It includes the family planning programmes, national commitments and the role of community health nurse in family welfare services.

1. Family
Planning
Programmes and 2020
Made by – Chetna Bhatt
IVth year
Roll No. 38
about
history
scope
aspects
couples
element
s

2. history
scope
aspects
couples
element
s
According to the World Health Organization
(WHO)
Family planning is defined as “ the ability of
individuals and couples to anticipate and attain
their desired number of children and the spacing
and timing of their births . It is achieved through
use of contraceptive methods and the treatment
of involuntary infertility” (2018)
about

3. history
scope
aspects
couples
element
s
about
An expert committee defined an described
family planning as follows : Family planning
refers to practices that help individual or
couples to attain certain objectives :
a) To avoid unwanted births
b)To bring about wanted births
c) To regulate the intervals between pregnancies
d)To control the time at which birth occurs in
relation to the ages of the parent
e) To determine the number of children in the
family

4. history
scope
aspects
couples
element
s
The Ministry of Health and Family Welfare
is the government unit responsible for
formulating and executing family planning in
India.
An Inverted Red Triangle is the symbol for family
planning health and contraception services in
India.
about

5. history
scope
aspects
couples
element
s
•In 2017, Ministry of Health and Family Welfare launched Mission
Pariwar Vikas, a central family planning initiative.
•The key strategic focus of this initiative is on
i. improving access to contraceptives through delivering assured
services
ii. ensuring commodity security
iii. accelerating access to high quality family planning services.
• It’s Overall Goal is to
i. reduce India's overall fertility rate to 2.1 by the year 2025
ii. The two contraceptive pills to be made freely available to all
government hospitals :
MPA (Medroxyprogesterone acetate) under Antara program
Chaya (earlier marketed as Saheli)
about

6. history
scope
aspects
couples
element
s
about
Family planning program benefits not only parents and
children but also to society and nation, by being able to keep
the number of new births under control allows for less
population growth.
With less population growth this will allow for more resources
towards those already existing in the Indian population, with
more resources comes longer life expectancy and better
health.

7. about
history
scope
aspects
couples
element
s
about
1951
THE DRAFT OUTLINE OF FIRST FIVE
YEAR PLAN RECOGNISED
“POPULATION POLICY
1952
LAUNCHING OF THE FIRST NATIONAL
FAMILY PLANNING PROGRAMME IN
INDIA
1961-1966
EXTENSION EDUCATION APPROACH
INTRODUCTION OF IUD
INTEGRATED APPROACH WAS
ADOPTED IN 1966
1969
SOCIAL MARKETING FOR CONDOMS
WAS INTRODUCED
LIPPES LOOP WAS INTRODUCED
T I M E L I N E

8. about
history
scope
aspects
couple
element
s
about
1969-74
FAMILY PLANNING SERVICES UNDER
PHC
ALL INDIA HOSPITAL POSTPARTUM
PROGRAM
MTP ACT , 1971
1975-80
FAMILY PLANNING TO FAMILY
WELFARE PROGRAMME
COMMUNITY INVOLVEMENT
CHILD MARRIAGE RESISTANT ACT
1978
1980-85
STRENGTHENING OF MATERNAL
AND CHILD HEALTH
STRENGTHENING FAMILY WELFARE
1985-90
FURTHER INCLUSION OF VARIOUS
PROGRAMS UNDER MCH.
T I M E L I N E

9. about
history
scope
aspects
couples
element
s
about
1992-97
REVIEW OF SAFE MOTHERHOOD
COMPONENT OF CSSM
CHILD SURVIVAL AND SAFE
MOTHERHOOD PROGRAMME
1997-2002
REPRODUCTIVE AND CHILD HEALTH
(RCH)
2002-07
RCH WAS LAUNCHED WITH FEW
MODIFICATION AFTER EVALUATING
RCH 1
2007-12
ELEVENTH PLAN
T I M E L I N E

10. about
history
scope
aspects
couples
element
s
The proper spacing and limitation of birth
Advice on sterility
Education for parenthood
Sex education
Screening for pathological condition related to reproductive system
Genetic counseling
Premarital consultation and examination
Carrying out pregnancy test
Marriage counseling
The preparation of couple for the arrival of their first child
Provide services for unmarried mothers
Teaching home economies & nutrition
Providing adoption services
Family planning is not synonymous with birth control ; it is more than mere birth
control . A WHO expert committee (1970) has stated that family planning include
in its preview

11. about
history
scope
aspects
couples
element
s
01 02
Women Health
Maternal Mortality
Morbidity of women of
childbearing age
Nutritional status
(weight changes, Hb
level etc)
Preventable
Fetal Health
Foetal mortality
(early and late
foetal death)
Abnormal
development
Infant and Child
Health
Neonatal, infant
and preschool
mortality
Health of the
infant at the birth
(birth weight)
Health Aspects Of Family Planning
03

12. history
scope
aspects
couples
element
element
s
unmeet
In order to pin point the couples who are a priority group with
in the board definition of eligible couples the term targeted
couple was coined.
Targeted
couples
Eligible
couples
Refers to a
currently married
couple wherein the
wife is in the
reproductive age ,
which is generally
assumed to lie
between the ages
of 15-45
The term target
couple was applied
to couples who
have had 2-3 living
children , and
family planning
was largely
directed to such
couples .

13. scope
aspects
couples
element
s
unmeet
element
s
method
s
Make services
available
Make services
affordable
Offer client-
centered care
Communicate
effectively
Rely on evidence
based technical
guidance
Assure
contraceptive
security
Work for
supportive
policies
Coordinate
Build high
performing
staff
Secure
adequate
budget
Base decision
on evidence
Lead strongly
manage well
Integrate
services
appropriately

14. aspects
couples
element
s
unmeet
method
s
element
s
system
It was first explored in 1960s when data from surveys of
contraceptive knowledge attitude and practices (KAP) showed
a gap between some women's reproductive intention and their
contraceptive behavior .
Many women who are sexually active would prefer to avoid
becoming pregnant , but nevertheless are not using any method
of contraception
The concept is usually apply to married women.

15. aspects
couples
element
s
unmeet
method
s
element
s
system
Reasons :
a) inconvenient or unsatisfactory services
b) Lack of information
c) Fears about contraceptive side-effects
d) Opposition from husband or relatives
Unmeet needs for family planning is higher in rural areas than in
urban areas.
It also varies by women's education and religion ( Hindu and
Christian women have a lower unmeet need than Muslim women)

16. couples
element
s
unmeet
method
s
system
element
s
evaluation

17. couples
element
s
unmeet
method
s
system
element
s
evaluation

18. couples
element
s
unmeet
method
s
system
element
s
evaluation
Hormonal

19. couples
element
s
unmeet
method
s
system
element
s
evaluation

20. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
At the
village
level

21. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
The union ministry of health and family welfare consist of three
department which includes :
1) Department of health
2)Department of family and welfare
3)Department of indigenous systems of medicine and Homeopathy.
The department of family welfare deals with family welfare
matters. The secretary to the Govt. of India in the ministry of health
and family welfare is the overall In charge of the department of
family welfare

22. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
1)The national institute of health and family welfare –
An apex level technical institute which serve the following
functions to provide health and family welfare in the country.
(a) Education and Training
(b) Research
(c) Evaluation
There are national level institution which provided technical help and
guidance for promoting health and family welfare program. These
are –
2) Central family welfare council :
This council is formed of state health Minister. It reviews the
implementation of the health and FWP.

23. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
4)Cabinet sub-committee –
This committee is headed the prime minister and reviews the program
of family welfare programme periodically.
3) Population advisory council-
The council is headed by union health Minister. Members of
parliament and person from the field of population control are the
members .It was setup in 1982 .Its major function is to analyze the
implementation of the programme and advise the government
accordingly.

24. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
The state governments are responsible for the administration and
implementation of the family welfare programme .
The organizational setup at the state level consists of a state
family welfare bureau , which is part of the state health and
family welfare directorate .
At present , 25 state family welfare bureau are functioning in the
country

25. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
The set-up consists of a District Family Welfare Bureau consisting of
3 divisions –
An administrative division headed by the District Family Welfare
Officer
Mass education and media division , in charge of District Mass
Education And Media Officer
An evaluation division , in charge of a Statistical Officer
Type I Type II Type II
10-25K
Population
25-50k
Population
>50,000
Population

26. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
CHC is established and maintained by the state
governments.
Presently it is manned by four medical specialists i.e.
Surgeon, physician , gynecologist ,pediatrician , supported by
21 paramedical and other staff .
30 indoor beds with one OT
X-ray
Labour room
Laboratory facilities

27. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
A rural Family Welfare Centre with a medical officer and
supporting staff forms integral part of the Primary Health
Centre.
Each Centre is supported by subcentres.
When fully staffed (by 3 medical officers including one lady
doctor and supporting personnel) the PHC is expected to
provide fairly comprehensive “essential health care”
including family planning care.
The medical officers are usually trained to provide MTP and
sterilization services.

28. element
unmeet
method
s
system
evaluatio
n
element
s
hum
do
Schemes are being implemented at the village level to improve
the outreach of services and increase local participation .
a) The Village Health Guides : are made responsible for
spreading knowledge and providing them with supplies of
Nirodh and Oral Pills
a) Trained Dais : they conduct safe delivers in rural areas . They
act as family planning , counselor an motivators .
a) ASHA : the VHG , TD and ASHAs are the lynchpins of the
planning delivery system in India

29. unmeet
method
s
system
evaluatio
n
hum
do
Evaluation is defined as a “process of making judgments about
selected objectives and events by comparing them with specified
value standards for the purpose of deciding alternative course of
action”.
The purpose of evaluation is to improve the design an d delivery
of planning services .
Five types if evaluation have been defied by a WHO expert
committee :

30. unmeet
method
s
system
evaluatio
n
hum
do
PERFO
RMAN
CE
PLANS
2
NEED
1
EVALUATION OF
e
THAT IS,
HEALTH ,
DEMOGRAP
HIC AND
SOCIO-
ECONOMIC
NEEDS FOR
FAMILY
PLANNING .
AN
ASSESMENT
OF THE
FEASIBILITY
AND
ADEQUACY
OF
PRAGRAMM
E PLANS
a) SERVICES
b) RESPONS
E
c) COST
ANALYSIS
d) OTHER
ACTIVITI
ES

31. unmeet
method
s
system
evaluatio
n
hum
do EVALUATION OF
IMPAC
T
5
EFFECT
S
4
CHANGES IN
THE
KNOWLEDGE
, ATTITUDES
,
MOTIVATIO
N AND
BEHAVIOUR.
INDICES :
A) FAMILY
SIZE
B) DESIRED
NO. OF
ADDITION
AL
CHILDREN
A) BIRTH
ORDER
B) NO. OF
ABORTION
S

32. method
system
evaluatio
n
hum
do
Multiple Indian states have adopted a limited two-child
policy. The policies are implemented by prohibiting persons
with more than two children from serving in government.
The most recent policy to be implemented was by Assam in
2017. Some states have repealed policies; Chhattisgarh
introduced a policy in 2001 and repealed it in 2005.A
criticism of these policies is that it decreases the number of
women in government positions, and encourages sex-
selective abortions.
As of 2014, there were 11 Indian states that implemented
the two-child policy, in hopes to reduce the number of
children per family.
TWO- Child Policy

33. method
system
evaluatio
n
hum
do

34. FAMILY
PLANNING
202
0
F
P

35. India is one of the principal protagonists in the global FP2020 action plan
formulated in 2012. Placed in the context of Government of India’s
RMNCH+A
(Reproductive, Maternal, Newborn and Child Health and Adolescents)
programme, the initiative has been structured to allow for focused
intensified efforts to achieve the following FP2020 national commitments
through decentralized actions at the state and district levels.

36. •Inclusion of family planning as a central element of our efforts to achieve
universal health coverage
•Increasing financial commitment of Family Planning to more than 2 billion
USD (from 2012-2020)
•Sustaining the coverage of over 100 million women currently suing
contraceptives
•Reducing the unmet need by improved access to voluntary family planning
services, supplies and information
•Expanding the basket of choices and scaling up usage of current methods
available

37. •Provision of services to all beneficiaries, including adolescents through an
integrated RMNCH+A approach
•Increasing access to contraceptives through community health workers
•Ensuring healthy birth spacing
•Strengthening sterilization services through quality service delivery
•Ensuring quality FP services through updating existing and formulating new
standard operating protocols – leading to skilled enhancement of providers
and better counseling and monitoring

38. •Ensuring availability of free commodities, through strengthened
commodity supply system in public health facilities for all eligible couples
and adolescents seeking contraceptive services
•Addressing equity in access to quality services and supply for the poorest
and most vulnerable
•Fostering partnerships with non-government sector for improved service
delivery
•Raising global awareness on the positive impact of Family Planning

39. ROLE OF CHN IN
Family Welfare
Services

40. Community health nurse has a vast role to play in family welfare services.
i. Collecting demographic facts.
ii. Making list of homes and finding out housing location.
iii. Collecting information about pregnant mothers, eligible couples, infants
and children below the school going

41. i. Explaining the importance and necessity of family planning to masses.
ii. Using various techniques of teaching and communication to propagate the
message of family planning to common man.
iii. Motivating the eligible couple to use contraceptives and educating them
about its uses.
iv. Motivating people for family planning operation or permanent
contraception.

42. i. Deciding the date and place of clinics.
ii. Arranging equipments and other resources at clinics.
iii. Arrangements and distribution of contraceptives.
iv. Insertion and removal of IUDS
i. Soliciting the co-operation of NGOs/voluntary organization

43. i. Using various techniques of teaching and communication to propagate
the message of family planning to common man.
ii. Motivating eligible couples and preparing them for the operation.
i. Keeping the eligible couple register update.
ii. Maintaining the register of sterilization cases, contraceptives users and
pregnant mothers.
iii. Maintaining other records related to family planning