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Family welfare programme

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HI, HOPE YOU WILL GET SOME KNOWLEDGE ABOUT FAMILY WELFARE PROGRAMME.

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Family welfare programme

  1. 1. FAMILY WELFARE SERVICES MR. INDRA MANI MISHRA (M.Sc.NURSING ,B.Sc. BIOTECHNOLOGY) NURSING TUTOR AT COLLLEGE OF NURSING RIMS RANCHI
  2. 2. INTRODUCTION  Family planning means planning by individuals or couples to have only the children they want, when they want them. This is responsible parenthood.  family welfare includes not only planning of births ,but they welfare of whole family by means of total family health care. The family welfare programme has high priority in India, because its success depends upon the quality of life of all citizen.
  3. 3. HISTORY OF FAMILY WELFARE PROGRAMME 1. It was started in the year 1951. 2. In 1977,the govt. of India redesignated the “national family planning programme” as the “national family welfare programme”, and also changed the name of the ministry of health and family planning to ministry of health and family welfare. 3. It is a reflection of the government’s anxiety to promote family planning through the total welfare of the family.
  4. 4. 4. It is aimed at achieving a higher end, i.e., to improve the quality of life of the people. 5. India is the first country in the world, that implemented the family welfare programme at govt. level. 6. Health is a part of concurrent list but center provides 100% assistance to states for this programme. 7. Government has concentrated on this programme in various five-year plans though higher priority was accorded to it after 4th five year plan.
  5. 5. 8. Due to bad effects of emergency and faulty propaganda, family planning suffered major set back, during 1977- 1979. 9. It was decided in national health policy 1983,that Net Reproduction Rate (NRR) should be 1 by the year 2000. 10. The 7th five year plan placed more emphasis on the use of spacing methods between the births of two children. 11. Family welfare programme has been remained the important aspects of each five year plan, national health
  6. 6. CONCEPT OF FAMILY WELFARE PROGRAMME 1. The concept of welfare is basically related to quality of life. 2. As such it includes education, nutrition, health, employment, women’s welfare and rights ,shelter, safe drinking water-all vital factors associated with the concept of welfare.  It is a Centrally sponsored programme. For this, the states receive 100 per cent assistance from Central Government.
  7. 7.  The emphasis is on a child family.  Also, the emphasis is on spacing methods along with terminal methods,  The current policy is to promote family planning on the basis of voluntary and informed acceptance with full community participation.  The services are taken to every doorstep in order to motivate families to accept the small family norm
  8. 8. AIMS AND OBJECTIVES OF FAMILY WELFARE PROGRAMME THE GOVERNMENT OF INDIA IN THE MINISTRY OF HEALTH AND FAMILY WELFARE HAVE STARTED THE OPERATIONAL AIMS, AND OBJECTIVES OF FAMILY WELFARE PROGRAMME AS FOLLOWS:  To promote the adoption of small family size norm, on the basis of voluntary acceptance.  To promote the use of spacing methods.  To ensure adequate supply of contraceptives to all eligible couples within easy reach.
  9. 9.  To arrange for clinical and surgical services so as to achieve the set targets  Participation of voluntary organizations/local leaders/local self government, in family welfare programme at various levels  Using the means of mass communication and interpersonal communication to overcome the social and cultural hindrances in adopting the programme or extensive use of public health education for family planning.
  10. 10. GOALS OF THE FAMILY WELFARE PROGRAMME  Family welfare programme has laid down the following long term goals to be achieved by the year 2000 AD: 1.Reduction of birth rate from 29 per 1000 (in 1992) to 21 by 2000 AD 2.Reduction of death rate from 10 (in 1992) to 9 per 1000. 3.Raising couple protection rate from 43.3 (in 1990) to 60 per cent. 4.Reduction in average family size from 4.2 (in 1990) to 2.3. 5.Decrease in Infant mortality rate from 79 (in 1992) to less than 60 per 1000 live births. 6.Reduction of Net Reproduction Rate from 1.48 (in 1981) to 1.
  11. 11. IMPACT OF FAMILY WELFARE ACTIVITIES 1. Nearly 98% of women and 99% of men in the age group of 15 and 49 have a good knowledge about one or more methods of contraception. Adolescents seem to be well aware of the modern methods of contraception. 2. Over 97% of women and 95% of men are knowledgeable about female sterilization, which is the most popular modern permanent method of family planning. While only 79% of women and 80% of men have heard about male sterilization. 3. 93% of men have awareness about the usage of condoms while only 74% of women are aware of the same. 4. Around 80% of men and women have a fair knowledge about contraceptive pills. 
  12. 12. IMPORTANCE OF FAMILY WELFARE PROGRAMME  The year 2010-11 ended with 34.9 million family planning acceptors at national level comprising of 5.0 million Sterilizations, 5.6 million IUD insertions, 16.0 million condom users and 8.3 million O.P (oral pills). users as against 35.6 million family planning acceptors in 2009-10.  Over the decades, there has been a substantial increase in contraceptive use in India.  IUD Insertions: During the year 2010-11, 5.6 million IUD insertions were reported as against 5.7 million in 2009-10. Assam, Bihar, Gujarat, Jharkhand, Uttar Pradesh, Arunachal Pradesh, Delhi, Goa, Meghalaya, Mizoram, Sikkim, D&N Haveli reported better performance in 2010-11
  13. 13.  Condom Users and O.P. (Oral Pills) Users: Based on the distribution figures reported, there were 16.0 million equivalent users of Condoms and 83.07 million equivalent users of Oral Pills during 2010-11.  Number of Births Prevented: Implementation of various Family Planning measures prevented 16.335 million births in the country during 2010-11 as compared to 16.605 million in 2009-10. The cumulative total of births avoided in the country up to 2010-11 was 442.75 million.
  14. 14. STRATEGIES OF FAMILY WELFARE PROGRAMME (FWP)  Integration with health services: Family welfare programme (FWP) has been integrated with other health services instead of being a separate service.  Integration with maternity and child health: FWP has been integrated with maternity and child health (MCH). Public are motivated for post delivery sterilization, abortion and use of contraceptives.  Concentration in rural areas: FWP are concentrated more in rural areas at the level of subentries and primary health centers. This is in addition to hospitals at district, state and central levels.
  15. 15.  Literacy: There is a direct correlation between illiteracy and fertility. So stress and priority is given for girl's education. Fertility rate among educated females is low.  Breast feeding: Breast feeding is encouraged. It is estimated that about 5 million births per annum can be prevented through breast feeding.  Raising the age for marriage: Under the child marriage restraint bill (1978), the age of marriage has been raised to 21 years for males and 18 years for females. This has some impact on fertility
  16. 16.  Minimum needs programme: It was launched in the Fifth Five Year Plan with an aim to raise the economical standards. Fertility is low in higher income groups. So fertility rate can be lowered by increasing economical standards.  Incentives: Monetary incentives have been given in family planning programmes, especially for poor classes. But these incentives have not been very effective. So the programme must be on voluntary basis.  Mass media: Motivation through radio, television, cinemas, news papers, puppet shows and folk dances is an important aspect of this programme.
  17. 17. ROLE OF COMMUNITY HEALTH NURSE IN FAMILY WELFARE SERVICES Community health nurse has a vast role to play in family welfare services.  Survey work  Collecting demographic facts.  Making list of homes and finding out housing location.  Collecting information about pregnant mothers, eligible couples, infants and children below the school going
  18. 18. EDUCATIONAL FUNCTIONS AND MOTIVATION  Explaining the importance and necessity of family planning to masses.  Using various techniques of teaching and communication to propagate the message of family planning to common man.  Motivating the eligible couple to use contraceptives and educating them about its uses.  Motivating people for family planning operation or permanent contraception.
  19. 19. MANEGERIAL FUNCTIONS  1.conducting clinics • Deciding the date and place of clinics. • Arranging equipments and other resources at clinics. • Arrangements and distribution of contraceptives. • Insertion and removal of IUDS • 2. organizing family planning camps • Arranging family planning operations(sterilization male/female)through special camps. • Making arrangements at the camps and
  20. 20. CONT... • following aseptics techniques. • Motivating eligible couples and preparing them for the operation . • Assisting the doctor in operation. • 3. maintaining the records • Keeping the eligible couple register update. • Maintaining the register of sterilization cases, contraceptives users ,and pregnant mothers. • Maintaining other records related to family planning
  21. 21. CONT...  4. Liasion work  Soliciting the co-operation of NGOs/voluntary organization
  22. 22. SUMMARY  The topic family welfare contains:  Introduction  History of family welfare programme  Concept  Aims and objectives  Goals  Impact  Importance  Strategy  Role of community health nurse
  23. 23. BIBLIOGRAPHY  Basavanthappa BT, Community health nursing,1st ed ,1998,jaypee brothers, delhi,page no.-319 -321.  Chalkey A. M., A text book for the health worker,1st ed,1985,N.A,I. Limited ,publishers,New Delhi, page no.- 330-340.  Kumari Neelam ,essentials of community health nursing,1st ed ,2011, PV books, Jalandhar, page no.-225-227  Park k. ,essentials of community health nursing,4th ed, 2004,m/s Banarasidas Bhanot Publishers,Jabalpur,page no. 225-226  Swarnkar k. Community health nursing ,2nd ed 2008,N.R. Brothers,indore, page no.639-642

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