Government Schemes in India are launched by the government to address the social and economic welfare of the citizens of this nation. These schemes play a crucial role in solving many health-related and socio-economic problems that beset Indian society, and thus their awareness is a must for any concerned citizen.

1. FAMILY WELFARE SCHEMES
(GOVT OF INDIA)

2. DR. NIRANJAN CHAVAN
MD, FCPS, DGO, MICOG, DICOG, FICOG, DFP,
DIPLOMA IN ENDOSCOPY (USA)
Professor and Unit Chief, L.T.M.M.C & L.T.M.G.H, Sion Hospital
National Co-Ordinator, FOGSI Medical Disorders in Pregnancy Committee (2019-2021)
Vice President MOGS (2020-2021), Scientific Secretary, AFG (2021-2022)
Chairperson, FOGSI Oncology and TT Committee (2012-2014)
Chair & Convener, FOGSI Cell Violence Against Doctors (2015-16)
Dean and Chairman, Academia of Global Obstetricians and Gynecologists
Chief Editor, AFG Times (2015-16)
Course Co-Ordinator of 11 batches of MUHS recognized Certificate Course of B.I.M.I.E at
L.T.M.G.H (2010-16)
Member, Oncology Committee AOFOG (2013-2015)
Member, Managing Committee IAGE (2013-17), (2018-20)
Editorial Board, European Journal of Gynaec. Oncology (Italy)
Course Co-Ordinator of 3 batches of Advanced Minimal Access Gynaec Surgery (AMAS)
at LTMGH (2018-19)

3. NATIONAL FAMILY WELFARE
PROGRAM
• Launched as National Family Planning Programme in 1952
• 100% centrally sponsored program
• First country in the world to launch such a program
• Family Planning Dept.- created in 3rd Five Year Plan(1961-
66)

4. • 4th FYP - integration of Family Planning services with MCH
services(1969-74)
• MTP Act introduced 1971(4th FYP)
• Name changed from National family planning to family
welfare programme (5th FYP1974-79)

5. POPULATION GROWTH- INDIA
23.84
25.2 27.89
25.13
31.86
36.1 43.92
135.04
121.01
102.7
84.63
68.33
54.81
1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011 2019
Source: Census of India/data in crores

6. OBJECTIVE
“Reducing the birth rate to the extent
necessary to stabilize the population at a level consistent with
the requirement of the National economy”.

7. FAMILY WELFARE PROGRAM
• Target free approach
• Voluntary adoption of Family
Planning Methods
• Based on felt need of the community
• Children by choice and not chance
Policy level
• More emphasis on spacing methods
• Assuring Quality of services
• Expanding Contraceptive choices
Service level

8. FAMILY WELFARE SERVICES
Supply of
contraceptives
Pregnancy
testing kitsat
health
centers
Adolescent
reproductive
and sexual
health
services
Family
Planning
including
Post partum
services
Safe
abortionand
post
abortion
services

9. • Condoms
• Oral Contraceptive Pill
• Intra Uterine Devices (IUD)
• Focus on Post Partum
Contraceptives
• Tubectomy
• i) Mini Lap Tubectomy
• ii) Lapro Tubectomy
• Vasectomy
• i) Conventional Vasectomy
• ii) No-Scalpel Vasectomy
Terminal
Methods
FAMILY WELFARE SERVICES

10. BIRTH RATE (INDIA)
1951 1961 1971 1981 1991 2001 2011 2018
Source: planningcommission.nic.in/SRS
41.7 41.2
37.2
33.9
29.5 29
21.8
19.1

11. DEATH RATE (INDIA)
1951 1961 1971 1981 1991 1995 2001 2005 2011 2018
Source: planningcommission.nic.in/ SRS
22.8
19
15
12.5
9.8 10
8.4 7.6 7.1 7.23

12. • 1st FYP “Clinicalapproach”
• 2nd FYP “Targetapproach”
• 3rd FYP “Extension & Educationapproach”
• 4th FYP Post Partum scheme, reduce CBR to 32
• 5th FYP National Family Planning Programme replaced by National
Family Welfare Programme, reduce CBR(Crude Birth Rate) to 30
• 6th FYP Net Reproduction Rate (NRR) of 1, family size
to 2.3
5 YEAR PLANS
”

13. 7th FYP Spacing methods, community participation and promotion of
MCH care
8th FYP Stress on the involvement of NGOs to supplement and
complement the Government efforts.
9th FYP Stressed on reduction in population growth
10th FYP Focused on reduction on IMR(Infant Mortality Rate),
decadal growth rate & increased literacy rate.

14. 11th FYP
• Targets
 Reduce IMR to 28 and MMR to 1 per 1000 live births
 Reduce TFR(Total Fertility Rate) to 2.1
 Provide clean drinking water for all by 2009 and ensure
that there are no slip-backs
 Reduce malnutrition among children of age group 0- 3 to
half its present level
 Reduce anaemia among women and girls by 50% by the end
of the plan
• Family planning insurance Scheme
• Jansankhya Sthirata Kosh

15. • Objectives
 Reducing MMR to 100
 Reducing IMR to 28
 Reducing TFR to 2.1
 Providing clean drinking water for all by 2009
 Reducing malnutrition among children of age group 0–3 to
half its present level
 Reducing anaemia among women and girls by 50%
 Raising the sex ratio for age group 0–6 to 935 by 2011–
12 and 950 by 2016–17.

16. 12TH FIVE YEAR PLAN
• The experience of Indonesia and Japan shows that, as
compared to limiting methods, emphasis on family spacing
methods like IUCD and male condoms has had a better
impact in meeting the unmet needs of couples.
• A recent study has estimated that meeting unmet
contraception needs could cut maternal deaths by one-third.
• There is, therefore, a need for much more attention to
spacing methods such as, long term IUCD.

17. • IUD insertion on fixed days by ANMs (under supervision of
LHV for new ANMs) would be encouraged.
• Availability of MTP by Manual Vacuum Aspiration (MVA)
technique and medical abortions will be ensured at fixed
points where Mini-Laparotomy is planned to be provided.
• Services and contraceptive devices would be made easily
accessible.

18. • This would be achieved through strategies including social
marketing, contracting and engaging private providers.
• Postpartum contraception methods like insertion of IUD
which are popular in countries like China, Mexico, and Egypt
and male sterilisation would be promoted while ensuring
adherence to internationally accepted safety standards.

19. DIMENSIONS OF QUALITY SERVICES
User
•Accessible
•Acceptable
•Equitable
•Privacy& respect
•Informed choice
Provider
•Appropriate service
environment
•Technical competence
•Job satisfaction
System •Efficient
•Integration of services

20. AT HOUSEHOLD/ VILLAGE LEVEL
Services/ Activities
Household visits:ByASHAs,ANMs:
 Counseling
 FP services (OCPs, ECPs, Condoms)
 Follow up of IUCD, sterilization & Postpartum clients
 Referral
 Community Mobilization
Creating Role Models:
“Jan Mangal”couples and “Prerna’”Scheme by Jansankhya
Sthirikaran Kosh
in some districts of Rajasthan •“NSV Champion” in Jharkhand

21. AT SUB CENTRE
Activities/Services
 Maintaining Eligible
Couple Register
 Counseling and service
provision during ANC, PNC
& Immunization visits
 IUCD insertions
 Follow up services
 Referral Services
 Contraceptive supply
Support &Supervision of
ASHA &AWW
Areas to be strengthened
 Facility readiness
according to IPHS
standards
 Training in IUCD (No –
Touch Technique)
 Provision of IEC
Materials
 Supportive supervision by
 LHV / MO PHC
 Strengthening Referral

22. AT PRIMARY HEALTHCENTRE
Activities/Services
 All FP services including
Tubal ligation (interval &
postpartum)& NSV
 Follow up services
 Counseling and appropriate
referral for couples having
infertility
 Training and supportive
supervision of field level
staff like ANMs, MPWs&
ASHAs
Areas to be strengthened
 Ensuring availability of
24/7Services as per IPHS
 Ensuring availability of
trained personnel in
Minilap /NSV/IUCD
insertion
 Fixed Day Static Services for
sterilization
 Regular supply of drugs,
 equipments &
instruments
 Referral Services

23. AT COMMUNITY HEALTH CENTRE
• Activities/Services
 24x7 specialist services
 All FP services including
Laparoscopic Sterilization
• services
 Follow up services
 Training and supervision
• of field level staff
 Regular supply of drugs
 Diagnostic Services
Areas to be strengthened
 Up gradation as per
Strengthening of
counseling component
 Rational posting of
specialists
 Operationalize District
Clinical Training Centres
 Fixed Day Static Services for
sterilization
 Strengthening of RKS
 Management of couples
having infertility

24. SCHEMES UNDER FAMILY WELFARE
PROGRAMME

25. FAMILY PLANNING INSURANCE
SCHEME
• To encourage people to adopt permanent method of
Family Planning
• Centrally Sponsored Scheme since 1981 to compensate the
acceptors of sterilization for the loss of wages
• Implemented through ICICI Lombard General insurance
Company
• Compensation: (w.e.f-07.09.07)
• Compensation in case of adverse event (w.e.f. January 1 st ,
2009)

26. • Death following Sterilization (inclusive of death during
process of sterilization operation) in hospital or within 7 days
from the date of discharge from the hospital. - Rs.2Iakh.
• Death following Sterilization within 8 - 30 days from the
date of discharge from the hospital.- Rs. 50,000/-
• Failure ofSterilisation Rs 30,000/-.
• Cost of treatment in hospital and upto 60 Actual not days
arising out of Complication following exceeding steriliza tion
operation (inclusive of complication during process of
sterilization operation) from the date of discharge.- Rs
25,000/-.
• Indemnity Insurance per Doctor/ facility but not more than 4
cases in a year.- Upto Rs. 2 Lakh per claim

27. JANMANGAL PROGRAM
• Started in 1992 for population stabilization and decreasing
IMR and MMR
• Community program
 Topromote use and meet the unmet need of spacing
methods
• Objective
 Making contraceptives available in rural areas
 Supporting RCH services
28

28. • Benefits
 Appropriate gap between birth of two children
 Preventing early pregnancy
 Decreasing imbalance in sex ratio
 Promoting communication between couples regarding
family planning
• Selection of Janmangal Couple
 Selected by female health worker and finalized at PHC
level
 200-2000 population – 1 JMC
 2000 population plus - 2 JMC
 Rs. 200/- given to each JMC after meeting 29

29. JYOTI SCHEME
• Launched on April 1,2011
• Applicable for females with no male child & 1-2
female child & have undergone sterilization
• Give preference in health services, education and
employment
• Objective
 Promote
 Females as role model for small families
 Girl child
30

30. JANSANKHYA STHIRATA KOSH
• National Population Stabilization Fund -registered as
an autonomous Society
• Combination of government and civil society
• Working to promote innovations
• Promote initiatives which leverage the strength of
different economic and social sectors
• Toreach out needy population groups

31. SANTUSHTI
• Motivate private gynecologists to perform 100 tubectomy
/vasectomy, doctors are paid according to already notified
compensation rates (Rs 1500 per case)
• MOU is signed between the district CMHO and private
facilities
• Funding is provided by JSK through the Collector and CHMO
• Initiated in Madhya Pradesh, Rajasthan and Orissa
• 64 MOUs and around 1600 sterilization operations.

32. THANK YOU