The Directorate of Family Welfare was
established in the year 1976 as a part of the Directorate of Health Services
subsequently around 1992-93, the department of Family Welfare was separately
administratively from Director of Health Services .The need to reduce the IMR,
MMR & TFR, it became imperative to have an independent organizational set up
for the Directorate of Family Welfare on the pattern of similar directorates
countrywide. The various activities include planning, implementing, supervising,
collaborating, monitoring and evaluating various aspects of RCH Program. RCH, a
flagship program under NRHM has five components :- (i) Population
stabilization (ii) Maternal Health (iii) Child Health (iv)Adolescent Health
(v) STI & HIV AIDS.
Inspite of being the smallest state
in the country with an area of 1483 sq. km. Delhi stands tall with a population
of 1, 67, 53,235(Census2011). Population density of Delhi is almost 11,300 per
sq km as compared to All India population density of 340 only and is the highest
in the country. The population due to its dynamic nature as a
result of opportunities of higher Job and health services availability in Delhi,
imposes an additional important role for addressing the related needs of the
target beneficiaries through its various services so that survival rates and
quality of life of the most vulnerable improves over time. Hence there is a need
to propagate ‘small family norm’ as a way of life among the eligible population.
In this context, the role of the Directorate of Family Welfare is
1) Infant Mortality Rate (IMR): Existing
22(CRS2010) to be less than 15 by 2015.
2) Maternal Mortality Rate
(MMR): Existing 130 per lakh live births (CRS 2010), to be less
than100 by 2015).
3) Total Fertility Rate (TFR): Existing 2.1(already
achieved replacement level) to 1.9 by 2015
of Family Welfare is responsible for planning, co-ordinating, monitoring,
supervising and evaluating activities with other agencies of Delhi Govt
including NGO’s in the following primary health care
- To facilitate provision of
antenatal and natal services to pregnant women.
- To facilitate implementation of
Post partum program.
- To facilitate provision of family
planning services (Basket of contraceptives, female/male sterilization,
- Implementation of UIP (Universal
- Surveillance of VPD (Vaccine
- Implementation of Pulse Polio
- Implementation of PC & PNDT
(Pre conception & Pre Natal Diagnostic Techniques Act 1994 Prevention of Sex
Selection) and MTP (Medical Termination of Pregnancy) Act.
- Co-ordination and execution of IEC
activities through Mass Education Media.
- Procurement of State Specific
vaccines such as MMR, vaccine and Typhoid. Stocking, maintaining cold chain,
disbursing vaccines and family welfare logistics to all health providing
agencies in the state.
- To monitor performance and quality
of family welfare activities by NGO’s and release of Grant-in-Aid to
- To facilitate provision of
Adolescent Health Services in the state of Delhi.
- Capacity Building to update
knowledge & skills of various categories of health functionaries by
providing RCH trainings by the H&FW Training Centre.
Various Activities under Dte. of Family Welfare
- One of the immediate objectives of the National Population
Policy is to address the unmet need of contraception. In Delhi the unmet need of
Family planning is 7.8% and for spacing it is 3.3%.The Contraceptive prevalence
rate is 66.9 % for any method and for any modern method it is 56.5%. (NFHS-3).
Family Planning pertains not only to population stabilization but also brings
down the IMR and MMR hence improving the quality of life.
- The DFW coordinates with all the various agencies of Delhi Govt.
MCD, NDMC, ESI, CGHS and NGO’s to provide basket of choice in a Cafeteria
approach with a goal to provide spacing and limiting methods. Contraceptives are
received from GOI at the State Medical Stores under DFW and are distributed to
all the agencies. The contraceptives available at all the health care centers
free of cost are- condoms, Copper T 380A, Emergency pills and Oral contraceptive
pills. IUCD 375 will be soon added to the existing basket of choice. Apart from
these the hospitals also provide Sterilization services namely Tubectomy,
No-Scalpel Vasectomy and Post-Partum IUCD services.
- DFW also procures stocks,
maintains & distributes Family Welfare logistics to all health care
providing agencies in the State of Delhi. Procurement of laparoscopes, their
maintenance and repair is another initiative under Family Welfare
- Empanelment of all service
providers for providing Sterilization services as per GOI Guidelines for Quality
Assurance, for performing Minilaparotomy & Laparoscopic
- Ensuring provision of Quality
services by implementing Standard Operating Procedures for Sterilization as laid
down by GOI and holding regular QAC meetings at district and state level.
- Family Planning Insurance
Scheme is implemented through ICICI Lombard insurance Company. If there is any
failure/complication or Death following sterilization operation, the District
Quality Assurance Committee examines the case and recommends compensation to the
client through ICICI Lombard Insurance Company.
- Other activities: Celebration of
World Population Day, Increasing Male participation, IEC and Contraceptive
Updates, Organizing camps etc.
Immunization: - Directorate of Family Welfare is involved in
the state in planning, implementing, co-ordinating, supervising
and monitoring immunization services in the state of Delhi through more than 700
health units under administrative controls of various organizations like DHS,
MCD, NDMC, etc. In a recent Concurrent Evaluation of NRHM 2009, percentage of
fully immunized children in Delhi is 88.7%.
various activities under Immunisation programme being done at the state level
- To procure vaccines and other
logistics, stock, maintain cold chain and distribute the same to all health
- To plan state specific special
immunization program for MMR and Typhoid vaccination.
- Surveillance of vaccine
preventable diseases with specific objectives of eradication of Polio,
elimination of Neonatal Tetanus and control of measles.
- To implement Pulse Polio
Program in the State of Delhi through number of Pulse Polio immunization booths
supplemented by house to house activity in the next five days.
- Celebration of Special
Immunization, Breast Feeding, Hepatitis B and Newborn Care Weeks are special
innovations undertaken by the State as a regular feature of Routine Immunization
- To procure State specific
Immunization cards which includes nutritional surveillance of children <5
year of age along with growth monitoring and nutritional advise to the
- Holding of RCH Camps in the slums
and JJ clusters and the outskirts of rural Delhi as well as monthly Health and
Nutrition Days at Anganwadies are additional outreach services offered in
Directorate of Family Welfare is
involved in coordinating, monitoring & supervising with all the health
agencies in the state providing maternal health for quality care to pregnant
mothers, promotion of safe delivery and post partum care.
In addition DFW is also involved
implementation of maternal health schemes like:
- Janani Suraksha Yojana Janani Suraksha Yojana (JSY): is
a safe motherhood intervention under the National Rural Health Mission (NRHM)
being implemented with the objective of reducing maternal and infant mortality
by promoting institutional delivery among the poor pregnant women. It integrates
cash assistance with delivery and post-delivery care The Yojana has identified
ASHA, the accredited social health activist as an effective link between the
Government and the poor pregnant women
- Janani Shishu Suraksha Karyakram : The new initiative of JSSK would provide completely
free and cashless services to pregnant women including normal deliveries and
caesarean operations and sick new born (up to 30 days after birth) in Government
health institutions in both rural and urban areas. JSSK supplements the cash
assistance given to a pregnant woman under Janani Suraksha Yojana and is aimed
at mitigating the burden of out of pocket expenses incurred by pregnant women
and sick newborns. Besides it would be a major factor in enhancing access to
public health institutions and help bring down the Maternal Mortality and Infant
Free Entitlements under JSSK would include: Free and Cashless Delivery, Free
C-Section, Free treatment of sick-new-born up to 30 days, Exemption from User
Charges, Free Drugs and Consumables, Free Diagnostics, Free Diet during stay in
the health institutions for 3 days in case of normal delivery and 7 days in
case of caesarean section, Free Provision of Blood, Free Transport from Home to
Health Institutions, Free Transport between facilities in case of referral and
also Drop Back from Institutions to home after 48hrs stay. Free Entitlements for
Sick newborns till 30 days after birth similarly include Free treatment, Free
drugs and consumables, Free diagnostics, Free provision of blood, Exemption from
user charges, Free Transport from Home to Health Institutions, Free Transport
between facilities in case of referral and Free drop Back from Institutions to
HEALTH: The DFW plans, implements, coordinates and monitors various
initiatives under child health in the state to bring down the IMR and NMR. These
- Upgradation of SNCU’s, NBSU’s, NBCC’s and NRC’s in the hospitals
of Delhi Govt to provide quality care to the sick and vulnerable newborns.
- Tracking of sick admitted children through MCTS.
- Coordination with ASHA and AWW for Home based newborn care
- Identification and treatment of Severe Acute Malnutrition as per
treatment protocols of GOI.
- Implementation of IMNCI for identification and timely referral
of sick children
- Implementation of IYCF Counseling centers in hospitals and
celebration of World Breast feeding Week for promotion of early initiation,
exclusive breast feeding, timely complementary feeding and continuing
breastfeeding up to at least 2 years.
- Procurement of ORS packets, Zinc tablets and IFA tablets and
distribution to the various health agencies of Delhi to reduce the morbidity and
mortality from Diarrheal diseases and Anemia.
& Prenatal Diagnostics Techniques Act 1994(Prevention of Sex Selection)
:- DFW is involved in Implementation of PC & PNDT
Act in the state of Delhi. and also acts as an Appellate authority for
implementation of PNDT Act. Child sex ratio
has been adversely affected by the practice of Pr- conception and Pre- natal Sex
selection. The Pr- conception and Pre- natal diagnostic techniques Act ( PC and
PNDT Act) enacted in 1994 seeks to address this problem legally. It is the end
product of extensive deliberations among all stake holders i.e. the people’s
representatives, medical practitioners and the civil society. The PNDT Act
focuses on the need to eliminate the illegal practice of sex determination and
female foeticide and echoes the collective concern of the people’s
representative and the civil society.
Act: - The Indian abortion laws fall under the Medical
Termination of Pregnancy (MTP) Act, which was enacted by the Indian Parliament
in the year 1971. The MTP Act came into effect from April 1, 1972 and was
amended in 1975 and 2004.
The Medical Termination of Pregnancy
(MTP) Act of India clearly states the
conditions under which a pregnancy can be ended or aborted, the persons who are
qualified to conduct the abortion and the place of implementation. MTP Act has
been decentralized in Delhi and DFW is engaged in Co-ordination and overall
supervision of implementation of the MTP Act at the state level.
Resource Development: - For successful
implementation of any health programme capacity building is imperative.
The directorate has a State level institute i.e. Health & Family
Welfare Training Centre situated in Saraswati Vihar where the knowledge
and skills of various categories of health functionaries is updated by providing
various trainings like safe immunization, Adolescent health, IMNCI, Alternative
methodology of IUCD insertion, IYCF practices etc. It also collaborates with
major hospitals of Delhi for provision of hands on training for improving skills
of health care functionaries like Skill Birth Attendant training, IUCD training,
NSSK , IMNCI etc.The service providers of all the health agencies in Delhi are
being trained here.
Partum Program: - PPP is a
hospital based maternity center approach for family welfare program as at this
time women are most receptive to adopt F.W. services. There are number of P.P.
units in various hospitals of Delhi under administrative control of different
agencies for which manpower, logistics and finance is provided by this
Coordination with NGOs:
- Grant-in-Aid is provided to number of
NGOs in the state of Delhi for efficient implementation of Family Welfare
programs. The various responsibilities of DFW are to release timely grants,
logistics, monitoring, hold quarterly meetings and training of the
Education Media Department: - Co-ordination &
execution for all IEC activities through print, outdoor and electronic media
related to various programs.
Medical Store: - Situated at 2- Battery Lane,
Rajpur Road, stocks, maintains cold chain, distributes all the vaccines and
logistics related to UIP and Family Welfare programs to the entire state of
Delhi (also working out requirement of Logistics in Delhi as per BR & TFR
& project the need to GOI)
Monitoring & Evaluation:
- The directorate collects, compiles, analyses the
information/data regarding family welfare activities undertaken by the health