Lok Sabha Question No. 1024 (UNSTARRED), answered on 2021-12-03
Subject: Healthcare Schemes in Tribal Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gajendra Singh Patel

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

## LOK SABHA UNSTARRED QUESTION NO. 1024 TO BE ANSWERED ON THE 03 rd  DECEMBER, 2021

## HEALTHCARE SCHEMES IN TRIBAL AREAS

## 1024. SHRI GAJENDRA SINGH PATEL:

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

- a) the details of family welfare schemes being implemented in Tribal areas/regions in the country, State/ UT-wise particularly in Madhya Pradesh;
- b) the  details  of  family  welfare  schemes  being  implemented  for  entire  population  in Madhya Pradesh; and
- c) the details of such new initiatives/schemes to be launched for the benefit of Tribal population in the country?

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

- (a) to  (c)  'Public  Health  and  Hospitals'  is  a  State  subject,  the  primary  responsibility  of strengthening public healthcare system, including for provision family welfare schemes lies with the respective State Governments including Madhya Pradesh.  However, Ministry of Health and Family Welfare, Government of India provides technical and financial support to the States/UTs to strengthen the public healthcare facilities.

All  Family  planning  services  are  provided  across  the  country  universally  for  all categories  of  population  irrespective  of  caste/  tribe.  Few  of  the  key  initiatives  under  the Family Planning Programme are:

1. Expanded  Contraceptive Choices : The current contraceptive basket comprising Condoms, Combined oral contraceptive pills, Emergency contraceptive pills, Intrauterine contraceptive device (IUCD) and Sterilization has been expanded with inclusion of new contraceptives  namely  Injectable  contraceptive  (Antara  programme)  and  Centchroman (Chhaya).
2. 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.
3. Post-partum Intrauterine contraceptive  device (PPIUCD) services are provided post delivery.
4. Scheme for Home Delivery of contraceptives by ASHAs at doorstep of beneficiaries has been taken up.
5. Family Planning Logistics Management Information System (FP-LMIS): A dedicated software has been launched to ensure smooth forecasting, procurement and distribution of family planning commodities across all the levels of health facilities.
6. Mission  ParivarVikas is  being  implemented  in  13  states  for  substantially  increasing access to contraceptives and family planning services.These states are seven high focus states  (Madhya  Pradesh,Uttar  Pradesh,  Bihar,  Rajasthan,  Jharkhand,  Chhattisgarh  and Assam) and six North-Eastern states (Arunachal Pradesh, Manipur, Meghalaya, Tripura, Nagaland and Mizoram).
7. Ensuring  quality  of care  in  Family  Planning  services  by  establishing  Quality Assurance Committees in in all states/ districts.

As reported by State of Madhya Pradesh, following schemes under Family Welfare program are implemented in the state:

- I. Mission Parivar Vikas (MPV) Scheme: Under this scheme the following initiatives are included:-
- a. enhanced  compensation  is  provided  to  beneficiaries  for  opting  family  planning methods.
- b. Nayi Pahal KitNayi Pahal Kit consisting family planning spacing items (contraceptives) is provided to newly married couples.
- c. Saas  Bahu  Sammelan-  For  promotion  and  counseling  on  family  planning  methods, 'Saas Bahu Sammelan' at village are organized, in which beneficiary and near relative are invited.
- d. Installation of condom boxes at health facilities.
- II. Ensure spacing at Birth (ESB) Scheme- To ensure 2 years of spacing in birth of first child after marriage & spacing of 3 years between first and second child. Opting for permanent sterilization after 2 children. ASHA is given incentive for ensuring spacing in her village.
- III. Family Planning Indemnity Scheme (FPIS)Under FPIS scheme beneficiary is compensated in case of sterilization failure and death due to sterilization operation.
- IV. Home Delivery of Contraceptives (HDC) scheme- Under this scheme ASHAs distributes contraceptives to beneficiaries during home visit at village level.