Lok Sabha Question No. 1084 (UNSTARRED), answered on 2019-11-22
Subject: Family Planning Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vincent H Pala

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

LOK SABHA UNSTARRED QUESTION NO. 1084 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## FAMILY PLANNING PROG RAMME

## 1084. SHRI VINCENT H. PALA:

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

- (a)  the  detailed  break - up  ofallocations  and  expenditures  for  family planning  activities  under Reproductive and Child Health (RCH) flexi pool from 2015 to 2019, State/UT - wise;
- (b) the detailed break - up ofal locations and expenditures for each activity under family planning such as permanent methods, spacing methods, training, IEC/BCC, procurement of equipment, drugs  and  consumables,  ASHA incentives  and  other  activities  under  the RCH - flexi  pool  of NHM, State - w ise from 2015- 2016 to 2018 - 2019;
- (c) the proportion of the family welfare central sector scheme in the Union health budget spent for procuring, promoting and distributing spacing methods;
- (d) whether a programme/scheme exists to supply appropriate contraceptives to unmarried girls and boysunder the family planning programme (including Mission Parivar Vikas districts), if so, the details thereof and the number of unmarried adolescents covered; and
- (e) if not, the reasons therefor?

## ANSWER THE MINIS TER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Under the flagship programme of National Health Mission (NHM) the allocations are m in flexible pools where as approvals are given activity wise to provide grea ter flexibility to States to utilize the funds as per their felt need.

The detailed break up of approvals and expenditures for family planning activities NRHM - Reproductive and Child Health (RCH) flexi pool from 2015 - 16 to 2018 - 19, State /UT -wise are at Annexure - 1.

(b): the detailed break - up of approvals and expendit ures for each activity under Family Planning such as permanent methods, spacing methods, trainings, IEC/BCC, procurement of equipment drugs  and  consumables,  ASHA  incentives  and  other  activities  under  the  RCH  flexi  pool NHM, State - wise from 2015 - 16 to 2 018- 19  are at Annexure - 2 and 3.

- (c): In  addition,  under  Central  Sector  budget  of  Department  of  Health  &  Family  Welfa there is a budgetary provision of Rs.140 crore towards Free Distribution of Contraceptiv Rs.100 crore towards Social Marketing o f Contraceptives for the F.Y. 2019 - 20.
- (d)& (e) : All spacing methods viz. Condoms, Combined oral contraceptive pills, Centchroman (Chhaya), Intra Uterine Contraceptive Device (IUCD) and Injectable contracept under Antara program are offered to all b eneficiaries irrespective of marital status in all dist including Mission Parivar Vikas districts;

As per NFHS 4, current use of contraceptives in sexually active unmarried adolescen India is 16.4 percent.

## Annexure 1

## State/UT wise approval and expenditure for Family Planning activities from year 2015 - 16 to 2018 - 19 (Rs. in lakh)

| S.No.                     | State                     | Approval   | Expenditure   |
|---------------------------|---------------------------|------------|---------------|
| A. High Focus States      | A. High Focus States      |            |               |
| 1                         | Bihar                     | 112695.2   | 65246.6       |
| 2                         | Chhattisgarh              | 34738.4    | 21935.7       |
| 3                         | Himachal Pradesh          | 10219.1    | 7348.6        |
| 4                         | Jammu & Kashmir           | 13794.8    | 8756.6        |
| 5                         | Jharkhand                 | 39571      | 22541.2       |
| 6                         | Madhya Pradesh            | 96805.6    | 77740.2       |
| 7                         | Orissa                    | 46236.1    | 33719.2       |
| 8                         | Rajasthan                 | 87547.3    | 65779.3       |
| 9                         | Uttar Pradesh             | 208722.1   | 119406.5      |
| 10                        | Uttarakhand               | 10035.9    | 8279.6        |
| B. NE States              | B. NE States              |            |               |
| 11                        | Arunachal Pradesh         | 8627.9     | 5616.9        |
| 12                        | Assam                     | 49369.3    | 34402.6       |
| 13                        | Manipur                   | 4176.1     | 2060.2        |
| 14                        | Meghalaya                 | 4778.5     | 2582.6        |
| 15                        | Mizoram                   | 2715.3     | 1695.2        |
| 16                        | Nagaland                  | 3569.2     | 1958          |
| 17                        | Sikkim                    | 1349       | 1080.9        |
| 18                        | Tripura                   | 10251.9    | 7264.7        |
| C. Non- High Focus States | C. Non- High Focus States |            |               |
| 19                        | Andhra Pradesh            | 35080.4    | 27729.4       |
| 20                        | Goa                       | 1578.7     | 873           |
| 21                        | Gujarat                   | 46722.2    | 43644.2       |
| 22                        | Haryana                   | 21018.8    | 14466.2       |
| 23                        | Karnataka                 | 52541.6    | 30347.8       |
| 24                        | Kerala                    | 13943.3    | 9348.4        |
| 25                        | Maharashtra               | 79673.9    | 50033         |
| 26                        | Punjab                    | 19691.3    | 14934.9       |
| 27                        | Tamil Nadu                | 47512      | 38131.9       |
| 28                        | Telangana                 | 59621.7    | 33934.1       |
| 29                        | West Bengal               | 54734.3    | 34248.3       |
| D. Small States/UTs       | D. Small States/UTs       |            |               |
| 30                        | Andaman & Nicobar Islands | 949.8      | 447.7         |
| 31                        | Chandigarh                | 1349.4     | 1086.4        |
| 32                        | Dadra & Nagar Haveli      | 790.6      | 402.3         |
| 33                        | Daman & Diu               | 421.8      | 223.5         |
| 34                        | Delhi                     | 7492.6     | 3779.4        |
| 35                        | Lakshadweep               | 72911.8    | 58966.9       |
| 36                        | Puducherry                | 831.6      | 528.1         |

## Annexure 2

## State/UT wise approval s under various heads for Family Planning activities from year 2015- 16 to 2018 - 2019

## (in lakh INR)

| SNo.                     | State                     | Permanent Method         | Spacing method           | Training                 | IEC/BCC                  | Procurement of Equipment   | Drugs and Consumables    | ASHA incentivesOthers    |                          |
|--------------------------|---------------------------|--------------------------|--------------------------|--------------------------|--------------------------|----------------------------|--------------------------|--------------------------|--------------------------|
| A. High Focus States     | A. High Focus States      | A. High Focus States     | A. High Focus States     | 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                     | 50579.3                  | 2711.7                   | 1829.1                   | 375.2                    | 718.2                      | 2625.4                   | 2587.2                   | 51269.1                  |
| 2                        | Ch hattisgarh             | 7199.6                   | 586.9                    | 906.1                    | 336.9                    | 681.4                      | 946.3                    | 2096.1                   | 21985.1                  |
| 3                        | Himachal Pradesh          | 1199.4                   | 194.5                    | 273.5                    | 417.4                    | 283.0                      | 1332.5                   | 195.0                    | 6323.8                   |
| 4                        | Jammu & Kashmir           | 634.7                    | 237.4                    | 178.4                    | 312.4                    | 698.3                      | 316.7                    | 27.0                     | 11389.9                  |
| 5                        | Jharkhand                 | 14911.8                  | 879.3                    | 442.0                    | 575.4                    | 493.9                      | 752.0                    | 2827.5                   | 18689.1                  |
| 6                        | Madhya Pradesh            | 39133.7                  | 2557.1                   | 1157.8                   | 1323.7                   | 3719.0                     | 5474.0                   | 5651.5                   | 37788.8                  |
| 7                        | Orissa                    | 11965.1                  | 1466.0                   | 970.6                    | 373.9                    | 875.2                      | 0.0                      | 3219.9                   | 27365.4                  |
| 8                        | Rajasthan                 | 31043.6                  | 2430.0                   | 1207.4                   | 3476.0                   | 2594.1                     | 4507.8                   | 3698.6                   | 38589.8                  |
| 9                        | Uttar Pradesh             | 48869.3                  | 5167.5                   | 4299.4                   | 4218.5                   | 2199.2                     | 5175.2                   | 9378.2                   | 129414.8                 |
| 10                       | Uttarakhand               | 1950.1                   | 328.7                    | 95.8                     | 428.3                    | 147.0                      | 627.5                    | 478.9                    | 5979.6                   |
| B. NE States             | B. NE States              | B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States               | B. NE States             | B. NE States             | B. NE States             |
| 11                       | ArunachalPradesh          | 234.4                    | 83.9                     | 73.6                     | 80.4                     | 170.8                      | 22.5                     | 24.1                     | 7938.2                   |
| 12                       | Assam                     | 6938.7                   | 1480.8                   | 768.1                    | 1684.0                   | 2157.2                     | 4044.5                   | 2768.4                   | 29527.6                  |
| 13                       | Manipur                   | 84.2                     | 114.3                    | 141.8                    | 25.5                     | 50.1                       | 260.5                    | 297.2                    | 3202.5                   |
| 14                       | Meghalaya                 | 168.9                    | 111.4                    | 211.4                    | 119.4                    | 45.5                       | 100.9                    | 63.4                     | 3957.6                   |
| 15                       | Mizoram                   | 128.4                    | 41.1                     | 187.8                    | 33.3                     | 23.8                       | 47.7                     | 62.9                     | 2190.3                   |
| 16                       | Nagaland                  | 165.5                    | 91.7                     | 103.2                    | 45.1                     | 12.0                       | 102.4                    | 12.2                     | 3037.1                   |
| 17                       | Sikkim                    | 17.1                     | 18.1                     | 29.5                     | 9.7                      | 0.8                        | 63.9                     | 3.6                      | 1206.3                   |
| 18                       | Tripura                   | 306.3                    | 89.3                     | 175.8                    | 64.3                     | 332.2                      | 356.3                    | 430.0                    | 8497.7                   |
| 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 | C. Non-High Focus States   | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States |
| 19                       | Andhra Pradesh            | 9446.3                   | 376.8                    | 1055.1                   | 67.9                     | 540.0                      | 749.9                    | 545.0                    | 22299.4                  |
| 20                       | Goa                       | 108.6                    | 9.9                      | 17.6                     | 42.5                     | 118.5                      | 71.2                     | 0.0                      | 1210.4                   |
| 21                       | Gujarat                   | 17545.1                  | 540.6                    | 333.0                    | 219.6                    | 460.3                      | 1740.4                   | 6358.6                   | 19524.6                  |
| 22                       | Haryana                   | 6734.2                   | 1085.8                   | 423.8                    | 204.7                    | 55.6                       | 106.5                    | 1564.7                   | 10843.5                  |
| 23                       | Karnataka                 | 8250.0                   | 899.0                    | 667.6                    | 522.4                    | 1733.7                     | 4818.3                   | 295.0                    | 35355.6                  |
| 24                       | Kerala                    | 1922.0                   | 106.3                    | 208.8                    | 211.5                    | 96.0                       | 3.8                      | 0.0                      | 11394.9                  |
| 25                       | Maharashtra               | 15627.0                  | 1275.0                   | 3568.9                   | 1178.2                   | 1064.6                     | 8937.8                   | 440.2                    | 47582.2                  |
| 26                       | Punjab                    | 1775.6                   | 909.8                    | 250.8                    | 66.9                     | 207.7                      | 2432.9                   | 225.3                    | 13822.3                  |
| 27                       | Tamil Nadu                | 7698.2                   | 3042.1                   | 1250.1                   | 463.7                    | 645.9                      | 5819.9                   | 89.2                     | 28502.9                  |
| 28                       | Telangana                 | 8717.5                   | 384.0                    | 261.4                    | 165.5                    | 876.8                      | 688.9                    | 745.9                    | 47781.7                  |
| 29                       | West Bengal               | 8097.1                   | 2524.8                   | 1698.4                   | 469.1                    | 83.5                       | 3600.5                   | 551.8                    | 37709.1                  |
| D. Small States/UTs      | D. Small States/UTs       | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs        | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      |
| 30                       | Andaman & Nicobar Islands | 68.1                     | 19.8                     | 52.0                     | 13.1                     | 26.2                       | 0.0                      | 1.5                      | 769.1                    |
| 31                       | Chandigarh                | 84.4                     | 36.9                     | 4.4                      | 3.2                      | 0.0                        | 62.5                     | 0.0                      | 1158.0                   |
| 32                       | Dadra & Nagar Haveli      | 58.0                     | 22.9                     | 19.5                     | 34.2                     | 32.6                       | 1.3                      | 69.2                     | 552.9                    |
| 33                       | Daman & Diu               | 6.8                      | 3.3                      | 11.5                     | 12.9                     | 10.8                       | 0.0                      | 6.1                      | 370.4                    |
| 34                       | Delhi                     | 1005.5                   | 673.2                    | 185.4                    | 42.4                     | 121.9                      | 0.0                      | 0.0                      | 5464.2                   |
| 35                       | Lakshadweep               | 2.4                      | 0.6                      | 16.1                     | 0.7                      | 0.8                        | 3.5                      | 0.0                      | 72887.7                  |
| 36                       | Puducherry                | 208.5                    | 36.6                     | 28.5                     | 15.7                     | 3.1                        | 7.5                      | 0.0                      | 531.7                    |

## Annexure3

## State/UT wise expend iture under various heads for FP activities from year 2015 - 16 to 2018 -2019 (in lakh INR)

| SNo.                     | State                     | Permanent Method         | Spacing method           | Training                 | IEC/BCC                  | Procurement of Equipment   | Drugs and Consumables    | ASHA incentivesOthers    |                          |
|--------------------------|---------------------------|--------------------------|--------------------------|--------------------------|--------------------------|----------------------------|--------------------------|--------------------------|--------------------------|
| A. High Focus States     | A. High Focus States      | A. High Focus States     | A. High Focus States     | 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                     | 35708.5                  | 1194.8                   | 785.2                    | 150.6                    | 473.9                      | 1734.9                   | 1894.7                   | 23304.0                  |
| 2                        | Chhattisgarh              | 3987.0                   | 307.7                    | 404.0                    | 310.4                    | 104.3                      | 721.3                    | 1485.7                   | 14615.3                  |
| 3                        | Himachal Pradesh          | 538.1                    | 37.4                     | 161.9                    | 180.1                    | 1.9                        | 1216.0                   | 3.9                      | 5209.3                   |
| 4                        | Jammu & Kashmir           | 260.8                    | 21.1                     | 91.8                     | 232.3                    | 0.0                        | 3.6                      | 10.7                     | 8136.3                   |
| 5                        | Jharkhand                 | 10186.3                  | 374.6                    | 442.9                    | 294.2                    | 222.6                      | 479.7                    | 1391.6                   | 9149.3                   |
| 6                        | Madhya Pradesh            | 31886.4                  | 1384.3                   | 522.3                    | 334.2                    | 1344.4                     | 4163.2                   | 6166.1                   | 31939.3                  |
| 7                        | Orissa                    | 7593.5                   | 664.0                    | 258.2                    | 126.5                    | 82.5                       | 0.0                      | 3373.4                   | 21621.1                  |
| 8                        | Rajasthan                 | 25127.2                  | 1263.8                   | 527.6                    | 1940.5                   | 1693.0                     | 4418.5                   | 3699.9                   | 27108.8                  |
| 9                        | Uttar Pradesh             | 23166.3                  | 2394.2                   | 1817.6                   | 1938.7                   | 219.2                      | 2891.3                   | 6076.0                   | 80903.2                  |
| 10                       | Uttarakhand               | 1599.9                   | 235.7                    | 52.1                     | 253.8                    | 113.8                      | 529.4                    | 537.6                    | 4957.3                   |
| B. NE States             | B. NE States              | B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States               | B. NE States             | B. NE States             | B. NE States             |
| 11                       | Arunachal Pradesh         | 28.5                     | 41.7                     | 34.3                     | 65.7                     | 5.5                        | 18.6                     | 20.4                     | 5402.2                   |
| 12                       | Assam                     | 3083.4                   | 508.3                    | 297.0                    | 1006.4                   | 700.5                      | 3693.0                   | 2073.6                   | 23040.4                  |
| 13                       | Manipur                   | 36.8                     | 13.4                     | 51.4                     | 15.0                     | 18.3                       | 78.0                     | 14.1                     | 1833.2                   |
| 14                       | Meghalaya                 | 51.4                     | 23.3                     | 29.3                     | 30.3                     | 0.6                        | 67.9                     | 38.7                     | 2341.1                   |
| 15                       | Mizoram                   | 63.6                     | 0.8                      | 24.4                     | 14.9                     | 0.8                        | 13.5                     | 12.4                     | 1564.8                   |
| 16                       | Nagaland                  | 66.8                     | 3.7                      | 25.2                     | 17.2                     | 18.3                       | 123.6                    | 3.0                      | 1700.2                   |
| 17                       | Sikkim                    | 3.1                      | 2.1                      | 7.0                      | 8.9                      | 62.2                       | 61.3                     | 0.4                      | 935.9                    |
| 18                       | Tripura                   | 106.1                    | 5.8                      | 47.5                     | 35.6                     | 169.8                      | 173.8                    | 282.7                    | 6443.4                   |
| 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 | C. Non-High Focus States   | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States |
| 19                       | Andhra Pradesh            | 8654.4                   | 173.0                    | 217.9                    | 0.0                      | 432.2                      | 589.8                    | 309.4                    | 17352.7                  |
| 20                       | Goa                       | 26.5                     | 1.4                      | 1.9                      | 28.3                     | 1.4                        | 53.2                     | 0.0                      | 760.3                    |
| 21                       | Gujarat                   | 16189.6                  | 292.5                    | 248.4                    | 224.4                    | 44.8                       | 1834.7                   | 6839.2                   | 17970.6                  |
| 22                       | Haryana                   | 3716.1                   | 454.1                    | 103.0                    | 62.5                     | 25.8                       | 19.5                     | 1563.6                   | 8521.6                   |
| 23                       | Karnataka                 | 5647.7                   | 464.5                    | 267.9                    | 300.8                    | 510.7                      | 2287.3                   | 152.4                    | 20716.5                  |
| 24                       | Kerala                    | 693.6                    | 28.0                     | 94.9                     | 112.6                    | 61.2                       | 4.7                      | 0.0                      | 8353.4                   |
| 25                       | Maharashtra               | 8712.7                   | 565.9                    | 970.7                    | 225.8                    | 15.2                       | 5245.6                   | 491.7                    | 33805.4                  |
| 26                       | Punjab                    | 959.7                    | 326.9                    | 237.3                    | 51.0                     | 284.0                      | 2288.3                   | 175.2                    | 10612.5                  |
| 27                       | Tamil Nadu                | 6055.9                   | 1427.0                   | 466.6                    | 302.8                    | 613.4                      | 3013.0                   | 0.4                      | 26252.8                  |
| 28                       | Telangana                 | 2769.6                   | 0.5                      | 54.3                     | 208.2                    | 107.2                      | 256.0                    | 243.6                    | 30294.7                  |
| 29                       | West Bengal               | 4628.2                   | 2107.9                   | 781.0                    | 201.4                    | 42.6                       | 3724.2                   | 279.9                    | 22483.1                  |
| D. Small States/UTs      | D. Small States/UTs       | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs        | D. Small States/UTs      | D. Small States/UTs      | D. Small States/UTs      |
| 30                       | Andaman & Nicobar Islands | 13.7                     | 2.0                      | 4.8                      | 4.7                      | 0.5                        | 0.0                      | 0.0                      | 422.0                    |
| 31                       | Chandigarh                | 29.0                     | 9.8                      | 1.0                      | 2.9                      | 0.0                        | 21.1                     | 0.0                      | 1022.6                   |
| 32                       | Dadra & Nagar Haveli      | 17.9                     | 1.6                      | 1.3                      | 25.2                     | 24.6                       | 0.0                      | 7.4                      | 324.3                    |
| 33                       | Daman & Diu               | 0.7                      | 0.0                      | 1.0                      | 3.7                      | 0.1                        | 0.0                      | 0.0                      | 218.0                    |
| 34                       | Delhi                     | 297.7                    | 164.3                    | 34.8                     | 8.0                      | 1.0                        | 30.4                     | 0.0                      | 3243.2                   |
| 35                       | Lakshadweep               | 2.6                      | 0.0                      | 0.0                      | 0.9                      | 0.0                        | 0.9                      | 0.0                      | 58962.5                  |
| 36                       | Puducherry                | 139.8                    | 10.0                     | 5.5                      | 2.6                      | 0.0                        | 3.0                      | 0.0                      | 367.2                    |