Lok Sabha Question No. 2110 (UNSTARRED), answered on 2016-05-06
Subject: Family Planning Measures
Ministry: HEALTH AND FAMILY WELFARE
Asked by: M. CHANDRAKASI

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

LOK SABHA UNSTAR RED  QUESTION NO. 2110 TO BE ANSWERED ON 6 TH MAY, 2016

## FAMILY PLANNING MEAS URES

## 2110. SHRI M. CHANDRAKASI:

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

- (a) the implementation status of family planning measures in the country;

- (b) the percentage of married couples adopting family planning measures, State/ UT - wi e;

- (c) whether the Government has recognised certa in contraceptives for promoting family planning measures; and

- (d) if so, details thereof?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- ( a) : The  implementation  status  of  family  planning  measures  in  the  country  is placed  at Annexure-I

- ( b) : The states/UT wise percentage of married couples adopting family planning measures placed at Annexure - II

- (c)& ( d) : Yes, government  has  recognized  following  contraceptives  for  promoting  family planning measures under the National Family Planning Program:

1. Condoms

2. Oral Contraceptive Pills

3. Intrauter ine Contraceptive Device (IUCD)

4. Injectable Contraceptive DMPA

5. Male Steriliza tion

6. Female Sterilization

………………..

## Implementation status of family planning measures in the country :

The  GoI's new  strategy  of  RMNCH+A  encompasses  Reproductive  Health,  Maternal  Health, Newborn  Health,  Child  Health  and  Adolescent  Health.  The  Family  Planning  Program  has witnessed  a  paradigm  shift  from  a  program  aiming  at  population  stabilization  to  a  pr ensurin g better maternal and child health.

## O n- going Interventions under Family Planning Programme

- Ensuring  quality  care  in  Family  Planning  services  by  establishing  Quality  Assur Committeesin all state and district s.
- 'National Family Planning Indemnity Scheme' (NFPIS) under which clients are insured in the  eventualities  of  deaths,  complications  and  failures  following  sterilization providers/ accredited institutions are ind emnified against litigations in those eventualities.
- Increasing male participation and promotion of 'Non Scalpel Vasectomy''.
- Compensation  scheme  for  sterilization  acceptors - under  the  scheme  MoHFW  provides compensation for loss of wages to the beneficiary on account of undergoing sterilisation.
- Accreditation  of  more  private/ NGO  facilities  to  increase  the  provider  base  for  family planning services under PPP.
- Improving contraceptives supply management up to peripheral facilities
- A rational human resource development plan is in place for provision of IUCD, Minilap NSV to empower the facilities (DH, CHC, PHC, SHC) with at least one provider each fo each of the services and Sub Centres with ANMs trained in IUD insertion
- Emphasis on Minilap Tubectomy services because of its logistical simplicity and requireme of only MBBS doctors and not post graduate gynaecologists/ surgeons.
- Demand generation activities in the form of display of posters, billboards and other au video materials in the variou s facilities

## New interventions

1. The packaging for Condoms, OCP s and ECPs has now been improved and redesigned so as to influence the demand for these commodities.
2. The current basket of choice has been expanded to include the new contraceptives viz. Injectable contraceptive DMPA, Centchroman and P rogrsterone O nlyPills (POP) .
3. Promotion of IUCDs as a s hort & long term spacing method -Introduction of Cu IUCD -375 (5 years effectivity) under the Family Planning Programme.

Contd……

4. Emphasis on Postpartum Family Planning (PPFP) services with introduction of PPIUCD and promotion of minilap as the main mode of providing sterilization in the form of -partum sterilization to capitalize on the huge cases coming in for institutional ivery under JSY.
5. Appointment of dedicated RMNCH+A counsellors at high case load facilities.
6. Assured delivery of family planning services -In last four years states have shown their commitment  to  strengthen  fixed  day  family  planning  services  for  both  IUCD  an sterilisation.
7. Scheme for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries h been expanded to the entire countr y w.e.f.  17 th Dec, 2012.
8. Scheme for ASHAs to ensure spacing in births:
- a. Under the scheme, services of ASHAs are being utilised for counselling newly married couples to ensure delay of 2 years in birth after marriage and couples 1 child to have spacin g of 3 years after the birth of 1st child.
- b. The scheme is being implemented in 18 states of the country (8 EAG, 8 Nort East,  Gujarat  and  Haryana).  Additionally  the  spacing  component  has  been approved in West Bengal, Karnataka, A ndhraPradesh , Telangana, Ma h rashtra, Daman Diu and Dad ra and Nagar Haveli
9. Celebration of World Population Day & fortnight (July 11 -July 24):
- a. The World Popu lation Day celebration is a step to boost Family Planning efforts all over the country.
- b. The event is observed over a month long period, split into an initial fortnigh mobilization/sensitization  followed  by  a  fortnight  of  assured  fam ily  planning service delivery.
- ii. July  11  to  J uly  24  'Jansankhya  Sthirtha  Pakhwada'  or  'Population Stabilisation Fortnight' .
- i. June  27  to  July  10:  'Dampati  Sampark  Pakhwada'  or  'Mobilisation Fortnight'

## Annexure - II State/ UT wise percentage of married couples adopting modern family planning measures

| SNo.   | States                     |   % of currently married couples (15 -49) usingmodern contraceptives | Source   |
|--------|----------------------------|----------------------------------------------------------------------|----------|
|        | India                      |                                                                 47.1 | DLHS III |
| 1      | Andaman and Nicobar Island |                                                                 48.3 | NFHS IV  |
| 2      | Andhra Pradesh             |                                                                 69.4 | NFHS IV  |
| 3      | Arunachal Pradesh          |                                                                 43.9 | DLHS IV  |
| 4      | Assam                      |                                                                 38.1 | AHS 2012 |
| 5      | Bihar                      |                                                                 23.3 | NFHS IV  |
| 6      | Chandigarh                 |                                                                 65.9 | DLHS IV  |
| 7      | Chhattisgarh               |                                                                 57.2 | DLHS IV  |
| 8      | Dadar and Nagar Haveli     |                                                                 49.9 | DLHS III |
| 9      | Daman and Diu              |                                                                 51.9 | DLHS III |
| 10     | Delhi                      |                                                                 55.5 | DLHS III |
| 11     | Goa                        |                                                                 24.8 | NFHS IV  |
| 12     | Gujarat                    |                                                                 54.3 | DLHS III |
| 13     | Haryana                    |                                                                 59.4 | NFHS IV  |
| 14     | Himachal Pradesh           |                                                                 56.1 | DLHS IV  |
| 15     | Jammu and Kashmir          |                                                                 41.2 | DLHS III |
| 16     | Jharkhand                  |                                                                 43.7 | AHS 2012 |
| 17     | Karnataka                  |                                                                 51.3 | NFHS IV  |
| 18     | Kerala                     |                                                                 53.9 | DLHS IV  |
| 19     | Lakshadweep                |                                                                 16.6 | DLHS III |
| 20     | Madhya Pradesh             |                                                                 49.6 | NFHS IV  |
| 21     | Maharashtra                |                                                                 62.6 | NFHS IV  |
| 22     | Manipur                    |                                                                 12.7 | NFHS IV  |
| 23     | Meghalaya                  |                                                                 21.9 | NFHS IV  |
| 24     | Mizoram                    |                                                                 59   | DLHS IV  |
| 25     | Nagaland                   |                                                                 23.9 | DLHS IV  |
| 26     | Odisha                     |                                                                 46.3 | AHS 2012 |
| 27     | Pudducherry                |                                                                 61.2 | NFHS IV  |
| 28     | Punjab                     |                                                                 59.8 | DLHS IV  |
| 29     | Rajasthan                  |                                                                 62.4 | AHS 2012 |
| 30     | Sikkim                     |                                                                 45.9 | NFHS IV  |
| 31     | Tamil Nadu                 |                                                                 52.6 | NFHS IV  |
| 32     | Telangana                  |                                                                 56.9 | NFHS IV  |
| 33     | Tripura                    |                                                                 42.8 | NFHS IV  |
| 34     | Uttar Pradesh              |                                                                 37.6 | AHS 2012 |
| 35     | Uttaranchal                |                                                                 49.3 | NFHS IV  |
| 36     | West Bengal                |                                                                 57   | NFHS IV  |