FAMILY WELFARE PROGRAMME

Introduction
Planning means planning by individual or couples to have only the children they want,
when they went them, this is responsible parenthood.
Family welfare includes not only planning of birth, but they welfare of wholes family by
means of total family health care. The family welfare programme has high priority in India
because its success depends upon the quality of life of all citizens.
History of family welfare programme
 It was started in the year 1951.
 In 1977, the government of India redesignated the National Family Planning
Programme as the National Family Welfare Programme also changed the name
ministry of health and family planning to ministry of health and family welfare.
 It is a reflection of the government anxiety to promote family planning through the
total welfare of the family.
 It is aimed at achieving a higher end i.e., to improve the quality of life of the people
 India is the first country in the world that implemented that family welfare
programme at government level.
 Health is a part of concurrent list but centres provides % assistance to states for this
programme.
 Government has concentrated on this programme in various five year plans through
higher priority was accorded to it after fourth five year plan.
 Due to bad effect of emergency and faulty propaganda family planning suffered major
set back, during 1977-1979.
 It was decided in healthy policy in 1983, and then net reproduction rate should be one
by the year 2000,
 The 7th five year plan placed are emphasis in the use of spacing methods between the
birth of two children

Concept of Family Welfare Programme:

The concept of welfare is basically related to quality of life.
As such it include education, nutrition, health employment, women's welfare and right,
shelter, soft drinking water all vital factors associated with the concept of welfare.
It is centrally sponsored programme.
For this, the states receive 100% assistance from central government.
The emphasis is on child family
Also, emphasis is on spacing method along with terminal methods.
The current policy is to promote family planning on the basis of voluntary and informed
acceptance with full community participation.
The service are taken to every doorstep in order to motivate families to accept the small fam
norm.
Aims and Objective of Family Welfare Programme:
The government of India in the ministry of Health and Family Welfare has started the
operational aims and objective of family welfare programme as follows:-
 To promote the adoption of small family size norm, on the basis of voluntary
acceptance.
 To promote the use of spacing method.
 To arrange of clinical and surgical service so as to achieve the set target.
 To ensure adequate supply of contraceptive to all eligible couple within easy reach
 Participation of voluntary organization/local leaders/locals self government, in family
welfare programme at various level.
Using the means of mass communication and interpersonal communication and interpersonal
communication to overcome the social and cultural hindrance in adopting the programme or
extensive use of public health education for family planning.
 Reduction of death rate from 10(in 1992) to 9per 1000.
 Raising couple protection rate from 43.3(in 1990) το 60%.
 Reduction in average family size from 4.2(in 1990) to 2.3.
 Decrease in infant mortality rate from79 (in 1992) to less than 60 per 1000 live birth.
Impact of Family Welfare Activities:
 Nearly 98% of women and 99% men in the age group 15 and 49 have a good
knowledge about one or more methods of contraception. Adolescents seem to be well
aware of the modern method of contraception.
 Over 97% of women and 95% of men are knowledgeable about female sterilization,
which is the most popular modern permanent method of family planning. While only
79% of women and 80% of men have heard about male sterilization.
 93% of men have awareness about the usage of condom while only 74% of women
are aware of the same.
 Around 80% of men and women have a fair knowledge about contraception pills.
Importance of Family Welfare Programme:
The year 2010-2011 ended with 34.9 million family planning acceptor at national level
comprising of 5.0 million sterilization, 5.6 million IUD Insertion, 16 million condom user
and 8.3 million oral pills users. As against 35.6 million families planning acceptors in 2009-
2010.
Over the decades, there has been a substantial increase in contraception use in India.
Strategies of Family Welfare Programme:
Integration with health service:
➤ Family welfare programme has been integrated with other health service instead of being a
separate service.
Integration with maternity and child health:
 Family welfare programme has been integrated with maternity and child health.
Public are motivated for post delivery sterilization, and use of contraception.
Concentration in rural area:
 Family welfare programme are concentrated more in rural areas at the level of
subentries and primary health centre. This is in addition to hospitals at district, state
and central levels.
Literacy
 There is a direct co-relation between illiteracy and fertility. So stress and priority is
given for girl's education, fertility rate among educated female are low.
Breast feeding
 Breast feeding is encouraged. It is estimated that about 5 million birth per annum can
be prevented through breast feeding.
Rising the age for marriage
 Under the child marriage bills (1978), the age of marriage has been raised to 21
year for male and 18 year for female. This has some impact on fertility.
Minimum need programme
 It was launched in 5th year plan with an aim to raise the economical standards.
Fertility is low in higher income groups, so fertility rate can be lowered by
increasing economical standard.
Incentive
 Monetary Incentive has been given in Family Planning Programme, especially for
poor classes But these incentives have not been very effective. So the programme
must be on voluntary bas
Mass media
 Motivation through radio, television, cinema, news paper, puppet shows and folk
dance is an important aspect of this programme.
Counselling for Family Welfare
 Partners should be encouraged to take part in family planning counselling sessions
 The Primary objective of counselling in the context of family planning is to help
people in your village decide on the number of children they wish to have, and when
to have them.
 You can help them to choose a contraceptive method that is personally and medically
appropriate.
  Through your counselling sessions with them, you will make sure that they
understand how to use their chosen method correctly, to ensure safe and effective
contraceptive protection.
Gather approach
G-Greet the client respectively.
A- Ask them about their family planning needs.
T-Tell them about different contraceptive options and methods.
H-Help them to make decisions about choises of methods.
E-Explain and demonstrate how to use the methods.
R-Return/refer; schedule and carry out a return visit and follow up.
The acronym BRAIDED can help you remember what to talk about when you counsel clients
on specific methods.
BRAIDED Approach
It stands for:
B- Benefits of the methods.
R-Risks of the method, including consequences of method failure.
A- Alternatives to the method (including abstinence and no method).
I -Inquiries about the method (individual's right and responsibility to ask Incentive
D. Decision to withdraw from using the method, without penalty
E-Explanation of the method chosen
D- Documentation of the session for your own records.
Role of Community Health Nurse in Family Welfare Services
Community health nurse has a vast role in family welfare service.
SURVEY WORK
 Collecting demographic facts.
 Marking list of homes and finding out housing location.
 Collection information about pregnant mother, eligible couples, and infants.
EDUCATIONAL FUNCTION AND MOTIVATION
 Explaining the importance and necessity of family planning to masses.
 Using
 various techniques of teaching and communication to propagate the message of
family planning to common man.
 Motivating the eligible couple to use contraceptive and educating them about its uses.
 Motivating people for family planning operation or permanent contraception.
MANEGERIAL FUNCTION
Conducting Clinics:-
 Deciding the date and place of clinics.
 Arranging equipment’s and other resources at clinics.
 Arrangement and distribution of contraceptives.
 Insertion and removal of IUD
 Organizing family planning camps.
 Arranging family planning operation (sterilization) of male and female through
special camps.
 Making arrangements at the camps and follow aseptic techniques for the operation.
 Motivating eligible couple and preparing them for the operation.
 Assisting the doctor in operation.
Maintaining the Records:-
Keeping the eligible couple register update.
Maintaining the register of sterilization cases, contraceptives user, and pregnant mothers.
Maintaining other records related to family planning.
Liaison work.
Soliciting the co-operation of NGO's/voluntary organization.
BIBLIOGRAPHY:
 Park.k, (2021), TEXT BOOK OF PREVENTIVE AND SOCIAL MEDICINE
26THedition, M/S Banarsidas Bhanot publishers,pageno317-321.
 Bijayalakshmi, (2020), A COMPREHENSIVE TEXT BOOK OF COMMUNITY
HEALTHN URSING, Third edition, The Health Sciences publishers,page.no.761-
775.
 Neelam Kumari, (2014), ATEXT BOOK O FCOMMUNITY HEALTH NURSING
1.1"editi on, s.vikas &company (medical publishers)India, page no 506 509.
 BT Basavanthappa, (2008), COMMUNITYHEALTHNURSING, 2 edition, New
Delhi, Jaypee brothers publication, page no.695-699.
 GN Prabhakara (2010), SHORT TEXT BOOK OF PREVENTIVE AND SOCIAL
MEDICIE, 2 edition, New Delhi, Jaypee brothers publication, pageno.227-229.
NETSOURCE:
https://www-thehindu.com.cdn
https://www.undp.org/india.
 Community health nursing
gcon, cuddalore
assignment
on
FAMILY WELFARE PROGRAMME

SUBMITTED BY
SUBMITTED TO
P.PRIYA
DR. T.CHANDRA MSC (N), Ph.D.,
MSC (N) II YEAR
LECTURER IN NURSING
GCON
GCON
CUDDALORE
CUDDALORE

SUBMITTED ON