The care of women during pregnancy is called antenatal care, which begins after conception and aims to have a healthy mother and child at birth. Antenatal care includes clinic visits, examinations, tests, immunizations, supplements, and interventions as needed. Care continues through pregnancy with additional visits in the third trimester to monitor for complications, counsel on warning signs, and prepare for delivery. Postnatal care aims to restore the mother's health and prevent complications, and provides basic care for the mother and child, education, and family planning services.
The document discusses family welfare services in India. It defines family as individuals who depend on each other for emotional, physical, and economic support. The family welfare program has high priority in India and aims to promote adoption of small family norms, use of spacing methods, and ensure access to contraceptives. Nurses play a vital role by providing education and motivation to popularize small family norms and explaining family planning methods. Their roles include conducting family planning clinics and camps, maintaining records, and liaising with other organizations.
In order to prevent and control major NCDs including Diabetes, the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) was launched in 2010, with focus on strengthening of infrastructure, human resource development, health promotion, screening for early
The document discusses the history and development of India's National Family Welfare Programme. It began in 1952 as a modest family planning program that established clinics and distributed educational materials. During the Third Five Year Plan from 1961-1966, family planning was declared a priority and the program shifted its focus from clinics to community outreach and education. Major developments over subsequent decades included the introduction of the Lippes Loop intrauterine device in 1965, strengthening the healthcare infrastructure during the Fourth Five Year Plan from 1969-1974, and establishing the Medical Termination of Pregnancy Act in 1972.
The National Diabetes Control Programme was started on a pilot basis in 1987 in some districts of Tamil Nadu, J&K, and Karnataka to prevent diabetes through identifying at-risk groups, early diagnosis and treatment, and preventing complications. However, due to lack of funds, the program was not expanded. Its objectives include prevention, early diagnosis and treatment, reducing morbidity and mortality in at-risk groups, and rehabilitation.
The Reproductive and Child Health (RCH) program was launched in India in 1997 with the goal of reducing infant and maternal mortality rates and achieving population stabilization. RCH Phase I focused on promoting maternal and child health through interventions like family planning, maternal care, child survival, and prevention of diseases. RCH Phase II, launched in 2005, expanded the goals and components of the program. It aimed to further reduce infant and maternal mortality as well as increase immunization coverage, especially in rural areas through strategies like strengthening health infrastructure and focusing on high-priority states. The components of RCH Phase II included population stabilization, maternal health, newborn and child health, adolescent health, and control of diseases. Monitoring and evaluation was emphasized
The document discusses India's national sexually transmitted disease (STD) control program. It outlines the program's interventions which include case detection, treatment, health education, and partner notification. The goal is prevention of infections through primary and secondary prevention strategies. Standardized training is provided to healthcare workers on syndrome-based case management. Over 1,100 clinics provide sexual health services. However, studies show partner notification and counseling need improvement. Strengthening diagnostic laboratories, healthcare worker training, and clinic facilities were identified as priorities to better manage STD cases.
Improve quality and increase access to family planning and maternal health care services
Educate couples to ensure they have the best chance for a wanted and safe pregnancy
Safe motherhood is one of the important components of Reproductive Health. It means ensuring that all women receive the care they need, to be safe and healthy throughout pregnancy and childbirth. It is the ability of a mother to have safe & healthy pregnancy & child birth.
The care of women during pregnancy is called antenatal care, which begins after conception and aims to have a healthy mother and child at birth. Antenatal care includes clinic visits, examinations, tests, immunizations, supplements, and interventions as needed. Care continues through pregnancy with additional visits in the third trimester to monitor for complications, counsel on warning signs, and prepare for delivery. Postnatal care aims to restore the mother's health and prevent complications, and provides basic care for the mother and child, education, and family planning services.
The document discusses family welfare services in India. It defines family as individuals who depend on each other for emotional, physical, and economic support. The family welfare program has high priority in India and aims to promote adoption of small family norms, use of spacing methods, and ensure access to contraceptives. Nurses play a vital role by providing education and motivation to popularize small family norms and explaining family planning methods. Their roles include conducting family planning clinics and camps, maintaining records, and liaising with other organizations.
In order to prevent and control major NCDs including Diabetes, the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) was launched in 2010, with focus on strengthening of infrastructure, human resource development, health promotion, screening for early
The document discusses the history and development of India's National Family Welfare Programme. It began in 1952 as a modest family planning program that established clinics and distributed educational materials. During the Third Five Year Plan from 1961-1966, family planning was declared a priority and the program shifted its focus from clinics to community outreach and education. Major developments over subsequent decades included the introduction of the Lippes Loop intrauterine device in 1965, strengthening the healthcare infrastructure during the Fourth Five Year Plan from 1969-1974, and establishing the Medical Termination of Pregnancy Act in 1972.
The National Diabetes Control Programme was started on a pilot basis in 1987 in some districts of Tamil Nadu, J&K, and Karnataka to prevent diabetes through identifying at-risk groups, early diagnosis and treatment, and preventing complications. However, due to lack of funds, the program was not expanded. Its objectives include prevention, early diagnosis and treatment, reducing morbidity and mortality in at-risk groups, and rehabilitation.
The Reproductive and Child Health (RCH) program was launched in India in 1997 with the goal of reducing infant and maternal mortality rates and achieving population stabilization. RCH Phase I focused on promoting maternal and child health through interventions like family planning, maternal care, child survival, and prevention of diseases. RCH Phase II, launched in 2005, expanded the goals and components of the program. It aimed to further reduce infant and maternal mortality as well as increase immunization coverage, especially in rural areas through strategies like strengthening health infrastructure and focusing on high-priority states. The components of RCH Phase II included population stabilization, maternal health, newborn and child health, adolescent health, and control of diseases. Monitoring and evaluation was emphasized
The document discusses India's national sexually transmitted disease (STD) control program. It outlines the program's interventions which include case detection, treatment, health education, and partner notification. The goal is prevention of infections through primary and secondary prevention strategies. Standardized training is provided to healthcare workers on syndrome-based case management. Over 1,100 clinics provide sexual health services. However, studies show partner notification and counseling need improvement. Strengthening diagnostic laboratories, healthcare worker training, and clinic facilities were identified as priorities to better manage STD cases.
Improve quality and increase access to family planning and maternal health care services
Educate couples to ensure they have the best chance for a wanted and safe pregnancy
Safe motherhood is one of the important components of Reproductive Health. It means ensuring that all women receive the care they need, to be safe and healthy throughout pregnancy and childbirth. It is the ability of a mother to have safe & healthy pregnancy & child birth.
The document discusses micro birth planning, which structures events and actions related to pregnancy and delivery. It includes registering for the Janani Suraksha Yojana (JSY) program and filling out the JSY card, calculating the expected due date of delivery, informing dates for three essential checkups, identifying the health facility where delivery will take place, and identifying transportation means. Key aspects of micro birth planning are registration under JSY, calculating the due date, scheduling checkups, choosing a health facility for delivery, and arranging transportation to ensure safe delivery and access to care.
the slide is presentation of World Health Day. It has a very concise information touching various aspects of diabetes with the latest statistics. We hope this will be useful to everyone.
Maternal and Neonatal morbidity and MortalityBPKIHS
It deals with:
Introduction
International Perspectives
National Status
Complication during Pregnancy, Childbirth, Postpartum period including Neonatal Problems
Causes of Maternal and neonatal mortality
Framework of determinants of maternal mortality
Three delay model
This document provides an overview of Orem's Self-Care Deficit Nursing Theory. It defines key concepts such as self-care, self-care agency, therapeutic self-care demand, and self-care requisites. Orem's theory includes three related parts: the theory of self-care, theory of self-care deficit, and theory of nursing systems. Nursing is needed when an individual is unable to engage in effective self-care to meet universal, developmental, and health-derived self-care requisites. The nurse helps by acting for, doing for, guiding, supporting, providing an environment to develop self-care skills, and teaching patients.
WHO will celebrate World Health Day on April 7th, 2016 with a theme of tackling diabetes. The number of adults with diabetes has nearly quadrupled since 1980 to 422 million adults worldwide in 2014. This year's theme was chosen because diabetes is rising dramatically globally. The goals are to scale up prevention, strengthen care, and enhance surveillance of diabetes.
UNIT-IV M.Sc I year THEORIES APPLIED IN COMMUNITY HEALTH NURSING.pptxanjalatchi
What are theories and models of nursing?
Image result for community health nursing theories and models
Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing. Person, Nursing, Environment, and Health – the four main concepts that make up the nursing metaparadigm.
The document discusses India's family welfare program, including its history, aims, strategies and the role of community health nurses. It was started in 1951 to promote small family norms and total family health. The program was renamed in 1977 to focus on overall family welfare through health services, education and raising living standards. Community health nurses play an important role through surveys, education, clinic services, record keeping and coordinating with other organizations. Counseling methods like BRAIDED are used to help clients choose appropriate contraceptive methods.
The document discusses various legal and ethical issues that midwives may face. It covers topics such as informed consent, negligence, standards of care, and theories of liability that midwives need to be aware of to limit their legal risks. It also examines the ethical considerations surrounding procedures like artificial insemination, surrogacy, abortion, and caring for sick newborns. The document provides guidance on applying ethical principles and decision-making models to help navigate complex situations.
National policy,legislation in relation to maternal health and welfareNursing Path
The document discusses the history of maternal health and nursing education policies in India from ancient to modern times. It notes that maternal care was addressed in ancient texts like the Vedas and practices like Ayurveda. Key developments included Ashoka building hospitals with midwives in the 3rd century BC, and texts like Sushruta and Ashtanga Hridaya addressing women's health. After independence, India established programs and committees to improve maternal and child welfare. Nursing education also evolved, from training dais to establishing the ANM, GNM, and nursing programs and councils.
The document discusses the roles and responsibilities of District Public Health Nurses (DPHNs) and District Public Health Nursing Officers (DPHNOs) in India. DPHNs and DPHNOs supervise public health nursing and midwifery staff in their district. Their responsibilities include evaluating population health trends, developing public health programs, providing health education and care to vulnerable groups, and supervising other nursing staff. DPHNs and DPHNOs also provide guidance, education and training to nursing students. They work to improve health services and ensure resources are available in their districts.
Various health and welfare committees were established since pre-independence to guide national health planning in India. Key committees included the Bhore Committee, Shetty Committee, Chadda Committee, Mudaliar Committee, Mukherjee Committee, Jain Committee, Junglewala Committee, Kartar Singh Committee, Shrivastav Committee, Rural Health Scheme, Ramalingaswami Committee, Working Group on Medical Education and Manpower Planning, and Bajaj Committee. These committees reviewed health situations and made recommendations to improve public health programs and develop health systems.
The document provides guidelines for nursing management of women undergoing obstetric operations. It outlines:
1) Equipment and monitoring required in recovery, including vital signs monitoring every 5 minutes for 30 minutes;
2) Criteria for safe transfer to the postnatal ward once stable, including pain level below 1;
3) Post-operative observations every 30 minutes for 2 hours then every 2 hours for 24 hours, including vital signs, pain, temperature and wound/loss monitoring.
UNICEF's GOBI-FFF programs aim to reduce child mortality rates through relatively simple and inexpensive methods. The GOBI methods are: Growth monitoring to prevent malnutrition; Oral rehydration to treat diarrheal dehydration; Breastfeeding to provide optimal nutrition and immunity for infants; and Immunization to protect against diseases that kill or disable millions of children annually. The additional FFF strategies emphasize the importance of: Female education since children of uneducated mothers are twice as likely to die in infancy; Family spacing to reduce infant mortality rates; and Food supplements for at-risk mothers to lower the risk of low birthweight babies.
The National Cancer Control Programme aims to control cancer in India through primary prevention, early detection, treatment, and palliative care. Key goals include preventing cancers caused by tobacco, screening and diagnosing cervical and breast cancers early, strengthening cancer treatment facilities, and providing palliative care. Over 8-9 lakh new cancer cases occur annually in India. The programme supports 27 Regional Cancer Centers, has developed oncology wings in 82 medical institutions, and runs 28 District Cancer Control Programmes.
This document discusses the Baby Friendly Hospital Initiative (BFHI), which aims to promote breastfeeding globally. The key goals of BFHI are to implement the Ten Steps to Successful Breastfeeding in hospitals and end the distribution of breastmilk substitutes. The Ten Steps provide guidelines for optimal breastfeeding practices in health facilities. The document also summarizes the International Code of Marketing of Breastmilk Substitutes and the role of hospitals in upholding the Code. Finally, it discusses the Global Strategy on Infant and Young Child Feeding, which aims to improve nutrition and health through optimal breastfeeding and complementary feeding practices.
Organization of a special care neonatal unitDr Anand Singh
- The organization of a special care neonatal unit is essential to reduce neonatal mortality and improve quality of life. It should be located close to the labor room and have adequate space, ventilation, temperature control, and equipment for resuscitation and care of sick and preterm newborns. Proper staffing by trained nurses and doctors is required for quality care. Preventive maintenance and emergency repairs of equipment is important for smooth functioning of the unit.
The document provides an overview of the National Rural Health Mission (NRHM) in India. The key points are:
1. NRHM was launched in 2005 to improve access to quality healthcare for rural populations. It aims to reduce infant and maternal mortality and achieve universal health access.
2. The mission strengthens primary health centers and community health centers. It promotes health through Accredited Social Health Activists (ASHAs) who work at the village level.
3. The core strategies include empowering local governments to manage health services, improving infrastructure, and integrating vertical health programs nationally and locally.
ICU protocol for pre-eclampsia/ eclampsiamarwa Mahrous
This document provides guidance on the management of respiratory distress and hemodynamic instability in pregnant patients. It outlines the following steps: initial assessment and resuscitation, taking history and physical exam, sending investigations, making a differential diagnosis, admitting the patient to the ICU for close monitoring, managing severe preeclampsia, watching for complications, and managing complications. Specific guidance is provided on airway management, fluid resuscitation, seizure control with magnesium, blood pressure control, fluid management, indications for delivery, and management of HELLP syndrome and acute pulmonary edema.
The document discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health Plus Adolescent) approach, which aims to provide integrated health services across different life stages through a continuum of care. Key aspects of the approach include reducing mortality and malnutrition, increasing immunization coverage, and strengthening service delivery through community health workers. Progress is monitored using indicators tracked in scorecards that measure coverage of important interventions like antenatal care, institutional deliveries, postnatal checks, and child nutrition. The approach emphasizes addressing the needs of vulnerable groups like adolescent mothers through new initiatives for maternal and newborn care, child health, family planning and adolescent health.
The family welfare programme in India aims to improve quality of life through family planning and total family health care. It began in 1951 and was renamed the National Family Welfare Programme in 1977 to promote family planning and welfare. The programme seeks to reduce population growth and infant mortality while raising awareness of family planning methods. Community health nurses play an important role by educating people, conducting clinics, maintaining records, and coordinating activities to support the goals of the family welfare programme.
The family welfare programme in India aims to improve quality of life through family planning and total family health care. It began in 1951 and was renamed the National Family Welfare Programme in 1977 to promote family planning and welfare. The programme seeks to reduce population growth and infant mortality while raising awareness of family planning methods. Community health nurses play an important role by educating people, conducting clinics, maintaining records, and coordinating activities to support the goals of the family welfare programme.
The document discusses micro birth planning, which structures events and actions related to pregnancy and delivery. It includes registering for the Janani Suraksha Yojana (JSY) program and filling out the JSY card, calculating the expected due date of delivery, informing dates for three essential checkups, identifying the health facility where delivery will take place, and identifying transportation means. Key aspects of micro birth planning are registration under JSY, calculating the due date, scheduling checkups, choosing a health facility for delivery, and arranging transportation to ensure safe delivery and access to care.
the slide is presentation of World Health Day. It has a very concise information touching various aspects of diabetes with the latest statistics. We hope this will be useful to everyone.
Maternal and Neonatal morbidity and MortalityBPKIHS
It deals with:
Introduction
International Perspectives
National Status
Complication during Pregnancy, Childbirth, Postpartum period including Neonatal Problems
Causes of Maternal and neonatal mortality
Framework of determinants of maternal mortality
Three delay model
This document provides an overview of Orem's Self-Care Deficit Nursing Theory. It defines key concepts such as self-care, self-care agency, therapeutic self-care demand, and self-care requisites. Orem's theory includes three related parts: the theory of self-care, theory of self-care deficit, and theory of nursing systems. Nursing is needed when an individual is unable to engage in effective self-care to meet universal, developmental, and health-derived self-care requisites. The nurse helps by acting for, doing for, guiding, supporting, providing an environment to develop self-care skills, and teaching patients.
WHO will celebrate World Health Day on April 7th, 2016 with a theme of tackling diabetes. The number of adults with diabetes has nearly quadrupled since 1980 to 422 million adults worldwide in 2014. This year's theme was chosen because diabetes is rising dramatically globally. The goals are to scale up prevention, strengthen care, and enhance surveillance of diabetes.
UNIT-IV M.Sc I year THEORIES APPLIED IN COMMUNITY HEALTH NURSING.pptxanjalatchi
What are theories and models of nursing?
Image result for community health nursing theories and models
Four major concepts are frequently interrelated and fundamental to nursing theory: person, environment, health, and nursing. These four are collectively referred to as metaparadigm for nursing. Person, Nursing, Environment, and Health – the four main concepts that make up the nursing metaparadigm.
The document discusses India's family welfare program, including its history, aims, strategies and the role of community health nurses. It was started in 1951 to promote small family norms and total family health. The program was renamed in 1977 to focus on overall family welfare through health services, education and raising living standards. Community health nurses play an important role through surveys, education, clinic services, record keeping and coordinating with other organizations. Counseling methods like BRAIDED are used to help clients choose appropriate contraceptive methods.
The document discusses various legal and ethical issues that midwives may face. It covers topics such as informed consent, negligence, standards of care, and theories of liability that midwives need to be aware of to limit their legal risks. It also examines the ethical considerations surrounding procedures like artificial insemination, surrogacy, abortion, and caring for sick newborns. The document provides guidance on applying ethical principles and decision-making models to help navigate complex situations.
National policy,legislation in relation to maternal health and welfareNursing Path
The document discusses the history of maternal health and nursing education policies in India from ancient to modern times. It notes that maternal care was addressed in ancient texts like the Vedas and practices like Ayurveda. Key developments included Ashoka building hospitals with midwives in the 3rd century BC, and texts like Sushruta and Ashtanga Hridaya addressing women's health. After independence, India established programs and committees to improve maternal and child welfare. Nursing education also evolved, from training dais to establishing the ANM, GNM, and nursing programs and councils.
The document discusses the roles and responsibilities of District Public Health Nurses (DPHNs) and District Public Health Nursing Officers (DPHNOs) in India. DPHNs and DPHNOs supervise public health nursing and midwifery staff in their district. Their responsibilities include evaluating population health trends, developing public health programs, providing health education and care to vulnerable groups, and supervising other nursing staff. DPHNs and DPHNOs also provide guidance, education and training to nursing students. They work to improve health services and ensure resources are available in their districts.
Various health and welfare committees were established since pre-independence to guide national health planning in India. Key committees included the Bhore Committee, Shetty Committee, Chadda Committee, Mudaliar Committee, Mukherjee Committee, Jain Committee, Junglewala Committee, Kartar Singh Committee, Shrivastav Committee, Rural Health Scheme, Ramalingaswami Committee, Working Group on Medical Education and Manpower Planning, and Bajaj Committee. These committees reviewed health situations and made recommendations to improve public health programs and develop health systems.
The document provides guidelines for nursing management of women undergoing obstetric operations. It outlines:
1) Equipment and monitoring required in recovery, including vital signs monitoring every 5 minutes for 30 minutes;
2) Criteria for safe transfer to the postnatal ward once stable, including pain level below 1;
3) Post-operative observations every 30 minutes for 2 hours then every 2 hours for 24 hours, including vital signs, pain, temperature and wound/loss monitoring.
UNICEF's GOBI-FFF programs aim to reduce child mortality rates through relatively simple and inexpensive methods. The GOBI methods are: Growth monitoring to prevent malnutrition; Oral rehydration to treat diarrheal dehydration; Breastfeeding to provide optimal nutrition and immunity for infants; and Immunization to protect against diseases that kill or disable millions of children annually. The additional FFF strategies emphasize the importance of: Female education since children of uneducated mothers are twice as likely to die in infancy; Family spacing to reduce infant mortality rates; and Food supplements for at-risk mothers to lower the risk of low birthweight babies.
The National Cancer Control Programme aims to control cancer in India through primary prevention, early detection, treatment, and palliative care. Key goals include preventing cancers caused by tobacco, screening and diagnosing cervical and breast cancers early, strengthening cancer treatment facilities, and providing palliative care. Over 8-9 lakh new cancer cases occur annually in India. The programme supports 27 Regional Cancer Centers, has developed oncology wings in 82 medical institutions, and runs 28 District Cancer Control Programmes.
This document discusses the Baby Friendly Hospital Initiative (BFHI), which aims to promote breastfeeding globally. The key goals of BFHI are to implement the Ten Steps to Successful Breastfeeding in hospitals and end the distribution of breastmilk substitutes. The Ten Steps provide guidelines for optimal breastfeeding practices in health facilities. The document also summarizes the International Code of Marketing of Breastmilk Substitutes and the role of hospitals in upholding the Code. Finally, it discusses the Global Strategy on Infant and Young Child Feeding, which aims to improve nutrition and health through optimal breastfeeding and complementary feeding practices.
Organization of a special care neonatal unitDr Anand Singh
- The organization of a special care neonatal unit is essential to reduce neonatal mortality and improve quality of life. It should be located close to the labor room and have adequate space, ventilation, temperature control, and equipment for resuscitation and care of sick and preterm newborns. Proper staffing by trained nurses and doctors is required for quality care. Preventive maintenance and emergency repairs of equipment is important for smooth functioning of the unit.
The document provides an overview of the National Rural Health Mission (NRHM) in India. The key points are:
1. NRHM was launched in 2005 to improve access to quality healthcare for rural populations. It aims to reduce infant and maternal mortality and achieve universal health access.
2. The mission strengthens primary health centers and community health centers. It promotes health through Accredited Social Health Activists (ASHAs) who work at the village level.
3. The core strategies include empowering local governments to manage health services, improving infrastructure, and integrating vertical health programs nationally and locally.
ICU protocol for pre-eclampsia/ eclampsiamarwa Mahrous
This document provides guidance on the management of respiratory distress and hemodynamic instability in pregnant patients. It outlines the following steps: initial assessment and resuscitation, taking history and physical exam, sending investigations, making a differential diagnosis, admitting the patient to the ICU for close monitoring, managing severe preeclampsia, watching for complications, and managing complications. Specific guidance is provided on airway management, fluid resuscitation, seizure control with magnesium, blood pressure control, fluid management, indications for delivery, and management of HELLP syndrome and acute pulmonary edema.
The document discusses India's RMNCH+A (Reproductive, Maternal, Newborn, Child Health Plus Adolescent) approach, which aims to provide integrated health services across different life stages through a continuum of care. Key aspects of the approach include reducing mortality and malnutrition, increasing immunization coverage, and strengthening service delivery through community health workers. Progress is monitored using indicators tracked in scorecards that measure coverage of important interventions like antenatal care, institutional deliveries, postnatal checks, and child nutrition. The approach emphasizes addressing the needs of vulnerable groups like adolescent mothers through new initiatives for maternal and newborn care, child health, family planning and adolescent health.
The family welfare programme in India aims to improve quality of life through family planning and total family health care. It began in 1951 and was renamed the National Family Welfare Programme in 1977 to promote family planning and welfare. The programme seeks to reduce population growth and infant mortality while raising awareness of family planning methods. Community health nurses play an important role by educating people, conducting clinics, maintaining records, and coordinating activities to support the goals of the family welfare programme.
The family welfare programme in India aims to improve quality of life through family planning and total family health care. It began in 1951 and was renamed the National Family Welfare Programme in 1977 to promote family planning and welfare. The programme seeks to reduce population growth and infant mortality while raising awareness of family planning methods. Community health nurses play an important role by educating people, conducting clinics, maintaining records, and coordinating activities to support the goals of the family welfare programme.
The family welfare programme in India aims to improve quality of life through family planning and total family health care. It began in 1951 and was renamed the National Family Welfare Programme in 1977 to promote family planning and welfare. The programme seeks to reduce population growth and infant/child mortality while raising awareness of contraceptive methods. Community health nurses play an important role by educating families, conducting clinics, maintaining records, and coordinating care.
Family welfare programme IN COMMUNITY HEALTH NURSING
INTRODUCTION • Family planning means planning by individual or couples to have only the children they want, when they want them, this is responsible parenthood. • Family welfare includes not only planning of birth, but they welfare of wholes family by means of total family health care. The family welfare programme has high priority in India because its success depends upon the quality of life of all citizens.
3. HISTORY OF FAMILY WELFARE PROGRAMME • It was started in the year 1951. • In 1977, the government of India redesignated the NATIONAL FAMILY PLANNING PROGRAMME as the NATIONAL FAMILY WELFARE PROGRAMME also changed the name of the ministry of health and family planning to ministry of health and family welfare.
4. Cont… • It is a reflection of the government anxiety to promote family planning through the total welfare of the family. • It is aimed at achieving a higher end i.e. to improve the quality of life of the people.
5. Cont… • India is the first country in the world that implemented the family welfare programme at government level. • Health is a part of concurrent list but centers provides 100% assistance to states for this programme.
6. Cont… • Government has concentrated on this programme in various five year plans through higher priority was accorded to it after fourth five year plan. • Due to bad effect of emergency and faulty propaganda family planning suffered major setback, during 1977-1979.
7. Cont… • It was decided in national health policy in 1983, and then net reproduction rate should be one by the year 2000. • The 7th five year plan placed more emphasis on the use of spacing methods between the birth of two children
The document provides an overview of India's family welfare programme. It discusses the history and introduction of the program in 1951, with a name change in 1977 to focus on total family welfare. The goals are to reduce birth rates, death rates, and family size. Strategies include integrating family planning with health services, focusing on rural areas, promoting education, and using mass media. The community health nurse plays an important role in surveys, education, clinic management, and record keeping to support the goals of the family welfare program.
The document discusses the topic of family welfare in India. It begins with introducing family planning and the history of India's family welfare program, which started in 1951. It then covers the concepts, aims, goals, impact, importance, and strategies of the family welfare program. One key strategy is integrating family planning with other health services. The role of community health nurses is also summarized, which includes educational, motivational, and record keeping functions to support family planning efforts.
The document summarizes family welfare services in India, including:
1) The introduction, history, concept, aims, goals and importance of family welfare programs in India.
2) The role of community health nurses in providing education, motivation, managing clinics/camps, and maintaining records to support family planning initiatives.
3) The strategies used in family welfare programs, including integrating with health services, focusing on rural areas, and using mass media.
The document discusses Nepal's family planning program. The main points are:
1) Family planning is a priority in Nepal to improve health outcomes and economic development. It aims to ensure individuals can fulfill reproductive needs through informed choice of contraceptive methods.
2) The government, NGOs, and private sector provide a range of temporary and permanent family planning methods through health facilities. Community health volunteers also provide information and some methods.
3) National policies emphasize increasing access, integrating services, and engaging both males and females in planning their families to improve their quality of life.
The document discusses family planning in Tanzania. It defines family planning and describes the services offered, including education, contraceptives, counseling on sex and parenthood, and infertility management. It then discusses Tanzania's high population growth rate and challenges like high fertility rates and maternal/child mortality. Barriers to family planning like cultural norms and lack of access are examined. The document outlines achievements and challenges in reducing fertility and mortality rates. Finally, it describes natural and modern family planning methods available in Tanzania.
The document provides information about family planning in Nepal. It defines family planning and outlines the role of nursing in education and counseling. It discusses family planning as a basic human right and the objectives of the Government of Nepal to increase access and utilization of family planning services. The document covers the scope of family planning services, need for child spacing and fertility control, benefits, terminology, strategies, delivery system, indicators, current status of family planning in Nepal including contraceptive use, demand, unmet need, and methods of family planning.
Family welfare programs aim to support families by promoting small family sizes and birth control. Such programs are critical because population growth puts enormous strain on global resources and the environment. The key aspects of family welfare programs in India include educating the public about contraception options like sterilization procedures and temporary methods. Female sterilization through tubectomy is currently the most widely used contraceptive method in developing countries. While India's family welfare program has had some success, further efforts are still needed to control overpopulation.
At the end of this session, you will be able to
1. Describe the delivery of family planning services at various levels of health care delivery
2. Define unmet need of contraception and enumerate it’s reasons
3. List the various evaluations done on family planning services
This document provides an overview of maternal and child health services and family welfare services in India. It defines maternal and child health services according to the WHO as services that promote, prevent, treat or rehabilitate care for mothers and children. The key aims of maternal and child health services in India are outlined as reducing infant, maternal and child mortality rates and morbidity. Key indicators for assessing maternal and child health outcomes are also presented. The document then discusses the various aspects of maternal and child health services like antenatal care, intranatal care, postnatal care, and integrated management of neonatal and childhood illnesses. It concludes with an overview of strategies, importance and the role of community health nurses in family welfare services in India.
The document provides an overview of family welfare services and the national family welfare program in India. It discusses:
- The history and objectives of the national family welfare program launched in 1952 to promote small family norms and contraceptive use.
- The various five-year plans from 1951-2012 and how the program evolved, integrating services and introducing new strategies over time.
- The different family welfare methods available, including temporary barrier methods, permanent sterilization procedures, natural family planning, and intrauterine devices.
- The importance of the family welfare program in reducing mortality and morbidity rates and enabling families' socioeconomic progress.
This document provides an overview of maternal health services including family planning, antenatal care, delivery services, and postnatal care. It describes the objectives and components of each service, including identifying and managing risk factors during pregnancy to help prevent maternal and infant mortality. Key points covered include the importance of antenatal care in screening and treating conditions like anemia, providing tetanus immunizations, educating mothers on nutrition and birth preparedness, and using a risk scoring system to properly refer high-risk mothers for specialized care.
This document outlines Nepal's National Neonatal Health Strategy. It begins with background on neonatal health issues in Nepal, including high infant, neonatal, and perinatal mortality rates. The strategy's goal is to improve newborn health and survival in Nepal. Key interventions include strengthening health services, improving skills and training of health workers, implementing behavior change communication to promote healthy practices, and conducting research to improve care and outcomes. A multisectoral approach is emphasized to address this important public health issue.
This document outlines Nepal's National Neonatal Health Strategy. It begins with background on the high neonatal mortality rate in Nepal, with approximately 2/3 of infant deaths occurring in the first month of life. The strategy is based on a situation analysis and position papers. It aims to improve newborn health and survival through strategic interventions in policies, behavior change communication, health service delivery, program management, and research. Priority policy actions include establishing a neonatal health group and focal point. Behavior change communication will promote essential newborn care practices. Health services will be strengthened by improving skilled birth attendance and newborn care training.
The National Neonatal Strategy aims to improve newborn health and survival in Nepal. It establishes neonatal health as a priority and provides strategic objectives and interventions. The strategy focuses on strengthening policies, behavior change communication, health service delivery, program management, and research related to newborn care. Key elements include developing guidelines for neonatal care training, promoting essential newborn care practices, improving skilled birth attendance, and establishing referral systems. The overall goal is to sustainably increase healthy newborn care and reduce neonatal mortality in Nepal.
The National Neonatal Strategy aims to improve newborn health and survival in Nepal. It was developed based on a situation analysis and expert recommendations. The goals are to increase adoption of healthy newborn care practices and strengthen neonatal health services at all levels. Key interventions include developing policies and guidelines, behavior change communication, strengthening service delivery through training health workers and improving facilities, better program management, and conducting operational research. The strategy provides an evidence-based framework to guide stakeholders in improving neonatal outcomes in Nepal.
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3. INTRODUCTION
• Family planning means planning by
individual or couples to have only the
children they want, when they want them,
this is responsible parenthood.
• Family welfare includes not only planning
of birth, but they welfare of wholes family
by means of total family health care. The
family welfare programme has high
priority in India because its success
depends upon the quality of life of all
citizens.
4. HISTORY OF FAMILY WELFARE
PROGRAMME
• It was started in the year 1951.
• In 1977, the government of India
redesignated the NATIONAL FAMILY
PLANNING PROGRAMME as the
NATIONAL FAMILY WELFARE
PROGRAMME also changed the name of
the ministry of health and family
planning to ministry of health and family
welfare.
5. Cont…
• It is a reflection of the government
anxiety to promote family planning
through the total welfare of the family.
• It is aimed at achieving a higher end i.e.
to improve the quality of life of the
people.
6. Cont…
• India is the first country in the world that
implemented the family welfare programme at
government level.
• Health is a part of concurrent list but centers
provides 100% assistance to states for this
programme.
7. Cont…
• Government has concentrated on this
programme in various five year plans
through higher priority was accorded to it
after fourth five year plan.
• Due to bad effect of emergency and faulty
propaganda family planning suffered
major setback, during 1977-1979.
8. Cont…
• It was decided in national health policy in
1983, and then net reproduction rate
should be one by the year 2000.
• The 7th five year plan placed more
emphasis on the use of spacing methods
between the birth of two children.
9. CONCEPT OF FAMILY WELFARE
PROGRAMME
• The concept of welfare is basically related to
quality of life.
• As such it include education, nutrition, health
employment ,women's welfare and right, shelter,
soft drinking water all vital factors associated
with the concept of welfare.
• It is centrally sponsored programme. For this,
the states receive 100% assistance from central
government.
10. Cont…
• The emphasis is on child family.
• Also, emphasis is on spacing methods along with
terminal methods.
• The current policy is to promote family planning
on the basis of voluntary and informed
acceptance with full community participation.
• The services are taken to every doorstep in order
to motivate families to accept the small family
norm.
11. AIMS AND OBJECTIVE OF FAMILY
WELFARE PROGRAMME
• The Government of India in the Ministry
of Health and Family Welfare has started
the operational aims and objective of
family welfare programme as follows-
• To promote the adoption of small family
size norm, on the basis of voluntary
acceptance.
12. Cont…
• To promote the use of spacing method.
• To arrange for clinical and surgical
service so as to achieve the set target.
• To ensure adequate supply of
contraceptive to all eligible couple within
easy reach.
13. Cont…
• Participation of voluntary
organization/local leaders/local self
government, in family welfare
programme at various level.
• Using the means of mass communication
and interpersonal communication to
overcome the social and cultural
hindrance in adopting the programme or
extensive use of public health education
for family planning.
14. GOALS OF THE FAMILY WELFARE
PROGRAMME
• Reduction of death rate from 10(in 1992)
to 9per 1000.
• Raising couple protection rate from
43.3(in 1990) to 60%.
• Reduction in average family size from
4.2(in 1990) to 2.3
• Decrease in infant mortality rate from79
(in 1992) to less than 60 per 1000 live
birth.
15. IMPACT OF FAMILY WELFARE
ACTIVITIES
• Nearly 98% of women and 99% men in the
age group 15 and 49 have a good knowledge
about one or more methods of
contraception. Adolescents seem to be well
aware of the modern method of
contraception.
• Over 97% of women and 95% of men are
knowledgeable about female sterilization,
which is the most popular modern
parmanent method of family planning.
While only 79% of women and 80% of men
have heard about male sterilization.
16. Cont…
• 93% of men have awareness about the usage of
condom while only 74% of women are aware of
the same.
• Around 80% of men and women have a fair
knowledge about contraception pills.
17. IMPORTANCE OF FAMILY WELFARE
PROGRAMME
• The year 2010-2011 ended with 34.9 million
family planning acceptor at national level
comprising of 5.0 million sterilization,5.6
million IUD insertion,16 million condom
user and 8.3 million oral pills users. As
against 35.6 million families planning
acceptors in 2009- 2010.
• Over the decades, there has been a
substantial increase in contraception use in
India.
18. STRATEGIES OF FAMILY WELFARE
PROGRAMME
• Integration with health service: family
welfare programme has been integrated with
other health service instead of being a separate
service.
• Integration with maternity and child
health: family welfare programme has been
integrated with maternity and child health.
Public are motivated for post delivery
sterilization, abortion and use of contraception.
19. Cont…
• Concentration in rural area: family welfare
programme are concentrated more in rural
areas at the level of subentries and primary
health center. This is in addition to hospitals
at district, state and central levels.
• Literacy: There is a direct co-relation
between illiteracy and fertility. So stress and
priority is given for girl’s education, fertility
rate among educated female are low.
20. Cont…
• Breast feeding: Breast feeding is encouraged. It
is estimated that about 5 million birth per annum
can be prevented through breast feeding.
• Rising the age for marriage: Under the child
marriage bills (1978), the age of marriage has been
raised to 21 year for male and18 year for female.
This has some impact on fertility.
• Minimum need programme: It was launched
in 5th year plan with an aim to raise the economical
standards. Fertility is low in higher income groups.
so fertility rate can be lowered by increasing
economical standard.
21. Cont…
• Incentive: Monetary incentive has been given
in Family Planning Programme, especially for
poor classes. But these incentives have not been
very effective. So the programme must be on
voluntary basis.
• Mass media: Motivation through radio,
television, cinema, news paper, puppet shows
and folk dance is an important aspect of this
programme.
22. ROLE OF COMMUNITY HEALTH NURSE
IN FAMILY WELFARE SERVICES
• Community health nurse has a vast
role in family welfare service.
• SURVEY WORK
▫ Collecting demographic facts.
▫ Making list of homes and finding out
housing location.
▫ Collecting information about pregnant
mother, eligible couples, and infants.
23. Cont…
• EDUCATIONAL FUNTION AND
MOTIVATION-
• Explaining the importance and
necessity of family planning to masses.
▫ Using various techniques of teaching and
communication to propagate the message
of family planning to common man.
▫ Motivating the eligible couple to use
contraceptive and educating them about its
uses.
▫ Motivating people for family planning
operation or permanent contraception.
24. Cont…
• MANEGERIAL FUNCTION-
1. Conducting clinics-
▫ Deciding the date and place of clinics.
▫ Arranging equipments and other
resources at clinics.
▫ Arrangement and distribution
of contraceptives.
▫ Insertion and removal of IUD.
▫ Organizing family planning camps.
25. Cont…
• Arranging family planning operation
(sterilization) of male and female through
special camps.
• Making arrangements at the camps and
follow aseptic techniques for the
operation.
• Motivating eligible couple and preparing
them for the operation.
• Assisting the doctor in operation.
26. Cont…
• Maintaining the records-
• Keeping the eligible couple register
update.
• Maintaining the register of sterilization
cases, contraceptives user, and pregnant
mothers.
• Maintaining other records related to
family planning.
• Liaison work
• Soliciting the co-operation of
NGOs/voluntary organization.
27. BIBLIOGRAPHY
• Basavanthappa BT, Community Health
Nursing 1st Edition, 1998, Jaypee
Brothers, Delhi, Page no. 319-321.
• Chalkey A. M., A Textbook for the Health
Worker, 1st Edition, 1985, N.A.I. Limited,
Publisher, New Delhi, Page no. 330-340.
• Kumari Neelam, Essentials of Community
Health Nursing, 1st Edition 2011, PV
books Jalandhar, Page no. 225-226.
28. Cont…
• Park K., Essentials of Community Health
Nursing, 4th Edition 2004, Banarasidas
Bhanot Publisher, Jabalpur, Page no.
225-226.
• Swarnkar K., Community Health
Nursing, 2nd Edition 2008, N.R. Brother,
Indore, Page no.639-642.