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Reproductive & Child Health II - Services Features & Achievements

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Services to Common People
The following services are available at free of cost at different levels

Health services
Primary Health care services
Village level services: Distribution of contraceptives (Oral Pills & Condom).
Sub center level: IUD insertion & Distribution of contraceptives.
Primary Health center level: Sterilization, IUD insertion & Distribution of contraceptives.

Hospital services
Rural Hospital: Sterilization, IUD insertion & Distribution of contraceptives.
Sub District Hospitals: Sterilization, IUD insertion & Distribution of contraceptives.
Other Hospitals: Sterilization, IUD insertion & Distribution of contraceptives.
District Hospitals: Sterilization, IUD insertion & Distribution of contraceptives.
Super specialty Hospitals: Sterilization, IUD insertion & Distribution of Contraceptives, Re–canalization.

In Urban area services are provided through Urban Family Welfare centers, Authorized Private medical practitioners, and Health posts.

National Family Welfare Programme
Services Center Available in each District
Sterilization (Male & Female) operations & spacing method services are available at the following Institution in the District

  1. PHC.
  2. Rural Hospital.
  3. Municipal Hospitals.
  4. Cantonment Hospitals.
  5. Medical college Hospitals.
  6. State Hospitals.
  7. Women’s Hospitals.
  8. Recognized private Medical practitioner Hospitals (Authorized by District Health Authority).
  9. NGO. Hospitals.(Grant in Aid Institutions).

Special Features of the Program
For male involvement in program new technique is introduced i.e. No scalpel vasectomy Technique. It is available in every district

  • Special Skill Training (Hands on training ) Special skill Development Training for MO, ANM/LHV
    MO– Laparoscopy, Minilap, NSV
    ANM/LHV– IUD training was given in RCH Ist phase.
  • For Male sterilization acceptors, the incentive of Rs.501/– is given
  • For BPL couples Savitribai Phule Kanya Kalyan Yojna has been launched by State Government for sterilization on one or two female issues.

Expected Community Participation
Family planning services are available for all the peoples in the Reproductive age Group. However participation of the people under the Low–income group in the Rural, Tribal area & peoples living in the slum area of the urban area is expected.

Role of NGOs

  • To motivate the couples to accept contraception (specialty young couples).
  • To help in services delivery.
  • To educate and motivate community for increasing age at marriage especially for girls.

Important Health Education Messages

  • 9 TV spots on RCH have been developed.
  • Essay and debate competitions – these competitions are being held in project districts.
  • Activities for HIV/AIDS are being carried out.
  • “Hallo Sakhi” and “Hallo Doctor” programmes have been launched by the Dept. and are being carried out successfully. Participation by eminent personalities in the medical field. The above TV spots are shown during breaks.

Role of other sectors
Co–operation of other Department is taken for motivating couples for acceptance of family welfare methods.

Rural Development Department/Integrated child Development Scheme/Education Department/Revenue Department/Urban Development Department.

Impact
State couple protection Rate was increased from 54.1(1992–93) to 60.9 (1998–99)
(Source: NFHS – 1 & NFHS – 2)

Sr.No. Indicator Status1995 (SRS) Present Status (SRS)
1 Birth Rate 24.5 19.1(2004)
2 Death Rate 7.5 6.2(2004)
3 Total fertility Rate 2.9 2.3(2003)
4 Infant Mortality Rate 55 36(2004)
5 Neonatal Mortality Rate – 26(2003)


NFHS – National Family Health Survey
SRS – Sample Registration Scheme

Achievements of National Family Welfare Programme
Last five years performance of the state in Family Welfare

Year Sterilisation I.U.D.
  E.L.A Vasec–tomy Tubec–tomy Total % E.L.A Achi–vement %
2003–04 750000 42028 647042 689070 92 525000 449972 86
2004–05 768000 41341 648406 689747 90 550000 467517 85
2005–06 725000 29795 629762 659557 91 500000 455862 91
2006–07 680000 20034 580016 610651 90 500000 433692 87
2007–08 625000 25611 528673 554284 89 450000 408689 91
2008–09 (May 08) 600000 1570 46250 47820 8 450000 45547 10

 

Performance of Sterilisation
Performance of Sterilisation


To promote the couples to accept sterilization only on female child, state has declared Revised Savitribai Phule Kanya Kalyan Yojana form 1st April 2007.
The scheme is applicable for

  1. Couples below poverty line.
  2. Couples accepting sterilization with only one daughter & no son.
    The person undergoing sterilization will receive Rs.2000/– in cash & Rs 8000/– in form of NSC ( in the name of daughter) .Total benefit of Rs.10000/– will be given to family.
  3. Similar scheme is applicable for couples with two daughters & no son . The person undergoing sterilization will receive Rs.2000/– in cash & Rs 4000 /– in form of NSC ( in the name of each daughter). Total benefit of Rs.10000/– will be given to family.

In Family Welfare Programme, stress has been given on improving demographic quality of performance also. The sterilization performance on 2 living children for last four years is as given below.

Year Total Sterilization Performance Sterilization on 2 issues %
2003–04 689070 336861 48.9
2004–05 689747 342350 49.6
2005–06 659557 350716 53.2
2006–07 610651 328691 55.1
2007–08 554284 318071 60.6
2008–09 47820 32345 3.3

 

Sterilization and Sterilization on two Issues
PSterilization and Sterilization on two Issues
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