National Family Welfare Program & Population Policy

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Presentation Transcript

PowerPoint Presentation: 

National Family Welfare Program and National Population Policy 1 SIHFW: an ISO 9001: 2008 certified institution

National Family Welfare Program : 

National Family Welfare Program 1952: National Family Planning program launched 100% centrally sponsored program First country in the world 2 SIHFW: an ISO 9001: 2008 certified institution

National Family Welfare Program : 

National Family Welfare Program Family Planning Dept.- created in 3 rd FYP 4 th FYP - integration of Family Planning services with MCH services MTP Act introduced 1972 National Family Welfare Programme started in 1977 3 SIHFW: an ISO 9001: 2008 certified institution

Objective: 

Objective “Reducing the birth rate to the extent necessary to stabilize the population at a level consistent with the requirement of the National economy”. 4 SIHFW: an ISO 9001: 2008 certified institution

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Stabilize Population Targets as an “end” Reduction in Births Administrative &Performance Informed decision Resentment, disownment client driven Quality 5 SIHFW: an ISO 9001: 2008 certified institution

Approach: 

Approach VII FYP Area Development Projects India Population Project-VIII & IX India Population Project-VIII & IX Differential planning scheme Increasing involvement of NGOs UIP & CSSM TFA 6 SIHFW: an ISO 9001: 2008 certified institution

Approach: 

Approach 1st and 2 nd FYP- “Clinical” 2 nd FYP - “Target approach” 3 rd FYP – “Extension & Education” approach 4 th FYP - Post Partum scheme, reduce CBR to 32 7 SIHFW: an ISO 9001: 2008 certified institution

Approach: 

Approach 5 th FYP – NFPP replaced by NFWP, reduce CBR to 30 6 th FYP- Net Reproduction Rate (NRR) of 1, family size to 2.3 7 th FYP - spacing methods, community participation and promotion of MCH care 8 SIHFW: an ISO 9001: 2008 certified institution

Approach: 

Approach 8 th FYP-stress on the involvement of NGOs to supplement and complement the Government efforts. 9 th FYP stressed on reduction in population growth 10 th FYP focused on reduction on IMR ,decadal growth rate & increased literacy rate 9 SIHFW: an ISO 9001: 2008 certified institution

IX FYP: 

IX FYP Indicator If current trend continues If acceleration envisaged in Approach Paper to the Ninth Five Year Plan is achieved. CBR 24/1000 23/1000 IMR 56/1000 50/1000 TFR 2.9 2.6 CPR 51% 60% NNMR 35/1000 MMR 3/1000 10 SIHFW: an ISO 9001: 2008 certified institution ( Source: www.censusindia.net)

PowerPoint Presentation: 

X FYP – Objectives: Reduction in the decadal rate of population growth between 2001 and 2011 to 16.2%; Increase in Literacy Rates to 75 per cent within the Tenth Plan period (2002 to 2007) Reduction of Infant mortality rate (IMR) to 45 per 1000 live births by 2007 and to 28 by 2012 11 SIHFW: an ISO 9001: 2008 certified institution

X-FYP: 

X-FYP Population Policy NRHM IMR,MMR,TFR Unmet Needs- Increasing Contraceptive choices Male involvement Social marketing Private sector involvement Infrastructure strengthen Involvement of PRI IEC Training 12 SIHFW: an ISO 9001: 2008 certified institution

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XI FYP Targets Reduce IMR to 28 and MMR to 1 per 1000 live births Reduce TFR to 2.1 Provide clean drinking water for all by 2009 and ensure that there are no slip-backs Reduce malnutrition among children of age group 0-3 to half its present level Reduce anemia among women and girls by 50% by the end of the plan Family planning insurance Scheme Jansankhya Sthirata Kosh 13 SIHFW: an ISO 9001: 2008 certified institution

Goals: XI FYP: 

Goals: XI FYP Reducing MMR to 100 Reducing IMR to 28 Reducing TFR to 2.1 Providing clean drinking water for all by 2009 Reducing malnutrition among children of age group 0–3 to half its present level. Reducing anemia among women and girls by 50%. Raising the sex ratio for age group 0–6 to 935 by 2011–12 and 950 by 2016–17. 14 SIHFW: an ISO 9001: 2008 certified institution

Contraceptives: 

Contraceptives The National Family Welfare Program provides the following contraceptive services for spacing births: Condoms Oral Contraceptive Pill Intra Uterine Devices (IUD) 15 SIHFW: an ISO 9001: 2008 certified institution

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Terminal Methods: Tubectomy i ) Mini Lap Tubectomy ii) Lapro Tubectomy Vasectomy i ) Conventional Vasectomy ii) No-Scalpel Vasectomy 16 SIHFW: an ISO 9001: 2008 certified institution

No. of beneficiaries of Sterilizations: 

No. of beneficiaries of Sterilizations Period No. of beneficiaries of Sterilizations in India Male Female Total 2008-2009 250496 4756789 5007285 2009-2010 228378 4754170 4982548 2010-2011 255605 4951938 5207543 2011-2012 (Till 30.6.11) 17299 583903 601202 Source: State wise Progress, NRHM, India (www.mohfw.nic.in) 17 SIHFW: an ISO 9001: 2008 certified institution

No. of beneficiaries of Sterilizations in Rajasthan: 

No. of beneficiaries of Sterilizations in Rajasthan 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% 4 2009-2010 471618 345900 73.34% 5 2010-2011 481248 338574 70.35% Source: (Progress Report of Family Welfare Program ,Rajasthan) 18 SIHFW: an ISO 9001: 2008 certified institution

Family Welfare Achievement in India: 

Family Welfare Achievement in India No. of Institutional Deliveries (In Lakh) No of Full Immunized Children (in ‘000s) 2008-2009 148.23 2008-2009 22454 2009-2010 162.22 2009-2010 23175 2010-2011 168.04 2010-2011 23653 19 SIHFW: an ISO 9001: 2008 certified institution Source: State wise Progress as on 30/06/2011, NRHM, India (www.mohfw.nic.in)

Family Welfare achievement in Rajasthan : 

Family Welfare achievement in Rajasthan Particular Target Achievement % Achievement Total Sterilization 481248 338574 70.35 IUD Insertions 458207 407122 88.85 Total OP Users 1231789 795327 64.57 Total CC Users 1452985 987507 67.96 ANC Registration 1931466 1869758 96.81 ANC Registration within 12weeks 1931466 853792 44.20 ANC Registration Who have received 3 checkups 1931466 1255982 65.03 TT(PW) 1931466 1576257 81.61 Full Immunization 1645258 1368591 83.18 Source: Progress Report of FWP&NRHM/RCH II (2010-11)Demographic Unit, Directorate of Medical, Health &Family Welfare services, Jaipur 20 SIHFW: an ISO 9001: 2008 certified institution

Status of NSV: Rajasthan : 

Status of NSV: Rajasthan Source: Pragati Prativaden 2010-11(www.rajswasthya.nic.in) SIHFW: an ISO 9001: 2008 certified institution 21

Empowered Action Groups: 

Empowered Action Groups GOI constituted an EAG w.e.f. 20 th March,2001 To facilitate the preparation of area-specific programs, With special emphasis on eight states [Rajasthan, UP, Bihar, MP, Orissa, Chhattisgarh, Jharkhand, Uttaranchal] 22 SIHFW: an ISO 9001: 2008 certified institution

Strategies to be adopted to achieve the Goals Under XI FYP: 

Strategies to be adopted to achieve the Goals Under XI FYP 1706 private nursing homes have been involved besides the Government institutions to provide family welfare services in the State. More number of unapproved private nursing homes will be approved to render Family Welfare services to the eligible couples. 23 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

All the untrained DGOs, M.D (Obstetrics & Gynaecology ), M.S. (Surgery) will be trained in Laparoscopic Sterilization. All the untrained MBBS doctors will be trained in tubectomy sterilization and Non Scalpel Vasectomy. At present 254 Operation theatres are functioning in the Primary Health Centres. Steps will be taken to make the Operation theatres in all the Primary Health Centres functional in a phased manner. 24 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

Area specific approach will be adopted to identify village wise eligible mothers with three and above children and motivate them by a block level team to accept Family Welfare Sterilization. All the untrained VHNs and ANMs will be given training in insertion of IUD 25 SIHFW: an ISO 9001: 2008 certified institution

Role of the EAG : 

Role of the EAG Ensuring appropriate policy development at the Centre, Provisioning for technical assistance to the member States, Addressing issues of coordination between member states and departments Deploying financial resources, as appropriate and feasible. 26 SIHFW: an ISO 9001: 2008 certified institution

Family Planning Insurance scheme: 

Family Planning Insurance scheme To encourage people to adopt permanent method of Family Planning Centrally Sponsored Scheme since 1981 to compensate the acceptors of sterilization for the loss of wages Implemented through ICICI Lombard General insurance Company Compensation: (w.e.f-07.09.07) Compensation in case of adverse event (w.e.f. January 1 st , 2009) 27 SIHFW: an ISO 9001: 2008 certified institution

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Category Intervention Acceptor Motivator Drugs Surgeon Anesthetist Staff nurse OT Asstt . Refreshment Camp mgt. High focus states Vasectomy (all) Tubectomy (all) 1100 600 200 150 50 100 100 75 - 25 15 15 15 15 10 10 10 10 Non high focus states Vasectomy (all) Tubectomy (BPL, SC/ST only) Tubectomy( APL only) 1100 600 250 200 150 150 50 100 100 100 75 75 - 25 25 15 15 15 15 15 15 10 10 10 10 10 10 Family Planning Insurance scheme: Compensation: (w.e.f-07.09.07) In Govt. facilities- 28 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

Category Type of operation Facility Motivator Total High Focus States Vasectomy (All) Tubectomy (All) 1300 1350 200 150 1500 1500 Non High focus states Vasectomy (All) Tubectomy (BPL+SC/ST) 1300 1350 200 150 1500 1500 In Pvt. facilities 29 SIHFW: an ISO 9001: 2008 certified institution Source: Manual for family Planning Insurance Scheme, Dept.of Health& Family Welfare (www.mohfw.nic.in)

Quality of Family planning service: 

Quality of Family planning service Quality in family Planning can be defined as offering a range of services that are safe and effective and that satisfy clients’ needs and wants. It can also be defined as “the way clients are treated by the system. SIHFW: an ISO 9001: 2008 certified institution 30

Why Quality in FP?: 

Why Quality in FP? Family planning is not just a demographic issue It is also an issue related to individual issue. rights, socio-economic development, preservation of the environment, and the health and wellbeing of women, couples, families and society at large. There is a huge unmet need for Family Planning and improving Quality will increase the utilization of services. SIHFW: an ISO 9001: 2008 certified institution 31

Dimensions of Quality Services: 

Dimensions of Quality Services SIHFW: an ISO 9001: 2008 certified institution 32

Strengthening Service Delivery in Family Planning: 

Strengthening Service Delivery in Family Planning SIHFW: an ISO 9001: 2008 certified institution 33

At Household/ Village Level: 

At Household/ Village Level Services/ Activities HH visits: by ASHAs, ANMs& VHNDs: Counseling FP services(OCs, Condoms, ECPs) Follow up of IUCD, sterilization &Postpartum clients Referral Community Mobilization Areas to be strengthened Availability of IEC materials Capacity building & Role Clarity Incentives to ASHA Regular supervision Active participation of PRIs Creating Role Models: • “Jan Mangal”couples and “ Prerna’”Scheme by JSK in some districts of Rajasthan • “NSV Champion” in Jharkhand SIHFW: an ISO 9001: 2008 certified institution 34

At Sub centre: 

At Sub centre Activities/Services Maintaining Eligible Couple Register Counselling and service provision during ANC, PNC & Immunization visits IUCD insertions Follow up services Referral Services Contraceptive supply, Support &Supervision of ASHA & AWW Areas to be strengthened Facility readiness according to IPHS standards Training in IUCD (No –Touch Technique) Provision of IEC Materials Supportive supervision by LHV / MO PHC Strengthening Referral SIHFW: an ISO 9001: 2008 certified institution 35

At PHC: 

At PHC Activities/Services All FP services including Tubal ligation (interval & postpartum)& NSV Follow up services Counselling and appropriate referral for couples having infertility Training and supportive supervision of field level staff like ANMs, MPWs& ASHAs Areas to be strengthened Ensuring availability of 24/7Services as per IPHS Ensuring availability of trained personnel in Minilap /NSV/IUCD insertion Fixed Day Static Services for sterilization Regular supply of drugs, equipments & instruments Referral Services SIHFW: an ISO 9001: 2008 certified institution 36

At CHC: 

At CHC Activities/Services 24*7 specialist services All FP services including Laparoscopic Sterilization services Follow up services Training and supervision of field level staff Regular supply of drugs Diagnostic Services Areas to be strengthened Up gradation as per Strengthening of counseling component Rational posting of specialists Operationalize District Clinical Training Centres Fixed Day Static Services for sterilization Strengthening of RKS Management of couples having infertility SIHFW: an ISO 9001: 2008 certified institution 37

Key Interventions for Improving Quality: 

Key Interventions for Improving Quality Integration of Family Planning with MCH services at various opportunities: ANC/PNC/Institutional delivery/Immunization/HIV counseling/Adolescent clinics/ Home visits/ VHND. Coordination among Department of Health, Directorate of Family Welfare and NRHM Programme Management Unit at various levels. Ensuring Availability of trained manpower and other resources at all levels. SIHFW: an ISO 9001: 2008 certified institution 38

PowerPoint Presentation: 

Advocacy at all levels on importance of FP for improving maternal and child health Quality assurance committee (QAC) to be constituted at all the States/ Districts level as per norms set in Quality Assurance manual and regular meetings to be held for assessing and ensuring the quality of services. Facility up gradation as per the IPHS. Comprehensive training plan for MCH & FP services SIHFW: an ISO 9001: 2008 certified institution 39

Quality Assurance: 

Quality Assurance Quality Design Policy & Goals- NPP, NHP, NRHM, MDG Service Protocols/ Manuals/ Guidelines Standardized Operating Procedures Indemnity insurance scheme Compensation for loss of wages Quality Control Supportive Supervision Periodic Reports Quality Assurance Committee HMIS Nationwide Surveys Quality Improvement Periodic Reviews/ Audit Remedial Actions Monitoring of progress of Remedial implementation, Program Evaluation SIHFW: an ISO 9001: 2008 certified institution 40

National Population Policy 2000: 

National Population Policy 2000 Immediate objective : To address the unmet needs for contraception, health care infrastructure, and health personnel, and to provide integrated service delivery for basic reproductive and child health care SIHFW: an ISO 9001: 2008 certified institution 41

PowerPoint Presentation: 

Medium-term objective: To bring the TFR to replacement levels by 2010, through vigorous implementation of inter- sectoral operational strategies. Long-term objective: To achieve a stable population by 2045 SIHFW: an ISO 9001: 2008 certified institution 42

Population Growth: 

Population Growth Source: Census of India / data in millions SIHFW: an ISO 9001: 2008 certified institution 43

Jansankhya Sthirata Kosh: 

Jansankhya Sthirata Kosh National Population Stabilization Fund -registered as an autonomous Society 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 44 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

Observation of World Population Day Prerna Awards at Dhaulpur and Jodhpur in Rajasthan and Nabarangpur in Orissa Working with the Private Sector Medical Specialists to enhance services for contraception. Induction of professional people [NGOs, CII, FICCI, IASP, IPHA, IAP & SM, FOGSI etc] Material Development and display for IEC/BCC 45 SIHFW: an ISO 9001: 2008 certified institution

Innovative Strategy under JSK “Prerna” : 

“ Prerna ” provides reward for specific parenthood Girl’s marriage after 19 years - Rs.5000 First birth after 21 years - Rs.7000 (girl) Rs 5000 (boy) 3 years gap between first and second child with sterilization of 1 parent after the 2 nd child (Reward of Rs.7000/ if it’s a girl child & Rs 5000/ if it’s a boy) Innovative Strategy under JSK “ Prerna ” 46 SIHFW: an ISO 9001: 2008 certified institution

Conditions for getting rewards: 

Conditions for getting rewards Couple must belong to any of the 46 districts identified Must belong to BPL category Preference given to younger couples Only those couples who have completed registration of marriage and registration of the birth of each child The award shall be given in form of Kisan Vikas Patra in the name of Couple and will be given at a public function 47 SIHFW: an ISO 9001: 2008 certified institution

“Santushti” : 

“ Santushti ” Motivate private gynecologists to perform 100 tubectomy /vasectomy, doctors are paid according to already notified compensation rates (Rs 1500 per case) MOU is signed between the district CMHO and private facilities Funding is provided by JSK through the Collector and CHMO Initiated in Madhya Pradesh, Rajasthan and Orissa 64 MOUs and around 1600 sterilization operations [until Aug 09] 48 SIHFW: an ISO 9001: 2008 certified institution

Measures for Population Stabilization: 

Measures for Population Stabilization A number of primary and secondary care facilities in the government sector are being geared to provide ‘Fixed Day Services’ (FDS) for sterilization. Compensation scheme for sterilization acceptors. 49 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

Quality Assurance Committees (QACs) have been constituted in all the states and districts so that adequate standards of care are maintained in family planning services. A new and better IUD-T 380 A, which has ten-year effectiveness, has been introduced along with better training, both as a short and long term spacing method 50 SIHFW: an ISO 9001: 2008 certified institution

Virtual Resource Centre (VRC) : 

Virtual Resource Centre (VRC) VRC is a virtual resource/documentation centre Provides access to films, posters, photos Subjects like anemia, gender, maternal and infant mortality, sex ratio, adolescent health, spacing etc. Media, Researchers, Students NGOs and General public has access to it Inter-university and school level quiz competitions 51 SIHFW: an ISO 9001: 2008 certified institution

Case Study: An Auxiliary Nurse-Midwife Sets an Example for Family Planning : 

Case Study: An Auxiliary Nurse-Midwife Sets an Example for Family Planning Seema Verma An auxiliary nurse-midwife posted at CHC. The 32-year-old mother of two daughters wants to help other women make an informed choice about family planning services just as she was able to do. When she was pregnant for the second time and looking for a viable, long-term family planning method to limit future pregnancies, 52 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

Seema received counseling by a visiting team. The team that counseled Seema explained the importance of using contraceptives after delivery to delay or prevent the next pregnancy, and told her about the copper-bearing IUCD, which can be inserted within 48 hours after delivery. As a result of this counseling, Seema chose to deliver her baby at Women’s Hospital, so that she could get an IUCD immediately after the birth of her daughter, Ritika , who is now three months old. 53 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

For Seema, an IUCD was the best family planning choice because it was free under government policy, lasts for 10 years and could be inserted while she was still in the hospital. Moreover, she appreciates that she doesn’t need to remember to take an oral pill every day. Seema was so enthusiastic about her family planning decision that while resting in the postpartum ward, she successfully counseled two other women who were sharing the room with her. 54 SIHFW: an ISO 9001: 2008 certified institution

PowerPoint Presentation: 

They, too, chose to have an IUCD inserted. Seema not only feels strongly that other women in her community can benefit from this method of family planning, she is also optimistic that it offers a promising future for her own two daughters. One of four children in a poor family, Seema struggled to finish her schooling and became the most educated member of her family 55 SIHFW: an ISO 9001: 2008 certified institution

Thank You : 

Thank You For more details log on to www. Sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in 56 SIHFW: an ISO 9001: 2008 certified institution