Family Welfare Programme

SUBMITTED TO:

MRS. SHALINI MADAM TUTOR IVth YEAR BASIC B.SC.NURSING

SUBMITTED BY:

MS. RANE ASHWITA ASHOK IVth YEAR BASIC B.SC.NURSING

INTRODUCTION

BASIC PRINCIPLES OF THE FAMILY WELFARE PROFRAMME WELFARE PROGRAMME

OBJECTIVES

CURRENT SCENARIO OF POPULATION & FAMILY PLANNING

ORGANIZATION / FUNCTIONARIES OF NFWP

CONTRACEPTIVE SERVICES UNDER NFWP

NATIONAL FAMILY PLANNING INSURANCE SCHEME (NFPIS)

KEY CHALLENGES OF FAMILY WELFARE PROGRAMME

National family planning programme was started in India in 1952.

India is the first country in the world to implement family programme.

In 1977, the name of this programme was changed to family welfare programme.

National family welfare programme is completely sponsored by Union Government.

National Family Welfare Programme (NFWP) is run by family planning division of ministry of health & family welfare.

Family welfare services are voluntary.

Family welfare programme will provide comprehensive maternal & child health services & also family planning services.

For creating Awareness, Information, Education & Communication will be used effectively.

Popular & easily available family planning services will be provided free of cost.

To educate couples contemplating marriage about sex, parents & factors that promote compatibility between spouses.

To regulate the age when mother desires her first child.

To apply contraceptive chosen by the couples.

To provide abortion facilities for cases of unwanted accidental pregnancies.

To screen the wife for reproductive system diseases.

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To counsel the couples who are not getting along well & who are contemplating divorce.

To counsel the couple who have given birth to a genetically affected child.

To investigate the causes of infertility in the case of infertile couple & to provide necessary treatment.

To help the infertile incurable couples with adoption or artificial regulation of fertility.

India’s population as per 2001-census was 1.028 Billion.

It is now 1.21 Billion (1st April 2011) as per Indian (Census Report 2011).

India’s decadal population growth rate during 1991-2001 was 21.54%. Now the percentage of decadal growth during 2001-2011 is 17.64%, a decrease of 3.90% from previous decade.

Total Fertility Rate (TFR) in the country has recorded a steady decline to the current levels of 2.6 (2008), a 42% decline from mid-1960s.

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The wanted fertility rate for India as a whole 1.9-NFHS-III.

The general awareness of contraception is almost universal (98% among women & 98.6% among men).

The gains achieved in the areas of health & fertility is not uniform across the country, with interstate variations in TFR, CPR & unmet needs for family planning.

Infertility has emerged as an important issue among couples in India, estimated to be around 8-10% which needs to be addressed.

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The main components of National Family Welfare Programme are administration, training, IEC, supplies & services.

1)At Centre Level-Ministry of Health & Family Welfare.Family Planning division.Central Family Welfare Council, National Population Commission.DGHS, National Institute of Health & Family Welfare (NIHFW) + all

departments concerned with the human resources & development.

NIHFW- It is the apex institute as well as a ‘think tank’ for the promotion

of health & family welfare programme in the country. NIHFW is an autonomous organization which was established in the year 1977.

Its functions are:- Preparing modules for training, training of trainers (TOT), midterm evaluation of ASHA, JSY, IPHS, development of curriculum etc.

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2) At State Level-State ministry of health & family welfare.Directorate of state health & family welfare/ state Family welfare

bureau.State Institute of Health & Family Welfare (SIHFW) + Other

concerning departments.

SIHFW- It is the main organ of family welfare programme at state level. It is also a coordinating body with the NIHFW. It runs various programmes, educational activities & training for

health personal at state level.

3) At District Level-Chief Medical & Health Officer.District Family Welfare Bureau.Dy. CM & HO (FP)/ District Family Welfare Officer.Urban family welfare center's, urban health post etc.

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4) At Block & Village Level-Block CMO Medical Officer In charge of CHC/PHC Sub Centre.ANM/FHW.MPW (MALE).TBAs.Village Health Guide (VHG).ASHA etc.

Counselling, access to & provision of good quality services & follow up care are emphasized in all contraceptive services.

GOI is promoting Fixed Day Static Services (FDS) approach in sterilization services within the public health system with the aim of increasing access to sterilization services.

Increasing male participation in planned parenthood, including NSV (No Scalpel vasectomy)

Camp approach for male sterilization.

Providing wide range of contraceptive services at various levels of health system.

Govt. of India launched the National Family Planning Insurance Scheme (NFPIS) in November-2005. (Find Scheme Manual - http://cfw.tg.nic.in/pdf/FamilyPlanningInsuranceManual.pdf)

To compensate for the:-• Acceptors of sterilization.• His/Her nominee in the unlikely event of failure or complications

or his /her death, following a sterilization operation.

The scheme also provides for indemnity insurance cover to the medical officers & the health facilities for up to 4 cases of litigations per year that the health care provider or the facility may face as a consequences of performing sterilization operations.

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According to new clause, a compensation of Rs. 50,000 will be paid to the sufferer from Rogi Kalyan Samiti (RKS) immediately after an unlike event & it will be recouped from the insurance company.

Compensation Scheme for Acceptors of Sterilization- • GOI has been providing compensation to the acceptors of

sterilization for their loss of wages for availing the services as per the revised rates since September 2007.

Demographic Challenges-

• The population of India will increase from 1.029 billion to 1.4 billion during the period 2001-2026, an increase 36% in 25 years at the rate of 1.2% annually. (Annual report 2009-10 MOHFW)

• There are substantial differences in TFR, in between & within states& the national progress must be seen in the context of these striking differences.

• The seven states namely UP, Bihar, Jharkhand, Chhattisgarh, Rajasthan, MP & Uttarakhand currently constitute nearly 44% of the total population of India (2009)

• Demographic outcomes in these states will determine the timing & size of population at which India achieves population stabilization.

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Service Delivery Challenges-

• Unavailability of regular sterilization services.

• Heavy reliance on expensive technology.

• Poor postpartum contraception services.

• Lack of trained medical / nursing professionals

• Lack of regular contraceptive updates.

• Inter state variation in family planning services.

• Inadequate PPP for FP services.

• Poor community based family planning services.