Lok Sabha Question No. 2101 (UNSTARRED), answered on 2022-07-29
Subject: Mission Parivaar Vikas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ganesan Selvam, C.N. Annadurai, Gajanan Chandrakant Kirtikar, Dhanush M Kumar, Manjulata Mandal, Gautham Sigamani Pon

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO.2101 TO BE ANSWERED ON-29/07/2022

## MISSION PARIVAAR VIKAS

## 2101.     SHRI SELVAM G.:

SHRI C.N. ANNADURAI:

SHRI GAJANAN KIRTIKAR:

SHRI DHANUSH M. KUMAR:

SHRIMATI MANJULATA MANDAL:

DR. PON GAUTHAM SIGAMANI:

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

- (a) whether the Government is implementing Mission Parivaar Vikas programme;
- (b) if so, the details of aims and objective of the programme thereof;
- (c) the  number  of  districts  covered  under  Mission  Parivar  Vikas  Programme  and  the achievement made since its inception;
- (d) the challenges faced by the government while implementing the programme;
- (e) whether the Government has been able to achieve the desired results after implementing the National Family Welfare Programme, if so, the details thereof and if not, the corrective steps taken in this regard;
- (f) whether certain States/UTs have not utilized the funds provided to them and also target fixed has not been achieved and if so, the action taken by the Union Government in this regard; and
- (g) the steps taken by the Government to meet the goal of achieving Total Fertility Rate of 2.1 by 2025?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a)  to  (d)  The  Government  launched Mission Parivar Vikas  (MPV) in  2016  for  substantially increasing access to family planning services in 146 high fertility Districts with Total Fertility Rate  (TFR)  of  3  and  above  in  seven  high  focus  States  (Uttar  Pradesh,  Bihar,  Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam). In November 2021, the Scheme was extended  to  remaining  districts  of  the  seven  high  focus  States  and  all  districts  of  six  North Eastern  States (Arunachal  Pradesh,  Manipur,  Meghalaya,  Tripura,  Nagaland  and  Mizoram), where the modern contraceptive usage is low and unmet need for Family Planning is high.

The Scheme aims to improve access to contraceptives, generate awareness through promotional schemes like Nayi Pahel Kit, Saas Bahu Sammelan, mobile vans (SAARTHI), and ensure commodity security.

MPV States have shown substantial decline in Total Fertility Rate (TFR) from NFHS 4 (201516) to NFHS 5 (2019-21):

-  Assam- 2.2 to 1.9
-  Bihar- 3.4 to 3.0
-  Chhattisgarh- 2.2 to 1.8
-  Jharkhand- 2.6 to 2.3
-  Madhya Pradesh-2.3 to 2.0
-  Rajasthan- 2.4 to 2.0
-  Uttar Pradesh- 2.7 to 2.4

(e) The Government's efforts have been successful in reining in the growth of population, and the following progress has been achieved:

1. The Total  Fertility  Rate  (TFR) has  declined  from 2.2 (2015-16)  to 2.0 in  2019-21 (NFHS) which is below replacement level.
2. 31 out of 36 States/ UTs have achieved replacement level fertility of 2.1 or less (NFHS 5).
3. The Modern Contraceptive usage has  increased  from 47.8% (2015-16)  to 56.5% in 2019-21 (NFHS).
4. The Unmet Need for Family Planning has declined from 12.9% (2015-16) to 9.4% in 2019-21 (NFHS).
5. The Crude Birth Rate (CBR) has declined from 20.8 (2015) to 19.7 in 2019 (SRS).
6. (f)  Under  NHM,  the  allocations  are  made  in  flexible  pools,  whereas  approvals  are  given
7. activity wise to provide greater flexibility to States/UTs for utilizing these funds.

State/UT wise Approvals and Utilisation towards Family Planning under RCH Flexible Pool from F.Y. 2019-20 to 2021-22 is given at Annexure.

## (g) Steps taken by the Government:

1. Expanded Contraceptive Choices
2. Mission Parivar Vikas (MPV) is implemented in 13 states for substantially increasing access to contraceptives and family planning services.
3. Compensation  scheme  for  sterilization  acceptors which  provides  compensation  for loss  of  wages  to  the  beneficiary  and  also  to  the  service  provider  team  for  conducting sterilization.
4. Post-partum Intra-uterine contraceptive device (PPIUCD) services are provided post delivery.
5. Scheme for Home Delivery of contraceptives by ASHAs at doorstep of beneficiaries.
6. Family Planning Logistics Management Information System (FP-LMIS): A dedicated software to ensure smooth forecasting, procurement and distribution of family planning commodities across all the levels of health facilities.

## Annexure

| State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   | State/UT wise details of Approvals and Utilisation under Family Planning under NHMfrom 2019-20 to 2021-22 (Rs. In Lakhs)   |
|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|
| SN                                                                                                                         | State/UT                                                                                                                   | 2019-20                                                                                                                    | 2019-20                                                                                                                    | 2020-21                                                                                                                    | 2020-21                                                                                                                    | 2021-22                                                                                                                    |
| SN                                                                                                                         | State/UT                                                                                                                   | Approvals                                                                                                                  | Utilisation                                                                                                                | Approvals                                                                                                                  | Utilisation Approvals                                                                                                      | Utilisation                                                                                                                |
| 1                                                                                                                          | Andaman & Nicobar Islands                                                                                                  |                                                                                                                            | 4.68                                                                                                                       | 35.12                                                                                                                      | 3.08 31.00                                                                                                                 | 3.35                                                                                                                       |
| 2                                                                                                                          | Andhra Pradesh                                                                                                             | 1517.16                                                                                                                    | 1363.09                                                                                                                    | 1609.74 1738.62                                                                                                            | 1952.68                                                                                                                    | 1408.43                                                                                                                    |
| 3                                                                                                                          | Arunachal Pradesh                                                                                                          | 232.28                                                                                                                     | 213.50                                                                                                                     | 245.53 221.54                                                                                                              | 129.47                                                                                                                     | 92.12                                                                                                                      |
| 4                                                                                                                          | Assam                                                                                                                      | 3237.21                                                                                                                    | 1663.46                                                                                                                    | 3167.42 1150.91                                                                                                            | 4796.31                                                                                                                    | 2549.95                                                                                                                    |
| 5                                                                                                                          | Bihar                                                                                                                      | 18986.91                                                                                                                   | 14110.62                                                                                                                   | 16154.17                                                                                                                   | 12023.68 14308.66                                                                                                          | 12465.25                                                                                                                   |
| 6                                                                                                                          | Chandigarh                                                                                                                 | 28.03                                                                                                                      | 25.90                                                                                                                      | 29.43 9.63                                                                                                                 | 31.84                                                                                                                      | 10.14                                                                                                                      |
| 7                                                                                                                          | Chhattisgarh                                                                                                               | 4631.63                                                                                                                    | 1909.37                                                                                                                    | 2466.12 979.83                                                                                                             | 3427.27                                                                                                                    | 2600.64                                                                                                                    |
| 8                                                                                                                          | Dadra &Nagar Haveli                                                                                                        | 23.83                                                                                                                      | 6.38                                                                                                                       | 32.89 4.09                                                                                                                 | 29.66                                                                                                                      | 7.98                                                                                                                       |
| 9                                                                                                                          | Daman &Diu                                                                                                                 | 13.62                                                                                                                      | 1.53                                                                                                                       |                                                                                                                            |                                                                                                                            |                                                                                                                            |
| 10                                                                                                                         | Delhi                                                                                                                      | 789.74                                                                                                                     | 197.97                                                                                                                     | 658.24 114.37                                                                                                              | 684.22                                                                                                                     | 137.24                                                                                                                     |
| 11                                                                                                                         | Goa                                                                                                                        | 41.30                                                                                                                      | 26.68                                                                                                                      | 69.17 15.01                                                                                                                | 32.52                                                                                                                      | 4.38                                                                                                                       |
| 12                                                                                                                         | Gujarat                                                                                                                    | 4631.59                                                                                                                    | 4345.88                                                                                                                    | 4773.26 3848.77                                                                                                            | 7332.32                                                                                                                    | 6079.83                                                                                                                    |
| 13                                                                                                                         | Haryana                                                                                                                    | 1428.76                                                                                                                    | 1311.13                                                                                                                    | 1669.48 982.91                                                                                                             | 3422.69                                                                                                                    | 2376.84                                                                                                                    |
| 14                                                                                                                         | Himachal Pradesh                                                                                                           | 385.78                                                                                                                     | 188.72                                                                                                                     | 269.73 126.01                                                                                                              | 243.98                                                                                                                     | 94.53                                                                                                                      |
| 15                                                                                                                         | Jammu& Kashmir                                                                                                             | 592.55                                                                                                                     | 123.80                                                                                                                     | 451.57 82.58                                                                                                               | 326.83                                                                                                                     | 124.45                                                                                                                     |
| 16                                                                                                                         | Jharkhand                                                                                                                  | 4124.80                                                                                                                    | 2973.48                                                                                                                    | 4771.77 3035.85                                                                                                            | 6093.49                                                                                                                    | 3057.30                                                                                                                    |
| 17                                                                                                                         | Karnataka                                                                                                                  | 3126.43                                                                                                                    | 2604.70                                                                                                                    | 2650.84 1403.17                                                                                                            | 2844.56                                                                                                                    | 1760.84                                                                                                                    |
| 18                                                                                                                         | Kerala                                                                                                                     | 541.96                                                                                                                     | 227.72                                                                                                                     | 464.41 236.64                                                                                                              | 426.11                                                                                                                     | 282.41                                                                                                                     |
| 19                                                                                                                         | Ladakh                                                                                                                     | -                                                                                                                          | -                                                                                                                          | 71.09 5.68                                                                                                                 | 51.50                                                                                                                      | 4.90                                                                                                                       |
| 20                                                                                                                         | Lakshadweep                                                                                                                | 9.93                                                                                                                       | 0.82                                                                                                                       | 16.26 0.23                                                                                                                 | 14.22                                                                                                                      | 0.48                                                                                                                       |
| 21                                                                                                                         | Madhya Pradesh                                                                                                             | 12070.07                                                                                                                   | 9037.84                                                                                                                    | 12696.33 8929.04                                                                                                           | 16541.75                                                                                                                   | 11318.73                                                                                                                   |
| 22                                                                                                                         | Maharashtra                                                                                                                | 5211.85                                                                                                                    | 2503.24                                                                                                                    | 4101.54 1624.05                                                                                                            | 3073.36                                                                                                                    | 2451.53                                                                                                                    |

|   23 | Manipur       |   159.23 |    71.34 |   178.09 |    13.44 |   162.41 |   39.74 |
|------|---------------|----------|----------|----------|----------|----------|---------|
|   24 | Meghalaya     |   112.64 |   160.09 |   201.01 |    38.13 |   239.22 |   39.81 |
|   25 | Mizoram       |    51.45 |    63.27 |    61.16 |    28.53 |    57.34 |   40.95 |
|   26 | Nagaland      |   189.63 |    73.78 |   147.76 |    61.83 |   178.21 |   56.03 |
|   27 | Odisha        |  3979.75 |  2363.7  |  3818.78 |  1971.42 |  3943.68 | 3471.16 |
|   28 | Puducherry    |    95.67 |    35.92 |    87.32 |    36.28 |    87.65 |   29.71 |
|   29 | Punjab        |   687    |   321.62 |   732.65 |   191.97 |   824    |  193.81 |
|   30 | Rajasthan     | 11587    |  8338.61 | 13101.3  |  8015.7  | 13846.8  | 8893.56 |
|   31 | Sikkim        |    12.85 |     2.68 |    19.99 |     0.13 |    20.96 |    5.09 |
|   32 | Tamil Nadu    |  2876.03 |  3349.98 |  6381.08 |  1005.35 |  4057.18 |  810.74 |
|   33 | Telangana     |   900.77 |   653.89 |  1463.55 |   267.63 |  1684.43 |  990.46 |
|   34 | Tripura       |   106.14 |    41.42 |    75.95 |    35.62 |   184.44 |  146.89 |
|   35 | Uttar Pradesh | 15875.2  | 10844.3  | 22936.6  | 12280    | 33034.8  | 8563.74 |
|   36 | Uttarakhand   |   621.75 |   505.2  |   662.88 |   274.33 |   779.53 |  310.45 |
|   37 | West Bengal   |  3804.49 |  2616.71 |  3830.05 |  2094.61 |  3066.14 | 2296.91 |

1. The above figures are as per available FMRs reported by States/UTs. It is updated upto 31.03.2022, hence provisional.
2. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of  the year.
3. The above data comprises Family Planning (Terminal/Limiting Methods, Spacing Methods, Family Planning Indemnity Scheme, Mission Parivar Vikas), Family Planning Training, BCC/IEC activities for FP, Printing of IUCD cards, MPA Card, Procurement of equipment:  FP, Drugs & supplies for FP etc.