The document summarizes family welfare services in India, including: 1) The introduction, history, concept, aims, goals and importance of family welfare programs in India. 2) The role of community health nurses in providing education, motivation, managing clinics/camps, and maintaining records to support family planning initiatives. 3) The strategies used in family welfare programs, including integrating with health services, focusing on rural areas, and using mass media.

1. FAMILY WELFARE SERVICES
MR. INDRA MANI MISHRA
(M.Sc.NURSING ,B.Sc. BIOTECHNOLOGY)
NURSING TUTOR AT COLLLEGE OF
NURSING RIMS RANCHI

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. 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. 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. 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. 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.  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. 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.  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. 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. 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. 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.  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. 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.  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.  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. 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. 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. 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. 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. CONT...
 4. Liasion work
 Soliciting the co-operation of NGOs/voluntary
organization

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. 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