FAMILY PLANNING

SQAC                      SISC                        DQAC                           DISC

Empaneled Providers            Biannual and Annual Report                FPIS Claim

Death Audit Report                 Minutes of SISC Meetings                       Minutes of DISC Meetings

 

India was the first country in the world to have launched a National Programme for Family Planning in 1952. Over the decades, the programme has undergone transformation in terms of policy and actual programme implementation and currently being repositioned to not only achieve population stabilization goals but also promote reproductive health and reduce maternal, infant & child mortality and morbidity.

The objectives, strategies and activities of the Family Planning division are designed and operated towards achieving the family welfare goals and objectives stated in various policy documents (NPP: National Population Policy 2000, NHP: National Health Policy 2017, and NHM: National Rural Health Mission) and to honour the commitments of the Government of India (including ICPD: International Conference on Population and Development, MDG: Millennium Development Goals, SDG: Sustainable Development Goals, and others).

Factors influencing population growth can be grouped into following 3 categories-

·         Unmet need of Family Planning: This includes the currently married women, who wish to stop child bearing or wait for next two or more years for the next child birth, but not using any contraceptive method. Total unmet need of Family Planning is 9.4 (NFHS-V) in our country.

·         Age at Marriage and first childbirth: In India 23.3% (NFHS-V)of the girls get married below the age of 18 years and out of the total deliveries 6.8% are among teenagers i.e. 15-19 years. The situation regarding age of girls at marriage is more alarming in few states like, Bihar (40.8%), Rajasthan (25.4.%), Jharkhand (32.2%), UP (15.8%), and MP (23.1%). Delaying the age at marriage and first child birth could reduce the impact of Population Momentum on population growth.

·         Spacing between Births: Healthy spacing of 3 years improves the chances of survival of infants and also helps in reducing the impact of population momentum on population growth. SRS 2019 data shows that In India, spacing between two childbirths is less than the recommended period of 3 years in 49.1% of births.

 

Current family planning programme under public sector:

The public sector provides the following contraceptive methods at various levels of health system:

·         Spacing Methods

-          IUCD 380 A and Cu IUCD 375

-          Injectable Contraceptive MPA (Antara Programme)

-          Combined Oral Contraceptive (Mala-N)

-          Centchroman (Chhaya)

-          Condoms (Nirodh)

·         Limiting Methods

-          Female Sterilization:

Laparoscopic

Minilap

-          Male Sterilization:

No Scalpel Vasectomy

Conventional Vasectomy

·         Emergency Contraception

-          Emergency Contraceptive pills (Ezy pills)

 

Above services are provided at various levels of public sector facilities; following table provides details of the same:

Family Planning Method	Service Provider	Service Location
SPACING METHODS
IUCD 380 A, IUCD 375	Trained & certified ANMs, LHVs, SNs and doctors	Sub centre & higher levels
Injectable Contraceptive MPA (Antara Programme)	Trained ANMs, SNs and doctors	Sub centre & higher levels
Oral Contraceptive Pills (OCPs)	Trained ASHAs, ANMs, LHVs, SNs and doctors	Village level Sub centre & higher levels
Condoms	Trained ASHAs, ANMs, LHVs, SNs and doctors	Village level Sub centre & higher levels
EMERGENCY CONTRACEPTION
Emergency Contraceptive Pills (ECPs)	Trained ASHAs, ANMs, LHVs, SNs and doctors	Village level Sub centre & higher levels
LIMITING METHODS
Minilap	Trained & certified MBBS doctors & Specialist Doctors	PHC & higher levels
Laparoscopic Sterilization	Trained & certified MBBS doctors & Specialist Doctors	Usually CHC & higher levels
NSV: No Scalpel Vasectomy	Trained & certified MBBS doctors & Specialist Doctors	PHC & higher levels

 

Under family Planning Scheme, the Govt. of India released compensation for Sterilization acceptors to both Female and Women. Women who had undergo Sterilization operation in the Government Hospital can get Rs. 2000/- (Interval & Post Abortion Sterilization), Rs. 3000/- (Post-Partum Sterilization) and Men who had undergo Sterilization Operation (Vasectomy) can get Rs. 3000/-.

With a view to do away with the complicated process of payment of ex-gratia to the acceptors of Sterilization for treatment of post-operative complications, incapacitation or death attributable to the procedure of sterilization, the Family Planning Insurance Scheme was introduced w.e.f 29th November, 2005 for a period of one year to take care of the cases of failure of Sterilization, medical complications or death resulting from Sterilization, and also provide indemnity cover to the doctor / health facility performing Sterilization procedure, as follows. But from 1st April 2013 onwards, Family Planning Indemnity Scheme was changed to Family Planning Indemnity Scheme and has been implemented at State:

• Death following sterilization in hospital or within 7 days from the date of discharge from the hospital. - Rs. 2 Lakhs
• Death following sterilization within 8 - 30 days from the date of discharge from the hospital. - Rs. 50,000/-
• Failure of Sterilisation - Rs. 30,000/-
• Cost of treatment upto 60 days arising out of complication from the date of discharge. Actual not exceeding Rs. 25,000/-

Indemnity Insurance per Doctor/facility but not more than 4 cases in a year.

• Upto Rs. 2 Lakhs per Claim

 

Mission Parivar Vikas

Objectives: Improve access to contraceptives through delivering assured services, dovetailing with new promotional schemes, ensuring commodity security. It will also ensure building capacity (service providers), creating an enabling environment along with close monitoring and implementation

5 pronged strategies of MPV:

1. Delivering assured services:

a) Roll out of Injectable Contraceptive MPA (Medroxy Progesterone Acetate) under Antara Program, till Subcentre level

b) Augmentation of PPIUCD (Post Partum Intra Uterine Contraceptive Device) Services to all delivery points

c) Augmentation of Sterilization services through HFD compensation scheme

d) Condom Boxes at strategic locations – Health Facilities

e) ‘Mission Parivar Vikas’ Campaigns

 

2. Promotional Schemes:

          a) “NAYI PAHEL” – Family Planning KIT for “Newly Weds”

          b) Saas Bahu Sammelan

          c) SAARTHI - Awareness on Wheels

 

3. Ensuring commodity security:

·    Use of FPLMIS (Family Planning Logistics Management Information System) in strengthening contraceptive supply chain

 

4. Capacity Building for enhanced service delivery:

5. Creating Enabling Environment: Advocacy and Inter-sectoral Convergence