FAMILY WELFARE PROGRAMME

Preamble:

Family Welfare Programme is implemented in the state as per guidelines given by Govt. of India, mainly to achieve Population Control.  Presently the budget for the programme is from RCH PIP under National Health Mission.

 

Aims and Objectives:

The State has already achieved Total Fertility Rate (TFR) as 1.5 for the year 2020.The objectives is to maintain this level.

 

Implementation Strategy:

As per guidelines from Government of India the programme is being implemented on following strategies.

• Voluntary Adoption of Family Planning Methods
• Based on felt need of the community
• Children by choice & not chance.
• Counseling of beneficiaries is done by Health Personnel regarding various available methods of contraception and then beneficiaries select one of the methods depending on their choice. Presently Government of India is giving emphasis on Post Partum Family Planning Services.

There are two major types of Family Planning Services in Family Welfare Programme namely Permanent methods and Temporary methods. In Permanent methods there are again two types, Female Sterilization operation Tubectomy and Male Sterilization Vasectomy.  Tubectomy is performed either by Minilap Technique or by Laparoscopy. In temporary methods, Copper T, Oral pills, Condoms are used.

To control the growth of the population, the State has developed Population Policy which is adopted as per Govt. Resolution dated 9^th May 2000. According to Population Policy, the State has accepted “Small Family Norm” i.e. Family having two children.

To encourage couples for accepting small family norm following innovative schemes are implemented.

• Couples accepting the small family norm only will be eligible for subsidies under various schemes GR dated 21.05.2001.
• Acceptance of the small family norm is considered at the time of recruitment to Govt. & Semi Govt. Employment Circular dated 01.07.2005.
• Only those employees limiting their family to two children are entitled to reimbursement of medical expenses.
• Compliance to small family norm will be considered essential for the eligibility for contesting elections Circular dated 12.07.2001.
• Strict implementation of existing act and policies such as child marriage act, prenatal sex determination act, Birth & Death Registration act etc.
• Employees accepting the small family norm are given preference for sanctioning facilities like house building & vehicle advance etc.
• Only those employees accepting the small family norm are given benefit for Home Town & Leave Travel concessions since 01.09.2000.
• Membership for co-operative sugar industries are given to scheduled caste Nav Baudh  & Tribal farmers having two issues only GR dated 26.07.2000.
• Allotment of Government quarters to officers / staff having two issue only. GR dated 31.05.2002.

 

Facilities Providing Family Planning Services:

The programme is being implemented through the network of Primary Health Centers, Sub-centres, Rural Hospitals, Sub-district Hospitals, District Hospitals, Women Hospitals,  General Hospitals, Corporation Hospitals and Accredited Private Hospitals in the State. Facilities for distribution of Oral Pills, Condoms are available at all these centers. Facility for  insertion of IUCD is also provided through these centers. Sterilization facilities are available in these institutes where Operation Theatres are working conditions. Attempts are made to keep maximum number of operation Theatres in function and maximum utilization of Surgeons.

 

Manpower:-

 

For effective and smooth implementation of the programme Medical Officers and Health Personnel are trained regularly in the techniques which are used for Family Planning Services. Medical Officers are trained in Tubectomy and Vasectomy Surgery techniques. In tubectomy training is imparted both in Minilap and laparoscopic technique. ANM, Health Assistant Female, Staff Nurses are trained in Copper-T insertion technique. Training is also conducted for other methods.

 

Various Schemes &Activities:-

1. Compensation to beneficiary after sterilization operation :-

• Compensation for female sterilization and vasectomy acceptors and other details are as per Government circular No. Kunish-2007/Pra.kra.197/07/ku.ka.1, Dated 20 December, 2007.
• Amount given when sterilization operation is performed in government institutes :

Sr. No.	Beneficiary	Compensation given to beneficiaries (Rs.)	Amount to Promoter (Rs)	Medicine (Rs.)	Other	Total (Rs.)
					Surgeon fee, Anesthetist Fee, Camp Managemanet etc. (Rs.)
1	Vasectomy(All beneficiaries)	1100	200	50	150	1500 *
2	Tubectomy ( BPL/SC/ST)	600	150	100	150	1000
3	Tubectomy (APL)	250	150	100	150	650

* Benefit of Rs.351/- is given to vasectomy acceptor from State grants in addition to benefit from GOI. Thus beneficiaries gets Rs 1100 + Rs 351= Rs 1451.

 

2) Amount given to Accredited Hospitals after performing sterilization operations.

Sr. No.	Beneficiary	Amount to be given to Accredited Hospital (Rs.)	Amount to Promoter (Rs.)
1	Vasectomy (All beneficiaries)	1300	200
2	Tubectomy ( BPL/SC/ST)	1350	150

1. Schemes from RCH PIP :-

• Organization of NSV Camps.
• Compensation grants for acceptors of Female Sterilization and NSV.
• Workshop for owners of Accredited Private Hospitals to orient them regarding implementation of Family Welfare Programme & Family planning Indemnity Scheme.
• Transport support for sterilization cases and Operating Surgeons.
• Repairs of Laparoscopes.
• Family Planning Indemnity Scheme.
• Celebration of World Population Day on 11^th

 

1. Other schemes

• Distribution of contraceptives at the doorstep of beneficiaries by ASHA.
• PPIUCD Program.
• Training of manpower.

1. Newer Contraceptives

Introduction of other Oral Pills in the National Family Planning Program

Considering the resurgence of interest and experience in postpartum family planning, as many women come to health facilities for childbirth, oral contraceptives which are safe for breastfeeding women, have good potential to improve use of family planning methods by postpartum women. In addition to postpartum sterilization and postpartum IUCD currently available under the National Programme, other postpartum family planning options can be – (i) Progestin only Pills (POPs) which is a well-recognized non- invasive option for spacing births in the postpartum period particularly for breastfeeding women and (ii) Centchroman (Ormeloxifene) as once- a-week contraceptive, a promising non-hormonal option for spacing, as it is safe for lactating women. Government has initiated efforts to expand oral contraceptive options by inclusion of Progestin-Only Pills and Centchroman (Ormeloxifene) in the national programme and provide them through the public health delivery system.

 

Introduction of DMPA  in the National Family Planning Program

Injectable Contraceptive (DMPA) is an aqueous suspension of microcrystal for depo injection of pregnant 17 alfa – hydroxyprogesterone – derivative progestine medroxyprogesterone acetate. DMPA is a Progestogen-only Injectable (POI) given deep intra-muscular every three months (one dose = one vial of 150 mg, aqueous suspension of DMPA). This is a newer contraceptive which is introduced in National family Planning Program. It increases basket of option for especially women in post part partum period who is breastfeeding their babies.

 

Implementation status of newer contraceptives.

• Injectable DMPA was launched on 10^th July 2017 in DH / WH and Medical college hospitals. Later it was introduced in all health institutes ( PHC& above).
• Launching of centchroman was done in all institutes on 1^st February 2018.
• State is giving more emphasis on spacing methods especially these newer methods.

 

Performance under Family Welfare Programme

Year	Sterilization						I.U.D. Copper-T
	E.L.A	Vasectomy	Tubectomy	Total	%	Vas % to Steri.	E.L.A	Achiv.	%
2021-22	565000	7382	270780	277405	49	3	490000	408418	83
2022-23	565000	9511	370724	380235	67	2.5	490000	478361	98
2023-24	510000	6278	296774	303082	59	2.1	490000	443547	90
2024-25 Up Feb. 2025	510000	7093	261060	268153	53	2.7	490000	435501	89

 

PPIUCD Performance
Year	No. of providers already trained in PPIUCD		Total PPIUCD inserted
	MOs	Nurses (SN/LHV/ANM)
2021-22	421	1322	142061
2022-23	202	779	192683
2023-24	501	770	167854
2024-25 Up Feb. 2025	188	371	155057

 

 

Year	Oral Pills users			Condom Users
	ELA	Ach.	%
2021-22	375000	246860	66	275542
2022-23	375000	263963	70	296318
2023-24	375000	242233	65	307841
2024-25 Up February. 2025	375000	221256	59	290146

 

Injectable Contrceptives – ANTARA Programme&  Centchroman Weekly Piil

 

Dose	2022-23 No.of beneficiaries	2023-24 No.of beneficiaries	2024-25 No.of beneficiaries(Up to February 2025)
First Dose	46524	61895	35447
Second Dose	21766	32328	18284
Third Dose	11478	21311	12686
Fourth dose	8334	19334	12234
Centchroman Weekly Piils	382619	134868	263202

 

Home Delivery of Contraceptives by ASHA:-

Year	CC	OCP	ECP
2021-22	4034827	1495102	139057
2022-23	4053627	873707	51600
2023-24	2448278	1298345	158745
2024-25 Up Dece. 2024	2026666	583313	28146

 

 

 

 

 

Total Birth Rate :-Year wise Total Birth Rate of State is decline as follows.

Year	Birth Rate
2010	17.1
2011	16.7
2012	16.6
2013	16.5
2014	16.5
2015	16.3
2016	15.9
2017	15.7
2018	15.6
2019	15.3
2020	15.0
Source: SRS

 

Total Fertility Rate of State is declined as follows.

Year	Total Fertility Rate (TFR)
1992-93*	2.86
1998-99 *	2.52
2005-06 *	2.11
2008-09**	1.9
2010-11**	1.8
2013 **	1.8
2014**	1.8
2015 **	1.8
2016**	1.8
2017**	1.7
2018**	1.7
2019 **	1.6
2020**	1.5(SRS 2020)
Source	*NFHS
	**Sample registration System (SRS)

 

 

Decadal Growth Rate (%)

As per Census Decadal Growth Rate ofState is declined as follows.

Year	Decadal Growth Rate (%)
1951-1961	23.60
1961-1971	27.45
1971-1981	24.54
1981-1991	25.73
1991-2001	22.73
2001-2011	15.99

 

 

 

 

Beneficiary:

Female/Male

Benefits:

Providing Family Planning Services