National Family Welfare Programme

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National family welfare

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Soumya Ranjan Parida
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National family welfare programme

(2)
1. NATIONALFAMILY WELFARE PROGRAMME Submitted by ;
Soumya ranjan parida
2. NATIONAL FAMILY WELFARE PROGRAMME INTRODUCTION :
- The National Family Welfare Programme was lanced in 1952
as National Family Planning Program . India was the first one
to do so. It is 100% centrally sponsored program. The ministry
of health and family welfare is responsible for this program. In
1977 the government of India redesignated the “National
Family Planning Program” as the “National Family Welfare
Program”.
3. History :- EARLY DEVELOPMENT : - The second 5 year plan
(1956 to 1961) the “clinic approach” was adopted . Large no of
family planning clinic were opened . The 3rd year plan (1961
to 1966) emphatic recognition was given to family planning .
In 1960 the NFWP entered a New technological era with
introduction of the Lippi's loop later replaced by copper T .
4. Cont… Later Development:- Target bound program .
IUD insertion at the rate of 20/1000 urban and 10/1000 rural.
Integration with maternal and child welfare , immunization ,
nutrition and non formal education. Medical termination of
Pregnancy Act
5. OBJECTIVE :- To destabilize the population at the level of
some 130 million by the year 2050 AD through small family
norms. AIM :- To achieve a higher end that is to improve the
quality of the life of the people.
6. CONCEPT:- The term “family welfare” is in much broader in
scope then “family Planning” . The concept of welfare is
basically related to “quality of life”. It includes –
7. CONCEPT OF FW EDUCATION SAFE DRINKING WATER
EMPLOYMENT WOMEN
‘S WELFARE FAMILY PLANNING CLIENT CENTERD APPROACH
PREVENTION & TREATMENT OF MAJOR DISEASES MCH & RCH
SERVICES
8. COMPONENTS OF NATIONAL FAMILY WELFARE PROGRAMME
1. Administration and Organization :- This includes appointing
the employee and arranging the resources. 2. Training :-
Training the medical, nursing and paramedical sta!. 3. Social
and health education :- 4. Supplies and Services :- a. The
scope of activities carried out under family welfare
programme. b. mother and child health c. small family norm
d. school health
9. RCH :- Introduction :- The reproductive and child health
program was formally launched by Gov. of India on 15th Oct
1997. As per recommendation of International Conference on
Population and development held in Cario in 1994.
10. In ICPD at Cairo ,fathallah ,defined RCH as “A state of
complete,physical,mental, and social well-being and merely
the absence of disease or infirmity in all matters relating to
reproductive system and its function and process.” “A state
in which people have the ability to reproduce and regulate
their fertility are able to go through pregnancy and child birth,
the outcome of pregnancy is successful in terms of maternal
and infant survival and well-being ,and couples are able to
have sexual relation free of the fear of pregnancy and of
contracting diseases.”
11. OBJECTIVE :- 1. To promote the health of the mothers and
children to ensure safe motherhood and child survival. 2. The
intermediate objective is to reduce IMR & MMR. 3. The
ultimate objective is population stabilization , through
responsible reproductive behavior.
12. Prevention and management of unwanted pregnancies
Maternal care (safe motherhood) Child survival
Prevention and management of RTIS/STD Prevention of
HIV/AIDS INTERVENTION/CONCEPT OF RCH
13. COMPONENT OF RCH
14. COMPONENTS OF RCH Following services are included in the
reproductive health area as proposed by Gov. of India. MAIN
COMPONENTS:- 1. Family planning 2. Child survival and safe
motherhood program 3. Prevention /management of RTI/STD
AND AIDS 4. Client approach to health care.
15. • Providing counseling , information and communication
services on health , sexuality and gender di!erence. • Referral
services for all above intervention. • Growth monitoring
,nutrition education ,reproductive health services for
adolescents etc. OTHER ACTIVITIES
16. 1. For maternal services (safe motherhood) :- The service
components are obstetric care , infection control and
nutrition promotion. 2. For child services ( child survival ):-
The essential care of the newborn, including care of the at risk
newborn by prompt referral service. -Infection control
measures. -Nutritional Promotions. RCH PACKAGE FOR
VARIOUS SERVICES
17. Cont…… 3. Reproductive Health :- - Fertility control - MTP
services ( for prevention and management of unwanted
Pregnancies. - Adolescent - HIV/ AIDS
18. Under the RCH Programme Phase 1 , various provision were
made to improve the status of maternal and child health.
These include :- - Provision of essential & emergency and
essential care. - Provision of equipment and drug kits to
selected PHCs and selected FRUs in all districts. - Provision for
additional ANM , Sta! nurse, and Laboratory technicians for
selected districts. - Provision for 24 hours delivery services at
PHCs and CHCs.
19. CONTI…. Referral transport in case of obstetric
complication Immunization and oral rehydration therapy.
Prevention and control of vitamin A deficiency in children.
Integrated management of childhood illness.(IMCI). District
surveys for focused intervention to reduce IMR and MMR.
New initiative undertaken during phase 1 of RCH are :
setting up of blood storage units at FRUs Training of MBBS
doctors in anesthetic skills for emergency obstetric care at
FRU.
20. They were as follows :- The outreach services were not
available to the vulnerable and needy population. The
management of financial resources were inadequate . The
human resources such as doctors , nurse , health worker , etc
were deficient. The management information and
evaluation system was lacking. The e!ective network of first
referral units was lacking . Quality of services in PHCs and
CHCs was poor. Lack of community participation.
21. RCH 2 was started from 1st April 2005 up to 2009. The RCH 2
vision articulates, “ improving access , use and quality of RCH
services , especially for the poor and underserved population
.” AIMOF RCH 2 To reduce infant mortality rate , maternal
mortality rate, total fertility rate, and to increase couple
protection rate and immunization coverage specially in rural
areas.
22. To improve the management performance. To develop
human resources intensively. To expand RCH services to
tribal areas also. To monitor and evaluate the services. To
improve the quality, coverage and e!ectiveness of the existing
family welfare services and essential RCH services with a
special focus on the above mentioned EAG states.
23. 1) Population stabilization 2) Maternal health 3) Newborn
care 4) Child health 5) Adolescent health 6) Control of RTI/STIS
7) Urban health 8) Tribal health 9) Monitoring and evaluation
10) Other priority areas
24. By increasing the number of trained personnel like medial
o!icer of PHCs and female health worker of sub centers. By
covering the services at grass roots level by having linkage
with ICDS Involving panchayati raj institutions urban local
bodies and NGOs By training one couple from each village
to provide nonclinical family planning method services. By
involving district urban development authorities
(DUDA)cooperative societies and industrial workers in
providing family planning services By identifying NGOs to
provide financial technical and managerial support
25. The strategies to improve and strengthen the quality of
maternal services are (a) Essential obstetric care (b)
Emergency obstetric care (a) ESSENTIAL OBSTETRICCARE:- •
Three or more antenatal checkups • Two doses of tetanus
toxoid • One pack of Iron folic acid tablets during the last
trimester • Counseling on promoting of institutional delivery.
26. This consists of operationalizing the first referral units to be
fully functional round the clock (24 hours). First referral
unit(FRU): it is an upgraded PHC/CHC into a 30 bedded
hospital, having a well furnished and equipped operation
theater with a newborn care corner, a labor room , blood bank
and laboratory to provide the services of obstetric
emergencies such as cesarean section and adequate supply of
drugs to the patients , care of sick children ,family welfare
services.
27. 1.Janani Suraksha Yojana (JYS) Scheme. 2. Prasoothi araiker
3. Training of traditional birth attendants. 4. Training of MOs in
the skill of obstetric management.
28. The e!ective health interventions for the newborn starting
from the antenatal period ,intarpartum and immediate
newborn care , early newborn care ,late neonatal care.
Navjaat shishu suraksha karyakarm (NSSK):-The main aspect
of NSSK are prevention of hypothermia , prevention of
infection , early initiation of breast feeding. Facility based
IMNCI :- It focuses on providing appropriate inpatient
management of the major cause of neonatal and childhood
mortality . Sick newborn care (SNCU). Home based care
(HBNC).
29. This is implemented on pilot basis in those districts where
more than 60% girls marry before age of 18 years. The
adolescent health services are provided by counseling once in
a week in the PHC & CHC. The services are Management of
menstrual disorder , nutrition counseling , counseling for
sexual problem.
30. -This is improved by providing quality primary health care to
the urban poor by establishing urban health centers (UHC)
ratio is 1: 50,000 population . -Where 1 MO, 3-4 ANM, ! Lab
assistant, 1 Public health nurse, 1 clerk , 1 Peon and 1
Chowkidar.
31. These are the people who are underserved due to
problems of geographical access and those who su!er social
and economical disadvantages such as SC/ST and the urban
poor .
32. Goal is to improve their health status. Objective :- To bring
their health status at par with the rest of the population
33. Management Information and Evaluation System (MIES) This
is done by following measures : - Planning is done at various
levels of Sub center, PHC, CHC, District & State. - Monitoring is
done by establishing Consumer Need Assessment Approach
cell at district and state level with an o!icer incharge. -
Evaluation is done through District Surveys, National Family
Health Survey, Focus studies and Census report - -Validation is
by supervision and surveys.
34. The services provided under RCH-2 are :- Health education
TB control programme Store and distribution of anti-
malaria drugs, ANC service contraceptive distribution and
referral for terminal methods.
35. DEFINITION WHO “ a way of thinking & living that is adopted
voluntary upon the basis of knowledge , attitudes &
responsible decisions by individuals and couples , in order to
promote the health & welfare of the family group & contribute
e!ectively to the social development of a country”.
36. -To bring down population growth. - To reduce the maternal
& child mortality rate. - To control the unwanted birth. - To
prevent from abortion. - To bring out wanted birth. - To bring
interval between pregnancies.
37. 1. Operational goals 2. Demographic goals 1. Operational
Goals :- - To promote the voluntary acceptance of small family
norms . Family planning has two main goals :- - To promote
the people to use of spacing between children's. - Child
survival. - Poverty eradication & socio – economic growth.
38. - Stabilizing the population by the year 2045. - Reduce the
infant mortality rate to level below 30/1000 live childbirth. -
Reduce the maternal mortality rate to the level below of
100/100,000 live child birth. SCOPE OF FAMILY PLANNING :- -
Proper spacing between birth. - Limited number of child birth.
- Sex education - Nutritional education. - Pregnancy test. -
Diagnosis of reproductive tract infection. - Preparing for first
birth.
39. It means prevention against pregnancy .It can also be termed
as Fertility Regulation. - Now a days many kinds of
contraception are widely used for family planning purpose. -
The method or device used for the contraception or prevent
pregnancy is called Contraception Device. CHARACTERISTICS
:- - It should be e!ective for prevent pregnancy. - It should not
be harmful for the health. - It should have long life and in
expensive - It should be simple & could be used without any
consultation or supervision of doctor/medical personal
40. FAMILY PLANNING METHOD
41. 1. Natural Method 2. Mechanical Method 3. Hormonal
Method 4. Surgical Method 1. Natural Method a. Calendar
Method b. Basal Body Temperature c. Cervical Mucosa d.
Sympto thermal Method e. Ovulation awareness f. Lactional
Amenorrhea g. Withdrawal Method
42. a. Female condom b. Male Condom c. Diaphragm d.
Spermicidal e. Intra uterine device f. Sponge 3. Hormonal
Method :- a. Skin patch b. Pill’s (combined pills) c. Vaginal ring
d. Injection e. Implant
43. a. Vasectomy b. Tubectomy 1. NATURAL METHOD :- a.
Calendar method Woman has to make a record of her
periods for six months Each month the number of days
between the starting of one period and the next one is
recorded for the last 6months
44. The longest and shortest interval is recorded between the
periods from the shortest interval subtract 18 days and
subtract 11 from the longest interval between the starting
periods .The interval between these two values will be the
phase of ovulation . Example:-A woman recorded 28 days as
the shortest interval and 30 days as the longest interval
between the periods . From shortest interval, subtract 18 28-
18=10days From longest interval, subtract 11 30-11=19days
The phase of conception 10 to 19 days
45. b. WITHDRAWAL METHOD:- The withdrawal of the penis from
the vagina just before the ejaculation. C.LACTATIONAL
AMENORRHEA METHOD;- This method can be used by a
women who is breastfeeding her baby day and night .It
provide natural protection against pregnancy for up to
6months .Breastfeeding suppresses ovulation . The failure
rate is 1 to 2% 2. MECHANICAL METHOD A. MALE CONDOM;- It
is a sheath or covering which is made of thin latex rubber to fit
over a man’s erect penis .
46. ADVANTAGES :- Cheaper & easy to carry. No side e!ect .
Protection against STD & AIDS. Reduce the incidence of
tubal fertility & Ectopic pregency . DISADVANTAGES :-
Inadequate sexual pleasure . To discard a"er one coital act.
47. B. INTRAUTERINE CONTRACEPTIVE DEVICE An IUD is
known as Coil is a small plastic and copper device . Usually
shaped like ‘T’ which is fitted into uterus by a doctor using a
simple procedure and provide protection against pregnancy .
In IUD can stay in place 5 to 10 year .
48. TYPES OF IUDs:- (a)LIPPE’S LOOP (b)COPPER T COPPER T :-
Copper reduces the fertility of woman so that it is used for
contraceptive. Advantages :- - Inexpensive , easy to use and
can be inserted in minimal time. - E!ective contraceptive. -
Fertility can be restored removal of copper T. - Disadvantages -
Pain and bleeding. - Ectopic pregency.
49. HORMONAL METHOD Hormonal contraceptives are the
e!ective means of maintaining interval between births. It
includes :- 1. ORAL PILLS 2. Mixed Pills 3. Mini Pills (
Progesterone only pills) 4. Post Coital Pills 5. Non Steroidal
weekly oral pills 6. Long acting /Once a month pills 7.
Emergency Contraceptive pills ( E – Pills )
50. It include both Oestron & progestron . This pills is to be
taken from 5th day of menstrual cycle upto 21st days
continually . Department of Family Welfare has made
available the pills named Mala – N & Mala –D. Their contents
are – • Norethisterone acetate • + • Ethynyl oestradiol Mala - N •
Noregestrol • + • Ethynyloestradial Mala - D
51. This contains only Progesterone .These are to be taken
through out the menstrual cycle . These are not used much
due to poor control on menstrual cycle & the higher rate of
failure.
52. This pills should be taken within 48 h of the unsafe coitus.
This pills should be taken in case of emergency only like rape ,
Failure of contraceptive & unsafe sexual intercourse.
53. -Central drug research institute Luknow has develop a pill
named “ CENTCHRAMAN . -This is a weekly pill that is to be
taken orally. -This pill is known by the brand name SAHELI.
54. -Long acting estrogen & short acting Progesterone are mixed
in this tablet. - This pill is taken only once a month. - Its
harmful e!ect only rate of failure is very high . - Advantages :- -
Prevents pregencey - Shortness period. - Prevents ovarian and
uterine cancer. - Disadvantages :- - Headache - Malaise - Leg
cramps - Weight gain. - Sleep disturbance. - Hypertension
55. ECPs are used to prevent pregenency following an
unprotected sexual intercourse .If taken within 72 hours ECPs
are safe for all women. It comes in pack of two pills. The
first pills should be taken as soon as possible but certainlly
before 72 h. The 2nd pill should be taken 12 h a"er the first
pill is taken.
56. SURGICAL METHOD :- VESECTOMY :- It is simple
operation performed under local anaesthsia . In this
method both of the vas-di!erence are cut 1cm each &
clamped or their heads are tied in a manner that they can not
unite again . These days more attention in being paid to
microvesectomy to avoid cuts & stiches.
57. Permanent , safe , inexpensive technique . Does not e!ect
normal working a"er the operation . Does not interfere with
sexual pleasure. Hospitalization not required . Can be
conducted any where ( Sub center , PHC etc.)
58. Pain ,hematoma in scrotum Local infection Impotency
59. TUBECTOMY :- 1. Traditional method This method is known
as the abdominal tubectomy in which under spiral or General
anesthesia. 2. Mini lap :- This is minor from abdominal
tubectomy in which under local anesthesia . 3. Laparoscopy :-
In this technique using a laparoscope through the abdomen .
60. Local infection. Some women complain of bleeding.
Irregulatingr of cycle. DISADVANTAGES This method is
almost 100% safe against pregencey . Minimal complication
. Comparatively less expensive . ADVANTAGES
61. Motivation of eligible couple on family welfare methods.
Follow up of IUD & Oral Pills users. Organizing special
camping .Domiciliary services for perinatal care.
Educational activities. Records maintainces. Maintaining
adequate supplies . Evaluation of programme. ROLE OF
NURSE IN FAMILY WELFARE PROGRAMME
62. BIBLIOGRAPHY 1. Park K. , ‘Parks essential of community
health & nursing” , 6th edition , M/S Banarsidas Bhanot
Publishers , 2012 , Pp : 390 – 391 2. Park K. , “ Parks textbook of
Preventive & social medicine 22nd edition , M/S Banarsidas
Bhanot Publishers , 2013 , Pp :371– 318 3. Rao sridhar B.
‘community health Nursing” 2nd edition Aitbs Publishers Pp :
213 4. Suryakanta AH , community Medicine with recent
advantages 3rd edition Jaypee brothers medical publishers P
(Ltd) Pp :859 -869
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節税＋資産形成＋不労所得

National family welfare

National family welfare programme (2)

National family welfare

Reproductive and child

Maternal and child health

National health programme

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