April 26, 2017

After Much Delay, UP Gets Moving on Family Planning

MISSION PARIVAR VIKAS Govt plans free condom boxes, saas-bahu meets... Akhilesh
ignored Centre's directive on family welfare sent last November.

Free condom boxes at strategic locations in cities and villages, a kit for newly-wed couples
with packs of condoms, emergency contraceptive pills and a pregnancy testing kit, and saasbahu
sammelans are Uttar Pradesh government's latest tools to drive home the message of
family planning in its post populous districts.

The Yogi Adityanath government has decided to roll out a new central family planning
scheme, `Mission Parivar Vikas' in UP, which his predecessor Akhilesh Yadav ignored
despite the centre's directions last November.

On November 10, the union health ministry had written to seven states, seeking family
planning intervention to address maternal and infant mortalities. It said 145 high-fertility
districts in UP, Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam with
total fertility rate (TFR) of 3 and above account for 28% of India's population and 30% of
maternal deaths and nearly 50% of infant deaths.

The scheme targets 145 districts in the seven states which have a Total Fertility Rate (TFR)
of 3 and overimplying a woman on average bears three or more children here. UP has the
highest 57 of its 75 districts under the scheme.

UP as a whole has a 3.3 TFR and contributes most to India's high population growth.

“It is directed that the scheme, which as per the centre's direction was to be started from
November 10, 2016, will stand initiated from the date of this order,“ UP's additional chief
secretary , Arun Kumar Sinha, said in an order issued on April 24. The order has been sent to
DMs and chief medical officers of 57 districts.The scheme aims to bring down TFR in these
districts to 2.1 by 2025. In UP , 11 districts have TFR above 4 including Bahraich and
Balrampur at 4.8 and Siddharthnagar at 4.9.

Among the districts with low fertility rates, and hence out of the scheme's purview, are
Varanasi (TFR 2.3), Rahul Gandhi's Amethi, and the CM's Gorakhpur (TFR 2.7). Urban
districts like Kanpur, Noida, Ghaziabad and Lucknow also have low fertility rates. The new
scheme includes measures like a family planning kit for newly-weds in rural areas worth `220
which will include two packs of three condoms, a marriage registration form, five
contraceptive pills and two pregnancy test kits.

Free condom boxes will be put up at strategic locations like health facilities and gram
panchayat bhawans. A new contraceptive injection is being rolled out, where women opting
for it will be paid an incentive of Rs 100 per shot.

Nearly 47000 nurses and Asha workers would be trained to give these injectables. Financial
incentives for those undergoing sterilisation procedures like tubectomy and vasectomy have
been hiked under the scheme by 50% to Rs 2000 and Rs 3000.

Saas-bahu sammelans are planned for rural areas to facilitate improved communication
between mothers-in-law and daughters-in-law through interactive games and exercises to
bring about change in attitudes.

Raise Awareness, Empower Women
The UP government's focus to have a stable population and ensure improved access for
womens' healthcare is welcome. Priority should also be given to programmes that educate
women to influence their health and consequently their overall wellbeing. Raising awareness
will empower them to take critical decisions. This is superior to incentivising sterilisation.

Source: The Economic Times

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