COMMUNITY HEALTH NURSING

COMPONENTS OF HEALTH SERVICES

FAMILY WELFARE SERVICES

Presented By :Mrs BeminaDinesh

Assistant Professor
ESIC College OF Nursing
Introduction:
 The ministry of health and family at the centre and states plays
an important role in the governmental effort in the delivery of
health and family welfare service to people in the country.
 DEFINITION:

  FAMILY

“Family” refers to two or more individuals who depend on one

another for emotional, physical and economical support.”
Family welfare includes not only planning of births ,but they
welfare of whole 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 citizen.
CONCEPT OF FAMILY WELFARE
PROGRAMME
 1. The concept of welfare is basically related to quality of life.
 2. As such it includes education, nutrition, health, employment, women’s
welfare and rights ,shelter, safe drinking water-all vital factors associated
with the concept of welfare.
  It is a Centrally sponsored programme. For this, the states receive 100
per cent assistance from Central Government.
  The emphasis is on a child family.
  Also, the emphasis is on spacing methods 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 services are taken to every doorstep in order to motivate families
to accept the small family norm
Aim & Objectives Of Family Welfare
Programme

 1. To promote the adoption of small family size norm,

on the basis of voluntary acceptance.
 2. To promote the use of spacing methods. 3. To ensure

adequate supply of contraceptives to all eligible

couples within easy reach.
 4 To arrange for clinical and surgical services so as to

achieve the set targets.

 5 Participations/ local leaders/ local self government, in

family welfare programme at various levels.

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.
 3. Social and health education :-
 4. Supplies and Services :-

a. The scope of activities carried out under family

welfare programme.
b. mother and child health c. small family norm d.
school health
Services render under the family welfare
are:
 Antenatal registration
 Immunization
 Screening of high risk pregnancy and follow up
 Anemia correction
 Intra natal care, emergency obstetric services, postnatal care.
 Newborn care
 Family welfare services
  Family planning services
  MTP services.
  Micro-surgery: recanalisation and infertility
  Cancer screening: PAP smear test facility.
The services rendered under family planning activities may be
described as below:
CLINIC SERVICES:

 MCH services
 Those who have completed their family size (2

children) are motivated to opt for a terminal method of

contraception.
 Those who wish to postpone the arrival of their next

child are advised spacing methods with due to

emphasis on oral pills or copper –T insertion.
 Tubectomies are performed at the clinics attached to

primary health center and district hospitals.

DOMICILIARY SERVICES:
 Education and motivation of eligible couple
individually.
 Follow up of IUD and pills users and post operative

follow up of vasectomy, Tubectomy and MTP cases.

 Domiciliary care of antenatal, natal, post-natal infant

and toddler care.

 Referral services-for those having special problem of

post-operative complications
COMMUNITY SERVICES:
 Family planning survey:
This will comprise collective on of information ( demographic,
cultural and socio-economic) about the place and people ,
preparation of village map and household list; identification of
eligible couples ,expectant mothers ,infants and pre- school children
and
collecting information about other agencies engaged in the delivery of
family planning services.
 Identification of community leaders:
Identification of local male and female leaders and other influential
persons in the community and mobilizing their support and
participation in the programme implementation is an essential factor
for the success of the programme.
Educational activities:

  Nurses have to vital role to play in terms of

providing education and motivation for popularizing
small family norms.
 They have to explain the people that population
increase should not be viewed from the narrow view
point of economic benefits to the family.
Educational activities
  Educational activities to create awareness and to dissemination
of specific information about family planning methods and the
desirability of a small family norms among general masses are an
are import aspect of the family planning programme.
 Activities like film shows exhibitions, mass meetings, group
discussion have to be organized in the community
 Motivational effort:
 Educational activities must be supplemented by motivational
efforts.
Utilizing information from eligible couple register ,the eligible
couples should be motivated individually and collectively.
FWS
 Maintaining adequate supplies:
 Contraceptive distribution depots should be established in each
village to ensure continuous supply of contraceptives.
 Organizing special campaigns:
 This will include organizing intensive drives, IUD camps, and
vasectomy and Tubectomy camps periodically to boost the target
achievement.
 BEYOND FAMILY PLANNING SERVICES:
 Female literacy
 Enhancing child survival and development
 Anti-poverty programs
 Old age security.
IMPROVED PROGRAMME PLANNING DELIVERY AND MANAGEMENT

  Upgrading technical service and follow up care

 Integrating field workers into the health care system.
 Improve programme management
 Manpower development and training
 Monitoring ,evaluation and research
ROLE OF COMMUNITY HEALTH NURSE IN FAMILY
WELFARE SERVICES

 Community health nurse has a vast role to play in

family welfare services.
  Survey work
  Collecting demographic facts.
  Making list of homes and finding out housing

location.
  Collecting information about pregnant mothers,

eligible couples, infants and children below the school

going
EDUCATIONAL FUNCTIONS 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 contraceptives

and educating them about its uses.

  Motivating people for family planning operation or

permanent contraception.
MANEGERIAL FUNCTIONS
1.CONDUCTING CLINICS
• Deciding the date and place of clinics.
• Arranging equipments and other resources at clinics.
• Arrangements and distribution of contraceptives.
• Insertion and removal of IUDS
2. ORGANIZING FAMILY PLANNING CAMPS
• Arranging family planning operations(sterilization male/female)through special camps.
• Making arrangements at the camps and
• following aseptics techniques.
• Motivating eligible couples and preparing them for the operation .
• Assisting the doctor in operation.
3. MAINTAINING THE RECORDS
• Keeping the eligible couple register update.
• Maintaining the register of sterilization cases, contraceptives users ,and pregnant mothers.
• Maintaining other records related to family planning
4. LIASION WORK  Soliciting the co-operation of NGOs/voluntary organization
COMMITTEE
 HEALTH COMMITTEE
  BHORE COMMITTEE
  MUDALIAR COMMITTEE
  CHADAH COMMITTEE
  KARTAR SINGH COMMITTEE
  SHRIVASTAV COMMITTEE
summary
  Today we discussed regarding introduction, aims,
services under family welfare and role of nurse in
family welfare services.
BIBLIOGRAPHY

 • Basavanthappa BT, Community Health Nursing 1st Edition,

1998, Jaypee Brothers, Delhi, Page no. 319-321.
 • Chalkey A. M., A Textbook for the Health Worker, 1st Edition,
1985, N.A.I. Limited, Publisher, New Delhi, Page no. 330-340.
 • Kumari Neelam, Essentials of Community Health Nursing, 1st
Edition 2011, PV books Jalandhar, Page no. 225-226.
 • Park K., Essentials of Community Health Nursing, 4th Edition
2004, Banarasidas Bhanot Publisher, Jabalpur, Page no. 225-226.
 • Swarnkar K., Community Health Nursing, 2nd Edition 2008,
N.R. Brother, Indore, Page no.639-642.