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Goal by 2012

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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Goal by 2012

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

  2. Goal by 2012

  3. Next Three Years Target(As per GoI) * Proposed by SHS

  4. (In Millions) Source: Census & State data

  5. 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

  6. 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 6

  7. Linkages of FP with child and maternal health

  8. Family Welfare Division, MOHFW. 3/7/2014 8

  9. Family Welfare Division, MOHFW. 3/7/2014 9

  10. 10

  11. TFR by Education TFR by INCOME Source: NFHS III 11

  12. 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

  13. Teenage Fertility by Age Percent who are pregnant or already mothers 58% YOUNG WOMEN BECOME PREGNANT BY 19 YRS. Age Source: NFHS III 13

  14. TFR-Bihar in Comparison to other States, 2006 Bihar has the highest TFR in India Source: NFHS III

  15. Current use of Contraception in Bihar: 2007-08 Source : IIPS (DLHS-3) 2007-08

  16. Current Contraceptive Use: India and States Source: NFHS III

  17. Unmet Need for Family Planning Bihar

  18. 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 18

  19. Progress Made so far

  20. Source: state data

  21. Source: State Data

  22. Source: State Data

  23. 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

  24. 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.

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

  26. 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

  27. 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)

  28. 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.

  29. THANKS

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