National Family Welfare Program

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INTRODUCTION
The institution of family is as old as man himself. It is the basic social cell. Sociologists and economists have always been propounding the ways to improve quality of life, which is difficult to achieve if the population remains unchecked. India launched a nation-wide Family Welfare Program in 1952, during the first five year plan, making it the first country in the world to do so. COMPONENTS

The National family welfare Program in India has five components: A.Maternal and child health, extended to reproduction and child health care. B.Immunization of pregnant women by tetanus toxoid and that of children infant and preschoolers by BCG, oral polio , diphtheria, tetanus, pertussis and measles. C.Nutritional supplement- Iron and folic acid to pregnant women and children. Vit.A to prevent blindness D.Contraceptive education and distribution free and social marketing i.e Contraceptive Nirodh, Oral Contraceptive i.e Mala D, copper –T and that of voluntary surgical contraception E.Health education on primary health care particularly motivation to accept contraception. Emphasis on vasectomy was made in the national program, currently spacing contraception is promoted.

A.Maternal and Child Health{MCH}
It relates to health of mother during pregnancy, childbirth and post-natal period and that of newborn and neo-natal health. Reproductive and Child Health (RCH)- relates to extended MCH with adolescent and post-menopausal woman’s health. The RCH package covers: 1.Pre-reproductive Adolescent years:

Health care of adolescent girl including health promotion, safe age of marriage > 20 years, prevention of unsafe abortion and prevention of sexually transmitted disease (STD/AIDS)

2.Reproductive Years
Contraception.
Legal Abortion ( MTP)
Effective RCH care to ensure safe motherhood. Risk approach RCH care is streamlines Male involvement in RCH care is essential. •Effective nutritional education to all and services to the vulnerable group. •Service to promote child survival.

Prevention and treatment of reproductive tract infection and sexually transmitted disease including HIV/AIDS high risk labor by automobile transport. •Prevention and treatment of gynecological problems menstrual disorders or infertility. 3.Post reproductive Years

Prevention and care of genital prolapse
Education on menopause.
Screening and treatment of cancer especially cervical cancer. B. Immunization:
Immunization to the mother and child was made one of the important approach. The WHO launched its Expanded program on immunization against six most common preventable childhood diseases, viz. diphtheria, pertussis (whooping cough), tetanus, polio, tuberculosis and measles. The government of India launched its EPI in 1978 with the objective to reduce mortality and morbidity resulting from vaccine-preventable diseases of childhood and to achieve self sufficiency, in the production of vaccine. UIP in India was started in 1985. It has two vital components i.e. immunization of pregnant women against tetanus and immunization of children in their first year against the six targeted diseases.

C.Nutritional supplement
Special Nutrition program:
This program was started in 1970 for the nutritional benefit of children below 6 years of age, pregnant and nursing mothers and is in operation in urban slum, tribal areas and backward rural areas. The supplementary food supplies about 300 Kcal and 10-12 gms of protein per child per day. The beneficiary mothers receive daily 500 Kcal and 25 gms of protein. This supplement is provided to them for about 300 days in an year. •Balwadi Nutrition Program:

This program was started in 1970 for the benefit of children in the age group 3-6 years. It is under the overall charge of Department of Social Welfare. The food supplement provides 300 Kcal and 10gms of protein per child. •Mid-day Meal Program:...
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