Shortage of Allopathic Doctors
Shortage of Allopathic Doctors
As per information
provided by Medical Council of India, there are a total 10,41,395 allopathic
doctors registered with the State Medical Councils/Medical Council of India as
on 30th September, 2017. Assuming 80% availability, it is estimated that around
8.33 lakh doctors may be actually available for active service. It gives a
doctor-population ratio of 1:1596 as per current population estimate of 1.33
billion. However, WHO norms prescribes that there should be 1 doctor amongst
the population of 1,000. State – wise details of doctors registered with State
Medical Councils / Medical Council of India and number of PHCs with doctors
working therein are given below:
Number of Doctors
Registered with State Medical Councils / Medical Council of India as on
31st December, 2017
Sr.
|
Name of the Medical Council
|
Number of Doctors
|
Andhra Pradesh Medical Council
|
86129
|
|
Arunachal Pradesh Medical Council
|
840
|
|
Assam Medical Council
|
22532
|
|
Bihar Medical Council
|
40043
|
|
Chattisgarh Medical Council
|
6915
|
|
Delhi Medical Council
|
16176
|
|
Goa Medical Council
|
3367
|
|
Gujarat Medical Council
|
53954
|
|
Haryana Dental & Medical Council
|
5717
|
|
Himachal Pradesh Medical Council
|
2849
|
|
Jammu & Kashmir
|
14326
|
|
Jharkhand Medical Council
|
5093
|
|
Karnataka Medical Council
|
104794
|
|
Madhya Pradesh Medical Council
|
34347
|
|
Maharashtra Medical Council
|
153513
|
|
Medical Council of India
|
52666
|
|
Nagaland Medical Council
|
801
|
|
Orissa Council of Medical Registration
|
21681
|
|
Punjab Medical Council
|
44682
|
|
Rajasthan Medical Council
|
40559
|
|
Sikkim Medical Council
|
893
|
|
Tamil Nadu Medical Council
|
126399
|
|
Travancore Medical Council
|
55251
|
|
Uttar Pradesh Medical Council
|
71480
|
|
Uttrakhand Medical Council
|
7060
|
|
West Bengal Medical Council
|
66974
|
|
Tripura Medical Council
|
0
|
|
Telangana Medical Council
|
2354
|
|
Total
|
10,41,395
|
*The other State /
UTs do not have their own Medical Registration Council. Hence, their workers
get registration with the Councils of other neighbouring States.
NUMBER OF PHCs WITH
DOCTORS AND WITHOUT DOCTOR/LAB TECHNICIAN/PHARMACIST
S. No.
|
State/UT
|
Total PHCs
functioning
|
with4+ doctors
|
with 3 doctors
|
with 2 doctors
|
with 1 doctor
|
without doctors
|
without lab tech.
|
without pharma
|
With lady
|
|
1
|
Andhra Pradesh
|
1147
|
11
|
31
|
476
|
629
|
0
|
364
|
329
|
518
|
|
2
|
Arunachal Pradesh
|
143
|
3
|
6
|
27
|
81
|
40
|
55
|
55
|
36
|
|
3
|
Assam
|
1014
|
67
|
63
|
182
|
626
|
76
|
87
|
110
|
183
|
|
4
|
Bihar
|
1899
|
439
|
41
|
56
|
1363
|
0
|
256
|
201
|
156
|
|
5
|
Chhattisgarh
|
785
|
0
|
6
|
71
|
318
|
390
|
303
|
185
|
66
|
|
6
|
Goa
|
24
|
5
|
7
|
9
|
3
|
0
|
0
|
0
|
18
|
|
7
|
Gujarat
|
1392
|
0
|
0
|
0
|
1392
|
0
|
0
|
0
|
516
|
|
8
|
Haryana #
|
366
|
3
|
22
|
97
|
187
|
57
|
144
|
106
|
110
|
|
9
|
Himachal Pradesh
|
538
|
0
|
3
|
20
|
469
|
69
|
446
|
229
|
95
|
|
10
|
Jammu & Kashmir
|
637
|
71
|
96
|
169
|
180
|
121
|
294
|
62
|
239
|
|
11
|
Jharkhand
|
297
|
1
|
1
|
40
|
147
|
108
|
204
|
207
|
37
|
|
12
|
Karnataka
|
2359
|
0
|
14
|
169
|
1973
|
203
|
507
|
531
|
627
|
|
13
|
Kerala
|
849
|
1
|
110
|
47
|
694
|
0
|
610
|
0
|
460
|
|
14
|
Madhya Pradesh
|
1171
|
4
|
17
|
180
|
577
|
393
|
525
|
382
|
119
|
|
15
|
Maharashtra
|
1814
|
0
|
0
|
1382
|
432
|
0
|
446
|
152
|
516
|
|
16
|
Manipur
|
85
|
54
|
14
|
10
|
6
|
1
|
33
|
19
|
53
|
|
17
|
Meghalaya
|
109
|
0
|
12
|
55
|
41
|
1
|
2
|
3
|
47
|
|
18
|
Mizoram
|
57
|
0
|
0
|
4
|
48
|
5
|
0
|
1
|
18
|
|
19
|
Nagaland
|
126
|
0
|
0
|
20
|
89
|
17
|
87
|
44
|
30
|
|
20
|
Odisha
|
1280
|
0
|
1
|
673
|
520
|
86
|
1239
|
134
|
507
|
|
21
|
Punjab
|
432
|
15
|
18
|
121
|
240
|
38
|
149
|
38
|
184
|
|
22
|
Rajasthan
|
2079
|
0
|
30
|
319
|
1563
|
167
|
669
|
1526
|
188
|
|
23
|
Sikkim
|
24
|
0
|
0
|
3
|
21
|
0
|
2
|
12
|
10
|
|
24
|
Tamil Nadu
|
1362
|
204
|
90
|
871
|
197
|
0
|
630
|
221
|
908
|
|
25
|
Telangana
|
689
|
20
|
13
|
269
|
387
|
0
|
48
|
31
|
390
|
|
26
|
Tripura
|
93
|
23
|
16
|
45
|
9
|
0
|
15
|
2
|
43
|
|
27
|
Uttarakhand
|
257
|
3
|
8
|
61
|
122
|
63
|
191
|
21
|
58
|
|
28
|
Uttar Pradesh
|
3621
|
26
|
88
|
735
|
2772
|
0
|
1252
|
0
|
319
|
|
29
|
West Bengal
|
914
|
2
|
12
|
169
|
592
|
139
|
623
|
143
|
112
|
|
30
|
A& N Islands
|
22
|
2
|
10
|
9
|
1
|
0
|
1
|
0
|
13
|
|
31
|
Chandigarh
|
3
|
0
|
1
|
1
|
2
|
0
|
0
|
0
|
2
|
|
32
|
D & N Haveli
|
9
|
0
|
0
|
9
|
0
|
0
|
0
|
0
|
5
|
|
33
|
Daman & Diu
|
4
|
0
|
2
|
0
|
2
|
0
|
0
|
0
|
2
|
|
34
|
Delhi
|
5
|
1
|
2
|
1
|
1
|
0
|
1
|
0
|
4
|
|
35
|
Lakshadweep
|
4
|
2
|
0
|
0
|
0
|
0
|
0
|
0
|
3
|
|
36
|
Puducherry
|
40
|
1
|
18
|
5
|
16
|
0
|
0
|
0
|
19
|
|
All India
Total
|
25650
|
958
|
752
|
6305
|
15700
|
1974
|
9183
|
4744
|
6611
|
1
|
For calculating the overall
percentages, the States/UTs for which manpower position is not available, are
excluded
|
****
Sending Doctors to Rural Areas
The issue of compulsory rural posting for the MBBS Graduates seeking admission in Post Graduate courses has been left to the State Governments who are the principal employer of doctors. However, to encourage doctors working in remote and difficult areas, the MCI with the previous approval of Central Government, has amended the Post Graduate Medical Education Regulations, 2000 to provide :-
50% of the seats in Post Graduate Diploma Courses shall be reserved for Medical Officers in the Government service, who have served for at least three years in remote and difficult areas. After acquiring the PG Diploma, the Medical Officers shall serve for two more years in remote and/or difficult areas; and
Incentive at the rate of 10% of the marks obtained for each year in service in remote or difficult areas as upto the maximum of 30% of the marks obtained in the entrance test for admissions in PostGraduate Medical Courses.
Further, under NHM, financial incentives are also provided to MBBS as well as PG doctors for serving in the rural areas. These incentives are over and above the salaries of the doctors concerned. The Central Government has also requested the State/UTs to come up with suitable HR policy in health to attract and retain doctors in Government services.
*****
Road Map for National Health Insurance Scheme
In the Budget Speech of 2018-19, the Government has announced to launch a flagship National Health Protection Scheme (NHPS) to cover over 10 crore poor and vulnerable families (approx. 50 crore beneficiaries) providing coverage upto Rs. 5 lakh per family per year for secondary and tertiary hospitalization. The contours of the scheme are yet to be finalized.
****
Research Projects through ICMR 2015
903 new research projects have been initiated through various labs of ICMR and medical colleges and universities, related to various diseases and ailments with funding of Rs.127.16 Crores during 2014-17. Besides this, AIIMS spends up to Rs. 5.0 Crore every year on various intramural research projects and funded extramural research projects for Rs.71 Crore during 2014-15 and for Rs.72 Crore during 2015-16.
Following ICMR technologies have been launched:
Diagnostic kit for Crimean-Congo haemorrhagic fever (CCHF) Sheep and Goat.
Diagnostic kit for Crimean- Congo haemorrhagic fever (CCHF) in Cattle.
Diagnostic kit for Japanese encephalitis virus (JEV) from Mosquito.
AV Magnivisualizer for detecting cancer lesions.
To get proper execution of the products developed out of the researches by Indian Council of Medical Research’s institutes, efforts are made for commercialisation of ICMR technologies under the programme “Health Technology Acceleration & Commercialization (HTAC)” through collaboration with the Federation of Indian Chambers of Commerce and Industry (FICCI).
****
Monthly Financial assistance to TB Patients
Under the Revised National Tuberculosis Control Programme (RNTCP), Government has proposed an incentive of Rs.500 per patient per month for the nutritional support of the TB-affected patients during the course of the treatment. The States have the option for providing these incentives in cash or kind.
The Ministry has formulated the Guidance Document on nutritional care and support for TB patients which includes guidance on nutritional assessment, counselling and appropriate dietary advice. The programme is also facilitating the TB patients to avail various social support schemes of the State Governments.
****
Increase in Cases of Respiratory Disease
Over past three years, cases of Acute Respiratory Infection (ARI) have increased. However, it cannot be attributed only to Air Pollution. The total numbers of Acute Respiratory Infection (ARI) cases as reported by the Central Bureau of Health Intelligence (CBHI) during the years 2014-16 are as follows:
Year 2014 2015 2016 (Prov.)
Cases 34835743 37485713 40303141
The measures being taken to prevent respiratory ailments include the following:
Government has taken various measures to control environmental pollution including tightening of vehicular and industrial norms, promotion of cleaner technologies, strengthening of network of air quality monitoring stations, promoting public awareness etc.
Under the Integrated Disease Surveillance Programme, the Districts and States have been strengthened by providing manpower, training of identified Rapid Response Team (RRT) members for outbreak investigations, strengthening of laboratories for detection of epidemic prone diseases including acute respiratory infections.
Under Reproductive and Child Health Programme, prevention and treatment of acute respiratory infection including pneumonia is being addressed on priority basis.
For prevention and control of Tuberculosis, Revised National Tuberculosis Control Programme (RNTCP) is being implemented under National Health Mission (NHM).
****
Fund Allocation for National Health Protection Scheme
For the year 2018-19, Rs. 2000 crore has been allocated for Rashtriya Swasthya Bima Yojana (RSBY). After the launch of proposed National Health Protection Scheme (NHPS), RSBY will be subsumed in it. The budget earmarked for RSBY will be utilized for proposed NHPS. Any shortfall in the allocated funds will be met at the time of Revised Estimates.
There is a marginal increase of Rs. 1249.15 crore in Budget Estimate 2018-19 for Health compared to Revised Estimates in 2017-18.
****
White Paper on Non-Communicable diseases
The Government has formulated and brought out National Health Policy (NHP), 2017, which aims at attainment of the highest possible level of good health and well-being, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence.
NHP has recognized the growing burden on account of Non-Communicable Diseases (NCDs) and advocated the need to halt and reverse the growing incidence of chronic diseases. This policy denotes important change from very selective to comprehensive primary health care package.
While Health is a State subject, the Central Government supplements the efforts of the State Governments for improving healthcare.
Government is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases andStroke (NPCDCS) under the National Health Mission.
For early diagnosis, Population-based Screening for common NCDs such as Diabetes, Hypertension and common Cancer viz. Oral, Breast and Cervical Cancer has been initiated by Government by utilizing the services of the Frontline-workers and Health-workers under existing Primary Healthcare System. This process will also generate awareness of risk factors of common NCDs.
In collaboration with the Ministry of AYUSH through its three research organizations, namely, Central Council for Research in Ayurvedic Sciences (CCRAS), Central Council for Research in Homoeopathy(CCRH) and Central Council for Research in Unani Medicine(CCRUM), a programme is being implemented in Gaya (Bihar), Bhilwara (Rajasthan) &Surendarnagar (Gujarat) for Ayurveda, LakhimpurKheri (Uttar Pradesh) for Unani and Darjeeling (West Bengal), Krishna (Andhra Pradesh), Sambalpur (Odisha) & Nasik (Maharashtra) for Homoeopathy to use the knowledge available in AYUSH system of medicines for prevention and control of Non-communicable Diseases. Yoga is a part as adjuvant therapy.
Draft Model Concessionaire Agreements (MCA) has been prepared by NITI Aayog for provision of prevention and treatment services for non-communicable diseases (Cardiac Sciences, Oncology, and Pulmonary Sciences) at the district level, especially in tier 2 & 3 cities and has shared with States. As informed by NITI Aayog, so far response has been received from 3 States namely Tamil Nadu, Haryana and Odisha.
****
Curbing Population Growth
Among the various reasons for most problems associated with providing healthcare and mployment, social security etc., population growth is one of the factors.
As per the 2017 revision of United Nations World Population prospects, India’s population is projected to be 1.50 billion by 2030 only.
The details of the schemes to restrict the ever increasing population in India are given below:
STEPS TAKEN TO CHECK THE INCREASE IN POPULATION ARE:
Mission ParivarVikas has been launched to increase access to contraceptives and Family Planning services in 146 high fertility districts.
Introduction of New Contraceptive Choices: The current basket of choice has been expanded to include the new contraceptives viz. Injectable contraceptive, Centchroman and Progesterone Only Pills (POP).
Redesigned Contraceptive Packaging: The packaging for Condoms, Oral Contraceptive Pills (OCPs) and Emergency Contraceptive Pills (ECPs) has now been improved and redesigned.
New Family Planning Media Campaign has been launched to generate demand for contraceptives.
Family Planning logistics management information system has been developed to track Family Planning commodities.
Enhanced Compensation Scheme for Sterilization: The sterilization compensation scheme has been enhanced in 11 high focus states (8 Empowered Action Group (EAG), Assam, Gujarat, Haryana)
National Family Planning Indemnity Scheme- Under this scheme clients are indemnified in the unlikely events of deaths, complications and failures following sterilization.
Clinical Outreach Team Scheme - The scheme has been launched in 146 Mission ParivarVikas districts for providing Family planning services through mobile teams from accredited organizations in far-flung, underserved and geographically difficult areas.
A Scheme for ensuring drop back services to sterilization clients has been initiated.
Post Abortion Family Planning Services have been initiated.
A Scheme for Home delivery of contraceptives by ASHAs to provide contraceptives at the doorstep of beneficiaries is in operation.
A Scheme to ensure spacing of births by ASHAs is in operation.
World Population Day & fortnight as well as Vasectomy Fortnight is observed every yearto boost Family Planning efforts all over the country.
Post-partum Family Planning is being focused with special emphasis on Post-partum IUCD services.
Quality Assurance Committees have been established in all state and districts for ensuring quality of care in Family Planning.
Cu IUCD 375 with 5 years effectivity has been introduced in the programme as an alternative to the existing IUCD (Cu IUCD 380A with effectivity of 10 years).
Male participation is being emphasized upon.
Private/ NGO facilities have been accredited to increase the provider base for family planning services under PPP.
As a result of Governments initiatives, the decadal growth rate has declined significantly from 21.15% in census 2001 to 17.64% in census 2011. Moreover the Crude Birth Rate (CBR) has reduced from 23.1 to 19, Total Fertility Rate (TFR) has reduced from 2.6 to 2.2 and Total Unmet Need has reduced from 13.9 to 12.9 from NFHS 3 (2005-06) to NFHS 4 (2015-16).
Sending Doctors to Rural Areas
The issue of compulsory rural posting for the MBBS Graduates seeking admission in Post Graduate courses has been left to the State Governments who are the principal employer of doctors. However, to encourage doctors working in remote and difficult areas, the MCI with the previous approval of Central Government, has amended the Post Graduate Medical Education Regulations, 2000 to provide :-
50% of the seats in Post Graduate Diploma Courses shall be reserved for Medical Officers in the Government service, who have served for at least three years in remote and difficult areas. After acquiring the PG Diploma, the Medical Officers shall serve for two more years in remote and/or difficult areas; and
Incentive at the rate of 10% of the marks obtained for each year in service in remote or difficult areas as upto the maximum of 30% of the marks obtained in the entrance test for admissions in PostGraduate Medical Courses.
Further, under NHM, financial incentives are also provided to MBBS as well as PG doctors for serving in the rural areas. These incentives are over and above the salaries of the doctors concerned. The Central Government has also requested the State/UTs to come up with suitable HR policy in health to attract and retain doctors in Government services.
*****
Road Map for National Health Insurance Scheme
In the Budget Speech of 2018-19, the Government has announced to launch a flagship National Health Protection Scheme (NHPS) to cover over 10 crore poor and vulnerable families (approx. 50 crore beneficiaries) providing coverage upto Rs. 5 lakh per family per year for secondary and tertiary hospitalization. The contours of the scheme are yet to be finalized.
****
Research Projects through ICMR 2015
903 new research projects have been initiated through various labs of ICMR and medical colleges and universities, related to various diseases and ailments with funding of Rs.127.16 Crores during 2014-17. Besides this, AIIMS spends up to Rs. 5.0 Crore every year on various intramural research projects and funded extramural research projects for Rs.71 Crore during 2014-15 and for Rs.72 Crore during 2015-16.
Following ICMR technologies have been launched:
Diagnostic kit for Crimean-Congo haemorrhagic fever (CCHF) Sheep and Goat.
Diagnostic kit for Crimean- Congo haemorrhagic fever (CCHF) in Cattle.
Diagnostic kit for Japanese encephalitis virus (JEV) from Mosquito.
AV Magnivisualizer for detecting cancer lesions.
To get proper execution of the products developed out of the researches by Indian Council of Medical Research’s institutes, efforts are made for commercialisation of ICMR technologies under the programme “Health Technology Acceleration & Commercialization (HTAC)” through collaboration with the Federation of Indian Chambers of Commerce and Industry (FICCI).
****
Monthly Financial assistance to TB Patients
Under the Revised National Tuberculosis Control Programme (RNTCP), Government has proposed an incentive of Rs.500 per patient per month for the nutritional support of the TB-affected patients during the course of the treatment. The States have the option for providing these incentives in cash or kind.
The Ministry has formulated the Guidance Document on nutritional care and support for TB patients which includes guidance on nutritional assessment, counselling and appropriate dietary advice. The programme is also facilitating the TB patients to avail various social support schemes of the State Governments.
****
Increase in Cases of Respiratory Disease
Over past three years, cases of Acute Respiratory Infection (ARI) have increased. However, it cannot be attributed only to Air Pollution. The total numbers of Acute Respiratory Infection (ARI) cases as reported by the Central Bureau of Health Intelligence (CBHI) during the years 2014-16 are as follows:
Year 2014 2015 2016 (Prov.)
Cases 34835743 37485713 40303141
The measures being taken to prevent respiratory ailments include the following:
Government has taken various measures to control environmental pollution including tightening of vehicular and industrial norms, promotion of cleaner technologies, strengthening of network of air quality monitoring stations, promoting public awareness etc.
Under the Integrated Disease Surveillance Programme, the Districts and States have been strengthened by providing manpower, training of identified Rapid Response Team (RRT) members for outbreak investigations, strengthening of laboratories for detection of epidemic prone diseases including acute respiratory infections.
Under Reproductive and Child Health Programme, prevention and treatment of acute respiratory infection including pneumonia is being addressed on priority basis.
For prevention and control of Tuberculosis, Revised National Tuberculosis Control Programme (RNTCP) is being implemented under National Health Mission (NHM).
****
Fund Allocation for National Health Protection Scheme
For the year 2018-19, Rs. 2000 crore has been allocated for Rashtriya Swasthya Bima Yojana (RSBY). After the launch of proposed National Health Protection Scheme (NHPS), RSBY will be subsumed in it. The budget earmarked for RSBY will be utilized for proposed NHPS. Any shortfall in the allocated funds will be met at the time of Revised Estimates.
There is a marginal increase of Rs. 1249.15 crore in Budget Estimate 2018-19 for Health compared to Revised Estimates in 2017-18.
****
White Paper on Non-Communicable diseases
The Government has formulated and brought out National Health Policy (NHP), 2017, which aims at attainment of the highest possible level of good health and well-being, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence.
NHP has recognized the growing burden on account of Non-Communicable Diseases (NCDs) and advocated the need to halt and reverse the growing incidence of chronic diseases. This policy denotes important change from very selective to comprehensive primary health care package.
While Health is a State subject, the Central Government supplements the efforts of the State Governments for improving healthcare.
Government is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases andStroke (NPCDCS) under the National Health Mission.
For early diagnosis, Population-based Screening for common NCDs such as Diabetes, Hypertension and common Cancer viz. Oral, Breast and Cervical Cancer has been initiated by Government by utilizing the services of the Frontline-workers and Health-workers under existing Primary Healthcare System. This process will also generate awareness of risk factors of common NCDs.
In collaboration with the Ministry of AYUSH through its three research organizations, namely, Central Council for Research in Ayurvedic Sciences (CCRAS), Central Council for Research in Homoeopathy(CCRH) and Central Council for Research in Unani Medicine(CCRUM), a programme is being implemented in Gaya (Bihar), Bhilwara (Rajasthan) &Surendarnagar (Gujarat) for Ayurveda, LakhimpurKheri (Uttar Pradesh) for Unani and Darjeeling (West Bengal), Krishna (Andhra Pradesh), Sambalpur (Odisha) & Nasik (Maharashtra) for Homoeopathy to use the knowledge available in AYUSH system of medicines for prevention and control of Non-communicable Diseases. Yoga is a part as adjuvant therapy.
Draft Model Concessionaire Agreements (MCA) has been prepared by NITI Aayog for provision of prevention and treatment services for non-communicable diseases (Cardiac Sciences, Oncology, and Pulmonary Sciences) at the district level, especially in tier 2 & 3 cities and has shared with States. As informed by NITI Aayog, so far response has been received from 3 States namely Tamil Nadu, Haryana and Odisha.
****
Curbing Population Growth
Among the various reasons for most problems associated with providing healthcare and mployment, social security etc., population growth is one of the factors.
As per the 2017 revision of United Nations World Population prospects, India’s population is projected to be 1.50 billion by 2030 only.
The details of the schemes to restrict the ever increasing population in India are given below:
STEPS TAKEN TO CHECK THE INCREASE IN POPULATION ARE:
Mission ParivarVikas has been launched to increase access to contraceptives and Family Planning services in 146 high fertility districts.
Introduction of New Contraceptive Choices: The current basket of choice has been expanded to include the new contraceptives viz. Injectable contraceptive, Centchroman and Progesterone Only Pills (POP).
Redesigned Contraceptive Packaging: The packaging for Condoms, Oral Contraceptive Pills (OCPs) and Emergency Contraceptive Pills (ECPs) has now been improved and redesigned.
New Family Planning Media Campaign has been launched to generate demand for contraceptives.
Family Planning logistics management information system has been developed to track Family Planning commodities.
Enhanced Compensation Scheme for Sterilization: The sterilization compensation scheme has been enhanced in 11 high focus states (8 Empowered Action Group (EAG), Assam, Gujarat, Haryana)
National Family Planning Indemnity Scheme- Under this scheme clients are indemnified in the unlikely events of deaths, complications and failures following sterilization.
Clinical Outreach Team Scheme - The scheme has been launched in 146 Mission ParivarVikas districts for providing Family planning services through mobile teams from accredited organizations in far-flung, underserved and geographically difficult areas.
A Scheme for ensuring drop back services to sterilization clients has been initiated.
Post Abortion Family Planning Services have been initiated.
A Scheme for Home delivery of contraceptives by ASHAs to provide contraceptives at the doorstep of beneficiaries is in operation.
A Scheme to ensure spacing of births by ASHAs is in operation.
World Population Day & fortnight as well as Vasectomy Fortnight is observed every yearto boost Family Planning efforts all over the country.
Post-partum Family Planning is being focused with special emphasis on Post-partum IUCD services.
Quality Assurance Committees have been established in all state and districts for ensuring quality of care in Family Planning.
Cu IUCD 375 with 5 years effectivity has been introduced in the programme as an alternative to the existing IUCD (Cu IUCD 380A with effectivity of 10 years).
Male participation is being emphasized upon.
Private/ NGO facilities have been accredited to increase the provider base for family planning services under PPP.
As a result of Governments initiatives, the decadal growth rate has declined significantly from 21.15% in census 2001 to 17.64% in census 2011. Moreover the Crude Birth Rate (CBR) has reduced from 23.1 to 19, Total Fertility Rate (TFR) has reduced from 2.6 to 2.2 and Total Unmet Need has reduced from 13.9 to 12.9 from NFHS 3 (2005-06) to NFHS 4 (2015-16).
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