family health service, introduction,definitionj,

family health services

1. F amily Health Services Mr.K,Parasakthi , M.Sc.(N) Assisstant professor, Department of Community Health Nursing VMACON, VMRF-DU, Salem

2. INTRODUCTION: Family Health services are the central point of health services. It is an important component of “Health for All” goal. Health of each individual affects the health of other members of family. It is essential for community health nurse to have a sound knowledge of family.

3. FAMILY HEALTH FAMILY Family is a system of relationship existing between parents and children (Clare) FAMILY HEALTH A state of positive interaction between family members which enables each members of the family to enjoy optimum physical, mental, social and spiritual well being FAMILY HEALTH SERVICE OR CARE Family health services can be defined as having the skills and resources to carry out family development tasks. It is special care given to family members to promote their health, prevent health problems, and for the well- being of the family

4. CONCEPT OF FAMILY HEALTH SERVICE Family is the basic unit of any health care system. Without family care services, the target of health services cannot be achieved. Family health services act as a problem solving process in which family health nurse provides services irrespective of socio-economic level of families Comprehensive health care (preventive, promotive and rehabilitative care) can be provided to community and family through health care services. Family planning, nutrition, maternal and child health and geriatric care are the important aspects of family health services.

5. Objectives To Identify and assess the family's health problems. To ensure understanding and acceptance of the problem by the family. To provide nursing services according to the health needs of the family. To help develop the competence of members to care for their family. To promote the use of available resources to maintain all aspects of the family's health. To provide health education to lead a healthy and fruitful life. To provide health services to family members at a cost-effective level. To help family members achieve their health goals.

6. AIMS OF FAMILY HEALTH SERVICES Reducing maternal mortality rate, maternal morbidity rate infant mortally rate. Spacing the birth of children. Providing help in solving the problem of malnutrition in family. Providing health education to the family, so that they can lead a healthy and good life.

7. SCOPE OF FAMILY HEALTH SERVICE Reproductive health Children's health Adolescent health Mental health Gender issues Ageing

8. PRINCIPLES Establish a good professional relationship with the family Knowledge of the basic facts Size, occupation, such as norms of customs, rituals and education Identification and priority of problems Need-based services and supports for the family Discussion of the problem with the family and possible solution Encourage the family to be self-sufficient to meet their needs Health services must be independent of gender, age, income and religion Involvement of family members

9. Cont …… Co-operation of the family members should be obtained to implement the desired plan of action. Family should be encouraged to be self-sufficient to fulfill their needs and pay attention to nutrition, health and family welfare. At every contact/visit, a message should be given that is impotent from the point of view of family’s health. Participation of family members is essential in family health nursing services.

10. DEFINITION Maternal and child health services can be defined as "promoting, preventing, therapeutic or rehabilitation facility or care for the mother and child”

11. GOLE AND OBJECTIVES Reduce mortality and morbidity among mothers, infants and preschool Children OBJECTIVES Child survival (reduce child mortality rate) Promoting reproductive health or safe motherhood Ensure birth of healthy child Prevent malnutrition Prevent communicable diseases Early diagnosis and treatment of the health problems Health education and family planning services

12. INDICATORS OF MCH MMR IMR Neonatal mortality rate Under five mortality rate Child survival rate

13. ORGANIZATIONAL ACTIVITIES OF MCH SERVICES Complete health check up and care of the child and mother from conception to birth Studying the health problems of mothers and child Providing health education to parents for taking care of children Training to professionals and assistant workers

14. RESPONSIBILITIES OF COMMUNITY HEALTH NURSE IN FHS

15. Maternal and child health service cars Prenatal/antenatal services Intranatal care services Postnatal care services Under five child health services

16. ANTENATAL SERVICES OBJECTIVES To detect high risk cases & give them special care To identify complications and prevent them To educate the mother To promote, protect and maintain the health Provided by prenatal clinics/antenatal clinics Urban areas – MCH centres and hospitals Rural areas – CHC, PHC, Sub- centres Organized weekly

17. Intranatal services Delivery may be arranged at home or hospital Institutional delivery is safe

18. Objectives To provide thorough asepsis To prevent injury to baby and mother To prevent complications To provide care to the baby

19. Post natal services Objectives To provide care to mother and baby To prevent complications To provide family planning services, basic education to mother Postnatal examination Hb examination during postnatal visit Teaching postnatal exercises Family planning services Health education

20. CHILD HEALTH SERVICES Objectives Decreasing child death and infant mortality rate Complete protection of child Nutritious diet to children Overall growth of children Preserve and promote health of under five children Increasing health level of children

21. SERVICES Immunization Breast feeding Growth and development Personal hygiene Detection of health problems &treatment

22. CHILD CLINICS Under five clinics Child guidance clinics

23. UNDER FIVE CLINICS AIMS AND ACTIVITIES Preventive care Growth monitoring Care in illness CHILD GUIDANCE CLINIC For children suffering from abnormal behavior or psychological problem. Psychiatrists, community health nurse and other auxiliary workers serve in these clinics .

24. Cont … Bed wetting/ enuresis Refusing to go to school Hating a family member Complain of being ignored/ neglected Cruel behavior towards other children and animals. Stealing the objects Intense reaction to normal situation

25. FAMILY HEALTH NURSING PROCESS It is a systematic, problem-solving, logical, and deliberate process to help the family develop and strengthen their capacities to meet their health needs and solve their health problems. Facilitates standardized nursing procedures to achieve the goals and objectives of family health nursing. It is a logical sequence of data collection for family health care. It consists of five phases:

26. Assessment Involves Observation, Nursing History, Literature Review Consultation, Interview, and Clinical History, Physical and Psychosocial History. Diagnosis:  It consists of the family diagnosis. Planning:  Involves setting priorities, setting goals and objectives, and formulating a family health nursing care plan. Implementation:  It consists of the mobilization of resources facilitating the work environment, implementation and documentation. Evaluation:  It involves the summative and formative evaluation of the family health nursing care plan.

27. QUALITIES OF FAMILY HEALTH NURSE Family- centred approach Holistic approach (wellness) Do not judge during the approach Self-awareness Accept different values ​​and beliefs Able to work in adverse conditions Flexible Sensitive to time and effort Independent and positive attitude Skilled Able to cope with and manage stress Able to handle the situation