MA

DH

YA P

RA

DE

SHProgress District Action Plan (DAP)

DISTRICT WISE CUMULATIVE SCORING (TFR, mCPR, UNMET NEED)

District Action Plan: Implementation Status

Indicators Value Population# 7.3 Cr mCPR* 59.4 Total Unmet Need* 21.6 Unmet Need Spacing * 9.5 Unmet Need Limiting* 12.1 IMR* 62.0 MMR* 227

*AHS 2012, #Census 2011

Socio Demographic Indicators* % Married women >18 years % Married women illiterate Women Reporting Birth Order 3 & above % of Birth Interval > 36 months

Value 10.6 38.1 33.7 39.7

Family Planning Division

Ministry of Health and Family Welfare Government of India

42.9%

88.9%

42.9%

100.0%

51.5%

82.4%

48.1%

85.7%

9.7%

15.6%

20.3%

25.0%

2.2%

3.0%

53.3%29.4%

Minilap

Laparoscopic

NSV

IUCD

% F

acili

ties

oepr

atio

nalz

ied

in 2

014

-15

aga

inst

non

func

tiona

l

SC PHC CHC SDH DH

ANM Training Centers =32

sional Level Training Centers =9 District Training Centers =44

TRAINING CENTRES Divi�

�

100%

55%

38%

26%

47%

DHSDCCHCPHCSC

% Delivery point facilities operationalized for PPIUCD 3.6 3.5 3.4 3.3 3.3 3.2 3.1 2.9 2.9

2005 2006 2007 2008 2009 2010 2011 2012 2013

Trends in TFR Madhya Pradesh Year Wise (SRS 2013)

Contraceptive Usage in MPAHS 2012

48.7

1.27.5

1.40.4

3.8

Female SterilizationMale sterilization Condoms

Pills IUCDTraditional Method

Family Planning Division

QUALITY SERVICE DELIVERY

ASHA Schemes: Addressing FP needs in the community

Home Delivery of Contraceptives

Ensuring Spacing at Birth (ESB)

The State report for year 2014-15 reveals that 140278 eligible couples delayed childbirth for at least 2 years after marriage.

1,39,590 eligible couple maintained 3 years spacing between two children

More couples adopted sterilization after 2 children in comparison to couples with 1 child.

(Physical Report 2014-15)

Pregnancy Testing Kits (PTK)

PTK utilization through Sub center is 18.4% and through ASHA is 22.1%.

(Physical Report 2014-15)

96 RMNCH+A Counselors have been recruited against 99 sanctioned post.

85.6% of these are trained in RMNCH+A. These counsellors have been posted at high delivery

case load facilities

RMNCH+A counselors

The graph depicts that laparoscopic sterilization forms major share among all female sterilization services. NSV share in total sterilization is 2%

(Source : HMIS 2014-15)

2357

07 2536

84

2473

02

2651

932013-14 2014-15

Condom OCP

49104

130991

2013-14 2014-15

PPIUCD Approximately 60000 ASHA are placed in MP who are involved in Home Delivery of Contraceptives scheme. The data depicts that 62.7% Condoms, 54.9% OCP and 42.3% ECP has been distributed through ASHAs in year 2014-15.

(Physical Report 2014-15)

62.7

54.9

42.3

Condoms OCP ECP

% S

tock

Dis

trib

uted

Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Madhya Pradesh

The program focus on P P I U C D h a s b e e n depicted through the se r v i ce da ta wh i ch shows 2.0 times increase in PPIUCD insertions from 2013-14 to 2014-15

(Physical Report 2014-15)

IUCD services have remained static in the past four years. However PPIUCD have gained a momentum.

The current acceptance rate for PPIUCD is 21%. (Physicial Report 2014-15)

Dis t r i bu t i on o f bo th c o n d o m s a n d O C P increased in year 2014 -15 over previous year (2013-14)

(Source HMIS)

QUALITY ASSURANCE COMMITTEE

DQACs have been formed in 51 districts in Madhya Pradesh

180 DAQC meetings have been undertaken in the year 2014-15

FAMILY PLANNING INDEMNITY SCHEME

In the year 2014-15, Madhya Pradesh reported- 5 deaths attributable to sterilization 5 complications following sterilization 1926 sterilization failures

Ste

riliz

atio

n a

nd

IUC

D

per

form

ance

yea

r w

ise

HM

IS

NSV,2% Minilap,12%

Laparoscopic, 80%

PPS,7%

Contribution of different sterilization services

373584

361328

385134

625622

681845

434706

403311

383880

384737

295282

365175

441410

(2014-15)

(2013-14)

2012-13

2011-12

2011-10

2010-2009

IUCD Steriliza�on

Family Planning Division

ENSURING AVAILABILITY OF OPERATIONALIZED STATIC SERVICES

Status of Facilities Training Snapshot

Minilap Sterilization Services

14

3337

21

6 17

DH SDH

Nu

mb

er o

f fa

cilit

ies

Non-Functional Functional Operationalized

Non-Functional Functional

298

113135

20

29 25

CHC PHCN

um

ber

of

Fac

iliti

es

Operationalized

The provision of minilap services w a s a c c e n t u a t e d b y operationalizing 6 DH, 17 SDH, 29 CHC and 25 PHC.

This accounts for 43% DH, 52% SDH, 10% CHC and 2 % PHC operationalized against non-functional facilities at each level

Laparoscopic Sterilization Services

9

243

4220

90

828

38

DH SDH CHC

Nu

mb

er o

f F

acili

ties

Non-Functional Functional Operationalized

34

Vasectomy Services

727

44

27

313

DH SDHNu

mb

er o

f F

acili

ties

Non-Functional FunctionalOperationalized

236

111297

39

48 33

CHC PHCNu

mb

er

of

Fa

cili

tes

Non-Functional FunctionalOperationalized

Though NSV has not been seen as

a preferred method in the state,

the state accelerated its efforts to

improve uptake of the method.

3 DH (43%), 13 SDH (48%), 48 CHC

( 2 0 % ) , 3 3 P H C ( 3 % ) w e r e

operationalized among non-

functional facilities for providing

NSV services.

17

3

23 22

DH SDH CHC PHCNu

mb

er o

f P

rovi

der

s tr

ain

ed in

201

4-1

5

Minilap (Specialist/ MBBS)

L a p a r o s c o p i c sterilization is the mainstay of female sterilization in the state. To enhance provider a v a i l a b i l i t y 4 0 doctors of DH, 8 of SDH, 17 of CHC level were trained

To revitalize the NSV services in the state 16 MBBS/Specialist of DH, 5 of SDH, 36 of CHC, and 24 of PHC level facilities were trained from t h e p r o p o s e d trainings. This is expected to increase N S V s e r v i c e availability through facilities

40

8

DH SDH

Nu

mb

ers

of

Pro

vid

ers

trai

ned

in 2

014

-15

Laparoscopic

17

CHC

16

5

36

24

DH SDH CHC PHC

Nu

mb

er o

f P

rovi

der

s tr

ain

ed in

201

4-1

5

NSV (Specialist/ MBBS)

Focus was l a i d on Mini lap t ra in ings in addition to laparoscopic trainings in MP and as an effort towards it;17 doctors posted at DH, 3 at SDH, 23 at CHC and 22 at PHC were trained respectively out of the total proposed trainings.

Laparoscopic sterilization is the preferred method of choice among service providers.

8 DH, 28 SDH and 38 CHC were operationalized among non-functional facilities for providing laparoscopic services.

This accounts for 89% DH, 82% SDH, 16%CHC operationalized against non-functional facilities at each level.

Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Madhya Pradesh

Family Planning Division

Interval IUCD Services

Highlights: DAPs helped in identifying the facilities for onsite training through IPAS in the state. State took initiative to conduct all 7 divisional reviews on monitoring DAPs progress in January 2015. The Gap analysis done during DAP preparation guided the evidence based strategies incorporated in

State PIP 2015-16.

29 22 79 7813843

339 290462

DH SDH CHC PHC SC

Nu

mb

er o

f P

rovi

der

s tr

ain

ed in

201

4-1

5 IUCD Trainings

MO Nursing cadre

State has invested in training both doctors and staff nurses in IUCD services. From the proposed number of providers to be trained, at each level 29 MO and 138 SN posted at DH level, 22 MO and 43 SN posted at SDH level, 79 MO and 339 SN posted at CHC level were trained.

78 MO posted at PHC level were trained whereas 290 and 462 SN were trained in PHC and SC respectively.

49 34

132 100

0

229

110

548

304

163

DH SDH CHC PHC SC

Nu

mb

er o

f P

rovi

der

s tr

ain

ed in

201

4-1

5

PPIUCD Trainings

MO Nursing cadre

As per GOI norms more staff nurses were trained at each level of facilities for PPIUCD. Out of the total proposed trainings for PPIUCD, 49 MO and 229 SN posted at DH level, 34 MO and 110 SN posted at SDH level, 132 MO and 548 SN posted at CHC level were trained. 100 of proposed MOs posted at PHC level were trained whereas 304 and 163 of posted SNs were trained in PHC and SC respectively.

14 5648 40

277

3 12 14

DH SDH CHC

Nu

mb

er o

f F

acili

ties

Non-Functional FunctionalOperationalized

3

4933388

658

5342

263996

PHC SC

Num

ber

of F

acili

ties

Non-Functional FunctionalOperationalized

All DH have been operationalized for IUCD in a static manner in year 2014-15 12 SDH, 14 CHC, 263 PHC and 996 SC were operationalized.

This accounts for 100%, 86%, 25%, 53%, 29% of DH, SDH, CHC, PHC, SC respectively operationalized among non-functional facilities.

This is expected to increase access to spacing methods

5

20

4629

511

DH SDH

Nu

mb

er o

f F

acili

ties

Non-FunctionalFunctionalOperationalized

190

782

138

26

72201

CHC PHC

Nu

mb

er o

f F

acili

ties

Non-FunctionalFunctionalOperationalized

349

3

164

SC

Nu

mb

er

of

Fa

cili

tie

s

Non-Functional

Functional

Operationalized

All DH were operatio-n a l i z e d f o r P P I U C D services.

11 SDH, 72 CHC, 201 P H C , 1 6 4 S C w e r e addi t ional ly operat io-nalized for PPIUCD.

This accounts for 100% DH, 55% SDH, 38% CHC, 26% PHC and 47% SC operationalized in year 2014-15

PPIUCD Services

Ministry of Health & Family Welfare, FP 2020 District Action Plan (DAP) - Madhya Pradesh