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Odisha achieves 90% of ELA in Family Planning Sterilisation

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Bhubaneswar, 12th November, 2013: As part of the initiative to reposition family planning for addressing maternal and child health outcomes, department of health and family welfare has undertaken comprehensive measures in order to improve the performance of family welfare programme in the state during recent years.

Family-PlanningSince limiting method (Male and Female Sterilisation) constitutes a major part of the ‘family planning service uptake’, a number of measures as mentioned below have been initiated to strengthen the sterilisation service delivery to the eligible clients across the state.

District level micro plans in all the 30 districts are being prepared and implemented annually for ‘operatinalisation of fixed day services (FDS)’ particularly on Monday (Parivar Kalyan Diwas) through designated health facilities in order to cater to the need of the eligible clients interested for accepting sterilisation method.

The Health & Family Welfare department is providing Rs.600/- and Rs.1100/- to the acceptors of limiting methods as loss of wages (compensation money) for female and male
sterilisatlon services respectively.

More and more numbers of operating surgeons are being created through
Special Skill Development (SSD) Training in order to make available adequate of
service providers for meeting the demand from the community. Regular meetings of Quality Assurance Committees (QAC) both at the state and district levels are being organised as mandated by Government of India for addressing issues relating to the smooth sterilisation service delivery in health facilities.

Continuous attempts are on through state and district QACs to facilitate
immediate and speedy settlement of claims arising out of sterilisation operation
relating to death, complication and failure all across Odisha.

In an attempt to promote and maintain prudent clinical practices by operating
surgeons while providing sterilisation services, regular orientation on ‘family planning
programme guidelines’ is being carried out for empanelled surgeons by state
directorate for promoting quality of care.

State is putting in all round efforts to sensitize the programme officials and
managers working at various operational levels on Family Planning Indemnity
Scheme (FPIS) enabling the districts to facilitate easy claim settlement for
sterilisation operations.

Extensive campaign efforts put in during ‘World Population Fortnight’ observed each year through out the state for providing family planning services particularly sterilisation services have brought in good dividends for family welfare programme in Odisha. As a result of which Odisha consistently registered an increasing trend in sterilisation achievements from 2010 to 2013. In 2010, 13489 persons underwent sterilisation, in 2011, it rose and 28088 persons underwent sterilisation, in 2012, 33019 persons underwent sterilisation and in 2013 (up to September) 21072 persons have already undergone sterilisation.

Given the tremendous rise in institutional deliveries (33% in 2005-06 to > 80%
in 2012-13) in the state due to implementation of ‘Janani Surakhya Yojana’, several
measures have been undertaken to improve the post partum sterilisation (PPS)
services in the state through delivery points (DP) which has shown incremental
increase from 2.8% in 2010-11 to 4% in 2012-13. And efforts are on to increase this
number in coming years.

As part of the partnership initiative more than 100 private – health institutions
have been accredited by Directorate of Family Welfare, Odisha, which are providing
sterilisation services to the clients that supplements the state efforts.
H & FW Department is implementing centrally sponsored scheme to promote
the acceptance of sterilisation services by eligible couples having 1 or 2 children by
incentivising efforts of ASHAs in order to promote ‘small family’ in the communities.

As a result of which more than 60% couples out of the total sterilisation cases in
Odisha accept limiting methods with 1 or 2 children which helped in bringing down
state’s total fertility rate (TFR) one of the key indicators of population stabilisation to 2.2 (AHS-2011) very close to the desired goal, i.e. 2.1.

Due to the implementation of result-oriented and time-bound measures by H &
FW department, Odisha has been consistently achieving 90% of expected level of
achievement (ELA) during last several years which is a significant achievement in
family planning programme.

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