MUNICIPAL CORPORATION OF DELHI

SWAMI DAYANAND HOSPITAL SHAHDARA DELHI 95

“ K A P

OF

FAMILY WELFARE IN DELHI

AS

PER REPORT NIHFW 1998-1999”

Presented By:- DR P.P.SINGH.

NATIONAL FAMILY WELFARE PROGRAMME IN INDIA

• AIMS;-

“ TO PROMOTE RESPONSIBLE & PLANNED PARENTHOOD THROUGH VOLUNTARY AND FREE CHOICE OF FAMILY PLANNING BEST SUITED TO INDIVIDUAL ACCEPTORS”

HISTORY• 1952 FP• 1972 1ST NATIONAL POPULATION POLICY• 1977 FAMILY WELFARE• 1985 UIP, MCH• VIII PLAN – CSSM.• IX PLAN – CAN – TARGET FREE • 1994 CAIRO DECLARATION –RCH• 2000 NEW POPULATION POLICY• BY 2010 TFR TO BE AT REPLACEMENT

LAVEL

R C H

1- CSSM

2- FP

3-CARE OF WOMEN FOR RTI/ STI & AIDS

4-ADOLOSCENT HEALTH

ALSO PROMOTE THE MALE PARTICIPATION IN FW PROGRAMME

KNOWLEDGE OF CONTRACEPTIVE METHODS

METHODS URBAN RURAL TOTAL

• ALL METHODS 99.8 98.6 99.7MODERN

PILL 98.8 97.4 99.7 IUD 95.5 93.1 95.3 CONDOM 97.6 95.3 97.4 TUBECTOMY 99.3 98.9 99.2 VASECTOMY 99.1 98.9 99.1

TRADITIONAL

RYTHEM/SAFEPERIOD 69.6 68.2 69.2 WITHDRAWAL 54.3 52.9 54.2

CONTRACEPTION USER

METHODS EVER CURRENT

• ALL METHODS 74.5 63.8MODERN

PILL 12.4 4.0 IUD 17.2 6.2 CONDOM 31.9 17.5 TUBECTOMY 26.3 26.3 VASECTOMY 2.4 2.4TRADITIONAL

RYTHEM/SAFEPERIOD 12.9 4.5 WITHDRAWAL 10.0 2.6

PILLS 14.4

IUD 7.5

CONDOM 15.4

TUBECTOMY 53.7

VASECTOMY 0.2

RYTHEM/SAFE 1.7

OTHER 1.1

UNSURE 6

PREFERED METHODS

RADIO 53.4

TELEVISION 89.6

CINEMA 21.4

NEWS PAPER 42.7

WALL PAINTING 38.5

DRAMA/STREET PLYS 7.7

ANY SOURCE 91.7

EXPOSURE TO FP MESSAGES

0

10

20

30

40

50

60

70

URBAN

RURAL

27, 9%

5.5, 2%

223, 74%

18.2, 6%

12.5, 4%

14.5, 5%

NUMBER OF CHILDREN 0

NUMBER OF CHILDREN 1

NUMBER OF CHILDREN 2

NUMBER OF CHILDREN 3

NUMBER OF CHILDREN 4+

NUMBER OF CHILDREN NEVER

PREFRANCE OF FP AND NO.OF CHILDREN

SOCCIO ECNOMIC AND FP METHOD

33.5

30.2

1.73.5 3.3

20.1

1.63.3

0 0

56.9

50.2

5.23.1

11.3

27.7

2.9

6.5

1.60.1

68.1

60.1

3.6

7.7

20.6

26.1

2.2

7.6

3.20.4

0

10

20

30

40

50

60

70

80

LOW

MEDIUM

HIGH

SOURCE OF FP METHOD

14.4

6.1 5.1

1 1 0

57

48.6

6.2

01.4

0

11.2

6.13.9

0.5 0.2 0.3

8178.3

01.3

0 0.2

79.3

74

0 0 0 00

10

20

30

40

50

60

70

80

90

PUBLIC SECTOR HOSPITALS DISPENSARY PHC/MCW SUB CENTRE CAMP

PILL

IUD

CONDOM

TUBECTOMY

VASECTOMY

CAST AND METHOD OF FP

32

11.7

32

4.12.9

1.1

5.3 5.2

10.1

29.6

1.42.2 1.7

4.1

7.5

20.6

24

2.1

5.5

3.3

0

5

10

15

20

25

30

35

SC

OBC

OTHERS

RELIGION AND METHOD

3.7

6.2

16.9

28.4

2.7

4.6

0.3

5.3 4.8

19

12.6

0.5

4.1

0

8

10

25.1

9.8

0.9

4.6

0.9

4.1 4.2

15

30.2

0

4.1

00

5

10

15

20

25

30

35

HINDU

MUSLIM

SIKH

OTHERS

EDUCATION &METHOD

3.72.3

6.1

35.5

3.7 4.3

1.8

3.3

5.4

16.4

32.8

2.83.8

1.6

5.8

3.6

18.7

31.5

0.7

2.6

0

4.1

9.6

24.7

17

1.7

5.44.1

0

5

10

15

20

25

30

35

40

ILLITRATE

LITRATE<MIDDLE

MIDDLE

HIGH SCH & AOVE

METHOD FAILED 3.1

LACK OF SEXUAL SAT. 5.6

MENSTRUAL PROBLEM 14.7

HEALTH PROBLEM 20.5

INCONVENIENT TO USE 1.5

GAINED WEIGHT 0.5

DID NOT LIKE THE METHOD 5.2

WANTED CHILD 23.4

LACK OF PRIVACY 1.6

HUSBAND AWAY 2.6

COST TOO MUCH 1.1

OTHER 17.7

MISSING 2.7

REASON FOR STOPPING FP METHOD

1 HUSBAND AWAY 3.7

2FERTILITY RELATED REASONS 61.9

3 OPPOSITION TO USE 12.5

4 LACK OF KNOWLEDGE 1.4

5 METHOD RELATED REASONS 10.2

6 OTHER 8

7 MISSING 2.4

REASONS NOT USING FP

UNMET NEED

1.AGE

15 - 19YR 27%

35-49YR 7%

2.EDUCATION

HIGH SCHOOL 12%

ILLITRATE 17%

3.RELIGION

MUSLIM 22%

HINDU 13%

SIKH 12%

SC/ST/OBC 11%

ONE CHILD 21.6%

DISCUSSION ABOUT FP

HUSBAND 23.6%

MOTHER 0.7%

SISTER 0.6%

DAUGHTER 0.1%

MOTHER IN LAW 1.9%

SISTER IN LAW 1.5%

ANY OF ABOVE 27.5%

PILL IUD

CONDOM

TUBECTOMY

VASECTOMY

RHYTHEM/SAFE.P

WITHDRAWAL

NO PROBLEM 84.6 85.5 98.5 81 98.3 99.1 98.5 89.2

WEIGHT GAIN 3 0 4.6 0 0 0 2.3

WEIGHT LOSS 0 1.3 0 0 0 0.6

TOO MUCH BLEEDING 2.7 0 2.7 0 0 0 1.4

HYPERTENSION 1 0 0.3 0 0 0 0.2

HEAD/BACK/BODYACHE 2 5.4 0 5 0 0 0 2.7

NAUSEA/VOMETING 2.9 0 0.5 0 0 0 0.4

NO MENSES 1 0 0.2 0 0 0 0.1

WEAKNESS/ 4 3.4 0 7.4 0 0 0 3.8

DIZZINESS 0 1.4 0 0 0 0.9

FEVER 0 1.8 0 0 0 0.8

SPOTTNG 0 0.2 0 0 0 0.1

ABD.PAIN 3.5 0 4.3 0 0 0 2.2

WHITE DISCHARGE 0 2.2 0 0 0 1.1

IRRG.PERIOD 4.3 2.1 0 2.2 0 0 0 1.4

BREAST TEND. 2 0 0.9 0 0 0 0.5

REDUCED SEX SAT. 0.7 0.2 0 0 1.5 0.3

SUMMARY

IN DELHI

•86% WANTS MALE CHILD.

•99% ARE AWARE ABOUT FP.HOWEVER USE IS VERY LOW SPECIALY FOR PILL & IUD.

•THERE IS NO MUCH DIFFRENCE IN RURAL OR URBAN.

•SIX PERCENT NOT USING ANY METHOD BUT WANTS THEY WANTS TO HAVE SPACE IN SECOND CHILD AT LEAST FOR TWO YEAR,

•8% DONOT WANT CHILD BUT ARE NOT USING ANY METHOD.

•ONLY 27% GOT THE INFORMATION ABUT FP FROM HEALTH WORKER..52% FRON GOVT. AND 32% FROM PRIVATESECTOR

•UNMET NEED IN MUSLIM 22%.HINDU13% SIKHS 12% AND 11% IN SC/ST/OBC. ALL REQUIRED TO PROVIDE FP METHODS.

•MALE PARTICIPATION IS REQUIRED.