family welfare program & population policy

7/31/2019 Family Welfare Program & Population Policy

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1SIHFW: an ISO 9001: 2008 certified institution


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1952: National Family Planning program launched

100% centrally sponsored program

First country in the world



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Family Planning Dept.- created in 3rd FYP

4th FYP - integration of Family Planning services with

MCH services

MTP Act introduced 1972

at ona am y e are rogramme starte n



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Reducing the birth rate to the extent necessary

o s a ze e popu a on a a eve cons s en

.



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Stabilize Po ulationTargets as an end

Reduction in Births

Informed decision Resentment, disownment



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VII FYP

Area Develo ment Pro ects

India Population Project-VIII & IX

India Population Project-VIII & IX

Increasing involvement of NGOs

UIP & CSSM



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nd

2nd FYP - Target approach

3rd FYP Extension & Education approach

4th FYP - Post Partum scheme, reduce CBR to 32



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5th FYP NFPP replaced by NFWP, reduce CBR to

30 th -

size to 2.3 7th FYP - spacing methods, community participation



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-

supplement and complement the Government

efforts.

th

growth

10th FYP focused on reduction on IMR ,decadal

rowth rate & increased literac rate



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Indicator If currenttrend

If acceleration envisaged in ApproachPaper to the Ninth Five Year Plan is

.

CBR 24/1000 23/1000

IMR 56/1000 50/1000

. .

CPR 51% 60%

NNMR 35/1000

MMR 3/1000

10SIHFW: an ISO 9001: 2008 certified institution(Source: www.censusindia.net)


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Objectives:

Reduction in the decadal rate of population

grow e ween an o . ;

Increase in Literacy Rates to 75 per cent

within the Tenth Plan period (2002 to 2007)

e uc on o n an mor a y ra e oper 1000 live births by 2007 and to 28 by 2012



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Population Policy

NRHM

IMR,MMR,TFR

Unmet Needs- IncreasingContraceptive choices

Male involvement

Social marketingPrivate sector involvement

Infrastructure stren then

Involvement of PRI

IE

Training 12SIHFW: an ISO 9001: 2008 certified institution


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XI FYP

Tar etsReduce IMR to 28 and MMR to 1 per1000 live births

u .

Provide clean drinking water for all by2009 and ensure that there are no sli -backs

Reduce malnutrition among children of

Reduce anemia among women andgirls by 50% by the end of the plan

Family planning insurance Scheme Jansankhya Sthirata Kosh



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Reducing MMR to 100

Reducing TFR to 2.1

rov ng c ean r n ng wa er or a y

Reducing malnutrition among children of age .

Reducing anemia among women and girls by 50%.

a s ng e sex ra o or age group o y201112 and 950 by 201617.



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The National Family Welfare Program provides the

following contraceptive services for spacing births:

Condoms

Oral Contrace tive Pill

Intra Uterine Devices (IUD)



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u ec omy

i) Mini Lap Tubectomy

ii) Lapro Tubectomy

Vasectomy

i) Conventional Vasectomy

ii) No-Scalpel Vasectomy



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Periodo. o ene c ar es o er za ons n

India

-

-

2010-2011 255605 4951938 5207543

2011-2012(Till 30.6.11)

17299 583903 601202

Source: State wise Progress, NRHM, India (www.mohfw.nic.in) 17SIHFW: an ISO 9001: 2008 certified institution


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S.N. Period Target Achieved % Achieved

1 2006-2007 454665 288089 63.36%

2 2007-2008 457655 335029 73.21%

3 2008-2009 459569 356923 77.66%

- .5 2010-2011 481248 338574 70.35%

Source: (Progress Report of Family Welfare Program ,Rajasthan)



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Deliveries (In Lakh)

Children (in 000s)

.

.

.

Source:StatewiseProgressason30/06/2011,NRHM,India(www.mohfw.nic.in)



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art cu ar arget c evement % c evement

.

IUD Insertions 458207 407122 88.85Total OP Users 1231789 795327 64.57

Total CC Users 1452985 987507 67.96

ANC Registration 1931466 1869758 96.81ANC Registrationwithin 12weeks

1931466 853792 44.20

ANC Registration 1931466 1255982 65.03checkups

TT(PW) 1931466 1576257 81.61Full Immunization .

Source: Progress Report of FWP&NRHM/RCH II (2010-11)Demographic Unit, Directorate of Medical, Health&Family Welfare services, Jaipur 20SIHFW: an ISO 9001: 2008 certified institution


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Source: Pragati Prativaden 2010-11(www.rajswasthya.nic.in)

SIHFW: an ISO 9001: 2008 certified institution 21


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GOI constituted an EAG w.e.f. 20th March,2001

To facilitate the preparation of area-specific

p ,

With special emphasis on eight states

[Rajasthan, UP, Bihar, MP, Orissa,

a sgar , ar an , aranc a



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besides the Government institutions to provide

family welfare services in the State. More

will be approved to render Family Welfare

services to the eligible couples.



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All the untrained DGOs, M.D (Obstetrics &

ynaeco ogy , . . urgery w e ra ne n

Laparoscopic Sterilization. All the untrained

MBBS doctors will be trained in tubectomy

ster zat on an on ca pe asectomy.

At resent 254 O eration theatres are

functioning in the Primary Health Centres. Steps

will be taken to make the Operation theatres in

all the Primar Health Centres functional in a

phased manner. 24SIHFW: an ISO 9001: 2008 certified institution


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identify village wise eligible mothers with three

and above children and motivate them by a

Sterilization.

All the untrained VHNs and ANMs will be given

training in insertion of IUD



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Ensurin a ro riate olic develo ment at the

Centre, Provisioning for technical assistance to the

member States,

Addressing issues of coordination betweenmember states and departments

Deploying financial resources, as appropriate

and feasible.



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To encourage people to adopt permanentmet o o am y ann ng

Centrally Sponsored Scheme since 1981 tocompensa e e accep ors o s er za on or eloss of wages

insurance Company

. . - . .

Compensation in case of adverse event (w.e.f.st,



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Categ

ory

Intervention Accep

tor

Motivator Dru

gs

Surg

eon

Anes

thetist

Staff

nurse

OT

Asstt.

Refr

eshmen

Cam

pmgt.

t

High Vasectomy (all) 1100 200 50 100 - 15 15 10 10

states

Non Vasectomy (all) 1100 200 50 100 - 15 15 10 10

focus

states

L, SC/ST only)

Tubectomy(

APL only)

250 150 100 75 25 15 15 10 10



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Category Type of operation Facility Motiv Total

High Vasectomy (All) 1300 200 1500

u

States

u y

focus

y

Tubectomy 1350 150 1500

+


Source: Manual for family Planning Insurance Scheme, Dept.of Health& Family Welfare (www.mohfw.nic.in)


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offering a range of services that are safe and

effective and that satisfy clients needs and

.

are treated by the system.



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Family planning is not just a demographic issue

.

rights, socio-economic development,

preservation of the environment, and the health

, ,

society at large.

There is a huge unmet need for Family Planning

of services. SIHFW: an ISO 9001: 2008 certified institution 31


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Services/ Activities Areas to be strengthened,

VHNDs: Counseling

va a y o

materials Capacity building & Role

,Condoms, ECPs)

Follow up of IUCD,

sterilization &Postpartum

ar y Incentives to ASHA

Regular supervisionc ents

Referral Community Mobilization

Active participation of PRIs

Creating Role Models:Jan Mangalcouples and PrernaScheme by JSK in somedistricts of Rajasthan NSV Champion in Jharkhand



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Activities/Services

Maintainin Eli ible

Areas to be strengthened

Facilit readinessCouple Register

Counselling and service

according to IPHSstandards

prov s on ur ng ,PNC & Immunization

visits

ra n ng n o Touch Technique)

Provision of IEC Materials IUCD insertions

Follow up services Supportive supervision by

LHV / MO PHC

Referral Services Contraceptive supply,

Strengthening Referral

ASHA & AWW



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Activities/Services Areas to be strengthened

serv ces nc u ng

Tubal ligation (interval &ost artum)& NSV

24/7Services as per IPHS Ensurin availabilit of

Follow up services

Counselling and

trained personnel inMinilap/NSV/IUCD

appropriate referral forcouples having infertility

Fixed Day Static Servicesfor sterilization

supervision of field levelstaff like ANMs, MPWs&

Regular supply of drugs, equipments &

s ns rumen s

Referral ServicesSIHFW: an ISO 9001: 2008 certified institution 36


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Activities/Services

*

Areas to be strengthened

U radation as er

All FP services includingLa arosco ic Sterilization

Strengthening ofcounseling component

services

Follow up services

a ona pos ng ospecialists

O erationalize District Training and supervision

of field level staffClinical Training Centres

Fixed Day Static Services

Diagnostic Services or s er za on Strengthening of RKS

having infertility



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at various opportunities: ANC/PNC/Institutionaldelivery/Immunization/HIV counseling/Adolescent

clinics/ Home visits/ VHND.

Coordination amon De artment of Health,Directorate of Family Welfare and NRHM

Programme Management Unit at various levels.

Ensuring Availability of trained manpower andother resources at all levels.



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improving maternal and child health

constituted at all the States/ Districts level as per

norms se n ua y ssurance manua anregular meetings to be held for assessing and

.

Facility up gradation as per the IPHS.

services



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Quality DesignPolicy & Goals- NPP, NHP, NRHM, MDGService Protocols/ Manuals/ Guidelines

Standardized Operating ProceduresIndemnity insurance schemeCompensation for loss of wages

Quality ControlQuality Improvement

Supportive SupervisionPeriodic ReportsQuality Assurance Committee HMISNationwide Surveys

ActionsMonitoring of progress ofRemedial implementation,



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To address the unmet needs for contraception,

health care infrastructure, and health personnel,

an o prov e n egra e serv ce e very or

basic reproductive and child health care



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Medium-term objective:

To bring the TFR to replacement levels by 2010,

through vigorous implementation of inter-

sectoral o erational strate ies.

Long-term objective:

o ac eve a s a e popu a on y



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1400

7.

03

1210.

19

1000.

33

846.39

102

India

Rajasthan

600

800

.09

39.

23

548.

16

683

400 36

4

97

15

.76

.36

.01

.47

.62

0

1951 1961 1971 1981 1991 2001 2011

1

5.

2

0.

2

5

3

4

45 6

Source: Census of India / data in millions



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National Population Stabilization Fund -registered

Combination of government and civil society

Working to promote innovations

Promote initiatives which leverage the strength of

different economic and social sectors

To reach out needy population groups



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Prerna Awards at Dhaulpur and Jodhpur in Rajasthan

and Nabarangpur in Orissa

Workin with the Private Sector Medical S ecialists

to enhance services for contraception.

[NGOs, CII, FICCI, IASP, IPHA, IAP & SM, FOGSI

etc]

Material Develo ment and dis la for IEC/BCC



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Prerna provides reward for specific parenthood

Girls marriage after 19 years - Rs.5000

First birth after 21 years - Rs.7000 (girl)

Rs 5000 bo 3 years gap between first and second child with

sterilization of 1 parent after the 2nd child (Reward

of Rs.7000/ if its a girl child & Rs 5000/ if its aboy)



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Couple must belong to any of the 46 districtsidentified

Must belong to BPL category

Only those couples who have completed

r i r i n f m rri n r i r i n f hbirth of each child

The award shall be iven in form of Kisan Vikas

Patra in the name of Couple and will be given ata public function



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Motivate private gynecologists to perform 100tubectomy /vasectomy, doctors are paid accordingto already notified compensation rates (Rs 1500per case)

MOU is signed between the district CMHO andprivate facilities

Funding is provided by JSK through the Collectorand CHMO

n t ate n a ya ra es , a ast an an r ssa 64 MOUs and around 1600 sterilization operations

un ug



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A number of rimar and secondar care

facilities in the government sector are being

geare to prov e xe ay erv ces or

sterilization.

Compensation scheme for sterilization

acceptors.



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li A r n mmi A h v

been constituted in all the states and districts so

that adequate standards of care are maintained

in famil lannin services.

A new and better IUD-T 380 A, which has ten-

year effectiveness, has been introduced along

wi h r r inin h h r n l n

term spacing method



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VRC is a virtual resource/documentation centre

Provides access to films, posters, photos lik n mi n r m rn l n

infant mortality, sex ratio, adolescent

health, spacing etc. Media, Researchers, Students NGOs and

General public has access to it

Inter-university and school level quizcompetitions



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ux y u - w p

at CHC. The 32-year-old mother of two daughters

choice about family planning services just as she

was able to do. When she was pregnant for thesecond time and looking for a viable, long-termfamily planning method to limit future pregnancies,



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Seema received counseling by a visiting team.The team that counseled Seema explained thempor ance o us ng con racep ves a er e very

to delay or prevent the next pregnancy, and told- ,

inserted within 48 hours after delivery. As a result

of this counselin , Seema chose to deliver herbaby at Womens Hospital, so that she could getan IUCD immediately after the birth of her

daughter, Ritika, who is now three months old.



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For Seema, an IUCD was the best familyplanning choice because it was free undergovernmen po cy, as s or years an cou e

inserted while she was still in the hospital.,

to remember to take an oral pill every day. Seema

was so enthusiastic about her famil lannindecision that while resting in the postpartumward, she successfully counseled two other

women who were sharing the room with her.



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They, too, chose to have an IUCD inserted.

her community can benefit from this method of,

a promising future for her own two daughters.

One of four children in a poor family, Seemastruggled to finish her schooling and became themost educated member of her family



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family welfare program & population policy

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