Question : REVIEW OF FAMILY WELFARE PROGRAMME



(a) whether the Government have recently reviewed the Family Welfare Programmes being implemented in the country;

(b) if so, the outcome thereof State-wise; and

(c) the future-plan made by the Government for the effective implementation of the programmes in the country?

Answer given by the minister

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI A. RAJA)

(a)to(c): A statement is laid on the table of the House.

Statement referred to in reply of parts (a) to (c) of the Lok Sabha Unstarred Question No. 1590 for 13th March 2002

(a)&(b): Review of implementation of the Family Welfare Programmes has been done through various surveys. National Family Health Surveys (NFHS) conducted every six years provides information on a large number of health and family welfare indicators.

The National Family Health Survey-I was conducted during 1992-93 covering the population of 24 States and the NCT of Delhi to provide demographic and health data. A total of 88,562 households were covered in the survey. The National Family Health Survey-II was conducted in 1998-99 covering 90,000 ever-married women aged between 15 - 49 years. It covered 26 States/UTs. (Except the State of Tripura).

The major findings of both the surveys at all India level are as follows: -

Items	NFHS-I NFHS-II
Infant Mortality Rate 78.5 67.6
Currently married women 40.6 48.2 using any method
Percent of Births attended by 34.2 42.5 health professional
Percent of 35.4 42.0 children fully Immunized

A statement showing comparative picture of some of the indicators of NFHS-1 and NFHS-II in respect of some States is enclosed at Annexure-I.

(c): Government has adopted a National Population Policy in February 2000, which provides for an inter-sectoral agenda to bring about population stabilisation within the country. The Policy affirms the commitment of government towards voluntary and informed choice and consent of citizens while availing of reproductive health care services, and continuation of the target free approach in administering family planning services.

The National Population Policy, 2000 enumerates certain socio-demographic goals to be achieved by 2010, which will lead to achieving population stabilisation by 2045. The Policy also prescribes for an Action Plan for implementing the strategic themes listed in the Policy.

The immediate objective of the National Population Policy is to address the unmet needs of contraception, health infrastructure, health personnel and to provide integrated service delivery for basic reproductive and child health care. The medium term objective is to bring the total fertility rates to replacement level by 2010, through vigorous implementation of inter sectoral operational strategies. The long-term objective is to achieve a stable population by 2045, at a level consistent with the requirements of sustainable economic growth, social development and environmental protection.

National Family Health Survey - A Comparative Statement
S Indicatiors/States India Andhra Pr. Assam
No.	I II I II I II
1 Neo-Natal 48.6 43.4 45.3 43.5 56.9 44.8 Mortality 2 Infant Mortality 78.5 87.8 70.4 85.8 88.7 89.5 Rate 3 Child Mortality 33.4 29.3 22.4 21.0 58.7 21.4 Rate 4 Total Fertility 3.40 2.85 2.59 2.25 3.53 2.31 Rate 4 Crude Birth Rate 28.7 24.8 24.2 21.4 3.4 21.8 a 4 % Order of Birth 48.6 45.2 42.1 31.5 56.2 43.8 b >=3 5 % of mothers 44.0 65.3 86.8 92.7 48.9 89.8 received ANC 6 % currently using 40.6 48.2 47.0 89.6 42.8 43.3 any meth
a) Sterilisation 30.8 36.0 44.7 57.6 14.8 16.7 b) Spacing method 5.6 6.8 1.8 1.8 5.4 10.0
7 % of children 35.4 42.0 46.0 52.0 19.4 17.0 fully vaccinate
a) B.C.G. 62.2 72.0 74.0 90.2 48.0 53.5 b) D.P.T. 3 51.7 56.0 66.1 75.8 31.0 37.8 c) Polio 3 53.4 63.0 68.0 73.8 32.7 37.8 d) Measles 42.2 51.0 53.8 64.7 25.8 24.6 8 Institutional 26.0 33.6 33.0 50.0 11.1 17.6 Delivery (%) 9 Safe Delivery (%) 34.2 42.3 65.0 17.6 21.5 18.9 18.6 3 1 % of children with NA 74.3 NA 68.0 NA 62.4 0 ansemia 1 % of women with NA 51.8 NA 50.0 NA 69.0 1 anaemia

Bihar Delhi Gujarat Goa
I II I II I II I II
54.8 46.5 34.9 30.8 46.3 39.1 20.6 31.2 89.2 73.0 65.4 47.9 73.5 62.2 31.9 36.7 42.0 34.6 19.6 9.3 32.7 24.0 7.2 10.5

3.98 3.47 3.02 2.42 2.97 2.70 1.89 1.77 32.1 28.1 26.6 21.3 27.2 24.30 17.2 16.6 56.4 54.6 44.3 39.3 42.0 41.1 32.2 24.9 36.3 36.0 81.8 82.0 75.4 86.3 95 99.0 23.1 24.5 60.3 63.8 49.3 59.0 47.8 47.5 17.7 20.2 23.2 28.6 41.0 45.3 30.5 28.2

3.2 2.2 31.2 27.7 5.8 8.1 7.3 7.7 10.7 10.6 57.8 69.8 49.8 48.3 74.9 82.6 33.9 37.7 92.0 90.1 77.1 84.7 93.5 99.2 29.1 24.2 71.6 79.9 63.8 64.1 86.7 93.4 31.5 40.3 75.6 80.7 62.9 62.7 67.8 94.9 14.6 16.6 69.6 77.5 55.9 63.6 77.8 84.3 12.1 14.7 44.3 59.5 35.6 46.4 86.8 91.5 18.9 23.5 53.0 86.7 42.7 53.5 88.4 91.1 NA 79.1 NA 69.7 NA 70.0 NA 51.6 NA 63.6 NA 40.5 NA 46.0 NA 36.4
S Indicatiors/States Orissa Punjab Rajasthan No. I II I II I II
1 Neo-Natal 64.7 48.6 31.2 34.3 42.1 49.5 Mortality 2 Infant Mortality 112.1 81.0 53.7 57.1 76.3 80.4 Rate 3 Child Mortality 21.3 25.5 15.0 15.9 33.8 37.6 Rate 4 Total Fertility 2.92 2.45 2.91 2.21 3.58 3.73 Rate 4 Crude Birth Rate 26.5 22.1 25.0 19.1 27.0 29.9 a 4 % Order of Birth 48.0 42.9 42.7 39.6 50.7 52.9 b >=3 5 % of mothers 61.0 79.2 87.6 74.1 32.6 47.2 received ANC 6 % currently using 36.3 46.8 58.7 66.7 31.8 40.3 any meth a) Sterilisation 31.6 35.6 34.0 30.9 26.2 31.8 b) Spacing method 10.0 4.7 17.4 23.0 3.3 5.8 7 % of children 36.1 43.7 61.9 72.1 21.1 16.0 fully vaccinate
a) B.C.G. 63.3 84.7 77.4 88.7 45.7 53.9 b) D.P.T. 3 56.3 61.9 73.6 82.0 29.7 26.1 c) Polio 3 56.7 68.4 73.4 83.6 32.8 43.2 d) Measles 40.2 54.0 64.8 76.5 31.2 27.1 8 Institutional 14.1 22.9 24.8 37.5 11.8 21.7 Delivery (%) 9 Safe Delivery (%) 20.5 33.7 48.4 62.7 22.0 30.2 1 % of children with NA 71.3 NA 74.7 NA 76.4 0 ansemia 1 % of women with NA 63.1 NA 41.5 NA 48.7 1 anaemia
Sikkim Tamil Nadu Uttar Pradesh West Bengal II I II I II I II 26.3 46.2 35.0 59.9 53.6 55.1 31.9 44.0 67.7 48.2 99.9 86.7 81.0 43.7 28.3 20.1 15.9 46.0 39.2 28.6 19.9

2.70 2.48 2.18 4.75 3.96 2.89 2.27 24.5 23.5 21.4 35.9 31.1 25.5 20.8 42.1 32.3 23.2 57.5 58.1 46.2 36.5 70.0 94.2 98.6 44.4 34.6 75.4 89.5
53.8 49.8 52.1 19.8 28.1 57.4 66.6 24.8 39.6 46.0 13.1 15.6 30.6 33.8 16.6 5.8 4.3 5.3 6.4 7.0 13.5 44.0 65.1 78.2 19.8 21.2 34.2 43.6 76.5 91.7 98.6 48.9 57.5 63.1 76.5 62.5 86.5 96.7 34.1 33.9 51.9 58.3 60.1 86.0 86.5 37.3 42.2 56.0 61.5 58.9 71.5 90.2 26.4 33.6 42.5 52.4 36.4 63.5 79.8 11.2 15.7 31.5 24.4 35.1 71.2 84.1 17.2 23.0 44.4 44.5 77.0 NA 66.1 NA 70.8 NA 75.8 62.0 NA 56.5 NA 48.7 NA 62.9
National Family Health Survey - A Comparative Statement
S. Indicatiors/State Arunachal Meghalaya Nagaland No. s I II I II I II 1 Neo-Natal 17.8 41.8 37.8 50.7 10.0 20.1 Mortality 2 Infant Mortality 40.0 63.1 64.2 89.0 17.2 42.1 Rate 3 Child Mortality 33.3 37.4 24.3 36.2 30.6 22.7 Rate 4 Total Fertility 2.44 2.52 3.73 4.57 3.28 3.77 Rate 4a Crude Birth Rate 34.6 22.6 31.9 33.7 31.3 30.4 4b % Order of Birth 54.6 46.0 53.5 60.1 48.1 59.6 >=3 5 % of mothers 48.9 60.9 51.8 53.1 38.5 59.4 received ANC 6 % currently using 23.6 33.4 20.4 20.2 13.0 30.3 any meth a) Sterilisation 10.7 20.7 10.0 10.7 6.4 12.3 b) Spacing 8.5 12.2 5.1 9.1 6.2 12 method 7 % of children 22.5 20.5 54.9 42.3 3.8 14.1 fully vaccinate
a) B.C.G. 46.3 54.2 43.8 46.1 19.4 46.1 b) D.P.T. 3 45.6 41.8 22.9 25.4 12.5 29.6 c) Polio 3 38.8 43.3 22.6 27.6 16.3 41.8 d) Measles 27.5 33.6 13.2 17.7 10.0 19.6 8 Institutional 19.9 30.9 29.6 17.5 6.0 12.1 Delivery (%) 9 Safe Delivery (%) 21.3 32.0 37.0 20.7 12.2 32.4 10 % of children NA 54.4 NA 67.7 NA 44.8 with ansemia 11 % of women with NA 62.5 NA 63.8 NA 38.9 anaemia

Manipur Mizoram Tripura
25.1 18.6 8.3 18.8 43.6 28.6 42.4 37 14.8 37 75.8 44.2 20.2 19.9 14.9 18.4 31.2 7.4

2.76 3.64 2.3 2.89 2.67 1.87 24.4 25.8 20.8 25.7 23.1 52.0 47.1 45.0 46.0 45.8 63.5 80.1 86.3 90.3 64.4 70.9 34.9 38.7 53.8 57.7 86.4 55.5 13.8 15.6 44.6 45.3 19.3 26.7 10.3 10.3 8.3 11.7 9.5 16.8 29.1 42.3 56.9 59.6 14.3 40.7 63.8 71 77.1 88.2 33.4 73.5 43.3 59.1 71.6 69.5 27.6 51.7 39.4 62.5 69.7 71.9 27.6 57.9 37 45.8 65.1 71 20.8 44.6 22.9 34.5 48.8 57.9 30.6 45.2 50.5 53.9 61.5 60.9 33.4 47.8 NA 43.5 NA 55.6 NA 63.6 NA 28.9 NA 48.2 NA 59.4

S. Indicatiors/St Haryana Himachal Jammu & No. ates Pradesh Kashmir I II I II I II
1 Neo-Natal 38.4 34.9 34.2 22.1 31.9 40.3 Mortality 2 Infant 73.3 56.8 55.8 34.4 45.4 64.4 Mortality Rate 3 Child 27.4 21.2 14.1 8.3 14.3 15.6 Mortality Rate 4 Total 3.98 2.97 2.14 3.13 2.70 Fertility Rate 2.84 4a Crude Birth 32.9 23.1 28.2 19.9 27.9 23.1 Rate 4b % Order of 47.5 41.6 42.7 33.3 44.1 50.3 Birth >=3 5 % of mothers 72.2 75.4 86.8 78.6 83.2 received ANC 58.1 6 % currently 49.7 62.4 58.4 67.7 49.4 49.1 using any meth a) 34.8 40.8 45.8 52.4 29.7 30.7 Sterilisation b) Spacing 9.6 12.5 8.5 8.4 10.0 11.0 method 7 % of children 53.5 62.7 63.5 83.4 54.2 56.7 fully vaccinate
a) B.C.G. 77.4 86.8 84.8 94.6 79.3 85.6 b) D.P.T. 3 66.8 78.5 88.8 74.6 72.3 71.1 c) Polio 3 67.7 74.3 78.4 89.8 74 74.3 d) Measles 60.9 72.2 71.8 89.1 58.3 68.9 8 Institutional 16.7 23.2 16.0 29.0 21.9 35.9 Delivery (%) 9 Safe Delivery 30.0 42.0 25.6 40.4 31.2 43.1

(%) 10 % of children NA 78.0 NA 67.3 NA 68.7 with ansemia 11 % of women NA 47.2 NA 40.5 NA 58.7 with anaemia

Karnataka Kerala Madhya Pradesh Maharashtra
45.3 37.1 15.5 13.8 53.2 54.9 36.4 32 65.4 51.5 23.8 16.3 85.2 86.1 50.5 43.7 23.5 18.9 8.4 2.6 49.3 56.4 20.9 15

2.83 2.13 2.00 1.96 3.85 3.27 2.86 2.52 25.9 20.4 19.6 18.8 31.6 26.7 26.3 23.0 42.4 33.6 26.0 21.1 49.8 52.8 42.8 39.2 83.4 86.3 97.3 98.9 52.3 61.1 82.3 90 49.1 58.3 63.3 63.7 36.5 44.3 53.7 60.9 42.7 52.2 48.3 51.0 31.7 37.9 46.5 52.2

4.8 4.4 6.1 5.1 4.0 4.7 6.4 7.6 52.2 60.0 54.4 79.2 22.9 22.4 64.3 78.2 81.7 84.8 86.1 96.2 56.8 64.9 86.9 93.7 70.7 75.2 73.7 88.0 43.7 37.0 83.1 89.4 71.4 78.3 75.2 87.9 46.9 56.7 81.8 90.5 54.9 67.3 60.5 84.6 40.7 35.5 70.2 84.3 37.5 51.1 87.8 93.0 15.9 20.4 43.9 52.8 50.9 59.2 89.7 94.0 30.0 30.1 53.1 59.7 NA 65.8 NA 44.2 NA 71.5 NA 72.2 NA 42.4 NA 22.6 NA 54.4 NA 48.6