Identify and assess Family Welfare Programmes.
NATIONAL FAMILY WELFARE Program
Presentation
India propelled the National Family Welfare Program in 1951 with the goal of “lessening
the birth rate to the degree important to balance out the populace at a level predictable with the
prerequisite of the National economy. The Family Welfare Program in India is perceived as
a need territory, and is being executed as a 100% Centrally supported program.
Advancement OF FW PROGRAM
The approach under the program amid the First and Second Five Year Plans was primarily
“Clinical” under which offices for arrangement of administrations were made. Be that as it may, on the premise of
information brought out by the 1961 statistics, clinical approach received in the initial two designs was
supplanted by “Augmentation and Education Approach” which imagined extension of administrations
offices alongside spread of message of little family standard.
In the IV Plan (1969-74), high need was agreed to the program and it was proposed to
decrease birth rate from 35 for every thousand to 32 for every thousand before the finish of plan. 16.5 million
couples, constituting around 16.5% of the couples in the conceptive age gathering, were secured
against origination before the finish of IVth Plan.
The goal of the V design (1974-79) was to cut down the birth rate to 30 for each thousand by
the finish of 1978-79 by expanding incorporation of family arranging administrations with those of Health,
Maternal and Child Health (MCH) and Nutrition, with the goal that the program turned out to be all the more promptly
worthy. The years 1975-76 and 1976-77 recorded a wonderful increment in execution of
cleansing. In any case, in perspective of unbending nature in implementation of focuses by field functionaries and an
component of compulsion in the execution of the program in 1976-77 in a few regions, the
program got a set-back amid 1977-78. Therefore, the Government influenced it to clear that
there was no place for power or intimidation or impulse or for weight of any kind under the
program and the program must be executed as an indispensable piece of “Family Welfare”
depending exclusively on mass instruction and inspiration. The name of the program additionally was
changed to Family Welfare from Family Planning.
In the VI Plan (1980-85), certain long haul statistic objectives of achieving net propagation
rate of solidarity were visualized.
The Family Welfare Program amid VII five year design (1985-90) was proceeded on an absolutely
willful premise with accentuation on advancing separating techniques, securing most extreme group
cooperation and advancing maternal and tyke medicinal services. The Universal Immunization
Program (UIP) was propelled in 1985 to give all inclusive scope of newborn children and pregnant
ladies with inoculation against distinguished immunization preventable maladies and stretched out to all
the regions in the nation
The approach embraced amid the Seventh Five Year Plan was kept amid 1990-92. For
viable group support, Mahila Swasthya Sanghs(MSS) at town level was
constituted in 1990-91. MSS comprises of 15 people, 10 speaking to the differed social fragments
in the group and five functionaries engaged with ladies’ welfare exercises at town level
for example, the Adult Education Instructor, Anganwari Worker, Primary School Teacher, Mahila
Mukhya Sevika and the Dai. Helper Nurse Midwife(ANM) is the Member-Convenor. From the
year 1992-93, the UIP has been reinforced and ventured into the Child Survival and Safe
Parenthood (CSSM) Project. It includes managing the high vaccination scope level under
UIP, and expanding exercises under Oral Rehydration Therapy, prophylaxis for control of
visual impairment in youngsters and control of intense respiratory contaminations. Under the Safe Motherhood
part, preparing of customary birth chaperons, arrangement of aseptic conveyance units and
reinforcing of first referral units to manage high hazard and obstetric crises were being
taken up.
To give new dynamism to the Family Welfare Program, a few new activities were
presented and continuous plans were redone in the Eighth Plan (1992-97). Understanding that
Government endeavors alone in proliferating and rousing the general population for adjustment of little
family standard would not be adequate, more noteworthy anxiety has been laid on the contribution of NGOs to
supplement and supplement the Government endeavors.
Diminishment in the populace development rate has been perceived as one of the need destinations
amid the Ninth and Tenth Plan period. The systems are:
i) To survey the requirements for regenerative and youngster wellbeing at PHC level and embrace areaspecific
small scale arranging.
ii) To give require based, request driven, high caliber, incorporated conceptive and tyke
social insurance diminishing the baby and maternal dismalness and mortality bringing about a decrease in
the coveted level of richness.
CONTRACEPTIVES
The National Family Welfare Program gives the accompanying preventative administrations
for dispersing births:
a) Condoms
b) Oral Contraceptive Pill
c) Intra Uterine Devices (IUD)
While condoms and oral prophylactic pills are being given through free dissemination
plan and social showcasing plan, IUD is being given just under free conveyance
conspire. Under Social Marketing Program, contraceptives, the two condoms and oral pills are
sold at financed rates. What’s more, contraceptives are economically sold by assembling
organizations under their image names too. Govt. of India does not give any appropriation to the
business deal.
COPPER-T
Cu-T is one of the critical dividing techniques offered under the Family Welfare Program.
Cu-T is provided free of cost to every one of the States/UTs by Govt. of India for addition at the PHCs,
Sub-focuses and Hospitals via prepared Medical Practitioners/prepared Health Workers.
The prior variant of Cu-T 200 “B” (IUDs) has been supplanted by Cu-T 380-A from 2002-03
onwards which gives assurance to a more drawn out period(about 10 years) as against Cu-T 200 “B”
which gave assurance to around 3 years as it were.
Crisis CONTRACEPTIVE PILL (ECP) was presented under Family Welfare
Program amid 2002-03. The crisis prophylactic is the strategy that can be utilized to counteract undesirable pregnancy after an unprotected demonstration of sex (counting sexual strike, assault or sexual compulsion) or in prophylactic disappointment. Crisis Contraceptive is to be gone up against remedy of Medical Practitioners.
TERMINAL METHODS
Under National Family Welfare Program following Terminal/Permanent Methods are being
given to the qualified couples.
A) TUBECTOMY
i) Mini Lap Tubectomy
ii) Lapro Tubectomy
Laparoscopic cleansing is a moderately snappier technique for female sanitization.
B) VASECTOMY
i) Conventional Vasectomy
ii) No-Scalpel Vasectomy
It is a standout amongst the best prophylactic techniques accessible for guys. It is a change on the customary vasectomy with for all intents and purposes no reactions or intricacies. This new strategy is presently being offered to men who have finished their families. The No-Scalpel Vasectomy venture is being actualized in the nation to enable men to receive male sanitization furthermore, along these lines advance male investment in the Family Welfare program.
