Schemes
Various Schemes under Family Welfare Programme
The problem of population growth was visualized quite early by Country’s Planners Political Leaders and Administrators. It was therefore decided in first Five Year Plan to provide information and services in regard to Family Planning and married couples through existing health institutions and newly established centers. A large number of urban centers were subsequently established in a phased manner.
At present following categories of schemes in urban areas functioning in various districts/ Municipal Corporation in the State of Maharashatra.
| Sr. No. | Name of the Schemes | Local Body | NGO | Govt. | Total |
| 1 | City Family Welfare Bureau & Dist.F.W.B | 06 | – | 06 | |
| 2 | Urban Family Welfare Centers | 37 | 17 | 20 | 74 |
| 3 | Urban Health Posts 209 | 209 | 32 | 39 | 280 |
| 4 | A.N.M. Training Center. | 00 | 06 | 00 | 06 |
| 5 | Sterilization Beds scheme. | 63 | 71 | 00 | 134 |
The working of the various schemes are described in brief as follows:
City Family Welfare Bureau
In view of the suggested changes in the organisation in urban areas for the delivery of Family Planning ,MCH and Primary Health Care Services. It would be necessary to modify the pattern of City Family Welfare Bureau for Co–ordination and Supervision is as follows
Staffing Pattern
| Sr.No. | Name of the Schemes | I (5–10 Lakh) | II (10–15 Lakh) | III (15–25 Lakh) |
| 1 | Dy .Chief Medical Officer | 0 | 0 | 1 |
| 2 | Co–ordinator/Ext.M.O. | 1 | 1 | 1 |
| 3 | Senior Public Health Nurse | 1 | 1 | 1 |
| 4 | Statistical Assistant | 1 | 1 | 1 |
| 5 | L.D.C.Cum Typist | 1 | 1 | 2 |
| 6 | U.D.C.Cum Store Keeper | 0 | 1 | 1 |
| 7 | Attendant | 1 | 1 | 2 |
| 8 | Computer | 0 | 1 | 2 |
| 9 | Extension Educator | 0 | 1 | 1 |
| Total | 5 | 8 | 12 |
The town having population less than ten lakh and located in the district having total population less than Twenty Lakh, no separate CFWB is required. The existing district level organisation is able to co–ordinate the activities and provide requisite supervision. If the population of the city is more than Twenty–Five Lakh, the CFWB requirement should be worked out as per one unit of Type III per Twenty Five Lakh population and an overall cell for higher level co–ordination.
| Sr.No. | Local Body | Type | No. |
| 1 | Mumbai Corporation | III | 3+1DFWB |
| 2 | Pune Corporation | II | 1 |
| 3 | Solapur Corporation | II | 1 |
| 4 | Nagpur Corporation | II | 1 |
| 5 | Kalyan Dombivali Corportaion | I | 1 |
| Total | – | 7+1DFWB |
Objectives
To make publicity and awareness among people. Motivation of eligible couples for accepting Family Planning methods. Maternal Child Health, Reproductive Child Health, Outreach Services etc.
Activities
- Coordination.
- Supervision.
- To implement F.W., M.C.H R.C.H,programme.
- Monthly review meeting.
- Feedback.
- Submission of reports to State F.W.Bureau.
- Targets distribution.
- Supply of Cu–T, conraceptives,Publicity material et. to the F.W.Centers.
Urban Family Welfare Centers
The working of the Urban Family Welfare Centers (UFWC) was reviewed by Department of Family Welfare in 1976 and it is decided to recognize the four types of centers into three types with following reduced staffing pattern.
| Sr.No. | Type | Population | Posts | Number |
| 1 | I | 10000 to 25000 | Auxillary Nurse Midwife | 1 |
| F. P. Field Worker(M)/ Co– co.ordinator | 1 | |||
| 2 | II | 25000 to 50000 | F. P. Field Worker (M)/ Co. ordinator | 1 |
| ANM | 1 | |||
| MPW | 1 | |||
| 3 | III | 50000 to above | Medical Officer | 1 |
| 4 | ANM | 2 | ||
| 5 | F. P. Field Worker (M)/ Co. ordinator | 1 | ||
| 6 | Store keeper–cum–clerk | 1 | ||
| 7 | MPW | 1 |
UFWCs. (Type wise and Agency wise) – There are in all 83 UFWCs in the state. The Agency/Type wise number of UFWCs are given as below:
| Sr.No. | Agency/Type | Sanctioned | Functioning(as on 1/08/07 | ||||||
| I | II | III | Total | I | II | III | Total | ||
| 1 | Government | 10 | 0 | 10 | 20 | 0 | 0 | 9 | 9 |
| 2 | Local Body | 11 | 9 | 20 | 40 | 11 | 8 | 19 | 38 |
| 3 | Vol.Organ./NGOs | 0 | 1 | 22 | 23 | 0 | 1 | 13 | 14 |
| Total | 21 | 10 | 52 | 83 | 11 | 9 | 41 | 61 | |
Objectives
The Main object of the Scheme is to make publicity & awareness among people.To motivate eligible couples for accepting FW, MCH, RCH Services.
Activities
- Sterelisation Operations.
- I.U.D. Cu–T insertions.
- Oral Pill & Nirodh distribution.
- Immunisations.
- M.C.H. services.
- Promotion and motivation of F.W. methods.
- F.W. Survey and registration.
- One day orientation camps, etc.
- Pulse Polio Campaign.
- Presumptive treatment of Malaria.
- Identification of the suspected cases of Tuberculosis/Leprosy.
- Infant Feeding.
- High risk maternity cases.
- Maintenance of records & registers.
- Survey of Eligible Couples.
- Monthly/Quarterly/Annual Reporting.
Urban Health Posts
Staffing Pattern
| Sr.No. | Category | No. of post admissible by type of Urban Health Posts | |||
| A [Below–5000] | B [5000 to 10000] | C [10000 to 25000] | D [25000 to 50000] | ||
| 1 | Lady Medical Officer | 0 | 0 | 0 | 1 |
| 2 | P.H.N. | 0 | 0 | 0 | 1 |
| 3 | Nurse Midwife | 1 | 1 | 2 | 3–4 |
| 4 | MPW (male)* | 0 | 1 | 2 | 4 |
| 5 | Class – IV | 0 | 0 | 0 | 1 |
| 6 | Computer cum clerk | 0 | 0 | 0 | 1 |
| 7 | Vol. women Health worker | 0 | 0 | 0 | 1@ |
| Total | 1 | 2 | 4 | 12–1 | |
@ One for every 2000 Population. * At present there is ban on filling these posts.
There are in all 292 U.H.Ps sanction in the State. The Agency/Type wise No. of UHPs sanction and Functioning is as below
| Sr.No. | Agency/Type | Sanctioned | Functioning(as on 1/08/07 | ||||||||
| A | B | C | D | Total | A | B | C | D | Total | ||
| 1 | Government | 6 | 0 | 7 | 26 | 39 | 3 | 0 | 7 | 26 | 36 |
| 2 | Local Body | 7 | 15 | 36 | 151 | 209 | 7 | 15 | 33 | 138 | 193 |
| 3 | Vol.Organ./NGOs | 0 | 0 | 4 | 28 | 32 | 0 | 0 | 2 | 26 | 28 |
| Total | 13 | 15 | 47 | 205 | 280 | 10 | 15 | 42 | 190 | 257 | |
A.N.M. Training Schools
Auxiliary Nurse Midwife Training Centers conducting training courses for nurse having staffing pattern as follows
Staffing Pattern
| Sr.No. | Staff Category Type/Population | 20 Student Capacity | 30 Student Capacity | 45 Student Capacity | 60 Student Capacity |
| 1 | Nursing Officer Principal | 0 | 1 | 1 | 1 |
| 2 | Sister Tutor | 1 | 2 | 2 | 3 |
| 3 | Public Health Nurse | 1 | 3 | 1 | 1 |
| 4 | Warden | 0 | 0 | 1 | 1 |
| 5 | U.D.C. (part–time) | 0 | 1 | 0 | 0 |
| 6 | U.D.C. (full–time | 0 | 0 | 1 | 1 |
| 7 | Senior Sanitary Inspector | 0 | 1 | 1 | 1 |
| 8 | Driver | 0 | 1 | 1 | 1 |
| 9 | Class–IV | 3 | 4 | 6 | 8 |
| Total | 5 | 13 | 17 | 20 |
This course is of 18 months duration. The stipend of Rs.500/– p.m. is being given to the student. Salaries of the staff in Contigency of Rs. 10000/– p.a. is provided. As per the Govt. of India’s norms Rent up to Rs. 60000/– per annum is being given to the Training Institution if it is on rental basis. One vehicle is provided to the Trg. Institutions.
No. of A.N.M. Training Centers (All are Voluntary Organisations)
| Sr.No. | Name of the Training Centers | Capacity of Students |
| 1 | K.E.M. Hospital, Pune. | 60 |
| 2 | Dwarika Sangamnerkar Medical Foundation, Pune | 20 |
| 3 | Seth Tarachand Ramanath Dharmarth Ayurvedic Hosp.,Pune | 30 |
| 4 | Matru Seva Sangh Sitabardi, Nagpur | 60 |
| 5 | Matru Seva Sangh Mahal, Nagpur | 30 |
| 6 | Dhanaraj Giriji Charitable Hospital, Sholapur | 30 |
Activites
(1) Conducting A.N.M. Training
(2) Reorientation training for A.N.M.s
Sterilisation Bed Scheme
At present the scheme is only sanctioned to hospitals run by local bodies and voluntary organisation.These institutions would be entitled to claim bed maintenance grant Rs. 6000/– per bed per annum provided the target of sixty tubectomies per bed per annum is achieved. If the Voluntary Organisation/Local Bodies fails to achieve the target of sixty tubectomies then if the performance level is 45 tubectomies per bed per annum, the maintenance grant of Rs. 4000/– per bed per annum is admissible. And if the performance level of organization remains below 45 tubectomies per bed per annum ,proportionate grant of Rs.4000/– per bed per annum is admissible.
Activities & Main Objective
To Carry out Tubectomies operations. The scheme is only sanctioned to hospital run by Local Bodies and Non– Government/ Voluntary Organisation.
These institutions would be entitled to claim bed maintenance grant per bed per annum provided a target of tubectomies is full filled as per Government of India norms.
The norms are as follows
i) Rs.6000/– per bed, per annum provided if target of 60 tubectomies per bed per annum is achieved.
ii) Rs.4000/– per bed, per annum provided if 45 tubectomies, per bed, per annum is achieved.
iii) If the performance of tubs is less than 45 tubectomies, per bed, per annum then proportionate grant per bed, per annum is admissible.
Grant–in–aid.(G.I.A.)
The above schemes are 100% Central sponsored. The State Government has to pay grant first and then get it reimbursed from Govt. of India.
The Government of India has fixed the norms for distributing the assistant grant and they are follows
- Institution must be Charitable one, approved by charitable commissioner and it must be registered.
- The staff sanctioned to the N.G.O./ L.B.O. is as per the norms laid down by Govt. of India.
- The post must be filled by the Institution (NGO/LBO) as per their rules and regulations. The Govt. is only verifying the Education Status of the concerned worker posted on the particular post.
- Government is providing 100% assistant Grant–in–aid only for the salaries and wages of the Staff working under the Urban Family Welfare Schemes of NGO/LBO.
- Grant–in–aid is not provided for vacant post.
- Government is not providing expenditure on Pension, Gratuity, Bonus, Leave encashment, Provident fund etc. Institution has to bare the same as per their rules.
- Institution receives rent of the building if it is on rental basis. But the maximum limit of the rent is Rs. 25000/– per annum as per the norms decided by the Public Works Deptt. of Maharashatra State. This is provided to those Institutions who demands the rent.
- Under the Scheme of ANM Training Centers the vehicle is provided. The expenditure and repairs is being given as per the guidelines of the Central Government.
- Revised Contingency is being provided to the NGO/LBO as per the norms laid down by the Central Government from 2003–04 and they are as follow
| Type of Center | City F.W.B. | Urban F.W.C. | Urban Health Post |
| Type –III & IV | Rs.8000/– | – | – |
| Type– I | – | Rs.5000/– | – |
| Type– II | – | Rs.7000/– | – |
| Type– III | – | Rs.15000/– | – |
| Type– A | – | – | Rs.5000/– |
| Type– B | – | – | Rs.5000/– |
| Type– C | – | – | Rs.15000/– |
| Type– D | – | – | Rs.25000/– |
For A.N.M. Training Center Contingency of Rs.10000/– is being provided.
- Distribution system of assistant grant:
The assistant grant is being distributed in four installments as per the norms laid down by the Central Government.
| Sr.No. | Installment | GIA Distribution System |
| 1 | 1st Installment | 1/6 th of the budget of the Institution |
| 2 | 2nd Installment | 50% GIA (Including 1st Inst.) will be released on receipt of un audited statement and if achievement of last year is satisfactory. |
| 3 | 3rd Installment | 75% GIA (Including 1st & 2nd Installment) will be released on receipt of Audited Statement and if performance of current year (up to September ) is satisfactory. |
| 4 | 4th Installment | On completion of balance–sheet and on reconciliation of last year’s expenditure ,the forth and final installment is being released |
- It is the responsibility of the concerned NGO/LBO to pay the salaries of the staff in time without waiting for grants from Government as they have to pay first and get it reimbursed from Government.
- It present limit of sanctioning the GIA to NGO/LBO is as follow:
- Additional Director of Health Services,(FW )––––– up to Rs.5 lakh.
- State Government (PHD) –––––––up toRs.10 lakh.
- Government of India–––––––above Rs. 10 lakh.
- The assistant grant is being distributed on fulfillment of performance of Family
Welfare in equivalent sterilization and is as follow:
| Sr.No. | Equivalent Sterilisation | GIA to be Sanction |
| 1 | 85% and above | 100% |
| 2 | 50% – 84% | 50% |
| 3 | Less than 50% | NIL |
- The Targets – The Family Welfare and Maternal Child Health Targets are being fixed and distributed by the concerned Medical Officer of Health, Municipal Corporation and Civil Surgeon, General Hospital.
- The The review of the programme is taken by Medical Officer of Health, Civil Surgeon, Mun.Commissioner & Dy. Director of Health Services, every month and feedback is being given for satisfactory performance of the Institution.
- Reporting – Quarterly Progress Report must be submitted to Addl. Director of Health Services, Family Welfare, MCH & SH, Pune– 411 001.
