NATIONAL FAMILY WELFARE
PROGRAM
INTRODUCTION :
The National Family Welfare Program was lanced
in 1952 as National Family Planning Program .
India was the first one to do so. It is 100%
centrally sponsored program.
The ministry of health and family welfare is
responsible for this program.
In 1977 the government of India registered the
“National Family Planning Program” as the
“National Family Welfare Program”.
OBJECTIVE
The government of India in the ministry of
health and family welfare have started the
operational aims , and objective of family
welfare program as follow.
To promote the adoption of small family size
norm ,on the basis of voluntary acceptance.
To achieve a higher end that is to improve the
quality of the life of the people.
CONCEPT OF FAMILY
WELFARE PROGRAMME:
The term “family welfare” is in much broader in scope
then “family Planning” . The concept of welfare is
basically related to “quality of life”. It includes-
Education
Employment
Women’s welfare
Family planning
MCH and RCH services
Safe drinking water
Prevention and treatment of major disease.
COMPONENTS OF NATIONAL
FAMILY WELFARE PROGRAMME
1. Administration and Organization
This includes appointing the employee and
arranging the resources.
2. Training :
Training the medical, nursing and paramedical
staff.
CONTI
3. Social and health education.
4. Supplies and Services :
The scope of activities carried out under
family welfare program both mother and
child health , small family norm and school
health.
REPRODUCTIVE CHILD HEALTH PROGRAMME(RCHP)
DEFINITION:
The Reproductive and child health (RCH)
program was launched in October1997. The
main aims of the program is to reduce
infant ,child and maternal mortality rates . the
main objectives of the program in the first
phase were
CONTI…
To improve the implementation and
management of policy by using a participatory
planning approach and strengthening
institutions to maximum utilization of the
project resources
To improve quality ,coverage and effectiveness
of existing family welfare services
RCH PROGRAM
INTERVENTIONS
Health of both mother and child the following
interventions by the department of family
welfare under the program.
1.MATERNAL HEALTH
INTERVENTIONS
These are comes under;
ESSENTIAL OBSTETRIC CARE;
It is include early registration of pregnancy
(within 12-16 weeks) ,provision of minimum
three antenatal check-ups, giving two injection
of tetanus toxoid ,.
CONTI..
providing iron and folic acid tablets to prevent
and treat the anemia ,promotion of
institutional delivery, provision of safe
delivery at home, provision of three post-natal
care and referral services.
EMERGENCY OBSTETRIC CARE ;
It is initiated by identifying and strengthening
First Referral Unit (FRUs) under the RCH
program. FRUs are being strengthened by
providing emergency obstetric kit, and provision
of skilled manpower on contract basis
TWENTY FOUR HOURS DELIVERY SERVICES AT PHCs/CHCs ;
To promote institutional deliveries
PHCs/CHCs are being strengthened to
provide 24 hours services to women in labor.
REFERRAL TRANSPORT;
Provision has been made for the transport
facility with the Panchayat trough District
Family Welfare Officers to be utilized by the
families at the time of obstetric emergencies
MEDICAL TERMINATION OF PREGNANCY (MTP):
The government of India has taken various
steps in addressing the problem of un safe
abortion .
Prevention and control of reproductive tract
infection
2: CHILD HEALTH INTERVENTIONS
These interventions are comes under-
UNIVERSAL IMMUNIZATION PROGRAM:
Under this program the children are
immunized as per scheduled against 6killer
disease of the childhood namely
tuberculosis, diphtheria, pertussis,
poliomyelitis, measles and neonatal tetanus.
CONTROLL OF ACUTE RESPIRATORY
INFECTION (ARIs):
CONTROLL OF ACUTE RESPIRATORY
INFECTION (ARIs):
The standard case management of ARIs and
prevention of deaths due to pneumonia is now
an integral part of RCH program and the
health workers are imparted training in ARIs
management.
ORAL REHYDRATION THERAPY FOR
DIARRHOEA CONTROL AMONG
CHILDREN
The government supplies ORS packets to all
the states to be made available at subcentres to
prevent mortality in children due to
dehydration each subcentre is provided with
two drug kits in a year each containing
150ORS packets along with other drug
PREVENTION AND CONTROL OF
ANAEMIA IN CHILDREN:
Under the program 100 iron folic acid tablets
(20mg of elemental iron and 0.1 mg of folic
acid ) are given to clinically anemic children at
subcentres
RCH PROGRAM PHASE II:
RCH Phase II began from 1 April 2005. The
components are..
Essential obstetrical care
Emergency obstetrical care
Strengthening referral system Strengthening
project management
Strengthening infrastructure
Capacity building
CONTI..
Improving referral system
Strengthening MIS
Innovative schemes
EMERGENCY OBSTETRIC CARE:
Operationalization of FRUs to provide:
24 hours delivery services.
Emergency obstetric care.
New born care and emergency care of the sick
child.
Full range of family planning services.
Safe abortion services
CONTI..
Treatment of RTI and STI.
Blood storage facility.
Essential laboratory services.
Referral services
NEW INITIATIVES:
Training of PHC doctors in life saving
anesthetic skills for emergency obstetric care a
FRUs.
Setting up of blood storage centres at FRUs
JANNI SURAKSHA YOJNA
VANDEMATRAM scheme
Safe abortion services
Integrated Management of Childhood illnesses
ROLE OF NURSE IN FAMILY
WELFARE PROGRAMM
Motivation of eligible couple on family welfare
methods.
Follow up of IUD & Oral Pills users.
Organizing special camping
.Domiciliary services for perinatal care.
CONTI…
Educational activities.
Records maintainces.
Maintaining adequate supplies .
Evaluation of program
GOALS OF THE FAMILY
WELFARE PROGRAM
Family welfare program has laid down the following
long term goals to be achieved by the year 2000
Reduction of birth rate from 29 per 1000 (in 1992) to
21 by 2000
Reduction of death rate from 10 (in 1992) to 9 per
1000.
CONTI..
Raising couple protection rate from 43.3 (in 1990)
to 60 per cent.
.Reduction in average family size from 4.2 (in
1990) to 2.3. .
Decrease in Infant mortality rate from 79 (in 1992)
to less than 60 per 1000 live births.
