Lok Sabha Question No. 1276 (UNSTARRED), answered on 2019-06-28
Subject: Family Planning
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sanjay Jaiswal, Kirit Premjibhai Solanki, Nishikant  Dubey

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

## LOK SABHA UNSTARRED QUESTION NO. 1276 TO BE ANSWERED ON 28 TH JUNE, 2019

## FAMILY PLANNING

## 1276. DR. SANJAY JAISWAL: DR. (PROF.) KIRIT PREMJIBHAI SOLANKI: DR. NISHIKANT DUBEY:

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

- (a) whether the Government has conducted any study/assessment on the application of a strict two- child policy norms across the nation, as being adopted by some States/UTs, if so, the details thereof and if not, the reasons therefor;
- (b) the details of programmes launched a d xpenditure incurred by the Government for creating awareness about family planning during the last three years, Stat /UT - wise;
- (c)the funds spent on the advertisement/awareness on family planning during the said period;
- (d) whether the Government is planning to expand the Family Planning pilot project currently implemented in seven districts in Uttar Pradesh, to other States/UTs; an d
- (e) if so, the details thereof and if not, the reasons therefor along with other steps taken by the Government to strengthen the family planning measures and its success achieved therein?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- ( a) : No; India  is  signatory  to  the  ICPD  declaration  of  1994  held  in  Cairo  (Internat Conference  on  Population  and  Development)  which  unequivocally  advocates  target  fre approach  and  honouring  reproductive  rig hts  of  couples  to  decide  freely  and  responsibly  the number and spacing of their children.
- ( b) : Details  of  programmes  launched  and  expenditure  incurred  by  the  Government  for creating awareness about family planning during the last three years, State/UT - wise is placed at Annexure I and II respectively;

( c) : The funds spent on the advertisement/awareness on Family Planning in last three yea Rs. 70,465 lakhs;

( d) : No  such  pilot  project  funded  by  the  Government  is  currently  implemented  in  Utt Pradesh;

## ( e) : Does not arise;

Steps taken by the Government to strengthen the family planning measures are place Annexure I.

## Successes achieved:

- The TFR has declined from 2.7 to 2.2 from 2005 - 06 (NFHS III) to 2015 - 16 (NFHS IV)
- 24 out of 36 States/UTs have alr ady achieved the replacement level fertility of 2.1o less.
- India's Wanted Fertility Rate has declined from 1.9 in NFHS III to 1.8 in NFHS IV.
- The CBR has declined from 23.8 to 20.2 from 2005 to 2017 (SRS)
- The teenage birth rate has halved from 16% (NF HS III)  to 8% (NFHS IV)
- The teenage marriage  has halved from 47.4% (NFHS III)  to 26.8% (NFHS IV)

## Deatils of programmes launched and steps taken to strengthen the Family Planning programme

1. Mission Parivar Vikas -The Government has launched MissionParivar Vikasfor substantially  increasing  access  to  contraceptives  a nd  family  planning  services  in146 high fertility districts with Total Fertility Rate (TFR) of 3 and above in seven high focus states. These  districts  are from  thestates  of Uttar  Pradesh,  Bihar,  Rajasthan,  Madhya  Pradesh, Ch hattisgarh, Jharkhand and Assam that itself constitutes 44% of the country's population.
2. New  Contraceptive  Choices -New contraceptives  viz.  Injectable contraceptive Centchromanhavebeen added to the existing basket of choices .
3. A  new  method  of  IUCD  insertion immediately  after  delivery i.e. post - partum  IUCD ( PPIUCD ) has been introduced.
4. Red esigned Contraceptive Packaging -The packaging for Condoms, OCPs and ECPs has now been improved and redesigned so as to increase the demand for these commodities.
5. Compensation  scheme for  sterilization  acceptors - under  the  scheme  MoHFW provides compensation for loss of wages to the beneficiary and also to the service provider (& for conducting sterilizations.
6. Clinical Outreach Teams ( COT )Scheme -The scheme has been launched in 146 M ission Parivar V ikasdistricts forproviding F amily planning services through mobile teams from accredited organizationsin far -flung, underserved and geographically difficult areas.
7. Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries.
8. Scheme for ASHAs to Ensure spacing in births .
9. Scheme  for  provision  of Pregnancy  Testing  Kits in  the  drug kitsof  ASHAs  for  use  in communities.
10. Family Planning  Logistic  Management  and  Information  System  (FP - LMIS): A dedicated software  to  ensure  smooth  forecasting,  procurement  and  distribution  of  fam planning commodities across all the levels of health facilities .
11. National Family Planning Indemnity Scheme (NFPIS) under which clients are insured in the eventualities of deaths , complications and f ailures following sterilization.
12. 12.Ensuring qualityof care in Family Planning services by establishing Quality Assurance Committees in all state sand district s.
13. 13.Appointment of dedicated RMNCH+A counselors at high case load facilities.
14. Improved Demand generation activities through a 360 degree media campaign .

and

State and UT wise expenditure incurred under NHM for creating awareness about Family Planning during last three years (2016 - 17 to 2018 - 19)(Rs. in lakhs)

| S.No.                    | Name of the State/UTs     | Totalexpenditure on creating awareness   |
|--------------------------|---------------------------|------------------------------------------|
| A. High Focus States     | A. High Focus States      |                                          |
| 1                        | Bihar                     | 4704.9                                   |
| 2                        | Ch hattisgarh             | 2093.6                                   |
| 3                        | Himachal Pradesh          | 224.4                                    |
| 4                        | Jammu & Kashmir           | 364.1                                    |
| 5                        | Jharkhand                 | 1892.6                                   |
| 6                        | Madhya Pradesh            | 6750.5                                   |
| 7                        | Orissa                    | 3580.5                                   |
| 8                        | Rajasthan                 | 6370.4                                   |
| 9                        | Uttar Pradesh             | 15273.7                                  |
| 10                       | Uttarakhand               | 612.6                                    |
| B. NE States             | B. NE States              |                                          |
| 11                       | Arunachal Pradesh         | 269.3                                    |
| 12                       | Assam                     | 4157.2                                   |
| 13                       | Manipur                   | 96.7                                     |
| 14                       | Meghalaya                 | 240.3                                    |
| 15                       | Mizoram                   | 115.9                                    |
| 16                       | Nagaland                  | 103.4                                    |
| 17                       | Sikkim                    | 38.6                                     |
| 18                       | Tripura                   | 338.7                                    |
| C. Non-High Focus States | C. Non-High Focus States  |                                          |
| 19                       | Andhra Pradesh            | 543.9                                    |
| 20                       | Goa                       | 70.0                                     |
| 21                       | Gujarat                   | 6714.0                                   |
| 22                       | Haryana                   | 1296.7                                   |
| 23                       | Karnataka                 | 1719.4                                   |
| 24                       | Kerala                    | 428.3                                    |
| 25                       | Maharashtra               | 1393.7                                   |
| 26                       | Punjab                    | 300.3                                    |
| 27                       | Tamil Nadu                | 2120.9                                   |
| 28                       | Telangana                 | 749.0                                    |
| 29                       | West Bengal               | 2079.6                                   |
| D. Small States/UTs      | D. Small States/UTs       |                                          |
| 30                       | Andaman & Nicobar Islands | 34.1                                     |
| 31                       | Chandigarh                | 12.6                                     |
| 32                       | Dadra & Nagar Haveli      | 58.4                                     |
| 33                       | Daman & Diu               | 13.5                                     |
| 34                       | Delhi                     | 105.9                                    |
| 35                       | Lakshadweep               | 5.9                                      |
| 36                       | Puducherry                | 84.1                                     |