Lok Sabha Question No. 148 (STARRED), answered on 2017-03-10
Subject: Population Growth
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PREM DAS RAI, VIRENDRA  KUMAR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 148 TO BE ANSWERED ON THE 10 TH MARCH,

## 2017 POPULATION GROWTH

## *148. SHRI PREM DAS RAI: DR. VIRENDRA KUMAR:

Will the Minister of HEALTH AND FAMILY WELFARE to state:

be pleased

- (a) the details of current rate of growth of population of India;
- (b) the schemes and programmes being run by the Government to control t growth rate of population; and
- (c) the exp enditure incurred on these schemes during the last three years?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( c):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 148* FOR 10 TH MARCH, 2017

- (a) The  decadal  growth  rate  of  the  country  has  declined  significantly 21.54% for the period 1991 - 2001 to 17.64% during 2001 - 11. (b) The schemes and programmes being run by the Government to control the growth rate of population aredetailed in Annexure I. The  expenditure  incurred  on  these  schemes  during  the  last  three  year
- (c) detailed in Annexure II.

## Annexure I The schemes and programmes being run by the Government to control the

## growth rate of population

## New initiatives

- Mission  Parivar  Vikas :  Mission  Parivar  Vikas focuses  on  a  stratified  approach  for increasing  access  to  contraceptives  and  Family  Planning  Services  in  146  high  fer districts spread across seven high focus states of Uttar Pradesh, Bihar, Madhya Pr Rajasthan,  Jharkhand,  Chhattisgarh  and  Ass am,  which  intends  to  improve  the  overall development parameters of these districts.
- New Contraceptive Choices : The current basket of choice has been expanded to include the  new  contraceptives viz.Injectable  contraceptive s,  Centchroman  and  P rogrsterone O nl y Pills (POP) .
- New Contraceptive Packaging : The packaging for Condoms, OCP s and ECPs has now been improved and redesigned so as to influence the demand for these commodities
- New  Family  Planning  Media  Campaign :  A 360  degree  media  campaign with  Shri Amitabh Bacchan as the brand ambassador has been launched to generate demand for contraceptive services .
- Enhanced  Compensation  Scheme for SterilizationThe  sterilization  compensation scheme  has  been  enhanced  in  11  high  focus  states  (8  EAG states,  Assam,  Gujarat, Haryana)
- New IUCD (Cu 375) with 5 years effectivity has been introduced in the programme as an addition to the exiting IUCD (Cu 380A with effectivity of 10 years).
- New method of IUCD insertion i.e. PPIUCD has been introduced.
- Rejuvenation  of Postpartum  Family  Planning  (PPFP) services  with Post-partum IUCD (PPIUCD), post-partum sterilization (PPS) and Progestin only Pills (POP) to capitalize on the huge cases coming in for institutional delivery under JSY/ JSSK.
- A  new scheme  for providing drop  back services  to  clients undergoing sterilization services has been launched.
- Appointment of dedicated RMNCH+A counsellors at high case load facilities.
- Assured delivery of family planning services - In the last four years states have shown their  commitment to strengthen fixed day family planning services for both IUCD and sterilization.
- Scheme  for Home  delivery  of  contraceptives by  ASHAs  at  doorstep  of  beneficiaries under  which  more  than  9  lakhs  ASHAs  distribute  contraceptives  as  they  move  from home to home:
- States have been directed to install condom boxes in the facilities so that beneficiaries can access the same in privacy.
- A  new  contraceptive  logistic  management  information  system  (FPLMIS) has  been planned through C-DAC to ensure better supply chain management of Family Planning commodities.
- 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 with 1 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 East,  Gujarat  and  Haryana).  Additionally  the  spacing  component  has  been approved  in  West  Bengal,  Karnataka,  Andhra Pradesh,  Telangana,  Punjab, Maharashtra, Daman Diu and Dadra and Nagar Haveli
- Annual 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 service delivery.
- o June  27  to  July  10:  'Dampati  Sampark  Pakhwada'  or  'Mobilisation Fortnight'
- o July 11 to July 24 'Jansankhya Sthirtha  Pakhwada'  or  'Population Stabilisation Fortnight'

## On - goingInitiatives

- Ensuring  quality of care  in  Family  Planning  services  by  establishing  Quality  Assurance Committees ( State and district indemnity subcommittees: SISC and DISC) in all states and districts.
- Increasing male participation and promotion of 'Non Scalpel Vasectomy''.
- Operating the ' National Family Planning Indemnity Scheme' (NFPIS) under which clients are insured in the eventualities of deaths, complications and  failures following sterilization and the providers/ accredited institutions are indemnified against litigations in those eventualities.
- Compensation scheme for sterilization acceptors - under the scheme MoHFW provides compensation  for  loss  of wages  to  the  beneficiaries on  account  of  undergoing sterilisation.
- Accreditation  of  more  private/  NGO  facilities  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 and NSV to empower the facilities (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 failure rates.
- Demand  generation  activities  in  the  form of  display  of  posters,  billboards  and  other audio and video materials in the various facilities.

## STRETAGIES ADOPTED BY JANSANKHYA STHIRATA KOSH/NATIONAL POPULATION STABILIZATION FUND FOR POPULATION CONTROL:

Prerna Strategy: -JSK has launched this strat egy for helping to push up the age of marriage of girls and delay in first child and spacing in second child birth in the interest young mothers and infants. The couple who adopt this strategy awarded suitably. This to change the mindset s of the community.

Santushti Strategy : - Under  this  strategy,  Jansankhya  Sthirata  Kosh,  invites  private  sec gynaecologists and vasectomy surgeons to conduct sterilization operations in Public Priv Partnership mode. The private hospitals/nursing home who achieved target of 10 or more suitably awarded as per strategy.

National  Helpline : - JSK  is  also  running  a  call  cent ers  for  providing  free  advice  on reproductive health, family planning, maternal health and child health etc. Toll fre 1800116555.

## Impact of population control measures:

- The percentage decadal growth rate of the country has declined significantly from 21.5% for the period 1991-2001 to 17.7% during 2001-2011.
- Total Fertility Rate (TFR) was 3.2 at the time when National Population Policy 2000 was adopted and the same has declined to 2.2 as per NFHS IV conducted by the Registrar General of India.
- Trend of Crude Birth Rate and Total Fertility Rate for the last three years for which SRS data is available:

|                      |   2013 |   2014 |   2015 | 2016 (NFHS IV)   |
|----------------------|--------|--------|--------|------------------|
| Crude Birth Rate     |   21.4 |   21   |   20.8 |                  |
| Total Fertility Rate |    2.3 |    2.3 |    2.3 | 2.2              |

Annexure II Family Planningduring the last three years

Expenditure incurred on

|                                   |   2013- 14 (Rs. in lakhs) |   2014- 15 (Rs. in lakhs) |   2015- 16 (Rs. in lakhs) |
|-----------------------------------|---------------------------|---------------------------|---------------------------|
| Expenditure under Family Planning |                     44673 |                   69046.1 |                   77057.9 |