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4.2 4.2 3.9 3.8 3.7
2005 2006 2007 2008 2009 2010
Trends in TFR Year Wise - Uttar Pradesh ( SRS 2013)
Progress District Action Plan (DAP)
DISTRICT WISE CUMULATIVE SCORING (TFR, mCPR, UNMET NEED)
District Action Plan: Implementation Status
Family Planning Division
Ministry of Health and Family Welfare Government of India
TRAINING CENTRES Divisional Level Training Centers = 10 Centre of Excellence for Training in NSV = 2 Satellite Training Centers for NSV = 2
*AHS 2012, # Census 2011
Socio Demographic Indicators* Value % Married women >18 years 5.4 % Married women illiterate 35.6 Women Reporting Birth Order 3 & above 45.1 % of Birth Interval > 36 months 43.7
Indicators Value Population (in cro #re) 19.9 TFR** 3.1 mCPR* 37.6 Total Unmet Need* 20.7 Unmet Need Spacing * 11.2 Unmet Need Limiting* 9.5 IMR 68 MMR 258
18.4
0.3
1.1 3.6
Male SterilizationPillsAny Traditional Method
% of Delivery Point facilities operationalized for PPIUCD
Contraceptive Usage in Uttar PradeshAHS 2012
64
21
22
3
DH
SDH
CHC
PHC
3.1
14.3
1.7
32.6
100.0
0.0
0.0
0.0
50.0
88.0
0.6
1.3
0.5
52.1
13.2
0.0
0.0
20.8
0.5
12.6
0.0
Minilap
Laparoscopic
NSV
IUCD
PPIUCD
SC
PHC
CHC
SDH
DH
3.5 3.4 3.3 3.1
2011 2012 2013
UT
TA
R P
RA
DE
SH
13.2
21.3
Female SterilizationIUCDCondom/Nirodh
%Fa
cilit
ies
Op
erat
ion
aliz
ed in
2
01
4-1
5 a
gai
nst
no
n f
un
ctio
nal
fa
cilit
ies
Family Planning Division
QUALITY SERVICE DELIVERY
ASHA Schemes: Addressing FP needs in the community
Home Delivery of Contraceptives
Pregnancy Testing Kits (PTK)
PTK utilization in the year 2014-15 was 58% , majority of which was through sub-centers (30.6%) and remaining through ASHA.
(Physical Report 2014-15)
RMNCH+A counselors
The graph depicts that Laparoscopic sterilization forms major share of all female sterilization services in Uttar Pradesh. NSV share in total sterilization is 4 %.
57% of the counselors are currently in position against the total sanctioned counselors.
86.2 % of the in position counselors have undergone the mandatory 4 -days training.
(Source- Physical Report)
Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Uttar Pradesh
IUCD services are decreasing from the past 5 years. However, PPIUCD have gained a momentum.
The current acceptance rate for PPIUCD is 9%. (Physical Report 2014-15)
QUALITY ASSURANCE COMMITTEE DQACs have been formed in 75 districts in Uttar
Pradesh. 71 DAQC meetings have been undertaken in the
year 2014-15
FAMILY PLANNING INDEMNITY SCHEMEIn the year 2014-15, Uttar Pradesh state reported 4 deaths attributed to sterilization, 1 case of complication following sterilization and 154 sterilization failures.
The program focus on
P P I U C D h a s b e e n
depicted through the
services data which
s h o w s 3 . 3 t i m e s
increase in PPIUCD
insertions from 2013-14
to 2014-15. (Physical Report 2014-15)
Over 82,792 ASHA are involved in HDC
scheme in Uttar Pradesh state. The data
depicts 70.7% ASHA stock of condoms
were distributed. 41.9% OCP stock
distribution and 17.5% ECP stock
distribution from ASHA were reported
in year 2014-15. (Physical Report 2014-15)
OCP and Condom usage
have decreased in 2014-
15 as compared to
previous year. (Source HMIS)
7348
00
6935
54
3280
31
2932
772013-14 2014-15
Condom Users OCP Users
51017
15348
2014-15 2013-14
PPIUCD Insertions
Laparoscopic
74%
PPS3%
Minilap (other than PPS)
19%
NSV4%
Contribution of different Sterilization Services
Condoms OCP ECP
70.7
41.9
17.5
% S
tock
dis
trib
ute
d in
th
e co
mm
un
ity
968791
1094912
1343608
1357614
1557626
1544995
236738
271133
302136
333803
413150
469167
2014-15
2013-14
2012-13
2011-12
2010-11
2009-10
Ste
riliz
atio
n a
nd
IUC
D
Yea
rwis
e P
erfo
rman
ce
(HM
IS)
Sterilizations IUCD
Family Planning Division
ENSURING AVAILABILITY OF OPERATIONALIZED STATIC SERVICES
Status of Facilities Training Snapshot
Minilap Sterilization Services
Laparoscopic Sterilization Services
Vasectomy Services
Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Uttar Pradesh
Year 2014-15 saw streamlining of training activities in the state. 10 providers were trained at DH level and 20 at CHC level. Additionally, to initiate minilap services at the PHC level, 11 providers were trained from the PHCs.
L a p a r o s c o p i c s ter i l i za t ion f inds more acceptance in Uttar Pradesh. Year 2014-15 was u t i l i z e d t o t r a i n providers to saturate t h e fa c i l i t i e s . 1 9 doctors were trained at DH level, 1 at SDH level and 16 at CHC level.
In an attempt to revive the NSV services, state has tried to expand its provider base. In year 2014-15, 5 providers were trained at DH level. 39 providers were trained at CHC level and 27 at the PHC level.At SDH level, none of providers were trained,
The provision for minilap services was accentuated by Operation-alizing 2 DHs, 5 CHCs and 1 PHC in a static manner. However, SDH yet to be operationalized for minilap services. This accounts for 3% DHs, Less than 1 % of PHCs and CHCs operationalized against non-functional facilities at each level.
Laparoscopic sterilization is a well-accepted and primary method of sterilization in Uttar Pradesh. The service provision was further enhanced by operationalizing 7 DH (14.3% of the non-functional) and 11 CHCs (1.3% of the non-functional CHCs) in the state. None of SDH were newly operationalized in Laparoscopic services.
Though NSV has not been seen as a preferred method in the state, the state accelerated its efforts to improve uptake of the method. As a result, 1 DH (2%), and 5 CHCs (1%) were operationalized out of the total non-functional facilities at each level. However, the SDH and PHCs in the state are yet to be operationalized for NSV services.
4301
DH
5923
62
5
1 0DH SDH
Functional NonFunctionalOperationalized
Nu
mb
er o
f fa
cilit
ies
49 23
853
72 5
131
7 0 11DH SDH CHC
Nu
mb
er
of
Faci
li�e
s
Lap-Functional Lap NonFunctional Operationalized
65
24
56
4
2 0DH SDHN
um
ber
of
Fac
iliti
es
Functional Non FunctionalOperationalized
911
2804
73 27
5
0
CHC PHC
Nu
mb
er o
f F
acili
ties
FunctionalNonFunctional
Operationalized
10
20
11
DH CHC PHC
Nu
mb
er o
f P
rovi
der
s Tr
ain
ed in
201
4-15
Minilap ( Specilist / MBBS)
19
1
16
DH SDH CHC
Nu
mb
er o
f P
rovi
der
s tr
ain
ed � Laparoscopic
39
5
27
DH CHC PHC
Nu
mb
er o
f P
rovi
der
s tr
ain
ed in
201
4-15
NSV ( Specialist / MBBS)
Nu
mb
er o
f Fa
cilit
ies
89 29895
28025
1
CHC PHCOperationalized Non FunctionalFunctional
Family Planning Division
Interval IUCD Services
Highlights: 7 divisional level reviews for monitoring the DAP progress in Dec 14- Jan 15 DAPs helped in identifying the facilities for onsite training of IUCD and PPIUCDs. The gap analysis done during the DAPs preparation guided the evidence based strategies
incorporated in state PIP 2015-16.
For IUCD trainings, More nurses were trained than doctors (against planned in each category).
Trainings were prioritized at functional delivery points (more for nurses than doctors). As a result, 360 doctors at DH, 21 at SDH, 174 at CHC and 25 at PHC level were trained, while the number of trained nurses shot up more than 989, as development partner is undertaking trainings in planned and focused way.
PPIUCD Services
Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Uttar Pradesh
In 2014-15, out of the non-functional facilities 14 DH, 2 SDH, 63 CHCs were operationalized for provision of IUCD services.Additionally, 330 PHCs (21% of the non-functional) and 1283 sub centers (13% of non-functional) were operationalized for providing IUCD services to the clients.
1586
101481279
9150
330 1283
PHC SC
Nu
mb
er o
f F
acili
ties
Functional NonFunctionalOperationalized
43 4
409
78 24
575
14 2
63
DH SDH CHC
Nu
mb
er o
f F
acili
ties
Functional NonFunctionalOperationalized
55
253
55
DH SDH
Num
ber
of F
acili
ties
Functional NonFunctionalOperationalized
938
2804
46
124
14
CHC PHC
Nu
mb
er o
f F
acili
ties
Functional NonFunctionalOperationalized
360
21174
25
621
14
312
42
DH SDH CHC PHC
Nu
mb
er o
f P
rovi
der
s tr
ain
ed in
20
14-1
5
MO Nursing Cadre
State has realized the focus of theprogram on PPIUCD and chan-nelized the efforts in increasing service provision by operationalizingfacilities up to PHC level. 55 DH, 22 SDH, 124 CHCs and 14 PHCs which were non-functional were operatio-nalized.In Uttar Pradesh, ANMs were not trained in PPIUCD at SC level, thus none of the SC were operationalized for providing PPIUCD services.
10 0 118 55 0132 18
1168 1164
3905
DH SDH CHC PHC SCNu
mb
er o
f P
rovi
der
s tr
ain
ed
2014
-15
IUCD Training
MONursing Cadre
PPIUCD Training
2266
27
