Lok Sabha Question No. 4372 (UNSTARRED), answered on 2020-03-20
Subject: Population Control
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Deepak Baij, Kapil Moreshwar Patil, Anumula Revanth Reddy, Ravindra Kushawaha, Harish Dwivedi, Manoj Kishorbhai Kotak, Deepak (Dev) Adhikari, Shardaben Anilbhai Patel, A. Ganeshamurthi

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

## LOK SABHA UNSTARRED QUESTION NO. 4372 TH

## TO BE ANSWERED ON 20 MARCH, 2020

## POPULATION CONTROL

## 4372. SHRI DEEPAK BAIJ:

SHRI KAPIL MORESHWAR PATIL:

SHRI ANUMULA REVANTH REDDY:

SHRI RAVINDRA KUSHWAHA:

SHRI HARISH DWIVEDI:

SHRI MANOJ KOTAK:

SHRI ADHIKARI DEEPAK (DEV):

SHRIMATI SHARDABEN ANILBHAI PATEL:

SHRI A. GANESHAMURTHI:

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

- (a)  whether the country  is set to become the world's most populous country, if so, the details thereof indicating the population as per census of 2011 and its growth rate during the l years, State/UTwise;
- (b) whether some States have achieved be low replacement level growth rate of population;
- (c) whether steps are being taken to create awareness and ensure better availability o planning methods etc. for the stabilization of population in the country;
- (d) if so, the details thereof and the success achieved therein and if not, the reasons therefor;
- (e) the funds allocated to States/UTs to promote family planning and control population during the last three years; and
- (f) whether the Government proposes to bring in a two child policy an  whether it is feasible in view of the country being a signatory to ICPD declaration and if so, the details thereof?

## ANSWER

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) As  per  ' World Population Prospects 2019' report,  India's  population  reached  1.36  billion (136 crore) in mid 2019, which makes it the second most populous country in the world.

As per Census of India, India's population was 121.02 crore in 2011.

State/  UT - wise  Decadal  Growth  Rate  is  placed  in Annexure  I ; 3- yearly  data  on population growth is not available.

(b) : 24 States/ UTs have achieved replacement level of fertility or below.

(c) & (d) : Steps taken to create awareness and ensure better availability of family pla methods are placed at Annexure II.

Success achieved:

- The Total Fertility Rate (TFR) has declined from 2.9 (SRS 2005) to 2.2 (SRS 2017)
- The  Decadal  growth  rate  has  declined  from  21.54%  in  1991 - 2001  to  17.64%  during 2001- 11.
- The Crude birth rate (CBR) has declined from 23.8 (SRS 2005) to 20.2 (SRS 2017)
- The Teenage birth rate has halved from 16% in 2005 - 06 (NFHS III) to 8% in 2015 - 16 (NFH S IV) .

(e) : Rs. 904045.10 lakh was allocated to States/ UTs to promote family planning during three years.

(f) : The Government does not have such a proposal at present since India is signatory to the ICPD  declaration  of  1994  held  in  Cairo  (International  Conference  on  Population Development)  which  unequivocally  advocates  voluntary  informed  choice  and  honouring reproductive rights of couples to decide freely and responsibly the number and spacing of their children.

…………………….

ANNEXURE I State/UT wise Decadal growth rate (Source: RGI)

| SNo.   | Name of State/UT          | Percentage decadal growth (2001 - 2011)   |
|--------|---------------------------|-------------------------------------------|
| 1      | Andaman & Nicobar Islands | 6. 9                                      |
| 2      | Andhra Pradesh *          | 11. 0                                     |
| 3      | Arunachal Pradesh         | 26.0                                      |
| 4      | Assam                     | 17.1                                      |
| 5      | Bihar                     | 25.4                                      |
| 6      | Chandigarh                | 17. 2                                     |
| 7      | Chhattisgarh              | 22. 6                                     |
| 8      | Dadra & Nagar Haveli      | 55. 9                                     |
| 9      | Daman & Diu               | 53. 8                                     |
| 10     | Goa                       | 8. 2                                      |
| 11     | Gujarat                   | 19. 3                                     |
| 12     | Haryana                   | 19.9                                      |
| 13     | Himachal Pradesh          | 12. 9                                     |
| 14     | Jammu & Kashmir           | 23. 6                                     |
| 15     | Jharkhand                 | 22. 4                                     |
| 16     | Karnataka                 | 15.6                                      |
| 17     | Kerala                    | 4. 9                                      |
| 18     | Lakshadweep               | 6. 3                                      |
| 19     | Madhya Pradesh            | 20.3                                      |
| 20     | Maharashtra               | 16.0                                      |
| 21     | Manipur                   | 18.6                                      |
| 22     | Meghalaya                 | 27. 9                                     |
| 23     | Mizoram                   | 23.5                                      |
| 24     | Nagaland                  | - 0. 6                                    |
| 25     | NCT of Delhi              | 21.2                                      |
| 26     | Orissa                    | 14.0                                      |
| 27     | Puducherry                | 28.1                                      |
| 28     | Punjab                    | 13. 9                                     |
| 29     | Rajasthan                 | 21. 3                                     |
| 30     | Sikkim                    | 12. 9                                     |
| 31     | Tamil Nadu                | 15.6                                      |
| 32     | Tripura                   | 14. 8                                     |
| 33     | Uttar Pradesh             | 20. 2                                     |
| 34     | Uttarakhand               | 18.8                                      |
| 35     | West Bengal               | 13. 8                                     |
|        | INDIA                     | 17.64                                     |

## Initiatives to create awareness and ensure better availability of f m y planning methods :

1. Mission  Parivar  Vikas -The  Government  has  launched MissionParivar Vikason  10 th November 2016 for substantially increasing access to contraceptives and family planning services in1 fertility districts with Total Fertility R ate (TFR) of 3 and above in seven high focus states. These districts are from the states of Uttar Pradesh (57), Bihar (37), Rajasthan (14), Madhya Prad Chhattisgarh (2), Jharkhand (9) and Assam (2) that itself constitutes 44% of the country's popu lation.
2. New Contraceptive Choices -New contraceptives viz. Injectable contraceptive (Antara program) and Centchroman (Chhaya) have been added to the existing basket of choices in 2015 - 16.
3. A new method of IUCD insertion immediately after delivery i.e. post - partum IUCD (PPIUCD) has been introduced in 2010. PPIUCD incentive scheme has been operational wef 01.01.2014.
4. Emphasis on Post pregnancy Family Planning services which includes promotion of Post - Partum and Post - Abortion contraception.
5. Redesigned Contraceptive Packaging -The packaging for Condoms, Oral Contraceptive Pills and Emergency Contraceptive Pills has been improved and redesigned since 2015 in order to increase demand for these commodities.
6. Family  Planning  Logistic  Managemen t  and  Information  System  (FP -LMIS): A  dedicated software  launched  in  2017,  to  ensure  smooth  forecasting,  procurement  and  distribution  of  f planning commodities across all the levels of health facilities.
7. Appointment of dedicated RMNCH+A counselors athigh case load facilities since 2013.
8. Improved Demand generation activities through a holistic media campaign -1 st phase launched in 2015, and the present 2 nd phase in 2016.
9. Observation of World Population Day & fortnight from July 11 -July 24 to boost F amily Planning efforts all over the country.
10. Observation of Vasectomy Fortnight from November 21-December 4 in an effort to enhance male participation and revitalize the NSV programme.
11. 11.Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries launched in August 2011.
12. 12.Scheme for ASHAs to Ensure spacing in births launched on 16 th May 2012-The scheme is being implemented in 18 states of the country (8 EAG, 8 North East, Gujarat and Haryana). Addition the spacing component has be en approved in West Bengal, Karnataka, Andhra Pradesh, Telangana, Punjab, Maharashtra, Daman Diu and Dadra and Nagar Haveli.
13. 13.Scheme for provision of Pregnancy Testing Kits in the drug kits of ASHAs for use in communities. The Scheme was introduced in 2013.
14. National  Family  Planning  Indemnity  Scheme  (NFPIS) under  which  clients  are  insured  in  the eventualities of death, complication and failure following sterilization. The scheme was intro 2005  and  implemented  through  an  insurance  company.  It  was  revis ed  in  2013  and  is  now  being operated by the state governments directly with NHM funding.
15. Compensation  scheme  for  sterilization  acceptors -Under  the  scheme  MoHFW  provides compensation  for  loss  of  wages  to  the  beneficiary  and  also  to  the  service  provider  (& team)  for conducting sterilizations. The package was enhanced in November 2014 for 11 high focus high T states (8 EAG, Assam, Gujarat, Haryana), and further increased in November 2016 under Mission Parivar Vikas.
16. Clinical Outreach Teams (COT) Scheme The scheme has been launched in 146 Mission Parivar Vikas districts wef December 2017 for providing family planning services through mobile teams accredited organizations in far - flung, underserved and geographically difficult areas.
17. 17.Ensuring quality of care in Family Planning services by establishing Quality Assurance Committees in all states and districts.

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