The document discusses the topic of family welfare in India. It begins with introducing family planning and the history of India's family welfare program, which started in 1951. It then covers the concepts, aims, goals, impact, importance, and strategies of the family welfare program. One key strategy is integrating family planning with other health services. The role of community health nurses is also summarized, which includes educational, motivational, and record keeping functions to support family planning efforts.

1. PRESENTED BY:
MR. INDRA MANI MISHRA
M.Sc. NURSING, B.Sc. BIOTECHNOLOGY
NURSING TUTOR AT RIMSCON,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 government 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 policies
and national population policies.

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
than in 2009-10.

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 e.d
,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 e.d,
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