Lok Sabha Question No. 1918 (UNSTARRED), answered on 2019-11-29
Subject: Male Sterilization
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P. Ravindhranath, Vincent H Pala, L.S. Tejasvi Surya

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

## LOK SABHA UNSTARRED QUESTION NO. 1918 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## MALE STERILIZATION

## 1918. SHRI P. RAVEENDRANATH KUMAR: SHRI VINCENT H. PALA: SHRI L.S. TEJASVI SURYA:

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

(a) the details of actions being taken and the progress made by Government to increase the proportion of male sterilization from less than 5 per cent to at least 30 per cent, as per the National Health Policy 2017;

(b) whether Government proposes to consider and implement the Reversible Inhibition of Sperm under Guidance (RISUG), a non - surgical vasectomy ethod, if so, the details thereof and the status thereon;

(c) whether there are any plans to expand contraceptive options for men in the near future within the public health system and increase the existing compensation package or introduce special schemes for promotion of male sterilization in 'Family Planning' ,especially for rural areas, if so, the details thereof;

(d)  whether  the  Government proposes  to  leverage  male  Multi - Purpose Workers  (MPWs) under Ayushman Bharat's 1.5 lakh Health and Wellness Centres (HWCs) by engaging the cadre  to  promote  family  plannin g,  if so,  the  details  thereof  along  with the  status  of recruitment and capacity building of male MPWs, State/ UT - wise;

(e) whether the Government has made any assessment with regard to progress made in health and family welfare sector in the country duri ng the last six year, if so, the details thereof, State/UT - wise including Tamil Nadu; and

(f) the corrective measures being take  by the Government to ensure such health and family welfare schemes being implemented properly across the country?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): The  initiatives  undertaken  by  the  Government  to  increase  the  proportion  of  m sterilization are: -
- 1) Observation of 'Vasectomy Fortnight' in the month of N ovember every year in all States  of  India  to  raise  awareness  on  male  participation  and  promotion  of sterilization.
- 2) Training of service providers in No Scalpel Vasectomy (NSV) to enhance the pool service providers.
- 3) Four campaigns of extensive mob ilization activities and assured vasectomy services each year in Mission Parivar Vikas districts (districts with TFR>3.0).
- 4) I ncreased  compensation  for  male  sterilization  under  the  Enhanced  compensatio scheme for sterilization , and under Mission Parivar Vikas .
- 5) A  360  degree  media  campaign  underlining  the  role  of  men  in  family  planning  t encourage men to adopt family planning methods.
- (b): The Government has no such proposal at present.
- ( c) : The  compensationfor  male  sterilization has  been  increased under  the  Enhanced compensation  scheme  for  sterilization (2014) ,  and  under  Mission  Parivar  Vikas (2016) (Details in Annexure I) .
- (d): The  Government  proposes to  leverage  male  Multi - Purpose  Workers  (MPWs) under Ayushman Bharat's 1.5 lakh Health and Wellnes s Centres (HWCs) by engaging the cadre to promote family planning .

The  status/  details  of  recruitment  and  capacity  building  of  male  MPWs  are maintained centrally. However, as per RHS 2018, state - wise details of male Multi - Purpose Workers (MPWs) at Su b Centres is given at Annexure II .

- (e): Achievements  in family  planning  programme in  last  6  years,  State/  UT - wise  is placed at Annexure III.
- (f): The Government undertakes annual reviews, periodic monitoring and supportive supervision visits to ensure that family planning schemes are implemented properly across the country.

## Compensation for Vasectomy acceptors

|                                                                                               |   Acceptor |   ASHA/ Health Worker |   Others |   Total |
|-----------------------------------------------------------------------------------------------|------------|-----------------------|----------|---------|
| Mission Parivar Vikas Districts                                                               |       3000 |                   400 |      600 |    4000 |
| Enhanced Compensation Scheme 11 Highfocus states (UP, BH, MP, RJ, CG, JH, OD, UK, AS, HR, GJ) |       2000 |                   300 |      400 |    2700 |
| Other states                                                                                  |       1100 |                   200 |      200 |    1500 |

## Annexure I

## HEALTH WORKER [MALE] AT SUB CENTRES

| S. No.   |                          | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   |
|----------|--------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   |                          | Required 1                 | Sanctioned                 | In Position                | Vacant                     | Shortfall                  |
| 1        | Andhra Pradesh           | [R] 7458                   | [S] 5021                   | [P] 2959                   | [S- P] 2062                | [R-P] 4499                 |
| 2        | Arunachal Pradesh        | 312                        | NA                         | 92                         | NA                         | 220                        |
| 3        | Assam #                  | 4644                       | 3000                       | 2665                       | 335                        | 1979                       |
| 4        | Bihar ##                 | 9949                       | 2135                       | 1244                       | 891                        | 8705                       |
| 5        | Chhattisgarh             | 5200                       | 5200                       | 3933                       | 1267                       | 1267                       |
| 6        | Goa                      | 214                        | 86                         | 86                         | 0                          | 128                        |
| 7        | Gujarat                  | 9153                       | 9153                       | 7755                       | 1398                       | 1398                       |
| 8        | Haryana                  | 2589                       | 1953                       | 1291                       | 662                        | 1298                       |
| 9        | Himachal Pradesh         | 2084                       | 2060                       | 799                        | 1261                       | 1285                       |
| 10       | Jammu & Kashmir          | 2967                       | 817                        | 657                        | 160                        | 2310                       |
| 11       | Jharkhand                | 3848                       | 3848                       | 1684                       | 2164                       | 2164                       |
| 12       | Karnataka                | 9443                       | 5861                       | 3645                       | 2216                       | 5798                       |
| 13       | Kerala                   | 5380                       | 3401                       | 3401                       | 0                          | 1979                       |
| 14       | Madhya Pradesh           | 11192                      | 4260                       | 3248                       | 1012                       | 7944                       |
| 15       | Maharashtra              | 10638                      | 7853                       | 4570                       | 3283                       | 6068                       |
| 16       | Manipur                  | 429                        | 469                        | 374                        | 95                         | 55                         |
| 17       | Meghalaya ###            | 443                        | 84                         | 209                        | *                          | 234                        |
| 18       | Mizoram ^                | 370                        | 382                        | 337                        | 45                         | 33                         |
| 19       | Nagaland                 | 396                        | NA                         | NA                         | NA                         | 396                        |
| 20       | Odisha                   | 6688                       | 5240                       | 3344                       | 1896                       | 3344                       |
| 21       | Punjab                   | 2950                       | 2958                       | 1318                       | 1640                       | 1632                       |
| 22       | Rajasthan                | 14405                      | 2241                       | 1486                       | 755                        | 12919                      |
| 23       | Sikkim #                 | 147                        | 147                        | 77                         | 70                         | 70                         |
| 24       | Tamil Nadu               | 8712                       | 3292                       | 2288                       | 1004                       | 6424                       |
| 25       | Telangana                | 4744                       | 2623                       | 1363                       | 1260                       | 3381                       |
| 26       | Tripura ###              | 1020                       | 574                        | 674                        | *                          | 346                        |
| 27       | Uttarakhand              | 1847                       | 374                        | 65                         | 309                        | 1782                       |
| 28       | Uttar Pradesh            | 20521                      | 9080                       | 1543                       | 7537                       | 18978                      |
| 29       | West Bengal              | 10357                      | 9171                       | 2848                       | 6323                       | 7509                       |
| 30       | A& N Islands             | 123                        | 45                         | 45                         | 0                          | 78                         |
| 31       | Chandigarh               | 17                         | NA                         | 5                          | NA                         | 12                         |
| 32 33    | D & N Haveli Daman & Diu | 71 26                      | 9                          | 63                         | *                          | 8 20                       |
| 34       | Delhi                    | 12                         | 9                          | 6                          | 3 0                        |                            |
|          |                          |                            | 11                         | 11                         |                            | 1                          |
| 35       | Lakshadweep              | 14                         | 14                         | 14                         | 0                          | 0                          |
| 36       | Puducherry               | 54                         | 0                          | 0                          | 0                          | 54                         |
|          | All India/ 2 Total       | 158417                     | 91371                      | 54099                      | 37648                      | 104318                     |

Notes:

NA -Not Available

* Surplus

# Sanctioned data for year 2012 used

## Sanctioned data for year 2013 used

### Sanctioned data for year 2015 used

^ Total 382 Health Worker (Male) sanctioned in the State

All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs

1 One per each existing Sub Centre as per IPHS norms

2 For calculating the overall percentages of vacancy, the States/UTs for which manpower position is not availa are excluded

Annexure III UT - wise

## Achievements infamilyplanning programme inlast 6 years, State/

| Category                    | SN.   | States             | Sterilization   | IUCD        | PPIUCD    | Injectable MPA   |
|-----------------------------|-------|--------------------|-----------------|-------------|-----------|------------------|
| High Focus - Non NE         | 1     | Bihar              | 29,78,588       | 25,39,209   | 6,39,421  | 259988           |
| High Focus - Non NE         | 2     | Chhattisgarh       | 4,33,941        | 6,87,001    | 1,64,872  | 23647            |
| High Focus - Non NE         | 3     | Himachal Pradesh   | 1,01,237        | 1,25,049    | 22,076    | 3846             |
| High Focus - Non NE         | 4     | Jammu & Kashmir    | 80,750          | 1,18,607    | 16,962    | 17750            |
| High Focus - Non NE         | 5     | Jharkhand          | 6,64,645        | 6,58,268    | 2,03,839  | 20230            |
| High Focus - Non NE         | 6     | Madhya Pradesh     | 21,29,752       | 24,33,760   | 9,03,867  | 88228            |
| High Focus - Non NE         | 7     | Orissa             | 6,38,103        | 10,38,196   | 3,50,060  | 17796            |
| High Focus - Non NE         | 8     | Rajasthan          | 16,72,495       | 25,59,969   | 8,11,673  | 174425           |
| High Focus - Non NE         | 9     | UttarPradesh       | 15,79,679       | 62,31,182   | 10,27,269 | 181234           |
| High Focus - Non NE         | 10    | Uttarakhand        | 1,08,067        | 4,44,809    | 64,435    | 2094             |
| High Focus -NE              | 11    | Arunachal Pradesh  | 5,992           | 18,239      | 2,737     | 991              |
| High Focus -NE              | 12    | Assam              | 2,67,688        | 6,57,648    | 2,05,162  | 25577            |
| High Focus -NE              | 13    | Manipur            | 5,034           | 28,639      | 2,710     | 45               |
| High Focus -NE              | 14    | Meghalaya          | 14,788          | 25,886      | 5,025     | 2976             |
| High Focus -NE              | 15    | Mizoram            | 8,673           | 13,587      | 715       | 609              |
| High Focus -NE              | 16    | Nagaland           | 9,194           | 24,641      | 637       | 177              |
| High Focus -NE              | 17    | Sikkim             | 829             | 7,279       | 2,194     | 1227             |
| High Focus -NE              | 18    | Tripura            | 20,122          | 8,495       | 3,387     | 158              |
| Non High Focus Large        | 19    | Andhra Pradesh     | 14,49,352       | 7,23,043    | 42,147    | 3544             |
| Non High Focus Large        | 20    | Goa                | 15,919          | 7,582       | 637       | 620              |
| Non High Focus Large        | 21    | Gujarat            | 18,80,174       | 36,38,033   | 1,93,044  | 30828            |
| Non High Focus Large        | 22    | Haryana            | 4,03,781        | 13,66,155   | 4,90,433  | 18744            |
| Non High Focus Large        | 23    | Karnataka          | 18,36,188       | 11,51,551   | 2,37,500  | 34622            |
| Non High Focus Large        | 24    | Kerala             | 4,90,000        | 2,89,034    | 17,897    | 2783             |
| Non High Focus Large        | 25    | Maharashtra        | 27,44,129       | 24,62,096   | 3,91,075  | 23888            |
| Non High Focus Large        | 26    | Punjab             | 2,86,467        | 11,41,268   | 1,99,234  | 7810             |
| Non High Focus Large        | 27    | Telangana          | 5,64,215        | 2,17,384    | 27,613    | 6484             |
| Non High Focus Large        | 28    | Tamil Nadu         | 17,15,038       | 22,87,364   | 8,13,131  | 41766            |
| Non High Focus Large        | 29    | West Bengal        | 11,45,829       | 20,90,370   | 9,67,984  | 116136           |
| Non High Focus - Small & UT | 30    | A &N Islands       | 5,603           | 4,175       | 586       | 790              |
| Non High Focus - Small & UT | 31    | Chandigarh         | 13,524          | 31,013      | 13,395    | 2465             |
| Non High Focus - Small & UT | 32    | Dadra & Nagar      | 6,657           | 3,745       | 637       | 1436             |
| Non High Focus - Small & UT | 33    | Haveli Daman & Diu | 1,863           | 1,432       | 310       | 27               |
| Non High Focus - Small & UT | 34    | Delhi              | 1,09,295        | 4,49,340    | 1,95,752  | 25269            |
| Non High Focus - Small & UT | 35    | Lakshadweep        | 218             | 123         | 6         | 23               |
| Non High Focus - Small & UT | 36    | Puducherry         | 47,088          | 25,214      | 9,778     | 1114             |
| TOTAL                       | TOTAL | TOTAL              | 2,34,34,917     | 3,35,09,386 | 80,28,200 | 11,39,347        |