Family welfare services

Family welfare services

1. FAMILY WELFARE SERVICE

2. FAMILY WELFARE SERVICE DEFINITION: FAMILY “Family” refers to two or more individuals who depend on one another for emotional, physical and economical support.”

3. FAMILY WELFARE SERVICE 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.

4. Cont.. AIMS: Welfare of each citizen Saving the lives of mother and children. Checking the population growth.

5. 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

6. Cont.. Family planning services MTP services. Micro-surgery: recanalisation and infertility Cancer screening: PAP smear test facility.

7. 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.

8. Cont. 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

9. Cont. 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.

10. Cont.. 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.

11. Cont.. 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.

12. Cont.. 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

13. CON T .. 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.

14. Cont.. Maintaining adequate supplies:  Contraceptive distribution depots should be established in each village to ensure continuous supply of contraceptives .

15. Cont.. Organizing special campaigns:  This will include organizing intensive drives, IUD camps, and vasectomy and Tubectomy camps periodically to boost the target achievement.

16. cont. BEYOND FAMILY PLANNING SERVICES: Female literacy Enhancing child survival and development Anti-poverty programs Old age security.

17. Cont.. 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

18. ROLE OF COMMUNITY HEALTH NURSE IN FAMILY WELFARE: leadership Community health Nurse will be responsible for the proper and successful implementation of the family welfare services in PHC area including information, education, communication activities motivation, and delivery of services and after care.

19. Cont. Community health Nurse will be responsible for giving immediate and sustained attention to the any complications the acceptors develop due to acceptance of family welfare method in his area. Community health Nurse should carefully watch the morbidity and mortality of acceptors for immediate action. Community health Nurse will extend motivational advice and contraceptives services ( temporary and permanent) to all eligible couples he sees in the clinics conducted by him at the PHC .

20. Cont. Community health Nurse will trained in service, operation MTP and IUD. Community health Nurse will maintain the record of training status of PHC staff on health and family welfare. Community health Nurse will ensure adequate supplies or equipment, drugs, contraceptive and educational materials required for the services.

21. Cont. Community health Nurse will organize monthly staff meetings to review the progress made and to discuss the problem and future plans. Community health Nurse will development and maintain a cooperatives work relationship with other agencies and opinion leader in PHC area in order to generate and sustain the family welfare movement. Community health Nurse will ensure proper and up-to-date maintenance of eligible couple registers through spot checking.