TABLE 3 : Review of Progress and Targets
sl. no. item unit third 1966-69 fourth
plan (estimate) plan
(0) (1) (2) (3) (4) (5)
1 expenditure Rs. crores 24.86 60.48 315
2 district family nos. 199 303 335
planning bureau
3 rural family welfare
planning centres (cu-
mulative) nos. 3676 4326 5225
4 rural sub-centres (cu-
mulative) nos. 7081 22826 31752
5 urban family welfare
planning centres (cumu-
lative) nos. 1381 1797 1856
6 family planning train-
ing centres (including
central institutes) nos. 30 48 51
1*Outlay
18.25. Family Planning will remain a Centrally sponsored programme for the next ten years and the entire expenditure will be met by the Central Government. It will be ensured that performance does not lag behind with expenditure. The effort will be to achieve enduring results through appropriate education and motivation. General health services will be fully involved in the programme.
18.26. The Draft Plan outlay of Rs. 300 corres has been revised upwards to Rs. 315 crores so that the programmes can be strengthened and speeded up. The organisation of services and supplies by rural and urban centres and the compensation for sterilisation and IUCD will involve an expenditure of Rs. 269 crores. Efficiency in these services can be ensured only with a minimum network of centres and sub-centres all over the country and with more intensive attention to hospitals with a large number of maternity cases and to populous districts. Rs. 46 crores will be spend on training, research, motivation, organisation and evaluation.
18.27. Keeping in view the aim to reduce the birth rate to about 32 per thousand population by 1973-74 from the present 39, it is proposed to step up the target of sterilisation and IUCD insertions and to widen the acceptance of oral and injectible ocntraceptives. The use of conventional contraceptives will also be stepped up so as to cover 3.24 million persons in 1969-70 and 10 million persons by 1973- 74. As a result of these measures, 28 million couples are likely to be protected by 1973-74. The births expected to be prevented will aggregate to 18 million for the Plan period.
18.28. After carrying out studies on pilot projects, the Indian Council of Medical Research is of the opinion that the oral pills could be prescribed by medical practitioners for use after proper medical check up and under their supervision. As a result of this recommendation, the oral pills were introduced in the family planning programme in August 1967 as a pilot project. The results of the pilot projects have been analysed and a depth study is under way. The pill programme will be expanded both in urban and rural areas in a phased manner depending on experience gained during the expansion of the programme.
18.29. Surgical equipment will be provided in all rural and urban family welfare planning centres (nearly 7000 in number) for vasectomy operations. The efforts of these centres will be supplemented by more than 1000 mobile service units attached to district family planning bureaux. Salpingectomy is becoming popular and it is estimated that 25% of all sterilisations will be performed on women. To supplement the effort of hospital authorities in using general beds for salpingectomy, 3300 beds will be provided for this purpose. For intensifying, the family planning programme, some new schemes like post-partum programme, supply of surgical equipments to hospitals, intensive districts and selected area programmes, supply of vehicles at all primary health centres and stengthening of Cnetral and State Health transport organisations have been included for implimentation during the Fourth Plan.
18.30. In addition to the present system of free distribution of conventional contracepvies through family welfare planing centres and voluntary workers (depot holders), a massive programme of distribution of condoms (Nirodh) through 600,000 commercial retail outlets will be developed and sold to consumers at 15 paise for a packet of three condoms. It is estimated that 1200 million pieces will be indigenously manufactured.
18.31. Mass education activities will be strengthened in rural areas and small towns. Traditional and cultural media like song, drama and folk entertainment will be effectively used. Extension education will be strengthened and population education will be introduced. The strategy will be to bridge the gap between knowledge and adoption of family planning by couples in reproductive age-groups.
18.32. Arrangements will be made for training 10,000 medical and 150,000 para-medical personnel. In the research programmes, emphasis will be laid on the bio-medical aspect. New centres for reproductive biology and human reproduction will be established and orientation-cum-training courses in these subjects for teachers of medical colleges will be arranged. Demographic and communication studies will be used for efficient implementation of the programme. Its cost under various conditions will be analysed. Fertility surveys combined with KAP studies (Knowledge, attitude and practice) will be carried out to evaluate the ultimate and interenmediate objectives of the programme.
211 HEALTH AND FAMILY PLANNING
18.33. The programme of family planning is likely to be more effective and acceptable if maternity and child health services are integrated with family planning. This has now been done. The scheme of immunisation of infants and pre-school children with DPT, immunisa- tion of expectant mothers against tetanus, prophylaxis against nutritional anaemia for mothers and children and nutritional programme for control of blindness caused by Vitamin `A' deficiency among children will be implemented through family welfare planning centres. Family planning will be effectively integrated with the general health services of primary health centres and sub-centres.
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