Lok Sabha Question No. 2161 (UNSTARRED), answered on 2015-12-11
Subject: Population Policy
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHARATENDRA SINGH, Dr. BHOLA SINGH, PANKAJ CHOWDHARY, KURUPPASSERY VARKEY THOMAS, YOGI ADITYANATH, NISHIKANT  DUBEY, KAPIL MORESHWAR PATIL, SAUGATA ROY, P. C. MOHAN, UDAY PRATAP SINGH, ARJUN RAM  MEGHWAL

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

## LOK SABHA UNSTARRED QUESTION NO. 2161 TO BE ANSWERED ON 11 TH DECEMBER, 2015

## POPULATION POLICY

## 2161. KUNWAR BHARATENDRA:

DR. BHOLA SINGH:

SHRI PANKAJ CHAUDHARY:

PROF. K.V. THOMAS:

SHRI YOGI ADITYA NATH:

SHRI NISHIKANT DUBEY:

SHRI KAPIL MORESHWAR PATIL:

PROF. SAUGATA ROY:

SHRI UDAY PRATAP SINGH:

SHRI P.C. MOHAN:

SHRI ARJUN MEGHWAL:

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

- (a) whether the Govenment has taken note of the United Nation's projection that India will populous nation by 2022, if so, the details thereof and the reaction of the Government there
- (b) whether the Government has taken note of the reported failure of the current population measures to control the population growth and the reported demographic imbalance, if so, t thereof along with the steps taken by the Government in this regard;
- (c) whether the Government has proposed to formulate a uniform population policy applicabl religions and communities, in consultation with the States in order to rein in the populatio the consequent demographic imbala nce;
- (d) if so, the details thereof and if not, the reasons therefor along with the time by which is likely to be formulated/implemented; and
- (e) the other measures/programmes proposed to supplement the above mentioned policy along wi the funds sanctioned and released for the above mentioned policies and programmes, State/UT - wise?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (SHRI JAGAT PRAKASH NADDA)

- (a) & (b) As perthe latest World Population Prospects released by United Nations (r evision 2015 ) , the estimatedpopulationof India will be 1419 million approximately whereas China 's

population will be approximately 1409 m illion by 2022 . In spite of perceptible decline in Tot al Fertility Rate (TFR) from 3.6 in 1991 to 2.3 in 2013, India is yet to achieve replacement level of .Twenty four states/UTs have already achieved replacement level of TFR by 2013, while states like Bihar  with  large  population  base  still  have  T FR  of  3.1  and  3.4  respectively.  The  other  states  l Jharkhand  (TFR 2.7), Rajasthan(TFR 2.8), Madhya Pradesh (TFR 2.9), and Chattishgarh (TFR continue to have higher levels of fertility and contribute to the growth of population.

National Populat ion Policy, 2000 is uniformly applicable to the whole country. In pursuance of this policy, Government has taken a number of measures ( Annexure - I )under Family Planning Programme and as a result ,Population Growth Rate in India has reduced substantially which is evident from the following:

- i. The percentage decadal growth rate of the country has declined significantly from 2 the period 1991 - 2001 to 17.7% during 2001 - 2011.
- ii. Total Fertility Rate (TFR) was 3.2 at the time when National Population Policy, 2 adopted and the same has declined to 2.3 as per Sample registration Survey (SRS conducted by the Registrar General of India.

(c)  &  (d) :      As  the  existing  NPP - 2000  is  uniformly  applicable  to  all  irrespective  of  religion communities etc., t here foreno proposal is under consideration of the Government to formulat e new uniform population policy.

(e) : The  steps  taken  by  the  Government  under  various  measures/pr ogramme  may  be  seen  at Annexure-I. The funds released under these programmes/schemes is attached at Annexure-II.

....................

## TAKEN STEPS/MEASURES TO CONTROL THE POPULATION GROWTH OF INDIA BY THE GOVERNMENT OF INDIA.

## On - going interventions:

- More emphasis on Spacing methods like IUCD.
- Availability of Fixed Day Static Services at all facilities.
- A rational human resource development plan is in place for provision of IUCD, minil and NSV to empower the facilities (DH, CHC, PHC, SHC) with at least one provider each for of the services and Sub Centres with ANMs trained in IUD insertion.
- Quality care in Family Planning services by establishing Quality Assurance Committees at sta te and   district levels.
- Improving contraceptives supply management up to peripheral facilities.
- Demand generation activities in the form of display of posters, billboards and other aud and video materials in the various facilities.
- National Family Pla nning Indemnity Scheme' (NFPIS) under which clients are insured in the  eventualities  of  deaths,  complications  and  failures  following  sterilization providers/ accredited institutions are indemnified against litigations in those eventua
- Compensation  scheme for  sterilization  acceptors - under  the  scheme  MoHFW  provides compensation for loss of wages to the beneficiary and also to the service provider (& conducting sterilisations.
- Increasing male participation and promotion of No n Scalpel Vasectomy.
- Emphasis on Miniap Tubectomy services because of its logistical simplicity and require only MBBS doctors and not post graduate gynecologists/surgeons.
- Accreditation of more private/NGO facilities to increase the provider base fo family planning services under PPP.
- Strong political will and advocacy at the highest level, especially, in States with rates.

## NEW INTERVENTIONS UNDER FAMILY PLANNING PROGRAMME:

1. Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries: The  govt.  has  launched  a  scheme  to  utilize  the  services  of  ASHA  to  deliver contraceptives at the doorstep of beneficiaries.
2. Scheme for ASHAs to ensure spacing in births: The scheme is operational from 16 th May, 2012, under this scheme, services of ASHAs to be utilised for counselling newl married couples to ensure delay of 2 years in birth after marriage and couples wi child to have spacing of 3 years after the birth of 1 st child.  ASHAs are to be paid the following incentives under the scheme:
- a. Rs. 500/ -to ASHA for ensuring spacing of 2 years after marriage.
- b. Rs. 500/ -to ASHA for ensuring spacing of 3 years after the birth of 1st child.
- c. Rs. 1000/ -in case the couple op ts for a permanent limiting method up to 2 children only.The scheme is being implemented in 18 States of the country (8 EAG, 8 NE Gujarat and Haryana).
3. Boost to spacing methods by introduction of new method PPIUCD (Post - Partum Intra Uterine Contraceptives D vice.
4. Introduction of the new device Cu IUCD 375, which is effective for 5 years.
5. Emphasis  on  Postpartum  Family  Planning  (PPFP)  services with  introduction  of PPIUCD and promotion of minilap as the main mode of providing sterilisation in the form  of  post - partum  sterilisation  to  capitalise  on  the  huge  cases  coming  in  fo institutional delivery under JSY.
9. Assured delivery of family planning services for both IUCD and sterilisation.
6. Compensati on  for  sterilisation  acceptors  has  been  enhanced  for  11  High  Focus  Sta with high TFR.
7. Compensation  scheme  for  PPIUCD  under  which  the  service  provider  as  well  as  the ASHAs who escorts the clients to the health facility for facilitating the IUCD in are compensated.
8. Scheme for provision of pregnancy testing kits at the sub - centres as well as in the drug kit of the ASHAs for use in the communities to facilitate the early detection and de making for the outcome of pregnancy.
9. RMNCH Counselors (Reproductive Maternal New Born and Child Health) availability at the high case facilities to ensure counseling of the clients visiting the facilit
10. Celebration of World Population Day 11 th July & Fortnight: The event is observed over a month long per iod, split into fortnight of mobilization/sensitization followed a  fortnight  of  assured  family  planning  service  delivery  and has  been  made  a mandatory activity from 2012 - 13 and starts from 27 th June each year.

11. FP 2020Family Planning Division is working on the national and state wise action plans so as to achieve FP 2020 goals. The key commitments of FP 2020 are as under :
2. Increasing financial commitment on Family Planning whereby India commits an allocation of 2 billi on USD from 2012 to 2020.
3. Ensuring access to family planning services to 48 million (4.8 crore) additio women by 2020 (40% of the total FP 2020 goal).
4. Sustaining  the  coverage  of  100  million  (10  crore)  women  currently  using contraceptives.

Reducing the unmet need by an improved access to voluntary family planning services, suppl and information.

In addition to above, JANSANKHYA STHIRATA KOSH/NATIONAL POPULATION STABILIZATION FUND has adopted the following strategies as a population control measure: -

Prerna  Strategy: -JSK has  launched  this strategy  for  helping  to  push  up  the  age  of marriage of girls and delay in first child and spacing in second child the birth of in the interest of health of young mothers and infants. The couple who adopt thi s strategy awarded suitably. This helps to change the mindsets of the community.

Santushti  Strategy : - Under  this  strategy,  Jansankhya  Sthirata  Kosh,  invites  privat sector  gynaecologists  and  vasectomy  surgeons  to  conduct  sterilization  operation Publi c Private Partnership mode. The private hospitals/nursing home who achieved tar to 10 or more are suitably awarded as per strategy.

National  Helpline : - JSK  also  running  a  call  centers  for  providing  free  advice  o reproductive health, family planning, maternal health and child health etc. Toll fr 1800116555.

Advocacy & IEC activities : - JSK  as  a  part  of  its  awareness  and  advocacy  efforts  on popul ation stabilization, has established networks and partnerships with other mini development partners, private sectors, corporate and professional bodies for  sprea activities through electronic media, print media, workshop, walkathon, and oth er multi -level activities etc. at the national, state, district and block level.

## Annexure-II Statement of SPIP Approval under the Activity Family Planning Services under NHM for the F.Ys 2013-14 to 2015-16

Rs. In Lakhs

| S.No.                    | State             | 2013-14 SPIP Approval   | 2014-15 SPIP Approval   | 2015-16 SPIP Approval   |
|--------------------------|-------------------|-------------------------|-------------------------|-------------------------|
| A. High Focus States     |                   |                         |                         |                         |
| 1                        | Bihar             | 7,776.27                | 5,936.19                | 10,892.01               |
| 2                        | Chattisgarh       | 2,207.80                | 2,221.53                | 1,309.51                |
| 3                        | Himachal Pradesh  | 414.76                  | 480.00                  | 464.55                  |
| 4                        | Jammu & Kashmir   | 205.99                  | 384.97                  | 358.13                  |
| 5                        | Jharkhand         | 2,440.05                | 3,662.94                | 4,214.20                |
| 6                        | Madhya Pradesh    | 8,417.96                | 6,460.46                | 9,629.27                |
| 7                        | Orissa            | 1,777.62                | 1,956.81                | 3,301.23                |
| 8                        | Rajasthan         | 5,252.23                | 7,417.61                | 9,242.44                |
| 9                        | Uttar Pradesh     | 6,629.40                | 7,815.66                | 11,774.84               |
| 10                       | Uttarakhand       | 378.00                  | 539.31                  | 732.14                  |
|                          | Sub Total         | 35,500.08               | 36,875.48               | 51,918.31               |
| B. NE States             |                   |                         |                         |                         |
| 11                       | Arunachal Pradesh | 107.27                  | 99.68                   | 85.74                   |
| 12                       | Assam             | 1,665.74                | 1,680.41                | 2,231.97                |
| 13                       | Manipur           | 90.67                   | 65.76                   | 73.32                   |
| 14                       | Meghalaya         | 74.99                   | 67.90                   | 84.90                   |
| 15                       | Mizoram           | 61.76                   | 79.67                   | -                       |
| 16                       | Nagaland          | 157.99                  | 94.18                   | 90.00                   |
| 17                       | Sikkim            | 33.32                   | 22.32                   | 11.71                   |
| 18                       | Tripura           | 171.42                  | 148.56                  | 139.82                  |
|                          | Sub Total         | 2,363.16                | 2,258.48                | 2,717.46                |
| C. Non-High Focus States |                   |                         |                         |                         |
| 19                       | Andhra Pradesh    | 5,564.16                | 2,902.31                | 2,872.13                |
| 20                       | Goa               | 27.75                   | 29.39                   | 27.66                   |
| 21                       | Gujarat           | 2,744.97                | 4,390.48                | 5,051.60                |

| 22                  | Haryana                   | 867.82    | 825.00    | 1,494.15   |
|---------------------|---------------------------|-----------|-----------|------------|
| 23                  | Karnataka                 | 2,861.40  | 2,680.00  | 2,527.80   |
| 24                  | Kerala                    | 608.67    | 468.34    | 467.60     |
| 25                  | Maharashtra               | 4,172.93  | 3,979.91  | 4,496.69   |
| 26                  | Punjab                    | 801.09    | 773.17    | 743.22     |
| 27                  | Tamil Nadu                | 2,516.21  | 1,921.09  | 2,800.77   |
| 28                  | Telangana                 |           | 2,139.63  | 2,120.22   |
| 29                  | West Bengal               | 3,445.63  | 3,047.04  | 1,651.71   |
|                     | Sub Total                 | 23,610.63 | 23,156.36 | 24,253.55  |
| D. Small States/UTs |                           |           |           |            |
| 30                  | Andaman & Nicobar Islands | 27.91     | 31.50     | 34.45      |
| 31                  | Chandigarh                | 14.60     | 27.06     | 25.14      |
| 32                  | Dadra & Nagar Haveli      | 17.39     | 44.55     | 31.24      |
| 33                  | Daman & Diu               | 8.49      | 7.91      | 10.10      |
| 34                  | Delhi                     | 368.67    | 364.69    | 411.79     |
| 35                  | Lakshadweep               | 3.81      | 2.64      | 1.99       |
| 36                  | Puducherry                | 84.62     | 94.97     | 49.37      |
|                     | Sub Total                 | 525.49    | 573.32    | 564.08     |
|                     | Grand Total               | 61,999.35 | 62,863.64 | 79,453.40  |

Note:

a) SPIP-State Programme Implementation Plan.