Lok Sabha Question No. 1891 (UNSTARRED), answered on 2021-02-12
Subject: Total Fertility Rate (TFR)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vishnu Dayal Ram

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

## LOK SABHA UNSTARRED QUESTION NO. 1891 TO BE ANSWERED ON 12 TH FEBRUARY, 2021

## TOTAL FERTILITY RATE (TFR)

## 1891.SHRI VISHNU DAY AL RAM:

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

- (a) the status of implementation of the Mission Parivar Vikas implemented in 145 high focus districts with the highest TFR and the results derived from the scheme;
- (b)  the  steps  being  taken  by  the  government to address  high  Total  Fertility  Rate  (TFR)  in Jharkhand; and
- (c) the challenges being faced by the government in providing access to family planning services and quality contraceptives?

## ANSWER

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

- (a):Mission Parivar Vikas Scheme is implemented across 146 high fertility districts in high  focus  states  namely Uttar  Pradesh,  Bihar,  Madhya  Pradesh,  Rajasthan,  Jharkhand, Chhattisgarh and Assam .

The  Ministry  reviews  the  progress  and  holds  regular  meetings  with  these  state monitor the performance in these identified districts. As seen from the HMIS data of 2 - 20 and 2018 - 19, the Sterilization performance has shown an improvement of 12.4% and PPIUCD acceptance Rate has increased to 14.5% from 12.1%.

Moreover,  27.5  lakh Sterilization,  21.4  lakh  PPIUCD  and  16.5  lakh Injectable contraceptive have been reported since inception.

Under Mission Parivar Vikas, ASHAs distributed 9.4 Nayi Pehl Kits to n ewly-weds and conducted 5 lakh Saas Bahu Sammellans (SBS) since inception.

- (b):  Following s teps have been taken by the Government to address  high Total Fertility Rate (TFR) in states including Jharkhand are as follows:
1. New Contraceptive Choices: The current contraceptive basket comprising of Condoms, combined oral contraceptive pills, emergency contraceptive pills, Intraute contraceptive uterine device (IUCD) and sterilization has been expanded with inclu
- of two new contraceptives -Inject able contraceptive (Antara programme) Centchroman (Chhaya)

and

2. Post - partum Intrauterine  contraceptive  device (PPIUCD) incentive  scheme under which PPIUCD services are provided post delivery.
3. Compensation  scheme  for  sterilization  acceptors which  provides  c ompensation  for loss of wages to the beneficiary and also to the service provider and team for con sterilisation.
4. National  Family  Planning  Indemnity  Scheme  (NFPIS) under  which  clients  are compensated in the eventualities of death, complication and failure following sterilization operations.
5. Family Planning Logistics Management Information System (FP - LMIS ): dedicated software has been launched to ensure smooth forecasting, procurement and distributio family planning commodities across all the levels of health facilities.
6. Mission  Parivar  Vikas has  been  introduced  for  substantially  increasing  access  t contraceptives and family planning services in districts having TFR of more than 3.
7. Scheme for Home Delivery of contraceptives by ASHAs at doorste p of beneficiaries has been taken up.
8. Scheme for provision of Pregnancy Testing Kits in the drug kits of ASHA for use in communities.

(c ): Under the National Health Mission, financial and technical support is provided to al UTs  for  strengthenin g  their  health  care  delivery  systems  including  provisioning  for  fam planning services at the facilities.