Family Planning

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Family Welfare Programme

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:

S.No.

Index

1971

1981

1991

2001

2011 

1

Population

10,036,431

12,922,119

16,463,648

21144564

25353081

2

Percent Population increase       (Previous decade)

32.2

28.7

27.4

28.43

19.90

3

Density
(Population/ Square Km.)

272

292

372

478

573

4

Percent Urban Population

17.7

21.9

24.6

28.92

34.79

5

Sex Ratio

867

870

865

861

877

6

Percent literate
Male
Female
Combined

 

37.3
14.9
26.9

 

48.2
22.3
36.1

 

69.1
40.5
55.8

 

78.49
55.73
67.91

 

85.38
66.77
76.64

7

Crude Birth Rate

42.1

36.5

33.1

21.8
(SRS 2011)

8

Crude Death Rate

9.9

11.3

8.2

6.5
(SRS 2011)

9

Total Fertility Rate

6.71

5.0

4.0

2.3
(SRS 2011)

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.

ACHIVEMENTS

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:


Methods

Achievements

 

2005-06

2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

Sterilisation

93580

85006

80823

87393

87251

78158

78346

IUCD

152051

154428

163350

176684

186686

182286

194541

PPIUCD

--

--

--

--

--

--

--

C.C. Users

339847

378837

406905

388223

303608

210469

278382

O.P. Users

85740

80134

84230

92553

85296

67907

83795

 

Targets and Achievements for the year 2012 - 13 and 2013-14 (upto October) are given below:

Methods

Annual Target 2012-13

Ach.

%age

Annual Target 2013-14

Ach.
 (upto Oct, 2013)

%age

Sterilisation

110000

76091

69.2%

82000

39991

84.1

IUCD (Including PPIUCD)

264000

192770

73.0%

264000

97609

63.7

PPIUCD

10000

8542

85.4%

10000

15583

268.7

C.C. Users

395000

244044

61.8%

28440000

4853477

29.3

O.P. Users

80000

76502

95.6%

1040000

279423

46.1

Various Schemes under Family Welfare Programme

  1. Copper-T375

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.

  1. Post Partum Sterilisation (PPS) and PPIUCD

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.

  1. Appointment of RMNCH Counselors

 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).

  1.   Private Accredited Health Facilities (PAHF)

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.

  1. Launching of Scheme - Home Delivery of Contraceptives (Condoms/OCPs, ECPs) by ASHA at the door step of the beneficiaries

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. 

  1. Pregnancy Test Kit (PTK):

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.

  1. IEC Materials:

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.

  1. Insurance Scheme
    In 2012-13, the Govt. of India approved insurance scheme was launched through ICICI Lombard. Twenty one cases were settled and given compensation to the beneficiaries.
  1. Pathfinder International is being associated for pilot intervention in implementing RMNCH + A programme in High Focus Districts Mewat and Palwal (Hathin Block). Training & communication material for TOT, ASHA and Adolescent training is being developed as per local needs. MLW (Male Link Workers) will be associated in the programme and stress will be on delay in early marriage & spacing methods. An additional incentive for acceptors & motivators has been proposed for permanent & spacing method in these districts/blocks.

Following will be the financial implications as per the details given below:

Sr. No.

Activity Head

Amount*Unit

Amount (In Rs.)

1

PPIUCD

1000/PPIUCD*500 Case

5,00,000.00

2

Tubectomy

1500/Tubectomy*500 Case

7,50,000.00

3

Vasectomy

2000/Vasectomy*100 Case

2,00,000.00

4

Motivational Incentive for ASHA/MLWs

500/PPIUCD*500 Case

2,50,000.00

Total

17,00,000.00

Proposed Budget: An amount of Rs. 17.00 lakh is proposed for different activities as referred above.