Brief Overview of Family Planning
In 1952, India launched the world first national program emphasizing family planning to the extent necessary for reducing birth rates "to stabilize the population at a level consistent with the requirement of national economy". Since then, the family planning program has evolved and the program is currently being repositioned to not only achieve population stabilization but also to promote reproductive health and reduce maternal, infant & child mortality and morbidity.
The basket of choice has been expanded to include new contraceptives like non hormonal contraceptives in the form of tablet called Chhaya and Injectable contraceptive- Antara
To prevent uninterrupted supplies or non-availability of the contraceptives in the facilities GOI has developed a web based, Mobile app based and SMS based application to ensure the right commodities in the right quantities reached the right place and most importantly at the right time. Also, the application will enable users with instant access to stock information up to the ASHA level.
Family planning method/services under public sector:
The public sector provides the following contraceptive methods at various levels of health system:
Spacing Methods |
Limiting Methods |
IUCD 380 A and Cu IUCD 375 |
Female Sterilization: |
Oral Contraceptive Pills (Mala N and Chhaya) |
Laparoscopic and |
Condoms |
Minilap |
Emergency Contraceptive Pills Antara (Injectable Contraceptives) |
Male Sterilization (No Scalpel Vasectomy) |
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, Anatra |
Trained & certified ANMs, LHVs, 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 |
Note: Contraceptives like OCPs, Condoms are also provided through Social Marketing Organizations.
Key Indicators as per NFHS 5 (2019-21)
- Total Fertility Rate -2.2
- Total Unmet need for Family Planning (%) – 12.2
- Current use of Family Planning Methods- Any Method (%) -61.3
- Current use of Family Planning Methods- Any Modern Method (%) – 18.2
Achievement of the Family Planning Activities for the FY 2022-23
Indicator |
Apr-March (2022-23) |
Female Sterilization |
265 |
Male Sterilization |
16 |
Interval IUCD Inserted |
1714 |
PPIUCD Inserted |
231 |
PAIUCD Inserted |
55 |
Injectable Doses |
463 |
Condoms Distributed |
150840 |
Chhaya Distributed |
4034 |
Mala N Distributed |
43834 |
ECP Distributed |
6130 |
Mission Parivar Vikas (MPV)
New Program for improving access to contraceptives with new promotional schemes - Launched on 6th January 2022
- Compensation scheme / packages for sterilization has been increased from Rs. 1,000 to Rs. 4,000.
- For Rolling out of the Injection Contraceptive (Antara) compensation has been provided for beneficiary and ASHA Rs. 100 each for each dose
- Four MPV Campaigns for 14 days in a year in April/July/ November/ January are to be done.
- Nayi Pehl Kit (an FP Kit) given to newlywed couples by the ASHAs for delaying birth of 1st child and maintain spacing between 2 Children (kit containing 2 Packets of Condom, 2 units PTK, 2 strips of Oral Contraceptive and 3 packets of ECP). For this activity ASHA will get Rs. 100 per kit.
- Saas Bahu and Pati Sammelan - 4 Sammelans per ASHA in a year for improve communication between mother-in- law, Daughter-in- law and Husband
- SAARTHI Awareness on Wheels – Smartly designed vehicle equipped with interactive communication devices, IEC materials and FP Commodities to be operationalize in the districts during MPV Campaign (April, July, November and January) to sensitize and disseminate FP messages in the far-flung areas.