Community health nursing

1. Family Welfare

2. • Clinic Services :
• The following services are available to those
who visit the family planning clinic:
• MCH services (antenatal, postnatal, infant and
toddler care) through regular clinic sessions.
During these sessions, education and
motivation for family planning are also
undertaken.
• Those who have completed their family size (2
children) are motivated to opt for a terminal
method of contraception.

3. • The IUD insertions are done
daily at the clinic.
• Tubectomy is performed at
the clinics attached to
primary health centres and
district hospitals.

4. Family planning surveys:
This will comprise collection of
information(demographic, cultural and
socioeconomic) about the place and people,
preparation of village map and household list;
identification of eligible couples, expectant
mothers, infants, and preschool children, and
collecting information about other agencies
engaged in the delivery of family planning
services..

5. Identification of
community leaders:
Identification of local male
and female leaders and
other influential persons in the
community and mobilizing
their support and
participation in the program
implementation is an essential
factor for the success of the
program.

6. educational activities
to create awareness and
dissemination of specific
information of Family
planning methods.
Motivational efforts:
Educational activities must be
supplemented by national
efforts. Utilizing the
information from the Eligible
Couple Register.

7. couples should be motivated
individually and collectively
Maintaining adequate
supplies: Contraceptive
distribution depots should be
established in each village to
ensure continuous supply of
contraceptives.

8. Facilities of contraceptive:
1. 100 percent effectiveness.
2. Free from side-effects and complication.
3. Complete return to fertility when
discontinue.
4.Cheap and low-cost.
5. Long active powers and easily available.
6. Can be used safely by themselves will go
a long way in promoting Family Planning.
Cultural acceptability.

9. Laparoscopy:
a surgical procedure in which
a fibre-optic instrument is
inserted through the
abdominal wall to view the
organs in the abdomen or
permit small-scale surgery.

11. Methods for Laparoscopy:
• Laparoscopy is not advisable
for postnatal mothers.
• Hb percent should not be less
than eight gram percent.
• She should be free from any
associated illness’
• Obese ladies are not
selected.

12. • Advantages:
• It is simple/small incision.
• Done in a short time.
• Hospitalization is limited.
• Scars will not be visible.

13. vasectomy (male
sterilisation:
is a surgical procedure
to cut or seal the tubes
that carry a man's
sperm to permanently
prevent pregnancy.

15. Advantages:
• Easy technique.
• Short process.
• Small incision.
• Less bleeding.
• Less failure rate.

16. ADVANTAGES:
• Avoid heavy works for at least 3 days.
• Avoid cycling for at least 7 days .
The patient needs :
• Prescribed medicine
• Adequate rest
• Dry and clean dressing
• Scrotal support for one month
• Nirodh to be used for at least 12 ejaculations after
operation
• Suture removal on the 3rd day after operation.