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Review of Family Planning Programme

This review examines the current use of family planning methods, trends in modern contraceptive prevalence, unmet need for family planning, and the challenges in early age at marriage and age at first child birth. It also highlights strategies to achieve replacement level fertility and decrease higher order births.

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Review of Family Planning Programme

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  1. Review of Family Planning Programme Dr. KiranAmbwani, DC (Family Planning) NRHM Review Meeting, Bhopal

  2. TFR in Different States(SRS 2008) NRHM Review Meeting, Bhopal

  3. TFR - Declining Trend

  4. While some states have achieved replacement level fertility, others will take many more years 11th FYP Goal Total Fertility Rate 2.1 by year 2012 Source: Registrar General of India, 2006 (Population Projections for India and States 2001 – 2026 NRHM Review Meeting, Bhopal

  5. Current use of Family Planning Methods NRHM Review Meeting, Bhopal

  6. Trends in Modern Contraceptive Prevalence-Overall NRHM Review Meeting, Bhopal

  7. Unmet Need for Family Planning-Total Meeting unmet need of FP will avert nearly35,000 Maternal and 12 lakhs infant deaths. NRHM Review Meeting, Bhopal

  8. Spacing between Children In most states, approximately 1/3 of all births are occurring less than two years apart NRHM Review Meeting, Bhopal Source: DLHS – 3, 2007-08

  9. Early Age at marriage – A Challenge in HF States Delaying Age at Marriage reduces population momentum Source: DLHS-3 (2007-08), IIPS Mumbai NRHM Review Meeting, Bhopal

  10. Age at First Child birth Percentage of teenage girls in India who are pregnant or already mothers Teenage Pregnancies pose a higher risk of maternal and infant mortality and morbidity. Source: DLHS-III NRHM Review Meeting, Bhopal

  11. Gap between ELA & Performance in Sterilization NRHM Review Meeting, Bhopal

  12. Higher Order Births(3&3+) – 40% of total births in India • Averting 50% of higher order births will bring down Birth Rate by about 4 points. • This will also help in reducing MMR and IMR. NRHM Review Meeting, Bhopal

  13. Strategies • District level action plansto achieve ELA (appoint nodal officer for FP for planning implementing, monitoring, supervision and evaluating) 2. Fixed Day Static Services till PHC Level: (PRIORITIZE as per DELIVERY LOAD) • One Minilap/One NSV Provider at each PHC • One trained IUCD provider at each Sub centre • Postpartum Centers at all facilities, where deliveries are conducted (Counselor / Trained Minilap Service Provider) 4. Promote minilap over lap. sterilsiationas the preferred mode 5. Encouraging Male Participation by concerted IEC for NSV NRHM Review Meeting, Bhopal

  14. Strategies Contd… 5. Accreditation of Private Providers: (to increase the pool of service providers) • Promoting IUCD 380 A: as a safe, effective and long term spacing method • Rational Training and Placement plan for Service Providers • Demand generation (IEC/BCC) activities: communication Strategy focusing on specific issues like delaying age at marriage, age at first child, spacing, male participation 9. Monthly Review of FP performance with CMOs 10. Rank and Reward districts NRHM Review Meeting, Bhopal

  15. World Population Day (11th July) – 2010 • ChhotaParivar : SamagraVikas • (small family: overall development) • Slogan • Population Stabilisation Week (11th to 17th July) • Family Health Mela: 2 days’ • In each district/ each parliamentary constituency • Inauguration by/Presence of local MPs/MLAs/other elected representatives • Stalls for Exhibition of FP methods, counseling etc. NRHM Review Meeting, Bhopal

  16. State level activities • Detailed instructions to District Magistrates • Allocate fund at approved rate to districts/ blocks (from IEC head of RCH flexipool) • Broad implementation plan for state/ district level • Instruction to district CMOs • Orientation of district CMOs, DMOs, DPMs NRHM Review Meeting, Bhopal

  17. District level activities • Mobilisationof eligible couples to participate in the mela • Identification of district/ block level centresfor services by name • Deputation of serviceproviders’ team by name to designated centres for the whole week • Communication of district/ block ELAs • Enlisting of clients by ASHAs and ANMs • District media plan (suited to local situation) • Beat of mobile vans to reach every village • Utilising the local NGOs, where available NRHM Review Meeting, Bhopal

  18. Thank you NRHM Review Meeting, Bhopal

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