Health is a state subject. Universal Health Coverage ensures health to every Indian citizen, at an affordable price and of assured quality. Since, government is the guaranter and enabler of Health services, it approaches through its various departments, ministries and centres towards public health at different levels. Here is a simplified structure of Delivery System of Family Welfare Program in India from the centre to periphery.

1. DELIVERY SYSTEM OF NATIONAL FAMILY
WELFARE PROGRAMME
MODERATORS:
Dr. Samreen Khan
Dr. Nikhat
Dr. Abdullah
Dr. Naveen
Dr. Saleem PRESENTED BY:
Neyaz Ahmad
Batch 2014

2. Delivery of Family Welfare Programme take
place at the following levels:
At Centre Level
At State Level
At District Level
Community Health Centres
Primary Health Centres
Sub centres
At Village Level
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Universal Health
Coverage
Ensuring equitable health
access for all Indian citizens to
Affordable, Accountable
Appropriate health services
of assured quality as well as
public health services
addressing the wider
determinants of health, with
the government being the
guaranter and enabler.

3. At The Centre Level
• The Family Welfare Programme is a centrally sponsored
scheme
• States receive 100% assistance from the central
government.
ADMINISTRATIVE APPARATUS
• Department Of Family Welfare (DoFW) created in 1966.
Central Ministry of Family and Health Welfare
Department of Family Welfare
Presided by Secretary of
MoHFW
Assisted by:
1. Special Secretary (Advisor)
2. Joint Secretary
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4. • Central Family Welfare Council of State Health Ministers.
• Population Advisory Council (1982) constituting
1. Member of Parliaments
2. Union Health Ministers and
3. Health experts.
Works as Think Tank to analyse the implementation of programmes
Advise the government suitably.
• Cabinet sub-committee headed by Prime Minister.
Periodic review of progress.
• National Institute of Health and Family
Acts as an Apex Technical Institute for Education, Training services,
Research and Evaluation.
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5. At State Level
State Family Welfare Bureau
• It is a part of State Health and Family welfare directorate.
• At present 25 State Family Welfare Bureaus are
functioning.
• Regional Office for Health and Family Welfare (1979)
• One Family Welfare Cell has been sanctioned for each
state to co-ordinate between centre and states.
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National Family Welfare
Programme
National Malaria Eradication
Programme
Offices
Combined Regional Office for Health and
Family Welfare

6. At District Level
• District Family Welfare Bureau
Consists of three divisions-
1. Administrative division: headed by District Family
Welfare Officer.
2. Mass Education and Media division: headed by
District Mass Education and Media Officer.
3. Evaluation Division: headed by the Statistical Officer.
These are supported by-
• 871 Urban Health Posts
• 1083 Urban Family Welfare Centres.
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7. At Community Health Centre
A CHC at Iglas, Aligarh
• All family planning
services including
laparoscopic sterilization
and safe abortion
services.
• Follow up services and
training and supervision
of field level staff.
• 24x7 specialist
services.
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8. Primary Health Centres
An Urban PHC at Dhorrah , Aligarh
• Medical officers trained
to provide MTP,
sterilization and
copper-T IUD insertion.
• Follow up services,
counseling and
appropriate referral.
• Training and
supervision
of field workers like-
ASHA, ANM, MPWs.
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9. At Sub-centres
Immunisation at a sub centre
• Staffed by one male and one
female health worker.
• Provide family planning
motivation, services and
supplies in spacing methods.
• ANC, PNC and immunization
visits.
• Delivery facility is NOT
available at Type A sub-
centre.
• IUCD insertion.
• Follow up and referral
services.
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10. At The Village Level
 Village Health Guides-
• One per each village or a population of 1000
• spreading knowledge and information to the
eligible couples.
• provision of nirodh and oral pills.
 Trained Dais-
• National target is 1 dai per 1000 population.
• conduct safe deliveries in rural areas
• counseling and motivation for family planning.
 ASHA-
• counseling of couples
• to provide drug kits
• follow up of IUCD, sterilization and post partum
clients and referral
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11. New Initiatives in Family Welfare Programme
1) Home Delivery of Contraceptives (HDC)
• ASHA delivers contraceptives at doorstep of the beneficiaries
• ASHA charges a nominal amount from the beneficiaries.
2) Ensuring Spacing at Birth (ESB)
• ASHA counsels the newly married couples for spacing methods.
• Scheme currently operational in 18 states.
3) Pregnancy Testing Kits
NISHCHAY–
After Marriage After 1 child For permanent methods
Provision of spacing 2years 3 years -
Incentive amount for ASHA ₹500 ₹500 ₹1000
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Home based pregnancy test
kit available to ASHAs and at
sub-centres

12. References:
1. K. Park 24th edition
2. mohfw.nic.in
References:
1. K. Park 24th Edition
2. mohfw.nic.in
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