Lok Sabha Question No. 3270 (UNSTARRED), answered on 2017-08-04
Subject: Jansankhya Sthirata Kosh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJENDRA AGRAWAL

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 3270 TO BE ANSWERED ON 4 TH AUGUST , 2017

## JANSANKHYA STHIRATA KOSH

## 3270. SHRI RAJENDRA AGRAWAL:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  is  keeping  a  track  of  the  activities  taken  under  the  Jans Sthirata Kosh and the success achieved in attaining goals of National Population Policy and if so, the details thereof;
- (b) the utilisation of funds for selected projects, schemes, initiatives and innovative i to family planning;
- (c) whether the United Nations Population Fund has funded the population control programm Indi a and if so, the details thereof;
- (d) whether the outcome of population control programme has not been satisfactory and if details thereof; and
- (e) the steps taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SMT. ANUPRIYA PATEL )

- (a): Yes, the National Total Fertility Rate (TFR) has declined from 2.7 in NFHS - 3 (2005 - 06) to 2.2 in  NFHS - 4 (2015 - 16)
- (b):     Funds to the tune of approx Rs. 12.00 Crores was utilized for the activities of Sthirata Kosh (JSK) during the last financial year 2016 - 17.
- (c): No such information is available with Ministry.
- (d):     No .
- (e):     The steps taken by the  Government are given in the Annexure .

……………….

## Steps taken by the Government under Family Planning

## New interventions

- Mission Parivar Vikas: For increasing access to contraceptives and FP services, which wi improve the overall development parameters of these districts.
- New  Contraceptive  Choices: The  current  basket  has  been  expanded  to  include  the  new choices viz. Injectable contraceptive, Centchroman and Progesterone Only Pills (POP).
- Redesigned Contraceptive Packaging: The pa ckaging for Condoms, OCPs and ECPs has now been improved and redesigned so as to influence the demand for these commodities.
- New Family Planning Media Campaign: A360 degree media campaign has been launched to generate contraceptive demand.
- Family Plannin g logistics management information system has been launched and initial trainings are expected to start by August 2017.
- Enhanced Compensation Scheme for Sterilization -The compensation package has been enhanced  in  2014  for  11  high  focus  high  TFR  states (8 EAG  states,  Assam,  Gujarat, Haryana) and  further  increased  for  146  high  fertility  districts  under  the  Mission Vikas.
- A new method of IUCD insertion i.e. PPIUCD has been introduced.
- PPIUCD Incentive Scheme: Started wef. 1.1.2014. The service provider as well as ASHA who escorts the clients to the health facility for facilitating the IUCD insertion is p each per insertion. Beneficiaries are also paid Rs. 300/insertion to ensure better foll
- Post Abortion Family Planning Services: is now being promoted as a critical intervention to reduce maternal morbidities.
- Scheme for ensuring drop back services to sterilization clients.
- Appointment of dedicated RMNCH+A counsellors at high case load fa cilities.
- Observation of Vasectomy fortnight -To lay emphasis on male participation Vasectomy fortnight is celebrated by all states in November. The event is observed for a perio days with mobilization week and service delivery week.

## Annexure

## On - goingInterventions

- Ensuring  quality of care  in  Family  Planning  services  by  establishing  Quality  Assurance Committees in all state and district s.
- Cu IUCD 375 with5 years effectivity has been introduced in the programme as an alternative to the existing IUCD (Cu IUCD 380A with effectivity of 10 years).
- Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries . The scheme has been now expanded so as to ensure ava ilability of free supply at PHC and SC. It also aims at ensuring availability of condom boxes at all the facilities.
- Scheme for ASHAs to ensure spacing in births:
- o Under  the  scheme,  services  of  ASHAs are  being utilized  for  counselling  newly married couple s to ensure delay of 2 years in birth after marriage and couples wi child to have spacing of 3 years after the birth of 1st child.
- Increasing male participation and promotion of 'Non Scalpel Vasectomy''.
- National Family Planning Indemnity Scheme: The clients are indemnified in the unlikely events of deaths, complications and failures following sterilization and the providers/ accredited institutions are indemnified against litigations in those eventualities.
- Accreditation  of  more  private/  NGO  facili ties  to  increase  the  provider  base  for  family planning services under PPP.
- Observation of World Population Day & fortnight (July 11 -July 24):

The  event  is  observed  over  a  month  long  period,  split  into  an  initial  fortn mobilization/sensitization followed by a fortnight of assured family planning s delivery.

- a. June 27 to July 10: 'Dampati Sampark Pakhwada' or 'Mobilisation Fortnight'
- b. July 11 to July 24 'Jansankhya Sthirtha Pakhwada' or 'Population Stabilisation Fortnight'
3. Emphasis on Minilap Tubectomy services because of its logistical simplicity with less rates.
4. Demand generation activities in the form of display of poste rs, billboards and other audio and video materials in the various facilities

## Interventions by Jansankhya Sthirata Kosh (JSK)

## I. Santushti Strategy

'Santushti'  is  a  scheme  for  7  JSK  high  focus  States  (Bihar,  Uttar  Pradesh,  Madhya Pradesh,  Rajasthan,  Jharkhand,  Chhattisgarh  &  Odisha)  which  provides  private  sec gynecologists and vasectomy surgeons an opportunity to conduct sterilization operat under Public Private Partnership (PPP).

## II. Prerna Strategy

In order to help push up the age of marriage of girls and space the birth of childr interest of health of young mothers and infants, JSK has launched 'Prerna', a Responsible Parenthood Strategy in the above 7 high focus states.

The  strategy  recognizes  and  awards  couples  who  have  broken  the  stereotype  of  ea marriage, early childbirth and repeated child births, and have helped change the mi of the community.

## III. National Help Line

Jansankhya Sthirata  Kosh  initiated  a  first  of  its  kind  'National  Helpline'  in  India  on Reproductive and Sexual Health, Family Planning and Infant and Child Health in 200 . The toll - free number is 1800- 116- 555 which can be accessed from anywhere in India.

## IV. Advocacy & IEC activities

JSK  regularly  undertakes  advocacy  on  the  population  issues  with  stakeholders  such adolescents and students, NGOs, communities and national media in high fertility  States.