Voluntary organizations

 

INTRODUCTION

 

          Voluntary organizations have played a major role in Population Control Programmes since the beginning. They are involved in every possible way so as to complement governmental  efforts to promote family welfare programme.


NATIONAL FAMILY WELFARE PROGRAMME

 

          India launched a Nation – Wide Family Planning Programme in 1952, making it the first country in the world to do so, though records show that birth control clinics have been functioning in the country since 1930.

 

Ø     During the Third Five year plan (1961-66) family planning was declared as “The very centre of planned development “.

 

Ø     The emphasis was shifted from the purely clinic approach to the more vigorous “extension education approach for motivating the people for acceptance of the “Small family planning norm”.

 

Ø     The introduction of the Lipper Loop in 1965 necessiated a major structural reorganization  of the programme, leading to the creation of a separate department of family planning in 1966 in the Ministry of Health.

 

Ø     During the fourth five year plan (1969-74), the Government of India gave “Top priority” to the programme.

 

Ø     The programme was made an integral part of MCH activities of PHCs and their sub-centres.

 

Ø     In 1970 an All India Hospital Postpart un programme and in 1972 the Medical Termination of Pregnancy (MTP) act were introduced.

 

Ø     During the fifth five year plan (1975-80) there have been major changes.

 

Ø     In April 1976, the country framed its first “National Population Policy”.

 

Ø     In June 1977 the new (Janata) Government that came into power formulated a near population policy, ruling out compulsion and coercion for all times to come.  The Ministry of Family planning was renamed “Family Welfare”.

 

Ø     The launching of the Rural Health Scheme in 1977.

 

Ø     National Health policy was approved by the parliament in 1983.

 

Ø     The sixth and seventh five year plans were accordingly set to achieve these goals.

 

Ø     The National Health Policy also called for restructuring the health care delivery system and family planning has been accorded a central place in health development.

 

Ø     The universal Immunization programme aimed at reduction in mortality and morbidity among infants and younger children due to vaccine preventable diseases was started I the year 1985-86.

 

Ø     The oral rehydration therapy was also started in view of the fact that diarrhea was a leading cause of death among children.

 

Ø     During 1992 these programmes were integrated under child survival and safe motherhood (CSSM) Programme.

 

Ø     RCH programme would help in reducing cost of inputs to some extent because over lapping of expenditure would no longer be necessary and outcome will be better.

 

Ø     During ninth final year plan the RCH programme integrates all the related programmes of the eight five yearplan.

 

Ø     The concept of RCH is to provide need based, client oriented, demand driven, high quality integrated services.

 

Ø     The Government of India evolved a more detailed and comprehensive National Population Policy 2000 to promote family welfare.

 


CONCLUSION

 

          Government of India has introduced a family planning insurance scheme for acceptors of sterilization procedure in both government and accredited private / NGO / corporate health facilities.  A part from educational and motivational effort their activities include running family welfare centres, post partum centres ANM training schools, population research centres and other innovative projects.


BIBLIOGRAPHY

 

1.     A text book of Preventive and Social Medicine

K.Park 20th Edition, Pg.No.443-444.


EDUCATIONAL ROLE

 

Ø     As a basis for councelling in Family Planning Nurses must have sound knowledge of the biology of human reproduction of the concept and principles underlying family planning of the factors which influence it.

 

Ø     The nurse must be able to transmit this knowledge effectively.

 

Ø     The counseling on fertility can be held with their client in hospitalhealth centre, schools, homes community centers by using proper audio – visual aids.

 


ROLE IN RESEARCH

 

Ø     Nurses are essential members of themulti disciplinary research team and then nursing as a science or practice must be systematically studies research.

Ø     The nurse know to keep careful records and reports relating to their nursing activities and can now begin to keep systematic records and reports related to family planning activities.

Ø     These provide valuable data upon which research may be based.


ROLE IN EVALUATION

 

Ø     Evaluation is an important part of planning for nursing services includes those related to the regulation of fertility and should be build into the plan it bring formulated.

Ø     When nurses asked to participate in the establishment of criteria whereby achievement may be evaluated nurse.

Ø     The nurse responsible for criteria related to nursing and midwifery component of the family welfare program.


CONCLUSION

         

          The nurse are in an excellent position to participate in Family Planning activity that is through the provision of daily care those working in hospital quickly give the confidence of sickperson.  This confidence provides an effective base for preventive nursing care.  The policies may vary from those that requires nurse to participate in family welfare activities to those forbid them to do so or that limit their participation to giving advice to high risk mother eligible because of specific health reason.

 


BIBLIOGRAPHY

 

A text book of Community Health Nursing – B.T.Basavanthappa, Pg.No.332 to 334.

 

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