Lok Sabha Question No. 145 (STARRED), answered on 2017-03-10
Subject: Family Planning
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANJAY JAISWAL

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

## LOK SABHA STARRED QUESTION NO. 145 TO BE ANSWERED ON THE 10 TH MARCH, 2017 FAMILY PLANNING

## *145. DR. SANJAY JAISWAL:

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

- (a) the details of all adverse events pertaining to Government supported planning drives over the past three years, State - wi e; and
- (b) the protocol and related monitoring mechanism that is followed to tra d prevent adverse events related to family planning methods?

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

- (a) &( b):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 145* FOR 10 TH MARCH, 2017

(a) The details of all adverse events pertaining to Government supported fa planningprogrammes over the last  three  years , State - wise , are  placed  at Annexure.

( b) The Government has set up Quality Assurance Committees (QACs) at State and  district  levels  in  all  states  to  monitor  and  ensure  that  the  'Standards  and Quality Assurance in Sterilization Services' ,as laid down by the Government , are followed with respect to preoperative measures and post - operative follow -ups. State QACs are mandated to meet at least twice a year whereas Dist QACs are mandated to meet at least every 3 months wherein they use structu checklists to review fac ility records and registers, observe facility readines providing sterilizations services, conduct client exit interviews, ident frame  recommendations  and  monitor  the  implementation  of  recommended corrective actions. The government has also be en financing the strengthening of the infrastructure of the facilities providing sterilization services to identified gaps.

The Government further conducts annual workshops in all states of In for dissemination of the national guidelines ,and training and capacity building of all  stakeholders  including  programme  managers,  service  providers  a administrators.  These guidelines have  been  uploaded  on  the  website  of  the Ministry of Health and Family Welfare under the Family Planning component.

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Annexure

## State wise status of complication s, failure sand death sfollowing sterilization

| State             |   2013-14 |   2014-15 Complication s |   2015-16 | 2013-14   | 2014-15 Failure s   | 2015-16   |   2013-14 |   2014-15 Deaths | 2015-16   |
|-------------------|-----------|--------------------------|-----------|-----------|---------------------|-----------|-----------|------------------|-----------|
| ANDHRA PRADESH    |         6 |                        1 |         2 | 3         | 2                   | 5         |        20 |               12 | 14        |
| A&N ISLAND        |         0 |                        0 |         0 | 0         | 0                   | 0         |         0 |                0 |           |
| ARUNACHAL PRADESH |         0 |                        0 |         0 | 1         | 0                   | 0         |         0 |                0 | 0         |
| ASSAM             |         8 |                        0 |         1 | 60        | 56                  | 26        |         6 |                2 | 1         |
| BIHAR             |         0 |                        0 |         1 | 0         | 6                   | 22        |        17 |               18 | 14        |
| CHANDIGARH        |         0 |                        0 |         0 | 0         | 0                   | 4         |         0 |                0 | 0         |
| CHHATTISGARH      |         4 |                       15 |         2 | 26        | 129                 | 229       |         2 |               19 | 0         |
| DNH               |         0 |                        0 |         0 | 0         | 1                   | 2         |         0 |                0 | 0         |
| DAMAN & DIU       |         0 |                        0 |         0 | 0         | 0                   | 0         |         0 |                0 | 0         |
| DELHI             |         6 |                        1 |         0 | 16        | 40                  | 41        |         0 |                1 | 0         |
| GOA               |         0 |                        0 |         0 | 0         | 4                   | 2         |         0 |                0 | 0         |
| GUJARAT           |        16 |                        7 |         9 | 37        | 229                 | 330       |         1 |                5 | 5         |
| HARYANA           |        13 |                        0 |         3 | 79        | 81                  | 333       |         3 |                6 | 3         |
| HIMACHAL PRADESH  |         1 |                        0 |         4 | 16        | 61                  | 88        |         2 |                0 | 0         |
| JAMMU & KASHMIR   |         0 |                        0 |         0 | 7         | 7                   | 0         |         0 |                0 | 0         |
| JHARKHAND         |         0 |                        0 |         0 | 0         | 5                   | 4         |         4 |                1 | 2         |
| KARNATAKA         |         8 |                       12 |         8 | 110       | 132                 | 204       |        14 |               13 | 12        |
| KERALA            |        16 |                       40 |         0 | 18        | 303                 | 179       |         0 |                0 | 0         |
| LAKSHADWEEP       |         0 |                        0 |         0 | 0         | 0                   | 0         |         0 |                0 | 0         |
| MADHYA PRADESH    |       107 |                        2 |         0 | 927       | 1417                | 1683      |        13 |               11 | 13        |
| MAHARASHTRA       |        10 |                       40 |        26 | 59        | 523                 | 565       |        23 |               11 | 19        |
| MANIPUR           |         0 |                        0 |         0 | 0         | 0                   | 2         |         0 |                0 | 0         |
| MEGHALAYA         |         0 |                        0 |         0 | 0         | 1                   | 0         |         0 |                0 | 0         |
| MIZORAM           |         0 |                        0 |         0 | 4         | 0                   | 28        |         0 |                0 | 0         |
| NAGALAND          |         0 |                        0 |         0 | 0         | 0                   | 0         |         0 |                0 | 0         |
| ORISSA            |        63 |                        8 |         7 | 106       | 332                 | 528       |         9 |                5 | 6         |
| PONDICHERRY       |         0 |                        0 |         0 | 3         | 14                  | 30        |         0 |                0 | 0         |
| PUNJAB            |         8 |                        0 |         0 | 12        | 30                  | 37        |         0 |                0 | 1         |
| RAJASTHAN         |       119 |                        2 |         1 | 1,495     | 1723                | 2086      |         4 |                9 | 3         |
| SIKKIM            |         0 |                        0 |         0 | 2         | 1                   | 1         |         4 |                0 | 0         |
| TAMIL NADU        |        22 |                        1 |         0 | 508       | 423                 | 457       |        30 |               19 | 13        |
| TELEGANA          |         0 |                        3 |         3 | 0         | 18                  | 44        |         0 |                4 | 4         |
| TRIPURA           |         4 |                        0 |         0 | 0         | 0                   | 29        |         0 |                0 | 0         |
| UTTAR PRADESH     |         1 |                        1 |         3 | 222       | 236                 | 698       |         5 |                4 | 1         |
| UTTARANCHAL       |        10 |                        0 |         4 | 29        | 50                  | 129       |         1 |                0 | 1         |
| WEST BENGAL       |        15 |                        1 |         4 | 27        | 104                 | 174       |         4 |                0 | 1         |
| India             |       437 |                      134 |        78 | 3,767     | 5,928               | 7,960     |       162 |              140 | 113       |