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1952: National Family Planning program launched
100% centrally sponsored program
First country in the world
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Family Planning Dept.- created in 3rd FYP
4th FYP - integration of Family Planning services with
MCH services
MTP Act introduced 1972
at ona am y e are rogramme starte n
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Reducing the birth rate to the extent necessary
o s a ze e popu a on a a eve cons s en
.
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Stabilize Po ulationTargets as an end
Reduction in Births
Informed decision Resentment, disownment
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VII FYP
Area Develo ment Pro ects
India Population Project-VIII & IX
India Population Project-VIII & IX
Increasing involvement of NGOs
UIP & CSSM
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nd
2nd FYP - Target approach
3rd FYP Extension & Education approach
4th FYP - Post Partum scheme, reduce CBR to 32
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5th FYP NFPP replaced by NFWP, reduce CBR to
30 th -
size to 2.3 7th FYP - spacing methods, community participation
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supplement and complement the Government
efforts.
th
growth
10th FYP focused on reduction on IMR ,decadal
rowth rate & increased literac rate
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Indicator If currenttrend
If acceleration envisaged in ApproachPaper to the Ninth Five Year Plan is
.
CBR 24/1000 23/1000
IMR 56/1000 50/1000
. .
CPR 51% 60%
NNMR 35/1000
MMR 3/1000
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Objectives:
Reduction in the decadal rate of population
grow e ween an o . ;
Increase in Literacy Rates to 75 per cent
within the Tenth Plan period (2002 to 2007)
e uc on o n an mor a y ra e oper 1000 live births by 2007 and to 28 by 2012
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Population Policy
NRHM
IMR,MMR,TFR
Unmet Needs- IncreasingContraceptive choices
Male involvement
Social marketingPrivate sector involvement
Infrastructure stren then
Involvement of PRI
IE
Training 12SIHFW: an ISO 9001: 2008 certified institution
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XI FYP
Tar etsReduce IMR to 28 and MMR to 1 per1000 live births
u .
Provide clean drinking water for all by2009 and ensure that there are no sli -backs
Reduce malnutrition among children of
Reduce anemia among women andgirls by 50% by the end of the plan
Family planning insurance Scheme Jansankhya Sthirata Kosh
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Reducing MMR to 100
Reducing TFR to 2.1
rov ng c ean r n ng wa er or a y
Reducing malnutrition among children of age .
Reducing anemia among women and girls by 50%.
a s ng e sex ra o or age group o y201112 and 950 by 201617.
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The National Family Welfare Program provides the
following contraceptive services for spacing births:
Condoms
Oral Contrace tive Pill
Intra Uterine Devices (IUD)
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u ec omy
i) Mini Lap Tubectomy
ii) Lapro Tubectomy
Vasectomy
i) Conventional Vasectomy
ii) No-Scalpel Vasectomy
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Periodo. o ene c ar es o er za ons n
India
-
-
2010-2011 255605 4951938 5207543
2011-2012(Till 30.6.11)
17299 583903 601202
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S.N. Period Target Achieved % Achieved
1 2006-2007 454665 288089 63.36%
2 2007-2008 457655 335029 73.21%
3 2008-2009 459569 356923 77.66%
- .5 2010-2011 481248 338574 70.35%
Source: (Progress Report of Family Welfare Program ,Rajasthan)
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Deliveries (In Lakh)
Children (in 000s)
.
.
.
Source:StatewiseProgressason30/06/2011,NRHM,India(www.mohfw.nic.in)
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art cu ar arget c evement % c evement
.
IUD Insertions 458207 407122 88.85Total OP Users 1231789 795327 64.57
Total CC Users 1452985 987507 67.96
ANC Registration 1931466 1869758 96.81ANC Registrationwithin 12weeks
1931466 853792 44.20
ANC Registration 1931466 1255982 65.03checkups
TT(PW) 1931466 1576257 81.61Full Immunization .
Source: Progress Report of FWP&NRHM/RCH II (2010-11)Demographic Unit, Directorate of Medical, Health&Family Welfare services, Jaipur 20SIHFW: an ISO 9001: 2008 certified institution
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Source: Pragati Prativaden 2010-11(www.rajswasthya.nic.in)
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GOI constituted an EAG w.e.f. 20th March,2001
To facilitate the preparation of area-specific
p ,
With special emphasis on eight states
[Rajasthan, UP, Bihar, MP, Orissa,
a sgar , ar an , aranc a
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besides the Government institutions to provide
family welfare services in the State. More
will be approved to render Family Welfare
services to the eligible couples.
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All the untrained DGOs, M.D (Obstetrics &
ynaeco ogy , . . urgery w e ra ne n
Laparoscopic Sterilization. All the untrained
MBBS doctors will be trained in tubectomy
ster zat on an on ca pe asectomy.
At resent 254 O eration theatres are
functioning in the Primary Health Centres. Steps
will be taken to make the Operation theatres in
all the Primar Health Centres functional in a
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identify village wise eligible mothers with three
and above children and motivate them by a
Sterilization.
All the untrained VHNs and ANMs will be given
training in insertion of IUD
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Ensurin a ro riate olic develo ment at the
Centre, Provisioning for technical assistance to the
member States,
Addressing issues of coordination betweenmember states and departments
Deploying financial resources, as appropriate
and feasible.
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To encourage people to adopt permanentmet o o am y ann ng
Centrally Sponsored Scheme since 1981 tocompensa e e accep ors o s er za on or eloss of wages
insurance Company
. . - . .
Compensation in case of adverse event (w.e.f.st,
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Categ
ory
Intervention Accep
tor
Motivator Dru
gs
Surg
eon
Anes
thetist
Staff
nurse
OT
Asstt.
Refr
eshmen
Cam
pmgt.
t
High Vasectomy (all) 1100 200 50 100 - 15 15 10 10
states
Non Vasectomy (all) 1100 200 50 100 - 15 15 10 10
focus
states
L, SC/ST only)
Tubectomy(
APL only)
250 150 100 75 25 15 15 10 10
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Category Type of operation Facility Motiv Total
High Vasectomy (All) 1300 200 1500
u
States
u y
focus
y
Tubectomy 1350 150 1500
+
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Source: Manual for family Planning Insurance Scheme, Dept.of Health& Family Welfare (www.mohfw.nic.in)
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offering a range of services that are safe and
effective and that satisfy clients needs and
.
are treated by the system.
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Family planning is not just a demographic issue
.
rights, socio-economic development,
preservation of the environment, and the health
, ,
society at large.
There is a huge unmet need for Family Planning
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Services/ Activities Areas to be strengthened,
VHNDs: Counseling
va a y o
materials Capacity building & Role
,Condoms, ECPs)
Follow up of IUCD,
sterilization &Postpartum
ar y Incentives to ASHA
Regular supervisionc ents
Referral Community Mobilization
Active participation of PRIs
Creating Role Models:Jan Mangalcouples and PrernaScheme by JSK in somedistricts of Rajasthan NSV Champion in Jharkhand
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Activities/Services
Maintainin Eli ible
Areas to be strengthened
Facilit readinessCouple Register
Counselling and service
according to IPHSstandards
prov s on ur ng ,PNC & Immunization
visits
ra n ng n o Touch Technique)
Provision of IEC Materials IUCD insertions
Follow up services Supportive supervision by
LHV / MO PHC
Referral Services Contraceptive supply,
Strengthening Referral
ASHA & AWW
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Activities/Services Areas to be strengthened
serv ces nc u ng
Tubal ligation (interval &ost artum)& NSV
24/7Services as per IPHS Ensurin availabilit of
Follow up services
Counselling and
trained personnel inMinilap/NSV/IUCD
appropriate referral forcouples having infertility
Fixed Day Static Servicesfor sterilization
supervision of field levelstaff like ANMs, MPWs&
Regular supply of drugs, equipments &
s ns rumen s
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Activities/Services
*
Areas to be strengthened
U radation as er
All FP services includingLa arosco ic Sterilization
Strengthening ofcounseling component
services
Follow up services
a ona pos ng ospecialists
O erationalize District Training and supervision
of field level staffClinical Training Centres
Fixed Day Static Services
Diagnostic Services or s er za on Strengthening of RKS
having infertility
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at various opportunities: ANC/PNC/Institutionaldelivery/Immunization/HIV counseling/Adolescent
clinics/ Home visits/ VHND.
Coordination amon De artment of Health,Directorate of Family Welfare and NRHM
Programme Management Unit at various levels.
Ensuring Availability of trained manpower andother resources at all levels.
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improving maternal and child health
constituted at all the States/ Districts level as per
norms se n ua y ssurance manua anregular meetings to be held for assessing and
.
Facility up gradation as per the IPHS.
services
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Quality DesignPolicy & Goals- NPP, NHP, NRHM, MDGService Protocols/ Manuals/ Guidelines
Standardized Operating ProceduresIndemnity insurance schemeCompensation for loss of wages
Quality ControlQuality Improvement
Supportive SupervisionPeriodic ReportsQuality Assurance Committee HMISNationwide Surveys
ActionsMonitoring of progress ofRemedial implementation,
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To address the unmet needs for contraception,
health care infrastructure, and health personnel,
an o prov e n egra e serv ce e very or
basic reproductive and child health care
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Medium-term objective:
To bring the TFR to replacement levels by 2010,
through vigorous implementation of inter-
sectoral o erational strate ies.
Long-term objective:
o ac eve a s a e popu a on y
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1400
7.
03
1210.
19
1000.
33
846.39
102
India
Rajasthan
600
800
.09
39.
23
548.
16
683
400 36
4
97
15
.76
.36
.01
.47
.62
0
1951 1961 1971 1981 1991 2001 2011
1
5.
2
0.
2
5
3
4
45 6
Source: Census of India / data in millions
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National Population Stabilization Fund -registered
Combination of government and civil society
Working to promote innovations
Promote initiatives which leverage the strength of
different economic and social sectors
To reach out needy population groups
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Prerna Awards at Dhaulpur and Jodhpur in Rajasthan
and Nabarangpur in Orissa
Workin with the Private Sector Medical S ecialists
to enhance services for contraception.
[NGOs, CII, FICCI, IASP, IPHA, IAP & SM, FOGSI
etc]
Material Develo ment and dis la for IEC/BCC
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Prerna provides reward for specific parenthood
Girls marriage after 19 years - Rs.5000
First birth after 21 years - Rs.7000 (girl)
Rs 5000 bo 3 years gap between first and second child with
sterilization of 1 parent after the 2nd child (Reward
of Rs.7000/ if its a girl child & Rs 5000/ if its aboy)
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Couple must belong to any of the 46 districtsidentified
Must belong to BPL category
Only those couples who have completed
r i r i n f m rri n r i r i n f hbirth of each child
The award shall be iven in form of Kisan Vikas
Patra in the name of Couple and will be given ata public function
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Motivate private gynecologists to perform 100tubectomy /vasectomy, doctors are paid accordingto already notified compensation rates (Rs 1500per case)
MOU is signed between the district CMHO andprivate facilities
Funding is provided by JSK through the Collectorand CHMO
n t ate n a ya ra es , a ast an an r ssa 64 MOUs and around 1600 sterilization operations
un ug
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A number of rimar and secondar care
facilities in the government sector are being
geare to prov e xe ay erv ces or
sterilization.
Compensation scheme for sterilization
acceptors.
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li A r n mmi A h v
been constituted in all the states and districts so
that adequate standards of care are maintained
in famil lannin services.
A new and better IUD-T 380 A, which has ten-
year effectiveness, has been introduced along
wi h r r inin h h r n l n
term spacing method
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VRC is a virtual resource/documentation centre
Provides access to films, posters, photos lik n mi n r m rn l n
infant mortality, sex ratio, adolescent
health, spacing etc. Media, Researchers, Students NGOs and
General public has access to it
Inter-university and school level quizcompetitions
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ux y u - w p
at CHC. The 32-year-old mother of two daughters
choice about family planning services just as she
was able to do. When she was pregnant for thesecond time and looking for a viable, long-termfamily planning method to limit future pregnancies,
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Seema received counseling by a visiting team.The team that counseled Seema explained thempor ance o us ng con racep ves a er e very
to delay or prevent the next pregnancy, and told- ,
inserted within 48 hours after delivery. As a result
of this counselin , Seema chose to deliver herbaby at Womens Hospital, so that she could getan IUCD immediately after the birth of her
daughter, Ritika, who is now three months old.
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For Seema, an IUCD was the best familyplanning choice because it was free undergovernmen po cy, as s or years an cou e
inserted while she was still in the hospital.,
to remember to take an oral pill every day. Seema
was so enthusiastic about her famil lannindecision that while resting in the postpartumward, she successfully counseled two other
women who were sharing the room with her.
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They, too, chose to have an IUCD inserted.
her community can benefit from this method of,
a promising future for her own two daughters.
One of four children in a poor family, Seemastruggled to finish her schooling and became themost educated member of her family
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