection of high risk pregnancies & prompt referral
 Clean deliveries by trained personnel
 Birth spacing
 Promotion of institutional delivery
 ACTIVITIES OF FWP AT SUBCENRE
 At Subcentre level
Immunization, MCH information, education & communication
services are to be provided by subcentre.
Activies to be carried out during on immunization or MCH Session
are:
For Children :
1. Immunization of children
2. Administration of Vit. A concentrated solution for prophylaxis & therapy
3. Daigonsis of anemia in children & distribution of Iron suppliments
For pregnant women:
1. Antenatal checkup of pregnant women
2. TT Immunization
3. Administration of Iron suppliments for prophylaxis & therapy
4. Deworming of pregnant women who show clinical signs of anemia (in
2nd/3rd trimester) in areas with high prevalence of hookworm infestation
 CONTED…
COMMUNICATION AND COUNSELLING:
• On infant feeding (exclusive breast feeding & weaning)
• On home management of diarrhea & ARI
• On birth spacing as a health promotion measure
• Recognition of danger signs for seeking immediate medical help
 
PROVIDE:
• Prepared ORS solution to a child with diarrhea & give ORS packets for use at
home
• Tablet cotrimoxazole to a child with pneumonia
• Oral pills & condoms
 
GATHER INFORMATION BY TAKING TO MOTHERS:
• On new births or pregnancies in village
• Cases of measles, diarrhea & pneumonia
• Counselling on polio & neonatal death
• Counselling for reproductive health
 CONTED…
UPDATE RECORDS:
For holding the sessions it should be ensured
that the health worker-
1. Reaches the fixed place on the fixed day at fixed
time
2. Carries vaccines in cold chain & has enough syringes
& needles
3. Has sufficient quantities of Vit. A, IFA packets, ORS
packets & cotrimoxazole tablets for children
4. Carries educational aids for interpersonal or group
communication
 CONTED…

At PHC level

– Delivery of both preventive & curative services in the area
– Scheduling of immunization/MCH sessions & antenatal clinic
in addition to routine in-patient & out-patient services
– Correct case management of children with diarrhea, ARI &
sick newborns
– Provide services for safe delivery of all uncomplicated
pregnancies
– Management of complicated pregnancies like hypertensive
disorders, severe anemia & sepsis
– Referral of severe cases to FRU for various childhood &
maternal emergencies
 
 STATISTICAL DATA
The following family welfare centers are functioning
to render Family Welfare Services in the state
1. Post partum Centers 110
2. Urban Family Welfare 108
3. Centers
4. Urban health posts 193
5. Rural Family Welfare 382
6. centers
7. Approved Nursing Homes 1764
8. Voluntary Organization 27
 NURSING RESPONSIBILITY
Administrator
Controller
Co-ordinator
Manager
Supervisor
Health educator
Advisor
Social worker
 BIBLIOGRAPHY
• Park’s textbook of preventive and social
medicine, by K. Park 19th edition
• Textbook of Community Health Nursing, by B.
T. Basvanttapa
• Google Search
 www. Ministry of health and family
welfare.org.in