Lok Sabha Question No. 452 (UNSTARRED), answered on 2023-02-03
Subject: Expenditure on Family Planning Programmes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Chinta Anuradha, Ashok Kumar Rawat

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

## LOK SABHA UNSTARRED QUESTION No. 452 To be ANSWERED ON-03/02/2023

## EXPENDITURE ON FAMILY PLANNING PROGRAMMES

## 452. SHRIMATI CHINTA ANURADHA: SHRI ASHOK KUMAR RAWAT:

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

- (a) whether  the  Government  is  aware  that  there  is  a  much  higher  unmet  need  for  family planning  and availing of reproductive health care services among  young women (15-24 years) as per the National Family Health Survey-4;
- (b) if so, the details thereof;
- (c) the  steps  taken/being  taken  to  provide  better  access  to  reproductive  health  care  services and agency for using the family planning methods;
- (d) the  details  of  the  family  planning  programmes  implemented  in  rural  areas  to  spread awareness among people and progress made with regard to decline in the birth rate during the last three years, State/UT-wise; and
- (e) the expenditure incurred on implementation of family planning programmes including on advertisement during the last three years, State/UT-wise, year-wise?

## ANSWER

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

- (a) and (b)

The unmet need for Family Planning among young women (15-24 years) which was 22.3 % in NFHS-4 has reduced to 17.4 % in NFHS-5.

(c) and (d)

Steps taken by the Government including in rural areas:

1. Expanded  Contraceptive  Choices: The  current  contraceptive  basket  is  expanded with inclusion of new contraceptives namely Injectable contraceptive and Centchroman (Chhaya).
2. Mission Parivar Vikas 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 beneficiaries for sterilization.
4. Post-pregnancy contraception in the form of Post-Partum Intra-uterine contraceptive  device  (PPIUCD),  Post-Abortion  Intrauterine  contraceptive  device (PAIUCD), and Post-partum Sterilization (PPS) are provided to beneficiaries.
5. 'World  Population  Day  &  Fortnight'  and  'Vasectomy  Fortnight' are  observed every  year  to  boost  awareness  on  Family  Planning  and  service  delivery  across  all States/ UTs.
6. Improved Demand generation activities are done through a holistic media campaign.
7. Condom  boxes have  been  set  up  in  health  facilities  to  enable  clients  to  access condoms in privacy.
8. Dedicated RMNCAH+N counselors have been appointed at high case load facilities.
9. Under Home Delivery of contraceptives Scheme, ASHAs deliver contraceptives at doorstep of beneficiaries.
10. Family  Planning  Logistics  Management  Information  System (FP-LMIS)  is  in place to  ensure  last  mile  availability  of  family  planning  commodities  across  all  the levels of health facilities.

Efforts of the Government have been instrumental in reining in the growth of population, and the following progress has been achieved:

-  The Total Fertility Rate (TFR) declined to 2.0 in 2019-21 (NFHS 5) which is below replacement level.
-  31 out of 36 States/ UTs have achieved replacement level fertility (NFHS 5).
-  The Modern Contraceptive usage has increased to 56.5% (NFHS 5).
-  The Unmet Need for Family Planning has reduced to 9.4% (NFHS 5).
-  The Crude Birth Rate (CBR) has declined to 19.5 in 2020 (SRS).

The  State/UT-wise  decline  in  the  birth  rate  during  three  years  2018-2020,  as  per  Sample Registration System (SRS) is placed in Annexure-I.

(e) The expenditure incurred on implementation of family planning programmes including on advertisement during the last three years, State/UT-wise, year-wise is placed in Annexure-II.

*****

Annexure-I : State/UT-wise decline in the birth rate during three years 2018-2020 (SRS)

|                             | Estimated Birth Rate (SRS)   | Estimated Birth Rate (SRS)   | Estimated Birth Rate (SRS)   |
|-----------------------------|------------------------------|------------------------------|------------------------------|
| India/States/UTs            | 2018                         | 2019                         | 2020                         |
| INDIA                       | 20                           | 19.7                         | 19.5                         |
| Andaman and Nicobar Islands | 11.2                         | 11                           | 10.8                         |
| Andhra Pradesh              | 16                           | 15.9                         | 15.7                         |
| Arunachal Pradesh           | 17.9                         | 17.6                         | 17.3                         |
| Assam                       | 21.1                         | 21                           | 20.8                         |
| Bihar                       | 26.2                         | 25.8                         | 25.5                         |
| Chandigarh                  | 13.3                         | 13                           | 12.9                         |
| Chhattisgarh                | 22.5                         | 22.2                         | 22                           |
| Dadra and Nagar Haveli      | 22.9                         | 21.9                         | 20.3                         |
| Daman &Diu                  | 19.6                         | 18.6                         |                              |
| Delhi                       | 14.7                         | 14.4                         | 14.2                         |
| Goa                         | 12.4                         | 12.3                         | 12.1                         |
| Gujarat                     | 19.7                         | 19.5                         | 19.3                         |
| Haryana                     | 20.3                         | 20.1                         | 19.9                         |
| Himachal Pradesh            | 15.7                         | 15.4                         | 15.3                         |
| Jammu and Kashmir           | 15.4                         | 14.9                         | 14.6                         |
| Ladakh                      |                              |                              | 14.3                         |
| Jharkhand                   | 22.6                         | 22.3                         | 22                           |
| Karnataka                   | 17.2                         | 16.9                         | 16.5                         |
| Kerala                      | 13.9                         | 13.5                         | 13.2                         |
| Lakshadweep                 | 15.3                         | 14.8                         | 14.6                         |
| Madhya Pradesh              | 24.6                         | 24.5                         | 24.1                         |
| Maharashtra                 | 15.6                         | 15.3                         | 15                           |
| Manipur                     | 14.3                         | 13.6                         | 13.3                         |
| Meghalaya                   | 22.1                         | 23.2                         | 22.9                         |
| Mizoram                     | 14.8                         | 14.5                         | 14.4                         |
| Nagaland                    | 12.9                         | 12.7                         | 12.5                         |
| Odisha                      | 18.2                         | 18                           | 17.7                         |
| Puducherry                  | 13.7                         | 13.3                         | 13.1                         |
| Punjab                      | 14.8                         | 14.5                         | 14.3                         |
| Rajasthan                   | 24                           | 23.7                         | 23.5                         |
| Sikkim                      | 16.3                         | 16.5                         | 15.6                         |
| Telangana                   | 16.9                         | 16.7                         | 16.4                         |
| Tamil Nadu                  | 14.7                         | 14.2                         | 13.8                         |
| Tripura                     | 13                           | 12.8                         | 12.6                         |
| Uttar Pradesh               | 25.6                         | 25.4                         | 25.1                         |
| Uttarakhand                 | 16.7                         | 17.1                         | 16.6                         |
| West Bengal                 | 15                           | 14.9                         | 14.6                         |

## Annexure-II

## State/UT wise Utilisation towards Family Planning under NHM from the FY 2019-20 to 2021-22

(Rs. in lakhs)

|   S. No. | State/UT                 | 2019-20   | 2020-21   | 2021-22   |
|----------|--------------------------|-----------|-----------|-----------|
|        1 | Andaman &Nicobar Islands | 4.09      | 2.90      | 3.35      |
|        2 | Andhra Pradesh           | 1260.33   | 1408.01   | 1408.43   |
|        3 | Arunachal Pradesh        | 59.89     | 110.37    | 92.12     |
|        4 | Assam                    | 1345.39   | 877.50    | 2549.95   |
|        5 | Bihar                    | 13459.40  | 11369.73  | 12465.25  |
|        6 | Chandigarh               | 25.37     | 8.81      | 10.14     |
|        7 | Chhattisgarh             | 1536.46   | 856.59    | 2600.64   |
|        8 | Dadra &Nagar Haveli      | 5.61      | 0.32      | 7.98      |
|        9 | Daman &Diu               | 1.01      |           |           |
|       10 | Delhi                    | 182.38    | 108.40    | 137.24    |
|       11 | Goa                      | 11.52     | 4.49      | 4.38      |
|       12 | Gujarat                  | 4186.58   | 3700.89   | 6079.83   |
|       13 | Haryana                  | 1218.82   | 924.45    | 2376.84   |
|       14 | Himachal Pradesh         | 156.95    | 77.06     | 94.53     |
|       15 | Jammu &Kashmir           | 54.68     | 31.55     | 124.45    |
|       16 | Jharkhand                | 2489.29   | 2870.80   | 3057.30   |
|       17 | Karnataka                | 1875.89   | 1292.37   | 1760.84   |
|       18 | Kerala                   | 200.57    | 172.07    | 282.41    |
|       19 | Ladakh                   | -         | 0.52      | 4.90      |
|       20 | Lakshadweep              | 0.82      | 0.23      | 0.48      |
|       21 | Madhya Pradesh           | 8690.86   | 8697.50   | 11318.73  |
|       22 | Maharashtra              | 2373.56   | 1226.75   | 2451.53   |
|       23 | Manipur                  | 13.00     | 5.83      | 39.74     |
|       24 | Meghalaya                | 133.40    | 14.71     | 39.81     |
|       25 | Mizoram                  | 27.33     | 22.39     | 40.95     |
|       26 | Nagaland                 | 42.46     | 55.83     | 56.03     |
|       27 | Odisha                   | 2223.55   | 1810.31   | 3471.16   |
|       28 | Puducherry               | 35.88     | 36.28     | 29.71     |
|       29 | Punjab                   | 287.77    | 133.73    | 193.81    |
|       30 | Rajasthan                | 7746.94   | 7679.39   | 8893.56   |
|       31 | Sikkim                   | 0.14      | 0.00      | 5.09      |
|       32 | Tamil Nadu               | 2562.22   | 649.77    | 810.74    |
|       33 | Telangana                | 653.33    | 267.15    | 990.46    |
|       34 | Tripura                  | 32.45     | 24.91     | 146.89    |
|       35 | Uttar Pradesh            | 9796.76   | 10425.08  | 8563.74   |
|       36 | Uttarakhand              | 478.46    | 214.98    | 310.45    |
|       37 | West Bengal              | 2296.98   | 2002.86   | 2296.91   |

## Note:

1. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per available Financial Management Report (FMR) submitted by States/UTs, hence is provisional.
2. The above data comprises of Terminal/Limiting Methods, Spacing Methods, Other activities, Mission Parivar Vikas, Drugs and Supplies for FP, Procuement for FP, IEC for FP, etc.