FAMILY WELFARE PROGRAMMES



INTRODUCTION

          Safe motherhood is initiative as a concerned in Nairobie, Kenya. It is a global effort to reduce the maternal death by at least have by 2000 AD now extended to 2015.

Objectives:
Ø     To enhance the quality
Ø     Safe of the girls and women life through adoption of a combination of health and non-health strategies.

Safe Motherhood Components
Ø     Early registration of all antenatal mothers
Ø     Maximum three antenatal checkup
Ø     Immunization against letanus
Ø     Prevention and treatment of anemia
Ø     Early identification of maternal complication and referral
Ø     Deliveries by trained personnel
Ø     Promotion of institutional deliveries
Ø     Management of obstetrical emergencies
Ø     Minimum three postnatal check up
Ø     Birth spacing

NATIONAL RURAL HEALTH MISSION

          Recognizing the importance of health in the process of economic and social development and to improve the quality of life citizens, the government of India launched “National Rural Health Mission”  on 5th April 2005 for a period of 7 years. The mission seeks to improve rural health care delivery system.

          The main aim of NRHM is to provide accessible, affordable, accountable, effective and reliable primary health care, and bridging the gap in rural health care through creation of a cadre of accredited social health activist (ASHA).

Plan of Action to Strengthen Infrastructure
1.    Creation of a cadre of accredited social health activist.
2.    Strengthening sub centres by
a.     Supply of essential drugs both allopathic and Ayusha to the sub-centre.
b.    In case of additional out lay, provision of multipurpose worker.
c.     Strengthening sub centres with united funds of Rs.10000 per annum in all 18 states.

3.    Strengthening primary health centres
a.     Adequate regular supply of essential equipments to PHCs
b.    Provisions of 24 hours service in at least 50 percent PHCs by including an Ayush practitioner.
c.     Following standard treatment guidelines.
d.    Upgradation of all the PHCs for 24 hours referral service.
4.    Strengthening community health centres for first referral care by operating all 4276 existing CHCs (30-50 beds) as 24 hours first referral units, including posting of an anesthetist.

          The schedule of implementation of major components of NRHM are as follows;
Ø     Magee of multiple societies and constitution of district / state mission June 2005 state mission.
Ø     Provision of additional genetic  drugs at SC/PHC/IAC level December 2005
Ø     Operational programme management units 2005-2006
Ø     Preparation of village health plan 2006
Ø     ASHA at village level 2005-2008
Ø     Upgrading of rural hospital 2005-2007
Ø     Operationalizing district planning 2005-2007
Ø     Mobile medical unit at district level 2005-2008.

CURRENT FAMILY WELFARE PROGRAMMES IN STATE LEVEL

Ø     MCH
Ø     RCH

          RCH is implementing Janani Suraksha Yojana in Delhi under the scheme of incentive of Rs.600 by cheque is given to promote institutional delivery in case she is resident of urban/rural area. Woman should be above 19 years of age and BPL category. The benefit is available for first 2 live births.

Ø     Pulse  Polio programme
Ø     Janani Shishu Suraksha karyakram
          It is launched on 1st of June 2011 and it initiative to assure free services to all pregnant women and sick neonates accessing public health institutions.

Ø     PNDT and MTP ACT
          It is enacted in 1994. If focuses on the need to eliminate the illegal practice of sex determination and female foeticide.

CONCLUSION

          The family welfare programme, in India is recognized as a priority area, and is being implanted as a 100% centrally sponsored programme. Family welfare programme in 1951 with the objective of reducing the birth rate of the extent necessary to stabilize the population at a level consist with the requirement of the national economy.

BIBLIOGRAPHY

·        A Textbook of Obstetrics
By Basavanthappa
J.P.Publishers Pvt Ltd
Page No.401-405.

·        A Textbook of Preventive and Social Medicine
M/s Banaisidas Bhanat Publishers
Page No. 403-408.


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