Haryana State came into existence on 1st November, 1966 and since then Health Department is continuously endeavoring to expand, develop and improve medical care and family welfare services to achieve the objective of stabilizing the population and ensuring access to Primary Health Care both in urban and rural areas.
At present, Health Services are being provided through a net work of 2630 Sub-centres, 330 Primary Health Centers, 111 CHCs, 53 hospitals, 42 dispensaries, 15 Distt. T.B. Centre. Besides this, 16 urban family welfare centers, 37 post partum centers and 15 health posts also provide health and family welfare services in urban, rural and slum areas of the state.
Demographic trends of the state and comparisons of all India figure are given in the table:
Percent Population increase (Previous decade)
(Population/ Square Km.)
Percent Urban Population
Crude Birth Rate
Crude Death Rate
Total Fertility Rate
National Family Welfare Programme
The State Govt. is success fully implementing the National Family Welfare Programme as an integral part of total health care delivery system. It is purely voluntary Peoples participation is sought through local Self Govt., Voluntary Organizations and Opinion Leaders at different levels. Since April 1996, Family Welfare Programme is implemented as Community Needs Assessment Approach C.N.A.A) wherein demand of the community and quality of services with decentralized participatory planning is the driving force behind the programme thus actually making a peoples programme.
With persistent efforts in the field of population control, birth rate in Haryana which was 42.1 per thousand in 1971 has been brought down to 21.8 per thousand in 2011 (SRS). The decennial growth rate of Haryana as per current census is 20.3.
With persistent efforts in the field of population control the State has been able to achieve various milestones as follows:
Total Fertility Rate:-
According to SRS 2011, Haryana has a TFR of 2.3 as compared to 2.5 of India. TFR depends on various factors i.e. use of sterilization and family planning techniques, socio economic conditions, education, awareness etc and also depend on quality of acceptors. If couples with lesser number of children that is up to 2 children make use of contraceptive masseurs then it will have good impact on TFR. There has been progressive increase in the usage of sterilization as contraceptive measures by this group over the years. Presently less than 50% sterilization are being done with couples having three or more than three children.
More over the masses are accepting more and more spacing methods. The emphasis is being given to promote the insertions of IUD, CT 380 A, among those eligible couples who have one or two children. For this purpose, it is planned to train the ANMs properly and regular small camps/ Outreach Sessions have been planned in the State. The usage of IUD has improved over the years. There were only 1.52 lac accepters in 2005-06 , which rose to 1.76 lac in 2008-09 and 1.93 lac in 2012-13. out of this 68% are with 0-2 children while 32% are with 3 or more than 3 children. It is also planned to promote the conventional method i.e. NSV. It is also submitted that acceptors of sterilization after 2 number of children have increased from 40.28% in 2005-06 to 50.40 % in 2012-13 and also acceptors of IUD after 2 children have increased from 63.9% in 2005-06 to 68% in 2012-13. These are positive indicators so it has been planned to motivate the health functionaries regarding the reduction in TFR by encouraging the masses to adopt sterilization and IUD insertion after 2 children.
Achievements for the last 8 years are given below:
Targets and Achievements for the year 2012 - 13 and 2013-14 (upto October) are given below:
Annual Target 2012-13
Annual Target 2013-14
(upto Oct, 2013)
IUCD (Including PPIUCD)
Various Schemes under Family Welfare Programme
This is a new introduction to the system in addition to Copper-T 380 A having life span of 10 years. Introduction of this will give a choice to acceptance per their needs. The procedure and precautions regarding its insertion will be same as in case of Cu-T-375.
The facility of Post Partum Sterilisation (PPS) and PPIUCD has been introduced in Haryana during the year 2012-13 which has been popularly accepted by beneficiaries. 8542of PPIUCD and 3260 of PP Sterilisation had already taken place. In the year 2013-14, we hope that 10000 will be achieved for which 319 LMOs & MOs has been trained during the year 2012-13 for insertion of PPIUCD in District Hospital. This facility is being extended to all FRUs and heavy delivery load centers. For this, special programme of training of staff nurses in these centers in 2013-14 have been planned and is being executed.
To support the beneficiaries in taking a decision regarding acceptance of permanent and spacing method as per specific requirement and decisions, 38 counselors (one male and one female) has been appointed in 20 districts and the process of recruitment is pending in remaining 3 districts i.e. Mewat (1 Counselor post vacant) , Rohtak (2 Counselor post vacant) & Narnaul (2 Counselor post vacant).
To expend the availability of Family Planning options to the beneficiaries the Family Welfare Services has been extended to Private Sector. 320 facilities (Private Medical Colleges, nursing home, clinics, and hospitals) have been accredited and their Surgeons, Gynecologist have been empanelled.
In State of Haryana the scheme was implemented in District Mewat as a pilot project. Now the scheme has been extended to all the Districts. the scheme aims to improve access to contraceptives for eligible couples by using the services of ASHAs to deliver the contraceptives at homes of beneficiaries. In return, the ASHAs were incentivized for their effort, to take the contraceptives to the very doorstep of the beneficiaries. For this Rationalized distribution of contraceptives to ASHA’s is being ensured & registers are being printed at district level.
In the year 2012-13, Pregnancy Test Kit (PTK) has been being made available to ASHAs in all health facilities for free distribution to the clients in the field by ASHA, which will be used by the beneficiary to deduct the pregnancy at the earliest and take decision accordingly.
In the year 2012-13 a budget of Rs. 50.00 Lac was used for IEC of Family Welfare Programme for activities like reprinting of display boards, posters, banners, hording to popularize spacing methods. TV aids, talks and PRI Samelan were also held.
Following will be the financial implications as per the details given below:
Amount (In Rs.)
Motivational Incentive for ASHA/MLWs
Proposed Budget: An amount of Rs. 17.00 lakh is proposed for different activities as referred above.