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REPRODUTION HEALTH
COMMUNITY HEALTH
NURSING-II
• By:
• ANWAR ALI MALIK,
• BSN (G) M.ED, MPH
• V.PRINCIPAL
• HIMAS CON
• malikstar2000@gmail.com
UNIT V:
FAMILY PLANNING
Objectives: At the end of this unit, learners will
be able to:
What is family planning?
• Family planning allows individuals to decide if and
when to have children.
• It includes information and services related to
contraceptives such as pills, implants, intrauterine
devices, surgical procedures and condoms as well
as abstinence.
• It also provides information on how to become
pregnant for individuals who are ready to have
children.
• Family planning in Pakistan refers to the various
strategies, programs, and policies implemented to help
individuals and couples make informed decisions about
their reproductive health, including the number and
spacing of their children.
Family planning plays a crucial role in improving maternal
and child health, reducing poverty, empowering women,
and achieving sustainable development goals and
Millennium Developmental Goals.
Background
• Pakistan has a large and growing population, with
estimates of over 240 million people as of 2023
• The country faces numerous challenges in providing
essential services to its citizens, including healthcare,
education, and economic opportunities.
• Recognizing the importance of addressing population
growth, the government of Pakistan has prioritized
family planning as a key component of its
development agenda.
Government Initiatives:
• The government of Pakistan has implemented various
initiatives and programs to promote family planning.
• These initiatives include:
• A. National Family Planning Program:
• The National Family Planning Program (NFPP) was
established in 1965 to provide family planning services
across the country.
• It operates through the Ministry of National Health
Services, Regulations, and Coordination (NHSRC) and
collaborates with provincial health departments.
B. Lady Health Workers Program
• The Lady Health Workers (LHW) Program is a
community-based initiative that aims to provide primary
healthcare, including family planning, to underserved
populations.
• It employs trained female community health workers
who visit households to deliver essential services,
including counseling on family planning methods.
C. Contraceptive Commodities and Logistics Management
System:
• The government has established the system to ensure
the availability and accessibility of contraceptive
commodities.
• This includes procurement, storage, distribution, and
monitoring of contraceptives to various healthcare
facilities across the country.
D. Media Campaigns:
• The government has also launched media campaigns
to raise awareness about family planning and dispel
misconceptions surrounding contraceptive use.
• These campaigns utilize television, radio, print media,
and social media platforms to reach a wider audience
and promote positive behavior change.
Services and Methods:
• Family planning services in Pakistan include a wide
range of contraceptive methods, counseling, and
reproductive health education.
• These services are available at government-run
healthcare facilities, private clinics, and non-
governmental organizations (NGOs).
•
Some common contraceptive methods provided include:
• A. Oral Contraceptives:
• Birth control pills that contain hormones to prevent ovulation
and alter the cervical mucus to inhibit sperm movement.
• B. Injectable Contraceptives:
• Hormonal injections administered every few months to prevent
pregnancy.
Services and Methods:
• C. Intrauterine Devices (IUDs):
• T-shaped devices inserted into the uterus to prevent
fertilization and implantation.
• D. Male and Female Condoms: Barrier methods that
prevent sperm from reaching the egg.
Services and Methods:
E. Permanent Methods:
Surgical procedures like tubal ligation (female
sterilization) and vasectomy (male sterilization) for
individuals or couples who have decided not to have
more children.
Benefits of family planning
• Empowers people to choose:
When women decide when they want children, they are
Free to make choices about their life and future.
• Reduces poverty:
Slowing fertility rates are strongly linked to reduction in
poverty.
• Saves the lives of mothers and babies:
Closely spaced and ill-timed pregnancies and births
contribute to high maternal and infant mortality rates.
Newborns of mothers who die during child birth are also at
higher risk of death or poor health.
Benefits of family planning
Prevents teenage pregnancies and
sexually transmitted infections:
Girls who fall pregnant are forced to leave
school,
risk their lives,
health during pregnancy,
 childbirth,
can have long-term implications on their
Benefits of family planning
• Provides opportunity for economic growth:
• Family planning can help slow unsustainable
population growth that is threatening Pakistan’s future
economic growth.
• Investing in family planning is crucial to the
development of Pakistan and can accelerate the
achievement of the Sustainable Development Goals
FAMILY PLANNING SESSION
THE IMPORTANCE OF FAMILY PLANNING
• Promoting the uptake of contraceptives and family
planning is important, first of all, since 20 percent of all
married women have an unmet need for family planning.
• This implies that they either wish to space the birth of the
next child (9%), or to stop having children all together
(11%), but are not using any form of contraception
(NIPS, 2013).
• Family planning can contribute to women empowerment
as it enables them to exercise free and informed choice.
THE IMPORTANCE OF FAMILY PLANNING
• At the same time, family planning can result in direct
health benefits.
• The rapid succession of pregnancies of many Pakistani
women involves signifcant health risks for both mother
and child.
• If contraceptives are not used, it would increase the
number of unintended pregnancies and unsafe
abortions, that is an important cause of maternal
mortality, which could be reduced (UNFPA, 2013)
• Growth is a crucial issue that affects various aspects of a
country's development.
• Today, we will explore the consequences of population
growth in Pakistan and its implications.
• Pakistan’s current population: approximately 240
million (24 crores.
• High population growth rate: 2.4% annually.
• One of the most populous countries in the world.
• Rapid population growth poses significant
challenges.
:
• Pakistan has a predominantly young population,
with a high percentage of individuals under the
age of 30.
• The age structure plays a crucial role in
determining the country's social and economic
dynamics.
• Pakistan has been experiencing rapid
urbanization, with a significant proportion of the
population residing in urban areas.
• Major cities, such as Karachi, Lahore, and
Islamabad, have witnessed substantial growth in
their populations.
• Pakistan has a relatively high fertility rate,
indicating the average number of children
born to women during their reproductive
years.
• In 2021, the fertility rate was around 3.6
children per woman.
• The life expectancy in Pakistan has been
increasing gradually.
• As of 2021, the average life expectancy was
around 68 years for males and 72 years for
females.
• However, there may have been changes in these
figures.
Strains on Resources
• Rapid population growth strains the availability of
resources.
• Limited access to clean water, food, and
healthcare services.
• Increased demand for energy and transportation
infrastructure.
• Struggle to provide adequate education and
employment opportunities.
Overburdened Infrastructure
• Population growth puts immense pressure on
infrastructure.
• Overcrowded cities lead to inadequate housing
and increased slums
• Insufficient public transportation systems and
traffic congestion
• Strain on public services like sewage, waste
management, and healthcare facilities.
Economic Impacts
• Population growth affects the economy in various ways.
• Unemployment rises due to the inability to create
enough jobs.
• Increased dependency ratio and pressure on the
working-age population.
• Economic inequality widens, as resources are
distributed uneven.
• Impact on GDP growth and development opportunities.
Environmental Impact
• Population growth contributes to
environmental degradation.
• Increased pollution from industrial activities
and transportation.
• Deforestation and loss of biodiversity due
to expanding urban areas.
• Pressure on natural resources, leading to
water scarcity and land degradation.
Social Challenges
• Population growth poses social challenges as
well.
• Struggles to provide quality education to all
children.
• Pressure on healthcare services, affecting
maternal and child health. .
• Social inequality and the potential for social
unrest.
Policies Immplementation Needs
• Addressing population growth requires effective
policies.
• Promoting family planning and reproductive health
services.
• Investment in education, skills training, and
employment generation.
• Sustainable urban planning and infrastructure
development.
• Environmental conservation and natural resource
management.
UNFPA PAKISTAN
• The United Nations Population Fund-UNFPA is an
international development agency,that works on
population and development, sexual and reproductive
health, and gender globally.
• The United Nations Population Fund (UNFPA) is the
lead UN agency for delivering a world where every
pregnancy is wanted, every childbirth is safe and every
young person's potential is fulfilled.
UNFPA PAKISTAN
• UNFPA focuses on advancing women’s and young
people’s ability to exercise their sexual and reproductive
health rights. Since 1970, UNFPA in Pakistan has
supported:
• Sexual and reproductive health information and services;
• Adolescents and youth;
• Women’s empowerment and gender equality;
• Population and development.
UNFPA PAKISTAN
• Our programmes expand across the country with
tailored interventions for local contexts. We do this
through:
• Gender-responsive and youth-friendly policies, laws
and initiatives;
• Advocacy for increased investments in health and
education;
• Strengthened capacities of government and civil
society institutions for youth-led sexual and
reproductive health programmes and partnerships;
UNFPA SINDH PAKISTAN
• Sindh population to reach 95.7 million by 2050 - if
contraceptive use rises: 1,000 mothers and 34,000 infants
will be saved!
• Insufficient health coverage, which can be reduced by 33
percent if contraceptive use rises from 31 percent to 49
percent.
• The total fertility rate in Sindh is 3.6, and high fertility
contributes to infant mortality and malnutrition.
• As a result, 60 infants die before one year of age (per 1000
live births), and 50 percent of children under five are stunted
in Sindh.
UNFPA SINDH PAKISTAN
• Currently, more than half of the girls at, 51 percent (age 5
-16), are out of school in Sindh, together with 39 percent
of boys.
• Without investment in family planning, women’s
empowerment and education will be challenging to
accommodate the growing population.
• Karachi, 25 May 2023 – With an average annual growth
rate of 2.41 percent in Sindh, the total current population
is 56.3 million (2022), estimated to grow to 95.7 million by
2050.
UNFPA SINDH PAKISTAN
• 3000 maternal deaths occur annually due to These findings
were shared at the Consultative Workshop;
• on Voluntary National Survey and
• International Conference on Population and Development
(ICPD) held on Thursday, 25th May,2023 in Karachi by the
Federal Ministry of Planning, Development and Special
Initiatives in collaboration with United Nations Population
Fund (UNFPA).
Challenges and Future Directions:
• Despite the government's efforts, there are still
several challenges to the effective implementation
of family planning programs in Pakistan.
• These challenges include:
• A. Limited Access: Many rural areas and
marginalized communities have limited access to
family planning services due to a lack of
healthcare facilities, trained providers, and cultural
barriers.
• Deep-rooted cultural and religious beliefs, as well as
gender inequality, can influence contraceptive decision-
making and limit women's autonomy in reproductive
health choices.
• C. Misinformation and Myths: Misinformation and
myths about contraceptive methods contribute to low
acceptance and utilization rates. Addressing these
misconceptions through education and awareness
campaigns is crucial.
• D. Inadequate Funding: Insufficient funding for family
planning programs limits their reach and effectiveness.
• To address these challenges and improve
family planning in Pakistan, it is essential to
strengthen;
• healthcare infrastructure,
• enhance education and awareness campaigns,
• involve religious and community leaders,
• promote gender equality, and
• increase funding for family planning services.
Population Growth Challenges: Pakistan
• Rapid population
growth 240 million
up to 2023.
• Poverty and
inequality.
• Unemployment.
• Impact on quality of
Education.
• Burden on Healthcare
System.
• Urbanization and
infrastructure.
• Environmental
sustainability.
• Family planning and
reproductive health.
• Nurses play very significant role in providing
education, counselling, and healthcare services
related to family planning.
• Here are some ker responsibilities or roles of
nurses family planning.
• They explain the benefits, risks, and effectiveness of
different contraceptive options, helping individuals make
informed choices based on their preferences and needs
• Nurses provide comprehensive education and counseling
to individuals and couples regarding various contraceptive
methods, fertility awareness, and reproductive health.
Conclusion
• Population growth in Pakistan has significant
consequences.
• Strain on resources, overburdened infrastructure,
economic implications, environmental impact, and social
challenges.
• Policy interventions are crucial to mitigate these
consequences and ensure sustainable development.
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CHN2.pptx

  • 2. COMMUNITY HEALTH NURSING-II • By: • ANWAR ALI MALIK, • BSN (G) M.ED, MPH • V.PRINCIPAL • HIMAS CON • malikstar2000@gmail.com
  • 4. Objectives: At the end of this unit, learners will be able to:
  • 5. What is family planning? • Family planning allows individuals to decide if and when to have children. • It includes information and services related to contraceptives such as pills, implants, intrauterine devices, surgical procedures and condoms as well as abstinence. • It also provides information on how to become pregnant for individuals who are ready to have children.
  • 6. • Family planning in Pakistan refers to the various strategies, programs, and policies implemented to help individuals and couples make informed decisions about their reproductive health, including the number and spacing of their children. Family planning plays a crucial role in improving maternal and child health, reducing poverty, empowering women, and achieving sustainable development goals and Millennium Developmental Goals.
  • 7. Background • Pakistan has a large and growing population, with estimates of over 240 million people as of 2023 • The country faces numerous challenges in providing essential services to its citizens, including healthcare, education, and economic opportunities. • Recognizing the importance of addressing population growth, the government of Pakistan has prioritized family planning as a key component of its development agenda.
  • 8. Government Initiatives: • The government of Pakistan has implemented various initiatives and programs to promote family planning. • These initiatives include: • A. National Family Planning Program: • The National Family Planning Program (NFPP) was established in 1965 to provide family planning services across the country. • It operates through the Ministry of National Health Services, Regulations, and Coordination (NHSRC) and collaborates with provincial health departments.
  • 9. B. Lady Health Workers Program • The Lady Health Workers (LHW) Program is a community-based initiative that aims to provide primary healthcare, including family planning, to underserved populations. • It employs trained female community health workers who visit households to deliver essential services, including counseling on family planning methods.
  • 10. C. Contraceptive Commodities and Logistics Management System: • The government has established the system to ensure the availability and accessibility of contraceptive commodities. • This includes procurement, storage, distribution, and monitoring of contraceptives to various healthcare facilities across the country.
  • 11. D. Media Campaigns: • The government has also launched media campaigns to raise awareness about family planning and dispel misconceptions surrounding contraceptive use. • These campaigns utilize television, radio, print media, and social media platforms to reach a wider audience and promote positive behavior change.
  • 12. Services and Methods: • Family planning services in Pakistan include a wide range of contraceptive methods, counseling, and reproductive health education. • These services are available at government-run healthcare facilities, private clinics, and non- governmental organizations (NGOs). •
  • 13. Some common contraceptive methods provided include: • A. Oral Contraceptives: • Birth control pills that contain hormones to prevent ovulation and alter the cervical mucus to inhibit sperm movement. • B. Injectable Contraceptives: • Hormonal injections administered every few months to prevent pregnancy.
  • 14. Services and Methods: • C. Intrauterine Devices (IUDs): • T-shaped devices inserted into the uterus to prevent fertilization and implantation. • D. Male and Female Condoms: Barrier methods that prevent sperm from reaching the egg.
  • 15. Services and Methods: E. Permanent Methods: Surgical procedures like tubal ligation (female sterilization) and vasectomy (male sterilization) for individuals or couples who have decided not to have more children.
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  • 19. Benefits of family planning • Empowers people to choose: When women decide when they want children, they are Free to make choices about their life and future. • Reduces poverty: Slowing fertility rates are strongly linked to reduction in poverty. • Saves the lives of mothers and babies: Closely spaced and ill-timed pregnancies and births contribute to high maternal and infant mortality rates. Newborns of mothers who die during child birth are also at higher risk of death or poor health.
  • 20. Benefits of family planning Prevents teenage pregnancies and sexually transmitted infections: Girls who fall pregnant are forced to leave school, risk their lives, health during pregnancy,  childbirth, can have long-term implications on their
  • 21. Benefits of family planning • Provides opportunity for economic growth: • Family planning can help slow unsustainable population growth that is threatening Pakistan’s future economic growth. • Investing in family planning is crucial to the development of Pakistan and can accelerate the achievement of the Sustainable Development Goals
  • 23. THE IMPORTANCE OF FAMILY PLANNING • Promoting the uptake of contraceptives and family planning is important, first of all, since 20 percent of all married women have an unmet need for family planning. • This implies that they either wish to space the birth of the next child (9%), or to stop having children all together (11%), but are not using any form of contraception (NIPS, 2013). • Family planning can contribute to women empowerment as it enables them to exercise free and informed choice.
  • 24. THE IMPORTANCE OF FAMILY PLANNING • At the same time, family planning can result in direct health benefits. • The rapid succession of pregnancies of many Pakistani women involves signifcant health risks for both mother and child. • If contraceptives are not used, it would increase the number of unintended pregnancies and unsafe abortions, that is an important cause of maternal mortality, which could be reduced (UNFPA, 2013)
  • 25. • Growth is a crucial issue that affects various aspects of a country's development. • Today, we will explore the consequences of population growth in Pakistan and its implications.
  • 26. • Pakistan’s current population: approximately 240 million (24 crores. • High population growth rate: 2.4% annually. • One of the most populous countries in the world. • Rapid population growth poses significant challenges.
  • 27. : • Pakistan has a predominantly young population, with a high percentage of individuals under the age of 30. • The age structure plays a crucial role in determining the country's social and economic dynamics.
  • 28. • Pakistan has been experiencing rapid urbanization, with a significant proportion of the population residing in urban areas. • Major cities, such as Karachi, Lahore, and Islamabad, have witnessed substantial growth in their populations.
  • 29. • Pakistan has a relatively high fertility rate, indicating the average number of children born to women during their reproductive years. • In 2021, the fertility rate was around 3.6 children per woman.
  • 30. • The life expectancy in Pakistan has been increasing gradually. • As of 2021, the average life expectancy was around 68 years for males and 72 years for females. • However, there may have been changes in these figures.
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  • 35. Strains on Resources • Rapid population growth strains the availability of resources. • Limited access to clean water, food, and healthcare services. • Increased demand for energy and transportation infrastructure. • Struggle to provide adequate education and employment opportunities.
  • 36. Overburdened Infrastructure • Population growth puts immense pressure on infrastructure. • Overcrowded cities lead to inadequate housing and increased slums • Insufficient public transportation systems and traffic congestion • Strain on public services like sewage, waste management, and healthcare facilities.
  • 37. Economic Impacts • Population growth affects the economy in various ways. • Unemployment rises due to the inability to create enough jobs. • Increased dependency ratio and pressure on the working-age population. • Economic inequality widens, as resources are distributed uneven. • Impact on GDP growth and development opportunities.
  • 38. Environmental Impact • Population growth contributes to environmental degradation. • Increased pollution from industrial activities and transportation. • Deforestation and loss of biodiversity due to expanding urban areas. • Pressure on natural resources, leading to water scarcity and land degradation.
  • 39. Social Challenges • Population growth poses social challenges as well. • Struggles to provide quality education to all children. • Pressure on healthcare services, affecting maternal and child health. . • Social inequality and the potential for social unrest.
  • 40. Policies Immplementation Needs • Addressing population growth requires effective policies. • Promoting family planning and reproductive health services. • Investment in education, skills training, and employment generation. • Sustainable urban planning and infrastructure development. • Environmental conservation and natural resource management.
  • 41. UNFPA PAKISTAN • The United Nations Population Fund-UNFPA is an international development agency,that works on population and development, sexual and reproductive health, and gender globally. • The United Nations Population Fund (UNFPA) is the lead UN agency for delivering a world where every pregnancy is wanted, every childbirth is safe and every young person's potential is fulfilled.
  • 42. UNFPA PAKISTAN • UNFPA focuses on advancing women’s and young people’s ability to exercise their sexual and reproductive health rights. Since 1970, UNFPA in Pakistan has supported: • Sexual and reproductive health information and services; • Adolescents and youth; • Women’s empowerment and gender equality; • Population and development.
  • 43. UNFPA PAKISTAN • Our programmes expand across the country with tailored interventions for local contexts. We do this through: • Gender-responsive and youth-friendly policies, laws and initiatives; • Advocacy for increased investments in health and education; • Strengthened capacities of government and civil society institutions for youth-led sexual and reproductive health programmes and partnerships;
  • 44. UNFPA SINDH PAKISTAN • Sindh population to reach 95.7 million by 2050 - if contraceptive use rises: 1,000 mothers and 34,000 infants will be saved! • Insufficient health coverage, which can be reduced by 33 percent if contraceptive use rises from 31 percent to 49 percent. • The total fertility rate in Sindh is 3.6, and high fertility contributes to infant mortality and malnutrition. • As a result, 60 infants die before one year of age (per 1000 live births), and 50 percent of children under five are stunted in Sindh.
  • 45. UNFPA SINDH PAKISTAN • Currently, more than half of the girls at, 51 percent (age 5 -16), are out of school in Sindh, together with 39 percent of boys. • Without investment in family planning, women’s empowerment and education will be challenging to accommodate the growing population. • Karachi, 25 May 2023 – With an average annual growth rate of 2.41 percent in Sindh, the total current population is 56.3 million (2022), estimated to grow to 95.7 million by 2050.
  • 46. UNFPA SINDH PAKISTAN • 3000 maternal deaths occur annually due to These findings were shared at the Consultative Workshop; • on Voluntary National Survey and • International Conference on Population and Development (ICPD) held on Thursday, 25th May,2023 in Karachi by the Federal Ministry of Planning, Development and Special Initiatives in collaboration with United Nations Population Fund (UNFPA).
  • 47. Challenges and Future Directions: • Despite the government's efforts, there are still several challenges to the effective implementation of family planning programs in Pakistan. • These challenges include: • A. Limited Access: Many rural areas and marginalized communities have limited access to family planning services due to a lack of healthcare facilities, trained providers, and cultural barriers.
  • 48. • Deep-rooted cultural and religious beliefs, as well as gender inequality, can influence contraceptive decision- making and limit women's autonomy in reproductive health choices. • C. Misinformation and Myths: Misinformation and myths about contraceptive methods contribute to low acceptance and utilization rates. Addressing these misconceptions through education and awareness campaigns is crucial. • D. Inadequate Funding: Insufficient funding for family planning programs limits their reach and effectiveness.
  • 49. • To address these challenges and improve family planning in Pakistan, it is essential to strengthen; • healthcare infrastructure, • enhance education and awareness campaigns, • involve religious and community leaders, • promote gender equality, and • increase funding for family planning services.
  • 50. Population Growth Challenges: Pakistan • Rapid population growth 240 million up to 2023. • Poverty and inequality. • Unemployment. • Impact on quality of Education. • Burden on Healthcare System. • Urbanization and infrastructure. • Environmental sustainability. • Family planning and reproductive health.
  • 51. • Nurses play very significant role in providing education, counselling, and healthcare services related to family planning. • Here are some ker responsibilities or roles of nurses family planning.
  • 52. • They explain the benefits, risks, and effectiveness of different contraceptive options, helping individuals make informed choices based on their preferences and needs • Nurses provide comprehensive education and counseling to individuals and couples regarding various contraceptive methods, fertility awareness, and reproductive health.
  • 53. Conclusion • Population growth in Pakistan has significant consequences. • Strain on resources, overburdened infrastructure, economic implications, environmental impact, and social challenges. • Policy interventions are crucial to mitigate these consequences and ensure sustainable development.