In pursuance of the National Population Policy-2000, Government has taken a number of measures under Family Planning Programme to achieve the goals of the policy and we have made remarkable progress which can be seen in the findings of NFHS 5
Measures are taken to control the population growth in India
- More emphasis on Spacing methods like IUCD.
- Availability of Fixed Day Static Services at all facilities.
- Quality care in Family Planning services by establishing Quality Assurance Committees at state and district levels.
- Improving contraceptive supply management up to peripheral facilities.
- Demand generation activities in the form of display of posters, billboards and other audio and video materials in the various facilities.
- National Family Planning Indemnity Scheme’ (NFPIS) under which clients are insured in the eventualities of deaths, complications and failures following sterilization and the providers/ accredited institutions are indemnified against litigations in those eventualities.
- Compensation scheme for sterilization acceptors – under the scheme MoHFW provides compensation for loss of wages to the beneficiary and also to the service provider (& team) for conducting sterilisations.
- Increasing male participation and promotion of Non-Scalpel Vasectomy.
- Emphasis on Minlap Tubectomy services because of its logistical simplicity and requirement of only MBBS doctors and not postgraduate gynaecologists/surgeons.
- Accreditation of more private/NGO facilities to increase the provider base for family planning services under PPP.
New Interventions under Family Planning Programme
- Scheme for Home Delivery of Contraceptives by ASHAs at the Doorstep of Beneficiaries: The govt. has launched a scheme to utilize the services of ASHA to deliver contraceptives at the doorstep of beneficiaries.
- Scheme for ASHAs to ensure spacing in births: Under this scheme, services of ASHAs are to be utilised for counselling newly married couples to ensure a delay of 2 years in birth after marriage and couples with 1 child to have a spacing of 3 years after the birth of 1st child.
- Boost spacing methods by the introduction of a new way PPIUCD (Post-Partum Intra Uterine Contraceptives Device
- Introduction of the new device Cu IUCD 375, which is effective for 5 years.
- Emphasis on Postpartum Family Planning (PPFP) services with the introduction of PPIUCD and promotion of Minilap as the main mode of providing sterilisation in the form of postpartum sterilization to capitalize on the enormous cases coming in for institutional delivery under JSY (Janani Surksha Yojana).
- Compensation for sterilisation acceptors has been enhanced for 11 High Focus States with high TFR.
- Scheme for provision of pregnancy testing kits at the sub-centres as well as in the drug kit of the ASHAs for use in the communities to facilitate the early detection and decision-making for the outcome of pregnancy.
- RMNCH Counselors (Reproductive Maternal New Born and Child Health) availability at the high-case facilities to ensure counselling of the clients visiting the facilities.
- FP 2020- Family Planning Division is working on the national and state-wise action plans so as to achieve FP 2020 goals. The key commitments of FP 2020 are as under :
- Increasing financial commitment to Family Planning whereby India commits an allocation of 2 billion USD from 2012 to 2020.
- Ensuring access to family planning services to 48 million (4.8 crores) additional women by 2020 (40% of the total FP 2020 goal).
- Sustaining the coverage of 100 million (10 crores) women currently using contraceptives.
Reducing the unmet need by improved access to voluntary family planning services, supplies and information. In addition to the above, Jansankhya Sthirata Kosh (JSK)/National Population Stabilization Fund (NPSF) has adopted the following strategies as a population control measure:-
Prerna Strategy: JSK has launched this strategy for helping to push up the age of marriage of girls and delay in first child and spacing in the second child the birth of children in the interest of the health of young mothers and infants. The couple who adopts this strategy is awarded suitably. This helps to change the mindsets of the community.
Santushti Strategy: Under this strategy, Jansankhya Sthirata Kosh, invites private sector gynaecologists and vasectomy surgeons to conduct sterilization operations in Public Private Partnership mode. The private hospitals/nursing home who achieved a target of 10 or more are suitably awarded as per strategy.
National Helpline: JSK also runs a call centre for providing free advice on reproductive health, family planning, maternal health and child health etc.
Advocacy & IEC activities: JSK as a part of its awareness and advocacy efforts on population stabilization, has established networks and partnerships with other ministries, development partners, private sectors, and corporate and professional bodies for spreading its activities through electronic media, print media, workshop, walkathon, and other multi-level activities etc. at the national, state, district and block level.