Programmes

Family Planning

Family Planning

The decadal growth during 2001-11 (19.17 per cent) is lower than the decadal growth during the 1991- 2001 (22.66 per cent), the State has registered 0.2 point decline of Total Fertility Rate (TFR) from 2.5 to 2.3 in 2012 (SRS). The effective couple protection rate has stagnated around 47.9 per cent (GoI). The growth may create a stress on our limited resources. So the need for population stabilization is urgent. State Plans to address this issue by providing revamped strategies dedicated for family planning services in Gujarat in coordination with MCH services under NRHM. Convergences with other departments need to address the underlying factors of high fertility like child mortality, women’s empowerment, early age of marriage etc.

Historical Background:

  • 1952: India launched the National Family Planning Programme
  • 1994: India signed the plan of action at ICPD Cairo
  • 1996: Target free approach
  • 1997: RCH 1 launched
  • 2000: National Population Policy
  • 2005: NRHM and RCH 2 launched
  • 2012: NRHM extended to 2017
  • 2012: London Summit on Family Planning
  • 2013: National Family Planning Summit on Family Planning

Vision

To achieve the population stabilization in the State along with overall development of individual.

Mission

The mission of Family Planning Programme is that all women and men (in reproductive age group) in State will have knowledge of and access to comprehensive range of family planning services, therefore enabling families to plan and space their children to improve the health of women and children.

Goals

  • Immediate goal is to address the unmet need for contraception and improve pregnancy planning and spacing and prevent unintended pregnancy.
  • Medium-term goal is to bring the Total Fertility Rate (TFR) to replacement level by 2017.
  • The long term goal is to promote reproductive rights of people of State and to achieve a stable population by 2040, at a level consistent with the requirements of sustainable economic growth, social development, and environmental protection.
Current Status & Target for Different Family Planning Indicators
Current Status Targets
2013-14 2014-15 2015-16 2016-17
TFR 2.3 (SRS-2012) 2.3 2.2 2.1 2.1
CPR 54.3 (DLHS-III) 63.0 67.0 70.0 75.0
Unmet Need 16.5 (DLHS-III) 13.0 12.0 11.0 10.0

Guiding Principles

Target-free approach based on unmet needs’ for contraception; equal emphasis on spacing and limiting methods; promoting ‘children by choice’ in the context of reproductive health.

Objectives

  • Increasing contraception prevalence rate (CPR) of ‘any modern method’ and decrease the total unmet needs for family planning.
  • Promoting spacing methods by improving contraceptive method mix.
  • Promoting family planning usage during post-partum period.
  • Increase male participation in family planning.
  • Ensuring Quality of Care in family planning services.
  • Stimulate demand for quality family planning services.

Strategies

  • Enhanced focus on spacing methods
  • Ensuring focus on Post-partum Family Planning services
  • Strengthening sterilization service delivery
  • Strengthening quality of service delivery
  • Creating demand generation for Family Planning services
  • Creating PPP models for promoting Family Planning services
  • Addressing issues of adolescent age group
  • Strengthening Family Planning program management at state & district level.

The detailed activities under specific strategies are mentioned below; as

Enhanced focus on spacing methods

  • Ensuring Fixed Day Static (FDS) services delivery at all the health facilities (specially to extend this services on FDS manner to PHC & SC level)
  • Strengthening Post-partum IUCD (PPIUCD) at District Hospital & Sub-district Hospital level
  • Strengthening community based delivery of contraceptives through ASHAs.
  • Ensuring services of ASHAs for delaying birth after marriage & ensuring spacing between children.
  • Inclusion of Self Help Group (SHG) for promotion of spacing in-between children & after marriage.
  • Ensuring quality training for IUCD of health personnel
  • Introducing new options for spacing (IUCD-375A)

Ensuring focus on Post-partum Family Planning services

  • Promoting & strengthening PPIUCD services at identified health facilities.
  • Promoting Post-partum Sterilization (PPS)/Minilap tubectomy at high delivery points.
  • Promoting Minilap tubectomy on FDS manner at PHC (functional delivery points).
  • Increasing a pool of Minilap trained doctors to ensure PPS.
  • Appointing RCH/FP counselors at selected high delivery points to motivate the beneficiaries to accept Family Planning services.

Strengthening sterilization service delivery

  • Operationalising & ensuring FDS centres for sterilization.
  • Improving male participation.
  • Increasing pool of trained services providers for mnilpa, laproscopy & NSV.
  • Holding camps to clear back log.

Strengthening quality of service delivery

  • Dissemination of existing guidelines, protocols & manuals at state & district level.
  • Updating guidelines as per Govt. of India norms.
  • Strengthening & regular meeting of State & districts Quality Assurance Committee (QAC).
  • Regular monitoring of Family Planning Insurance Schemes as per GoI guideline.

Creating demand generation for Family Planning services

  • Development of BCC/IEC tools highlighting benefits of Family Planning specially on spacing methods.
  • Advocacy at various levels.
  • Special incentives to ASHAs for motivation of beneficiaries.
  • Special compensation for beneficiaries for their loss of wages.
  • Inclusion of SHG for motivation of beneficiaries.

Creating PPP models for promoting Family Planning services

  • Through Public Private Partnership (PPP) to provide accreditation of private hospitals for Family Planning services.

Addressing issues of adolescent age group

  • Development of special booklets & materials for Adolescent groups.
  • To counsel & provide contraceptive choices to adolescent groups at health facilities.

Strengthening Family Planning program management at state & district level.

  • Regular monitoring & supervision at state & district level to revitalize Family Planning services.

You Can also Refer

Important Documents

Guidelines

Manuals

Program Monitoring Formats

Application Form for FP Training

Schemes under Family Planning

Go to Navigation