Lok Sabha Question No. 1819 (UNSTARRED), answered on 2016-11-25
Subject: Family Planning Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. S. YEDDYURAPPA, B.V. NAYAK, KONDA VISHWESHWAR REDDY, DHARAM VIRA GANDHI

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

## LOK SABHA UNSTARRED QUESTION NO. 1819 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## FAMILY PLANNING PROG RAMME

## 1819. SHRI B.S. YEDIYURAPPA:

SHRI B.V. NAIK:

SHRI KONDA VISHWESHWAR REDDY:

SHRI DHARAM VIRA:

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

- (a) whether the Government would consider reviving the family planning programme as a mass movement, if so, the detials thereof;
- (b) the details of various schemes run by the Government to promote family planning;
- (c) whether the Government has made major budget allocation to the family planning through the budget heads of family welfare and the National Health Mission (NHM);
- (d) if so, t he details of the budget headwise allocations for the current and last 3 financial years;
- (e) the details of the Centre - State budget allocation formula to the family planning;
- (f) the details of the State - wise budget allocations for the current and last three financial years;
- (g)  whether  the  Government  has  made any  commitments  under  FP2020 programme  of  UN foundation, if so, the details thereof;
- (h)  the  details  of  steps  taken  by  the Government  towards  commitments  made under  FP2020 programme of UNfoundat ions; and
- (i) whether the Union Government has received any proposal regarding family welfare and rural health care schemes from the State Government of Karnataka, if so, the details thereof along with the action taken by the Government thereon?

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

- (a): Government has already come up with theRMNCH+A approach under whichFamily planningprogramme has been integrated with maternal, neonatal, child and adolescent he lth programme to give it a thrust.
- ( b) : The details of various schemes run by the Government to promote family planning placed at Annexure -I.

(c) to (f): The Government approves  the budget forfamily  planning  through  the  budget heads of family welfare and the National Health Mission (NHM) every year based on proposals received from the states in their state PIPs.

The d etails of the budget allocation forcentre and the states for the current an d last 3 financial years are placed at Annexure II.

The Centre - State budget allocation formula forfamily planning is the same as followed under National Health Mission (NHM) which is 60:40 ;

(g): Yes.  The  Government  has  made commitments  under  FP2020  prog ramme  of  UN foundations which include:

- Sustaining  the  coverage  of    over  100  million  (10  Crore)  women  currently  usi contraceptives
- Reducing the unmet need by an improved access to voluntary family planning service supplies and information.
- Expandingthe basket of choices and scaling up the usage of current methods availabl

(h): The  steps  taken  by  the  Government  towards  commitments  made  under  FP 2020 programme of UN foundation include:

- Introducing New Contraceptive Choices: The current basket of choice has been expanded to include  new  contraceptives viz.Injectable  contraceptive,  Centchroman  and  P rogrsterone O nlyPills (POP) .
- Refurbishing Contraceptive Packaging: The packaging for Condoms, OCP s and ECP s has now been improved and redesigned so as to increase the demand for these commodities .
- Unveiling of a New Family Planning Media Campaign: A 360 degree media campaign has been launched to generate awareness about family planning thereby increasing the demand for contraceptives.

(i): No.

## Various schemes run by the Government to promote family planning

## New interventions under Family Planning

- New Contraceptive Choices: The current basket of choice has been expanded to include th new contraceptives viz. Injectable contraceptive, Centchroman and P rogrsterone O nlyPills (POP).
- Redesigned Contraceptive Packaging: The packaging for Condoms, OCP sand ECPshas 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 developed to generate contraceptive demand.
- Enhanced  Compensation  Scheme  for  Sterilizati on- The  sterilization  compensation  scheme has been enhanced in 11 high focus states (8 EAG, Assam, Gujarat, Haryana)
- Promotion of IUCDs as a short & long term spacing method -Introduction of Cu IUCD - 375 (5 years effectivity) under the Family Planning Prog ramme.
- Emphasis on Postpartum Family Planning (PPFP) services with introduction of PPIUCD and promotion of minilap as the main mode of providing sterilization in the form of post - partum sterilization to capitalize on the huge cases coming in for institutio nal delivery under JSY.
- Scheme for ensuring drop back services to sterilization clients
- Appointment of dedicated RMNCH+A counsellors at high case load facilities.
- Assured  delivery  of  family  planning  services - In  last  four  years  states  have  shown  their commitment  to  strengthen  fixed  day  family  planning  services  for  both  IUCD  an sterilization.
- Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries has b expanded to the entire country w.e.f.  17 th Dec, 2012
- Scheme for ASHAs to ensure spacing in births:
- o Under  the  scheme,  services  of  ASHAs are  being utilized  for  counselling  newly married couples to ensure delay of 2 years in birth after marriage and couples child to have spacing of 3 years after the birth of 1st child.
- o The scheme is being implemented in 18 states of the country (8 EAG, 8 North Eas Gujarat  and  Haryana).  Additionally  the  spacing  component  has  been  approved  i West Bengal, Karnataka, A ndhraPradesh , Telangana, Punjab, Maharashtra, Daman Diu and Dad ra and Nagar Haveli
- Celebration of World Population Day & fortnight (July 11 -July 24):
- o The World Population Day celebration is a step to boost Family Planning efforts all over the country.
- o The  event  is  observed  over  a  month  long  period,  split  into  an  initial fortnight  of mobilization/sensitization followed by a fortnight of assured family planning s delivery.
- o July  11  to  July  24  'Jansankhya  Sthirtha  Pakhwada'  or  'Population Stabi lisation Fortnight'
- o June  27  to  July  10:  'Dampati  Sampark  Pakhwada'  or  'Mobilisation Fortnight'

## On - going Interventions under Family Planning Programme

- Ensuring  quality  care  in  Family  Planning  services  by  establishing  Quality  Assur Committees in all state and district s.
- Increasing male participation and promotion of 'Non Scalpel Vasectomy''.
- 'National Family Planning Indemnity Scheme' (NFPIS) under which clients are insured in the  eventualities  of  deaths,  complications  and  failures  following  sterilization providers/ accredited institutions are indemnified aga inst litigations in those eventualities.
- Compensation  scheme  for  sterilization  acceptors - under  the  scheme  MoHFW  provides compensation for loss of wages to the beneficiary on account of undergoing sterilisation.
- Accreditation  of  more  private/  NGO  facilit ies  to  increase  the  provider  base  for  family planning services under PPP.
- Improving contraceptives supply management up to peripheral facilities
- A rational human resource development plan is in place for provision of IUCD, Minilap NSV to empower thefacilities (DH, CHC, PHC, SHC) with at least one provider each for each of the services and Sub Centres with ANMs trained in IUCD insertion
- Emphasis on Minilap Tubectomy services because of its logistical simplicity with less rates.
- Demand generati on activities in the form of display of posters, billboards and other aud video materials in the various facilities

Annexure II - wise budget allocations for the current and last three financial years

## The details of the State

| S.No.                    | State             | 2013-14                      | 2014-15                      | 2015-16                      | 2016-17                      |
|--------------------------|-------------------|------------------------------|------------------------------|------------------------------|------------------------------|
| S.No.                    |                   | SPIP Approval (Rs. in lakhs) | SPIP Approval (Rs. in lakhs) | SPIP Approval (Rs. in lakhs) | SPIP Approval (Rs. in lakhs) |
| A. High Focus States     |                   |                              |                              |                              |                              |
| 1                        | Bihar             | 7776.27                      | 5936.19                      | 10985.01                     | 11092.79                     |
| 2                        | Chattisgarh       | 2207.80                      | 2221.53                      | 1309.51                      | 2490.40                      |
| 3                        | Himachal Pradesh  | 414.76                       | 480.00                       | 464.55                       | 391.72                       |
| 4                        | Jammu & Kashmir   | 205.99                       | 384.97                       | 358.13                       | 198.55                       |
| 5                        | Jharkhand         | 2440.05                      | 3662.94                      | 4214.20                      | 376.16                       |
| 6                        | Madhya Pradesh    | 8417.96                      | 6460.46                      | 9629.27                      | 9977.77                      |
| 7                        | Orissa            | 1777.62                      | 1956.81                      | 3301.23                      | 3496.21                      |
| 8                        | Rajasthan         | 5252.23                      | 7417.61                      | 8180.44                      | 8287.10                      |
| 9                        | Uttar Pradesh     | 6629.40                      | 7815.66                      | 11809.84                     | 13111.65                     |
| 10                       | Uttarakhand       | 378.00                       | 539.31                       | 732.14                       | 379.14                       |
|                          | Sub Total         | 35500.08                     | 36875.48                     | 50984.32                     | 49801.49                     |
| B. NE States             |                   |                              |                              |                              |                              |
| 11                       | Arunachal Pradesh | 107.27                       | 99.68                        | 36.55                        | 96.98                        |
| 12                       | Assam             | 1665.74                      | 1680.41                      | 2231.97                      | 1976.43                      |
| 13                       | Manipur           | 90.67                        | 65.76                        | 73.32                        | 70.11                        |
| 14                       | Meghalaya         | 74.99                        | 67.90                        | 84.90                        | 111.31                       |
| 15                       | Mizoram           | 61.76                        | 79.67                        | 78.46                        | 63.67                        |
| 16                       | Nagaland          | 157.99                       | 94.18                        | 90.00                        | 95.42                        |
| 17                       | Sikkim            | 33.32                        | 22.32                        | 13.64                        | 16.17                        |
| 18                       | Tripura           | 171.42                       | 148.56                       | 139.82                       | 95.20                        |
|                          | Sub Total         | 2363.16                      | 2258.48                      | 2748.66                      | 2525.29                      |
| C. Non-High Focus States |                   |                              |                              |                              |                              |
| 19                       | Andhra Pradesh    | 5564.16                      | 2902.31                      | 2872.13                      | 2737.81                      |
| 20                       | Goa               | 27.75                        | 29.39                        | 40.56                        | 35.75                        |
| 21                       | Gujarat           | 2744.97                      | 4390.48                      | 5068.99                      | 4987.17                      |
| 22                       | Haryana           | 867.82                       | 825.00                       | 2000.25                      | 1893.50                      |
| 23                       | Karnataka         | 2861.40                      | 2680.00                      | 2550.30                      | 2764.14                      |
| 24                       | Kerala            | 608.67                       | 468.34                       | 467.60                       | 368.02                       |
| 25                       | Maharashtra       | 4172.93                      | 3979.91                      | 4564.44                      | 4682.04                      |
| 26                       | Punjab            | 801.09                       | 773.17                       | 743.22                       | 758.07                       |
| 27                       | Tamil Nadu        | 2516.21                      | 1921.09                      | 2800.77                      | 2947.82                      |
| 28                       | Telangana         | 0.00                         | 2139.63                      | 2120.22                      | 2263.88                      |
| 29                       | West Bengal       | 3445.63                      | 3047.04                      | 2451.71                      | 1754.33                      |
| Sub Total                |                   | 23610.63                     | 23156.36                     | 25680.19                     | 25192.53                     |

| D. Small States/UTs   |                           |          |          |          |          |
|-----------------------|---------------------------|----------|----------|----------|----------|
| 30                    | Andaman & Nicobar Islands |    27.91 |    31.5  |    34.45 |     0    |
| 31                    | Chandigarh                |    14.6  |    27.06 |    25.14 |    32.52 |
| 32                    | Dadra & Nagar Haveli      |    17.39 |    44.55 |    31.24 |     0    |
| 33                    | Daman & Diu               |     8.49 |     7.91 |    10.1  |     0    |
| 34                    | Delhi                     |   368.67 |   364.69 |   411.79 |   109.9  |
| 35                    | Lakshadweep               |     3.81 |     2.64 |     1.99 |     3.72 |
| 36                    | Puducherry                |    84.62 |    94.97 |    49.37 |     0    |
|                       | Sub Total                 |   525.49 |   573.32 |   564.08 |   146.14 |
|                       | ALL INDIA                 | 61999.3  | 62863.6  | 79977.2  | 77665.4  |