"Focus on 7 States with highest Total Fertility Rate (TFR), to reach the replacement level fertility goals of 2.1 by 2025": J P Nadda
On the World Population Day this year, Shri J P Nadda, Union Minister of Health & Family Welfare had given directions to the Ministry to develop a strategy within 3 months where vulnerable districts in the country will be targeted for intensive and improved family planning services.
In accordance with these directions, the Ministry of Health and Family Welfare will soon launch “Mission Parivar Vikas” in 145 high focus districts having the highest total fertility rates in the country. These 145 districts are in the seven high focus, high TFR states of Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam that constitute 44% of the country’s population. The main objective of ‘Mission Parivas Vikas’ will be to accelerate access to high quality family planning choices based on information, reliable services and supplies within a rights-based framework.
These 145 districts have been identified based on total fertility rate and service delivery (PPIUCD and Sterilization performance) for immediate, special and accelerated efforts to reach the replacement level fertility goals of 2.1 by 2025. Recent data suggests that these 145 districts have TFR of more than/equal to 3.0 (56% of the 261 districts in the 7 HFS) and are home to 28% of India’s population (about 33 Crores). However, only 22% of India’s protected couples and 40% of India’s couples with unmet need reside in these districts. These districts also have a substantial impact on maternal and child health indicators as about 25-30% of maternal deaths and 50% of infant deaths occur in these districts Moreover, 115 of these districts (79%) have high percentage of adolescent mothers.
The key strategic focus of this initiative will be on improving access to contraceptives through delivering assured services, dovetailing with new promotional schemes, ensuring commodity security, building capacity (service providers), creating an enabling environment along with close monitoring and implementation.
The Mission will be implemented in all the 145 districts at one go.