Family Planning Strategies For Population Stabilization
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Family Planning Strategies For Population Stabilization & Sustainable development Bihar, 2010 C.K. Mishra Principal Secretary , Health, Govt. of Bihar Goal by 2012 Next Three Years Target (As per GoI) * Proposed by SHS (In Millions)

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Family Planning Strategies For Population Stabilization & Sustainable developmentBihar, 2010 C.K. Mishra Principal Secretary , Health, Govt. of Bihar



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Next Three Years Target(As per GoI)

* Proposed by SHS


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(In Millions)

Source: Census & State data


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EVERY YEAR 20 LAC

PEOPLE ARE ADDED

IN BIHAR

AT CURRENT RATE OF POPULATION GROWTH BIHAR’S POPULATION WILL

REACH REPLACEMENT LEVEL (TFR 2.1) ONLY AFTER 20-25 YEARS

5


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Population and Development

  • Fertility Decline associated with

    • Slow-down in Population Growth

    • Fewer New Jobs Requirement

    • Fewer Primary School Requirements

    • Fewer Hospital Requirements

    • Lower Urbanisation

    • Smaller Population without Access to Safe Drinking Water

    • Smaller Labour Force

    • Per capita Net State Domestic Product will increase

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TFR by Education

TFR by INCOME

Source: NFHS III

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Wanted and Actual Fertility Rates, Bihar

TFR

4.0

2.9

4.2

Unwanted fertility is very high-40% of total fertility

Is unwanted.

Source: NFHS III


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Teenage Fertility by Age

Percent who are pregnant or already mothers

58% YOUNG WOMEN BECOME PREGNANT BY 19 YRS.

Age

Source: NFHS III

13


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TFR-Bihar in Comparison to other States, 2006

Bihar has the

highest TFR in India

Source: NFHS III




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Unmet Need for Family Planning Bihar


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Issues in FP in Bihar

Need for more Skilled Manpower

Infrastructure needs strengthening: more so in rural areas

Improvement in Counseling - Method Mix

Supplies: irregular contraceptive supply

Quality of services needs improvement

Seasonality: operations are conducted in specific months / seasons

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Specific Programmatic Interventions in last 1 year

  • District FP Action Plan: in progress

  • IUCD trainings: 144 IUCD master trainers for all districts

  • Refocussing on NSV: 22 districts have 44 NSV trained doctors – performance steadily increasing

  • District Hospitals being made FP Training Centres

  • FP IEC prototype available


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Population Stabilization(State Level Initiative)

  • Formation of Bihar State Population council , 1st meeting held on 06/08/09 under the Chairmanship of Chief Minister.

  • State Level Coordination Committee has been formed for promotion of FP under the chairmanship of Chief Secretary and similar in districts under the chairmanship of District Magistrate for intersectoral convergence with other dept.

  • Inclusion of chapters on Population stabilization in school books.

  • Films on FP for telecast in cinema Hall (1-2 min.) under process.


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Proposed Initiatives (1)(Award for Best performing District for FP (Operation)


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Proposed Initiatives (2)

  • IUCD: Rs. 50 / insertion as incentive to ANM

  • Immediate Post Partum IUCD (IPPIUCD) Insertion

  • Equal emphasis on static and camp approaches to FP

  • Establishing Community based contraceptive distribution centres at HSC/AWC. ARSH to be part of VHND activities

  • ARSH: strengthening service availability at facilities

    • Planned interventions through partners (UNFPA)

      • Addressing Adolescents in in-school settings

      • Addressing adolescents in out-of-school settings


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Proposed Initiatives (3)

  • Increasing accredited private clinics (at present: 135 clinics in 20 districts)

  • Santushti - PPP Model (JSK) – Rs 500 extra / case to accredited private clinic which does 30 cases in a day

  • Prerana – Incentive to eligible BPL couples (award given retrospectively to BPL couples from backward districts who fulfill Responsible Parenthood Practices: to promote delayed marriage, spacing of children and celebration of birth of girl child)


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Other GoB schemes empowering girls and young women(having a bearing on age at marriage & addressing fertility)

  • Mukhyamantri Balika Cycle Yojana

  • Mukhyamantri Balika Poshak Yojana

  • Mukhyamantri Nari Shakti Yojana- 2 lakh self help groups formed across the state

  • Reservation of 50% seat for women in Panchayat-51% women Mukhiya is elected in last Panchayat election.



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