Lok Sabha Question No. 2055 (UNSTARRED), answered on 2019-11-29
Subject: Family Planning Programmes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ashok Kumar Rawat, S. Jothimani, Nishikant  Dubey

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

LOK SABHA UNSTARRED QUESTION NO. 2055 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## FAMILY PLANNING PROG RAMMES

## 2055. SHRI ASHOK KUMAR RAWAT: SHRIMATI S. JOTHIMANI: DR. NISHIKANT DUBEY:

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

- (a) the details of Family Planning Programmes launched by the Government at rural level to create awareness about Family Planning along with the expenditu reincurred by Government on advertisements related to Family Planning during the last three years and the current year, year - wise;
- (b) the expenditure incurred/the amount earmarked for family planning programmes along with the progress made in reducing the birthrate during the said period, State/UT - wise and year - wise;
- (c)  whether  the  Government  proposes to  increase  the  budget  provisions  in  this regard  in future, if so, the details thereof;
- (d) the details of the programmes/ schemes pertaining to family planning aimed at unmarried youth (males and females) within the ages of 19 - 24 years; and
- (e) whether the Government is planning to roll out injectable contraceptive (DMPA) on pan India basis, if so, the details thereof?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- ( a) : Key initiatives launched  by  the  G overnment  to  create  awareness  about  Family Planning are as follows:
- I. 360 degree media campaign -The first phase of the campaign was launched in 2016  and  the  present  second  phase  comprising  TV  Commercials,  posters  and hoardings, and a dedicated website on Family Planning was launched in 2017 ;
- II. World  Population  Day  &  fortnight as  well  as Vasectomy  Fortnight are observedeveryyearto boost awareness across all States/ UTs.
- III. Promotional  activities like  Saas  bahu  sammelans,  Nayi  Pehel  Kits,  Mobile publicity  vans,  and  advocacy  meetings  are  undertaken  to  increase  awareness high fertility Mission Parivar Vikas districts.

The  exp enditure  incurred  by  Government  on  advertisements  related  to  Family Planning during the last three years and the current year, year -wise is:

- 2016- 17: Rs. 3154.99lakh
- 2017- 18: Rs. 3306.21lakh
- 2018- 19: Rs. 3123. 20 lakh
- 2019- 20 (till second quarter): Rs. 548. 66 lakh
- ( b) : The expenditure incurred/the amount earmarked for family planning programmes along with the progress made in reducing the birthrate during the said period, State/U -wise and year -wiseare placed in Annexure I.
- ( c) : Public  Health  being a  state  subject  the  primary  responsibility  to  strengthe healthcare in the country lies with respective State Governments. However, under Nat Health Mission (NHM), support is provided to S tates / UTsfor strengthening their healthcare services based o n proposals received from them .
- ( d) : D etails  of  the  programmes/schemes  pertaining  to  family  planning  aimed  a unmarried  youth  (males  and  females)  within  the  ages  of  19 - 24  yearsare  placed  at Annexure II.
- ( e) : The Government has already rolled out Injectable contraceptive Medroxy Progesterone  Acetate  (MPA)  under  'Antara  programme'  at  pan -India  level,  and  service provisioning has started in all States/ UTs.

## Annexure I

## Amount earmarked for Family Planning programmes:

|                          |                           | FP approval (In lakh INR)   | FP approval (In lakh INR)   | FP approval (In lakh INR)   | FP approval (In lakh INR)   |
|--------------------------|---------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
| SNo.                     | State                     | 2016-17                     | 2017-18                     | 2018-19                     | 2019-20                     |
| A. High Focus States     | A. High Focus States      | A. High Focus States        | A. High Focus States        | A. High Focus States        | A. High Focus States        |
| 1                        | Bihar                     | 24690.2                     | 28396.3                     | 36894.1                     | 33401.1                     |
| 2                        | Chhattisgarh              | 8248.2                      | 10018.4                     | 9410.5                      | 9817.6                      |
| 3                        | Himachal Pradesh          | 2573.6                      | 2704.4                      | 2739.3                      | 6278.7                      |
| 4                        | Jammu & Kashmir           | 3997.1                      | 3077.3                      | 3885.5                      | 4158.3                      |
| 5                        | Jharkhand                 | 7841.7                      | 10436.8                     | 11702.0                     | 13440.2                     |
| 6                        | Madhya Pradesh            | 25711.8                     | 25188.5                     | 28619.2                     | 35828.4                     |
| 7                        | Orissa                    | 11120.9                     | 12060.6                     | 13487.0                     | 10999.2                     |
| 8                        | Rajasthan                 | 20418.4                     | 23713.7                     | 22956.3                     | 39316.8                     |
| 9                        | Uttar Pradesh             | 52775.6                     | 54054.9                     | 53174.4                     | 40203.7                     |
| 10                       | Uttarakhand               | 2391.5                      | 2465.6                      | 2760.5                      | 3752.7                      |
| B. NE States             | B. NE States              | B. NE States                | B. NE States                | B. NE States                | B. NE States                |
| 11                       | Arunachal Pradesh         | 1380.2                      | 1906.2                      | 1510.8                      | 1207.4                      |
| 12                       | Assam                     | 12194.2                     | 12629.0                     | 13892.9                     | 16687.4                     |
| 13                       | Manipur                   | 1017.4                      | 1159.0                      | 1014.5                      | 1859.3                      |
| 14                       | Meghalaya                 | 1768.6                      | 1127.3                      | 1257.1                      | 2967.9                      |
| 15                       | Mizoram                   | 727.3                       | 751.6                       | 544.0                       | 649.1                       |
| 16                       | Nagaland                  | 1099.6                      | 943.7                       | 918.2                       | 924.1                       |
| 17                       | Sikkim                    | 259.5                       | 302.2                       | 284.4                       | 327.1                       |
| 18                       | Tripura                   | 1364.6                      | 1839.8                      | 1410.8                      | 1650.1                      |
| C. Non High Focus States | C. Non High Focus States  | C. Non High Focus States    | C. Non High Focus States    | C. Non High Focus States    | C. Non High Focus States    |
| 19                       | Andhra Pradesh            | 9785.4                      | 7914.7                      | 6273.1                      | 6596.8                      |
| 20                       | Goa                       | 218.4                       | 366.1                       | 321.4                       | 970.8                       |
| 21                       | Gujarat                   | 11718.7                     | 11659.9                     | 12505.7                     | 15996.5                     |
| 22                       | Haryana                   | 4945.0                      | 4999.2                      | 5917.8                      | 5346.3                      |
| 23                       | Karnataka                 | 14052.3                     | 13267.9                     | 14882.0                     | 19942.2                     |
| 24                       | Kerala                    | 2284.4                      | 3257.7                      | 5200.4                      | 4878.8                      |
| 25                       | Maharashtra               | 19998.6                     | 20357.2                     | 19541.7                     | 38691.6                     |
| 26                       | Punjab                    | 4337.0                      | 3611.7                      | 5487.3                      | 9703.8                      |
| 27                       | Tamil Nadu                | 10635.3                     | 11019.4                     | 11445.9                     | 21797.1                     |
| 28                       | Telangana                 | 9599.0                      | 11424.7                     | 6334.0                      | 5614.7                      |
| 29                       | West Bengal               | 11511.3                     | 17908.9                     | 14676.4                     | 20218.4                     |
| D. Small States and UTs  | D. Small States and UTs   | D. Small States and UTs     | D. Small States and UTs     | D. Small States and UTs     | D. Small States and UTs     |
| 30                       | Andaman & Nicobar Islands | 222.4                       | 300.5                       | 262.4                       | 271.5                       |
| 31                       | Chandigarh                | 196.3                       | 218.6                       | 139.7                       | 87.9                        |
| 32                       | Dadra & Nagar Haveli      | 204.6                       | 202.3                       | 216.6                       | 158.5                       |
| 33                       | Daman & Diu               | 96.7                        | 118.4                       | 109.9                       | 77.0                        |
| 34                       | Delhi                     | 1983.2                      | 1944.0                      | 1925.7                      | 1552.7                      |
| 35                       | Lakshadweep               | 52.5                        | 73.1                        | 62.4                        | 49.2                        |
| 36                       | Puducherry                | 188.9                       | 252.0                       | 273.6                       | 302.3                       |
|                          | Grand Total               | 281610.6                    | 301671.5                    | 312037.7                    | 375725.2                    |

## Expenditure incurred for Family Planning programmes:

|                                           |                                           | FP expenditure total (in lakh INR)        | FP expenditure total (in lakh INR)        | FP expenditure total (in lakh INR)        | FP expenditure total (in lakh INR)        |
|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|
| S.No.                                     | State                                     | 2016-17                                   | 2017-18                                   | 2018-19                                   | 2019-20 (Till second quarter)             |
| A. High Focus States                      | A. High Focus States                      | A. High Focus States                      | A. High Focus States                      | A. High Focus States                      | A. High Focus States                      |
| 1                                         | Bihar                                     | 13361.2                                   | 15927.7                                   | 19813.3                                   | 6068.0                                    |
| 2                                         | Chhattisgarh                              | 5884.4                                    | 5830.2                                    | 6823.2                                    | 3718.1                                    |
| 3                                         | Himachal Pradesh                          | 2001.3                                    | 1467.5                                    | 2536.3                                    | 3297.2                                    |
| 4                                         | Jammu & Kashmir                           | 2072.0                                    | 1948.0                                    | 2651.9                                    | 867.2                                     |
| 5                                         | Jharkhand                                 | 4627.4                                    | 5665.4                                    | 7024.2                                    | 3466.9                                    |
| 6                                         | Madhya Pradesh                            | 19854.3                                   | 18265.6                                   | 20036.7                                   | 19457.1                                   |
| 7                                         | Orissa                                    | 8214.3                                    | 7587.6                                    | 9388.5                                    | 4160.2                                    |
| 8                                         | Rajasthan                                 | 16927.9                                   | 13206.2                                   | 19909.4                                   | 15791.6                                   |
| 9                                         | Uttar Pradesh                             | 21733.8                                   | 31006.5                                   | 35428.9                                   | 12380.0                                   |
| 10                                        | Uttarakhand                               | 1942.0                                    | 1889.7                                    | 2339.3                                    | 2267.9                                    |
| B. NE States                              | B. NE States                              | B. NE States                              | B. NE States                              | B. NE States                              | B. NE States                              |
| 11                                        | Arunachal Pradesh                         | 873.3                                     | 808.3                                     | 796.3                                     | 272.3                                     |
| 12                                        | Assam                                     | 10890.3                                   | 7863.9                                    | 11034.7                                   | 6717.5                                    |
| 13                                        | Manipur                                   | 333.6                                     | 432.7                                     | 734.9                                     | 453.3                                     |
| 14                                        | Meghalaya                                 | 747.8                                     | 788.8                                     | 668.3                                     | 311.1                                     |
| 15                                        | Mizoram                                   | 398.5                                     | 402.1                                     | 425.5                                     | 152.0                                     |
| 16                                        | Nagaland                                  | 527.3                                     | 301.4                                     | 699.0                                     | 235.5                                     |
| 17                                        | Sikkim                                    | 211.6                                     | 220.8                                     | 250.7                                     | 36.3                                      |
| 18                                        | Tripura                                   | 780.5                                     | 997.9                                     | 1059.9                                    | 296.3                                     |
| C. Non High Focus States                  | C. Non High Focus States                  | C. Non High Focus States                  | C. Non High Focus States                  | C. Non High Focus States                  | C. Non High Focus States                  |
| 19                                        | Andhra Pradesh                            | 8255.8                                    | 5179.8                                    | 5551.8                                    | 2386.3                                    |
| 20                                        | Goa                                       | 104.3                                     | 130.7                                     | 170.0                                     | 139.5                                     |
| 21                                        | Gujarat                                   | 11525.6                                   | 9734.8                                    | 11142.5                                   | 3882.0                                    |
| 22                                        | Haryana                                   | 3049.5                                    | 3264.4                                    | 4050.8                                    | 1738.0                                    |
| 23                                        | Karnataka                                 | 5336.3                                    | 8904.1                                    | 9924.4                                    | 5196.7                                    |
| 24                                        | Kerala                                    | 1828.2                                    | 2164.5                                    | 2992.3                                    | 1206.2                                    |
| 25                                        | Maharashtra                               | 11543.3                                   | 9668.2                                    | 16018.5                                   | 4067.3                                    |
| 26                                        | Punjab                                    | 3537.1                                    | 2068.5                                    | 4110.1                                    | 5452.6                                    |
| 27                                        | Tamil Nadu                                | 11232.3                                   | 6798.6                                    | 12375.4                                   | 3987.0                                    |
| 28                                        | Telangana                                 | 2941.6                                    | 1922.3                                    | 5462.3                                    | 1834.5                                    |
| 29                                        | West Bengal                               | 9734.5                                    | 7989.8                                    | 11200.7                                   | 7526.1                                    |
| D. Small States and UTs                   | D. Small States and UTs                   | D. Small States and UTs                   | D. Small States and UTs                   | D. Small States and UTs                   | D. Small States and UTs                   |
| 30                                        | Andaman & Nicobar Islands                 | 100.0                                     | 104.0                                     | 167.6                                     | 126.6                                     |
| 31                                        | Chandigarh                                | 82.4                                      | 119.1                                     | 134.5                                     | 41.4                                      |
| 32                                        | Dadra & NagarHaveli                       | 119.5                                     | 99.5                                      | 112.4                                     | 38.3                                      |
| 33                                        | Daman & Diu                               | 50.2                                      | 52.5                                      | 67.5                                      | 16.9                                      |
| 34                                        | Delhi                                     | 726.1                                     | 1123.4                                    | 731.1                                     | 327.4                                     |
| 35                                        | Lakshadweep                               | 15.8                                      | 19.9                                      | 27.0                                      | 22.8                                      |
| 36                                        | Puducherry                                | 139.8                                     | 157.6                                     | 157.7                                     | 83.4                                      |
| Total 181704.1 174111.8 226017.6 118021.6 | Total 181704.1 174111.8 226017.6 118021.6 | Total 181704.1 174111.8 226017.6 118021.6 | Total 181704.1 174111.8 226017.6 118021.6 | Total 181704.1 174111.8 226017.6 118021.6 | Total 181704.1 174111.8 226017.6 118021.6 |

## Progress in reducing birth ates State/UT wise (Source: SRS)

|                            |   2016-17 |   2017-18 |
|----------------------------|-----------|-----------|
| INDIA                      |      20.4 |      20.2 |
| Andaman and Nicobar Island |      11.7 |      11.4 |
| Andhra Pradesh             |      16.4 |      16.2 |
| Arunachal Pradesh          |      18.9 |      18.3 |
| Assam                      |      21.7 |      21.2 |
| Bihar                      |      26.8 |      26.4 |
| Chandigarh                 |      13.9 |      13.5 |
| Chhattisgarh               |      22.8 |      22.7 |
| Dadra andNagar Haveli      |      24.5 |      23.6 |
| Daman and Diu              |      24   |      20.2 |
| Delhi                      |      15.5 |      15.2 |
| Goa                        |      12.9 |      12.5 |
| Gujarat                    |      20.1 |      19.9 |
| Haryana                    |      20.7 |      20.5 |
| Himachal Pradesh           |      16   |      15.8 |
| Jammu and Kashmir          |      15.7 |      15.4 |
| Jharkhand                  |      22.9 |      22.7 |
| Karnataka                  |      17.6 |      17.4 |
| Kerala                     |      14.3 |      14.2 |
| Lakshadweep                |      18.9 |      15   |
| Madhya Pradesh             |      25.1 |      24.8 |
| Maharashtra                |      15.9 |      15.7 |
| Manipur                    |      12.9 |      14.6 |
| Meghalaya                  |      23.7 |      22.8 |
| Mizoram                    |      15.5 |      15   |
| Nagaland                   |      14   |      13.5 |
| Odisha                     |      18.6 |      18.3 |
| Puducherry                 |      13.9 |      13.2 |
| Punjab                     |      14.9 |      14.9 |
| Rajasthan                  |      24.3 |      24.1 |
| Sikkim                     |      16.6 |      16.4 |
| Telangana                  |      17.5 |      17.2 |
| TamilNadu                  |      15   |      14.9 |
| Tripura                    |      13.7 |      13   |
| Uttar Pradesh              |      26.2 |      25.9 |
| Uttarakhand                |      16.6 |      17.3 |
| West Bengal                |      15.4 |      15.2 |

## Annexure II

## Initiatives taken by the Government for promotion of family planning among India 's youth:

1. New Spacing methods New contraceptives viz. Injectable contraceptive Centchroman have been added to the existing basket of choices.

and

2. Improved  Demand  generation  activities  through  a 360  degree  media  campaign with special focus on Male participation .
3. Redesigned Contraceptive Packaging -The packaging for Condoms, OCPs and ECPs has  now  been  improved  and  redesigned  so  as  to  increase  the  demand  for  thes commodities.
4. Cu  IUCD  375 with  5  years  effectivity  has  been  introduced  in  the  programme  as  a alternati ve to the existing IUCD (Cu IUCD 380A with effectivity of 10 years).
5. Condom boxes set up in health facilities to enable clients to access condoms in priv
6. D edicated RMNCH+A counselors have been appointed at high case load facilities.
7. Mission ParivarVikasThe Government has launched MissionParivar Vikasfor substantially increasing access to contraceptives and family planning services in14 fertility districts with Total Fertility Rate (TFR) of 3 and above in seven high foc These dist ricts are from the states of Uttar Pradesh, Bihar, Rajasthan, Madhya Prad Chhattisgarh, Jharkhand and Assam.
8. Family  Planning  Logistic  Management  and  Information  System  (FP - LMIS): A dedicated software to ensure smooth forecasting, procurement and distr ibution of family planning commodities across all the levels of health facilities.