Family Welfare

Objective

  • To improve the safety and efficacy of family welfare services.

  • To implement a State specific Safe Abortion Policy, which covers availability of safe abortion services and emergency contraception at all levels of health care.

  • To increase access to spacing methods with specific focus on improving IUD utilization

  • To shift the camp approach to Fixed Day Service (FDS) approach in all the Primary Health Centres.

  • To increase access of prospective clients for terminal family planning methods, especially in pockets of higher order birth.

  • To promote NSV as a method for increasing male participation in family planning.

Strategies

  • Ensuring proper implementation of Family Welfare Programme through periodical review and monitoring along with supportive supervision.

  • Ensuring availability of MVA trained doctors at the PHC level to offer safe abortion services and information and services for early confirmation of pregnancy and emergency contraception.

  • Social Marketing of condoms, OCP and ECP by ASHAs / AWW / VHN / staff nurse.

  • Accelerating the training for the new IUD insertion programme among VHN / ANM / Staff nurses to offer a conscious choice for those not willing to go in for permanent methods

  • Organization of IUD insertion camps at the PHC level on ANC clinic and immunization day (ie. Wednesday) and during MMU visits to reach eligible unprotected mothers.

  • Widening the choice of clients for availability of sterilization service –laparoscopic surgery, mini lap etc.

  • Adopting a combination of fixed day (Thursday) and camp approach for NSV and improving NSV performance through training and BCC.

  • Improving operative and post operative care practices to bring down morbidity and mortality due to sterilization.

Sterilization Compensation

On the guidelines of Government of India, Tamil Nadu Government is implementing the increased rate of compensation to the sterilization acceptors for BPL and APL category for the sterilization done in the Government Institutions and accredited Private Hospitals. The financial estimate for the sterilization acceptors for the year 2010 – 11 has been worked out in the following lines.

  1. The classification of APL / BPL acceptors for all the sterilization cases done in the Government Hospitals are being collected by this Directorate for 2009-10 and worked out for 2010-11 on the same lines at the rate of Rs.1000/- for BPL / SC / ST and Rs.650/- for APL acceptors of tubectomy and Rs.1,500/- for all vasectomy cases and Rs.20/- for each IUD insertion in Government Institutions.

  2. The classification of APL / BPL acceptors for all the sterilization cases done in the Voluntary Organisations and Approved Nursing Homes are being collected by this Directorate for 2009-10 and worked out for 2010-11 on the same lines at the rate of Rs.1,500/- for BPL / SC / ST acceptors of tubectomy and Rs.1,500/- for all vasectomy cases.

  3. 10% increase over the performance of 2010-11 is taken into account for estimating performance for 2011-12.

Review meetings

The Review Meetings are conducted every month at State level and District level to improve the performance and strengthening the Monitoring system. For the year 2011-12, it is proposed to conduct two State level Regional Review Meetings once in three months to monitor and improve the Family Welfare Performance. The Deputy Director of Medical, Rural Health Services and Family Welfare, the Mass Education and Information Officer / District Extension Educator, the Statistical Assistant and Junior Administrative Officer will be called for the review meeting. The Principal Secretary to Government, the Mission Director, State Health Mission and the Director of Family Welfare will conduct Regional review meetings every month.

Monitoring and supervisory visits to Districts / Facilities

The Director of Family Welfare, Officers of this Directorate and Staff of Demographic and Evaluation Cell are visiting the districts.

  • To monitor the Family Welfare Performance activities.

  • Proper Implementation of various Family Welfare schemes.

  • To assess the quality of services by carrying out sample check of Family Welfare acceptors and

  • To ensure the maintenance of proper records and registers, etc.,.

Performance based rewards to institutions and providers

In order to encourage the District Officers, Institutions, Medical Officers and field staff who rendered their best services in the field of Family Welfare Programme, It is planned to honour the Best Performing Institutions during the year 2011-12 by means of an award. This Award will create healthy competition among various institutions to perform well in family welfare programme particularly under Male Sterilisation and other family welfare methods. The Institutions deserve encouragement by recognizing their efforts and services through award of prizes on the basis of Institution performance.

M & E

Printing of Eligible Couple Register:

Family Welfare cum Eligible Couple Register is the basic record to plan and implement the Family Welfare Programme. Every year during the month of February –March, the Eligible Couple Registers are updated in the Rural and Urban areas and the no. of eligible couples who underwent terminal methods and number of Eligible Couples practicing spacing methods like IUD, OP Users and C.C. Users are estimated. Based on the number of Unprotected Eligible Couples, the field staffs motivate the couples for terminal and spacing methods.

Orientation Workshop on Technical Manuals of Family Planning

Quality of care in sterilization services is a major thrust area in the National Family Welfare Programme for addressing the unmet need in terminal methods. Poor quality of service in terms of technical inputs, processes, interpersonal communications, and limited choice leads to unsatisfied clients which result in under utilization of services as well as morbidity and mortality.

As there is a need to conduct an Orientation Workshop on the following subjects in this State to update the knowledge of Programme Managers and Services providers.

  1. Standards of Female and Male Sterilisations

  2. Quality Assurance in Family Planning Sterilisations.

  3. FDS Approach

  4. SOP for camps

Procedures for Insurance claims and Settlement.

The aim is to assess the service quality and enable programme managers and service providers both in public and accredited private facilities to provide quality sterilization services. They will be encouraged to take remedial measures and corrective steps for ensuring adherence of procedure prescribed in the manuals.

It is planned to conduct two batches of State Level Orientation Workshops, one for northern region and another for south region. At this workshop, Deans, Joint Director of Health Services, Deputy Director of Medical and Rural Health Services and Family Welfare of all Districts, Deputy Director of Health Services, Project Officers of all Post Partum Centres, Voluntary Organisation, NGOs and Staffs of Insurance dealing hands of all District Family Welfare Bureau will be invited to attend the workshops. Around 250 participants will be expected to participate in each workshop.

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