- One major problem (mainly of the mothers of the city slum
area) was the drinking habit of their husbands. In these
families apart from the counselling of the mothers, psychiatric
consultation for the alcoholic husbands was offered. But
none of the alcoholic husbands turned up for these consultations.
In one such family, the husband was willing to give up his
drinking habit but wanted the help at his door step. The
principal co-investigator visited the family and advised
the husband. As a result of this, he was ready to take treatment
and was given medicines free of cost. He has greatly reduced
his drinking and he and his wife are very happy at the possibility
- Though the programme aimed at the mothers of the target
families but in some of the families husbands and/or children
were also contacted to bring about a change in the well
being of mothers as well as in the family situation.
- Another observation is that too many home visits were
not required to make family interventions. This may decrease
the level of cooperation and the interest of the mothers.
Lesser visits but using good rapport and appropriate counselling
skills proved to be more effective. The counselling sessions
at Lucknow centre lasted from 20 minutes to more than an
- The time schedule for interventions varied in the families
depending on the general interest and motivation on the
part of the mothers, number of risk factors present and
the availability of the resources.
b) Some difficulties were faced during
the execution of family interventions at Lucknow centre. These
are as follows:
- A few families did not cooperate as they had no trust
in any governmental schemes or they felt that the main purpose
of the study was to motivate them for family planning.
- In some families the cooperation was quite good in the
beginning but as the work progressed the level of cooperation
decreased in the absence of any material or financial help.
- Working mothers in city slum areas and mothers with too
much agricultural work in rural areas were not easily available
for counselling. Though the research team was prepared to
work with families at flexible hours but the AWs refused
to do so.