fwprogramme ppt

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National family welfare

programme

Presented By

Mrs. sujatha


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INTRODUCTION

India is the second populous country in the world, nextonly to China.

It holds 17.5% of the worlds population within just2.5% of the total land mass of the earth.

In an area of about one third of the United States, it

supports a population three times of that country.

This emphasizes the need for population programs tocontrol population growth.


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INTRODUCTION The family planning aims at small family which will

serve the welfare of the individual the family and thecommunity.

It is also associated with numerous misconceptions.

The recognition of welfare concept came only a decade

and half after its inception when it was named Family

Welfare Programme (1977).

Family Planning is a family welfare programme and its

aim is to create a social welfare state.12/23/2013 nhcon,bgl 3


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National Family Welfare

Program

National Family Welfare Program1952.

National Family Planning program

launched 100% centrally sponsoredprogram First country in the world

Family Planning Dept.- created in 3 rd

FYP 4 th FYP - integration of FamilyPlanning services with MCH services

MTP Act introduced 1972

National Family Welfare Programme12/23/2013 nhcon,bgl 4


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Objective

Reducing the birth rate to the extentnecessary to stabilize the population

at a level consistent with the

requirement of the National economy Stabilize Population Targets as an

end Reduction in Births

Administrative &PerformanceInformed decision Resentment,

disownment client driven Quality

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B i P i i l f F il


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Basic Principles of Family

Welfare Program Basic Principles of Family Welfare Program Family welfare

services are voluntary.

Family Welfare Programme will provide comprehensive

maternal and child health services and also family planningservices .

For creating awareness, information, education andcommunication will be used effectively.

Popular and easily available family planning services will

be provided free of cost.12/23/2013

nhcon,bgl6


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NATIONAL FAMILY WELFARE PROGRAMME

India launched a nationwide family planning programme in1952

making it the first country in the world to do so, though records showthat birth control clinics have been functioning in the country since

1930.

During the Third and Five Year Plan (1961-66),family planningwas declared as "the very centre of planned development". The

emphasis was shifted from the purely clinical approach to the more

vigorous extension education approach" for motivating the people

for acceptance of the "small family room".

The introduction of the Lippies Loop in 1965 necessitated a major

structural reorganization of the programme, leading to the creation of

a separate Department of Family Planning in 1966 in the Ministry

of Health.12/23/2013 nhcon,bgl7


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Continue During the years 1966 the family planning infrastructure (eg.

primary health centres, subcentres, urban family planning centres,

district and State bureaus) was strengthened. During the fourth fiveyear plan (1966-1974).

The Govt. of India gave top priority to the programme. The

Programme was made an integral part of MCH activities of PHCssand

their subcentres. In 1970 an all India hospital postpartum programmeand in 1972, the Medical Termination of Pregnancy (MTP) were

introduced .

The programme continues ever since and has, in fact, gathered

momentum over the decades. And in the process, it has passed through

four major phases of its development, signifying evolution of the

programme. These phases, are known as family planning phase, family

welfare phase, child survival and safe motherhood (CSSM) phase and

reproductive and child health (RCH) phase.12/23/2013 nhcon,bgl 8


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Approach

Approach VII FYP: Area Development Projects; India

Population Project VIII & IX FYP: Differential planning scheme

Increasing involvement of NGOs UIP & CSSM TFA

Approach 1st and 2 nd FYP:Clinical approach

2 nd FYP - Target approach

3 rd FYPExtension & Education approach

4 th FYP - Post Partum scheme, reduce CBR to 32

5 th FYPNFPP replaced by NFWP, reduce CBR to 30 6 th FYP- Net Reproduction Rate (NRR)of 1,family size to 2.3

7 th FYP - spacing methods, community participation and

promotion of MCH care

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Continue

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, decadal growth rate

& increased literacy rate.

Objectives:

Reduction in the decadal rate of population growth between

2001 and 2011 to 16.2%.

Increase in Literacy Rates to 75 per cent within the Tenth Plan

period (2002 to 2007).

Reduction of Infant mortality rate (IMR) to 45 per 1000 live

births by 2007 and to 28 by 201212/23/2013

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Continue.. XI FYP Targets / Goals: Reduce IMR to 28 and MMR to 1

per 1000 live births; Reduce TFR 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 anemia among women and girls by 50% by the end ofthe plan

Family planning insurance Scheme Jansankhya Sthirata Kosh

Raising the sex ratio for age group 06 to 935 by 201112and 950 b 201617. 12/23/2013 nhcon,bgl 11


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Strategies to be adopted to

achieve the Goals of XI FYP:

1706 private nursing homes have been involved besides the

Government institutions to provide family welfare services in

the State.

More number of unapproved private nursing homes will be

approved to render Family Welfare services to the eligible

couples.

All the untrained DGOs, M.D (Obstetrics & Gynaecology ),

M.S. (Surgery) will be trained in Laparoscopic Sterilization.

All the untrained MBBS doctors will be trained in tubectomysterilization and Non Scalpel Vasectomy. 12/23/2013nhcon,bgl 12


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Continue

At present 254 Operation theatres are functioning in thePrimary Health Centres.

Steps will be taken to make the Operation theatres in all the

Primary Health Centres functional in a phased manner.

Area specific approach will be adopted to identify village

wise eligible mothers with three and above children and

motivate them by a block level team to accept Family WelfareSterilization.

All the untrained VHNs and ANMs will be given training in

insertion of IUD. 12/23/2013 nhcon,bgl 13


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PROGRAMME EVOLUTIONFAMILY PLANNING PHASE:

The family planning phase was started by adopting a clinical

approach and establishing a limited number of clinics that

distributed educational material and offered opportunities for

training and research in the field of family planning. The clinical

approach extended for the first two Five Year Plan periods and

obviously failed to create a dent on the population growth. Thetotal outlay on the family planning during the first two Five Year

Plans was just Rs 5.65 crores.

However, during the Third Plan period, family planning was

treated as an important area of national planned development, andits outlay was raised to Rs 27 crores. The clinical approach was

replaced by an extension education approach, and the

infrastructure for the family planning activity was established

within the primary health care system of the country.

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Maternal health care

Maternal health care envisaged is expected to be able to (a)generate community awareness to promote universal screening

of pregnant women to identify those with problems, (b) refer

women with complications to appropriate institutions for care,

achieve 100% coverage of women under Tetanus Toxoid

immunization, refer obstetric emergency cases to the nearest

first referral units (FRUs) for expert management and provide

skilled attendance at delivery and advise institutional delivery,

especially for those with health or obstetric problems.

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Child health care

The child health care envisaged is expected to ensure

1. universal newborn care at delivery,

2. immunization of infants/children against vaccine-

preventable diseases,

3. food and micronutrient supplementation of children,4. early detection and appropriate management of acute

respiratory infections and acute diarrhoeal disease

episodes in children,

5. nutrition promotion of children through exclusivebreastfeeding for 6 months,

6. timely introduction of complementary feeding of infants

and

7. detection and management of growth faltering in children.12/23/2013 nhcon,bgl 16


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Fertility regulation

It is envisaged that the programme shall help

(a) to improve access of consumers to fertility regulation

services

(b) to recognize and strengthen institutions providing safe

MTP (medical termination of pregnancy) service sand

to ensure that women do accept appropriate

contraception at the time of MTP to prevent repeating of

abortion service, following an unwanted pregnancy.

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Q lit f F il l i


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Quality of Family planning

service

Quality in family Planning can be defined as offering a rangeof services that are safe and effective and that satisfy clients

needs and wants. It can also be defined as the way clients are

treated by the system.

Family planning is not just a demographic issue It is also an

issue related to individual issue rights, socio-economic

development, preservation of the environment, and the health

and wellbeing of women, couples, families and society atlarge.

There is a huge unmet need for Family Planning and

improving Quality will increase the utilization of services.12/23/2013 nhcon,bgl 18


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am y p ann ngContraceptives The National Family Welfare Program

provides the following contraceptiveservices for spacing births:

Condoms

Oral Contraceptive Pill

Intra Uterine Devices (IUD)

Terminal Methods:

Tubectomy : i)Mini Lap Tubectomy ii) Lapro

Tubectomy

Vasectomy : i) Conventional Vasectomy

ii) No-Scalpel Vasectomy12/23/2013 nhcon,bgl 19


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Family Planning Insurance scheme

To encourage people to adopt permanent method ofFamily 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 1st ,

2009).

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St th i S i D li i


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Strengthening Service Delivery in

Family Planning

At Household/ Village Level: At Household/ Village Level Services /Activities Home to

Home visits by ASHAs, ANMs& VHNDs:

Counseling FP services(OCs, Condoms, ECPs),

Follow up of IUCD, sterilization &Postpartum clients,

Referral,

Community Mobilization Areas to be strengthened,

Availability of IEC materials,

Capacity building & Role Clarity Incentives to ASHA,

Regular supervision Active participation of PRIs,

Creating Role Models 12/23/2013 nhcon,bgl 21

At S b t A ti iti /S i


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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 (NoTouch Technique)

Provision of IEC Materials

Supportive supervision by LHV / MO PHC

Strengthening Referral 12/23/2013nhcon,bgl

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At PHC A ti iti /S i


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At PHC 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 12/23/2013 nhcon,bgl 23

At CHC A ti iti /S i


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At CHC Activities/Services

24*7 specialist services

All FP services including Laparoscopic Sterilizationservices, 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

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National Population Policy 2000

Immediate objective : To address the unmet needs

for contraception, health care infrastructure, andhealth personnel, and to provide integrated service

delivery for basic reproductive and child health care

Medium-term objective: To bring the TFR to

replacement levels by 2010, through vigorous

implementation of intersectoral operational

strategies.

Long-term objective: To achieve a stable

population by 204512/23/2013 nhcon,bgl 25

J kh Sthi t K h


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Jansankhya Sthirata Kosh

National Population Stabilization Fund-registered as an autonomous Society

Combination of government and civil

society Working to promoteinnovations.

Promote initiatives which leverage the

strength of different economic andsocial sectors

To reach out needy population groups

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ROLE OF NURSE IN FWP


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ROLE OF NURSE IN FWP

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Administrative role

Functional role

Role in research

Supervisory role

Educational role

Role in evaluation


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ADIMINISTRATIVE ROLE

Nurse who are in senior position participate inthe organization Of FWP at national, Regional

or community level and the development of

nursing Activities.

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SUPERVISORY ROLE

As an supervisor nurse shouldencourage their staff to watch carefully

for indication that mother or couples

would accept on how to space theirChildren and so on.

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FUNCTIONAL ROLE

The primary role of nurse is casefinding, making referral, routine clinical

function and to help the client choose

one of the more simplest methods ofContraception.

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EDUCATIONAL ROLE

Nurses must have sound knowledgeof FWP, services available in FWP

and they must be able to transmit this

knowledge effectively to thecommunity, family and for the

individuals .

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ROLE IN RESEARCH

Nurses are essential members of theMultidisciplinary research team.

Nurses know to keep careful records

and reports relating to their nursingactivities. These provides valuable

data upon which research may be

based.

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ROLE IN EVALUATION

Evaluation is an important part ofplanning for nursing Services.

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NURSES RESPONSIBILITY


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NURSES RESPONSIBILITY

UNDERSTANDING feelings and attitudes about sex and family planning.

KNOWLEDGE ABOUT FP:Nature and family planning. Methods of FP.

Resources available. Govt. Policies.

KNOWLEDGE ABOUT PERSON: Individuals needs and awareness.

Culture, beliefs. Customs.

COMMUNICATION AND HEALTH EDUCATION : Be a good listner. She

should provide counseling services.

MOTIVATION: Motivation of eligible couple for family planning methods.

CLINICS : Assist doctors in conducting clinics. Assist in postnatal checkups.

FOLLOW UP :Through home visits. Through clinic visits.12/23/2013 nhcon,bgl 36

Continue


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Continue

DOMICILARY SERVICES FOR PERINATAL

CARE

RECORDS MAINTAINANCE

IDENTIFICATION OF COMMUNITY

LEADERS Involve community leaders to

participate in programme.

MAINTAINING ADEQUATE SUPPLIES

EVALUATION OF PROGRAMME

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TH NKYOU

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