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 . the name of this programme was changed to family welfare programme. National Family Welfare Programme (NFWP) is run by family planning division of ministry of health & family welfare. In 1977. National family planning programme was started in India in 1952. India is the first country in the world to implement family programme. National family welfare programme is completely sponsored by Union Government. . . Popular & easily available family planning services will be provided free of cost. Family welfare programme will provide comprehensive maternal & child health services & also family planning services. For creating Awareness. . Family welfare services are voluntary. Information. Education & Communication will be used effectively. To educate couples contemplating marriage about sex. To provide abortion facilities for cases of unwanted accidental pregnancies. To screen the wife for reproductive system diseases. To regulate the age when mother desires her first child. Continued… . parents & factors that promote compatibility between spouses. To apply contraceptive chosen by the couples. . To counsel the couples who are not getting along well & who are contemplating divorce. To investigate the causes of infertility in the case of infertile couple & to provide necessary treatment. To counsel the couple who have given birth to a genetically affected child. To help the infertile incurable couples with adoption or artificial regulation of fertility. Now the percentage of decadal growth during 2001-2011 is 17. India’s population as per 2001-census was 1. a decrease of 3.90% from previous decade.64%.028 Billion. It is now 1. India’s decadal population growth rate during 1991-2001 was 21. a 42% decline from mid-1960s. Total Fertility Rate (TFR) in the country has recorded a steady decline to the current levels of 2. .21 Billion (1st April 2011) as per Indian (Census Report 2011).6 (2008).54%. CPR & unmet needs for family planning. The gains achieved in the areas of health & fertility is not uniform across the country.9-NFHS-III. . with interstate variations in TFR.6% among men). estimated to be around 8-10% which needs to be addressed. Infertility has emerged as an important issue among couples in India. The general awareness of contraception is almost universal (98% among women & 98. The wanted fertility rate for India as a whole 1. . 1)At Centre Level Ministry of Health & Family Welfare. supplies & services.Preparing modules for training. development of curriculum etc. IPHS. training of trainers (TOT). DGHS. NIHFW is an autonomous organization which was established in the year 1977. National Institute of Health & Family Welfare (NIHFW) + all departments concerned with the human resources & development. training. Family Planning division. Central Family Welfare Council. JSY. National Population Commission. NIHFW It is the apex institute as well as a ‘think tank’ for the promotion of health & family welfare programme in the country. midterm evaluation of ASHA.The main components of National Family Welfare Programme are administration. Its functions are:. IEC. . It is also a coordinating body with the NIHFW. Continued… . Directorate of state health & family welfare/ state Family welfare bureau. District Family Welfare Bureau.2) At State Level State ministry of health & family welfare. Urban family welfare center's. urban health post etc. Dy. State Institute of Health & Family Welfare (SIHFW) + Other concerning departments. educational activities & training for health personal at state level. CM & HO (FP)/ District Family Welfare Officer. It runs various programmes. SIHFW It is the main organ of family welfare programme at state level. 3) At District Level Chief Medical & Health Officer. 4) At Block & Village Level Block CMO Medical Officer In charge of CHC/PHC Sub Centre. ASHA etc. Village Health Guide (VHG). TBAs. . ANM/FHW. MPW (MALE). Providing wide range of contraceptive services at various levels of health system. Counselling. 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. . access to & provision of good quality services & follow up care are emphasized in all contraceptive services. • His/Her nominee in the unlikely event of failure or complications or his /her death.tg. 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.in/pdf/FamilyPlanningInsuranceManual. following a sterilization operation. of India launched the National Family Planning Insurance Scheme (NFPIS) in November-2005. Govt.pdf) To compensate for the:• Acceptors of sterilization.nic. . (Find Scheme Manual http://cfw. 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. . a compensation of Rs. 50. According to new clause. an increase 36% in 25 years at the rate of 1. Chhattisgarh.029 billion to 1. (Annual report 2009-10 MOHFW) • There are substantial differences in TFR. Rajasthan.2% annually. • The seven states namely UP. 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. in between & within states& the national progress must be seen in the context of these striking differences. . Bihar. Jharkhand. Demographic Challenges• The population of India will increase from 1.4 billion during the period 2001-2026. . • Heavy reliance on expensive technology. • Lack of trained medical / nursing professionals • Lack of regular contraceptive updates. • Poor community based family planning services. • Inter state variation in family planning services. Service Delivery Challenges• Unavailability of regular sterilization services. • Inadequate PPP for FP services. • Poor postpartum contraception services.