India was the first country in the world to have launched a National Programme for Family Planning in 1952. Over the decades, the programme has undergone transformation in terms of policy and actual programme implementation and currently being repositioned to not only achieve population stabilization goals but also promote reproductive health and reduce maternal, infant & child mortality and morbidity. Under the programme public health sector provides various family planning services at various levels of health system.
“Mission Pariwar Vikas”
For improved access to contraceptives and family planning services in high fertility districts spreading over seven high focus states, the Ministry of Health and Family Welfare launched “Mission Pariwar Vikas”in 2016. Special focus has been given to 146 high fertility Districts of Bihar, Uttar Pradesh, Assam, Chhattisgarh, Madhya Pradesh, Rajasthan & Jharkhand, with an aim to ensure availability of contraceptive methods at all the levels of Health Systems.
Goal - Its overall goal is to reduce India's overall fertility rate to 2.1 by the year 2025
Objective -The key strategic focus of this initiative is on improving access to contraceptives through delivering assured services, ensuring commodity security and accelerating access to high quality family planning services.
Key strategies include –
· Providing more choices through newly introduced contraceptives: Injectable Contraceptive, MPA (Medroxyprogesterone acetate) under Antara program and Chaya (earlier marketed as Saheli) will be made freely available to all government hospitals.
· Emphasis on Spacing methods like IUCD
· Revitalizing Postpartum Family Planning including PPIUCD in order to capitalize on the opportunity provided by increased institutional deliveries. Appointment of counsellors at high institutional delivery facilities is a key activity.
· Strengthening community-based distribution of contraceptives by involving ASHAs and Focused IEC/ BCC efforts for enhancing demand and creating awareness on family planning
· Availability of Fixed Day Static Services at all facilities.
· Emphasis on minilap tubectomy services because of its logistical simplicity and requirement of only MBBS doctors and not post graduate gynecologists/ surgeons.
· A rational human resource development plan for IUCD, minilap and NSV be chalked up to empower the facilities (DH, CHC, PHC, SHC) with at least one provider each for each of the services and Sub Center’s with ANMs trained in IUD insertion
· Ensuring quality care in Family Planning services by establishing Quality Assurance Committees at state and district levels Plan for accreditation of more private/ NGO facilities to increase the provider base for family planning services under PPP.
· Increasing male participation and promoting Non-scalpel vasectomy.
· Demand generation activities in the form of display of posters, billboards and other audio and video materials in the various facilities be planned and budgeted.
· Strong Political Will and Advocacy at the highest level, especially in states with high fertility rates.
The National Family Planning Programme, through Hum Do (/humdo.nhp.gov.in/ ) aims to provide eligible couples with information and guidance on family planning methods and services available, to ensure individuals and couples lead a healthy, happy and prosperous life.
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