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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