The document discusses family welfare services in India which aim to ensure the welfare of citizens, save lives of mothers and children, and control population growth. It outlines services like antenatal care, immunization, family planning etc. delivered through clinics, home visits, and community outreach. The role of community health nurses is described as leading implementation of family welfare programs through education, motivation, delivery of services, monitoring, and maintaining supplies.

1. FAMILY WELFARE SERVICE

2. FAMILY WELFARE SERVICE
DEFINITION:
FAMILY
“Family” refers to two or more individuals who
depend on one another for emotional, physical
and economical support.”

3. FAMILY WELFARE SERVICE
Introduction:
The ministry of health and family at the centre
and states plays an important role in the
governmental effort in the delivery of health and
family welfare service to people in the country.

4. Cont..
AIMS:
Welfare of each citizen
Saving the lives of mother and children.
Checking the population growth.

5. Services render under the family welfare
are:
Antenatal registration
Immunization
Screening of high risk pregnancy and follow up
Anemia correction
Intra natal care, emergency obstetric services,
postnatal care.
Newborn care
Family welfare services

6. Cont..
Family planning services
MTP services.
Micro-surgery: recanalisation and infertility
Cancer screening: PAP smear test facility.

7. The services rendered under family planning activities
may be described as below:
CLINIC SERVICES:
MCH services
Those who have completed their family size (2
children) are motivated to opt for a terminal
method of contraception.
Those who wish to postpone the arrival of their
next child are advised spacing methods with due
to emphasis on oral pills or copper –T insertion.
Tubectomies are performed at the clinics
attached to primary health center and district
hospitals.

8. Cont.
DOMICILIARY SERVICES:
Education and motivation of eligible couple
individually.
Follow up of IUD and pills users and post operative
follow up of vasectomy, Tubectomy and MTP cases.
Domiciliary care of antenatal, natal, post-natal infant
and toddler care.
Referral services-for those having special problem of
post-operative complications

9. Cont.
COMMUNITY SERVICES:
Family planning survey:
This will comprise collective on of information (
demographic, cultural and socio-economic) about
the place and people ,preparation of village map
and household list; identification of eligible
couples ,expectant mothers ,infants and pre-
school children and collecting information about
other agencies engaged in the delivery of family
planning services.

10. Cont..
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 programme implementation is an essential
factor for the success of the programme.

11. Cont..
Educational activities:
Nurses have to vital role to play in terms of
providing education and motivation for
popularizing small family norms.
They have to explain the people that population
increase should not be viewed from the narrow
view point of economic benefits to the family.

12. Cont..
Educational activities to create awareness and to
dissemination of specific information about family
planning methods and the desirability of a small
family norms among general masses are an are
import aspect of the family planning programme.
Activities like film shows exhibitions, mass
meetings, group discussion have to be organized
in the community

13. CONT..
Motivational effort:
Educational activities must be supplemented by
motivational efforts. Utilizing information from
eligible couple register ,the eligible couples
should be motivated individually and collectively.

14. Cont..
Maintaining adequate supplies:
Contraceptive distribution depots should be
established in each village to ensure continuous
supply of contraceptives.

15. Cont..
Organizing special campaigns:
This will include organizing intensive drives, IUD
camps, and vasectomy and Tubectomy camps
periodically to boost the target achievement.

16. cont.
BEYOND FAMILY PLANNING SERVICES:
Female literacy
Enhancing child survival and development
Anti-poverty programs
Old age security.

17. Cont..
IMPROVED PROGRAMME PLANNING
DELIVERY AND MANAGEMENT
Upgrading technical service and follow up care
Integrating field workers into the health care
system.
Improve programme management
Manpower development and training
Monitoring ,evaluation and research

18. ROLE OF COMMUNITY HEALTH NURSE IN FAMILY
WELFARE:
leadership
Community health Nurse will be responsible for
the proper and successful implementation of
the family welfare services in PHC area
including information, education,
communication activities motivation, and
delivery of services and after care.

19. Cont.
Community health Nurse will be responsible for
giving immediate and sustained attention to
the any complications the acceptors develop
due to acceptance of family welfare method in
his area.
Community health Nurse should carefully
watch the morbidity and mortality of
acceptors for immediate action.
Community health Nurse will extend
motivational advice and contraceptives
services ( temporary and permanent) to all
eligible couples he sees in the clinics
conducted by him at the PHC .

20. Cont.
Community health Nurse will trained in service,
operation MTP and IUD.
Community health Nurse will maintain the
record of training status of PHC staff on health
and family welfare.
Community health Nurse will ensure adequate
supplies or equipment, drugs, contraceptive
and educational materials required for the
services.

21. Cont.
Community health Nurse will organize monthly staff
meetings to review the progress made and to
discuss the problem and future plans.
Community health Nurse will development and
maintain a cooperatives work relationship with
other agencies and opinion leader in PHC area in
order to generate and sustain the family welfare
movement.
Community health Nurse will ensure proper and up-
to-date maintenance of eligible couple registers
through spot checking.