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At a time when population growth needs to be stabilized, there are at least 12.3% of currently married women ages 15 to 49 who have no access to family planning methods, indicates the National Family Health Survey4.
Couples who do not have access to family planning methods when they need them give birth to "unwanted" children. "We interviewed a lot of couples and they told us that they did not want any more children.And when we asked them about family planning methods, they told us that they There was no access when it was needed, "said Devendra Kothari, Population and Development Analyst.
"Cases of unwanted pregnancies can be significantly reduced or eliminated in a decade by providing reproductive services according to the needs of couples.There is no reason for states such as Rajasthan, Bihar, Madhya Pradesh and Uttar Pradesh, with increasingly generous support from the Center, are failing so dramatically in the management of unwanted pregnancies, "said Kothari.
He said that women with unmet need for family planning services often travel far from home to a health center, returning empty-handed because of shortages, stockouts, lack of paramedical personal contraception or poor quality of services. He added that women came to health centers to be sterilized and forced to lie down after surgery, which increases the risk of infection. "These women should receive VIP treatment," said Kothari.
However, the Department of Family Health and Welfare reported reaching rural areas for providing family planning methods. "Every couple has their own requirements for family planning, some opt for a permanent family planning method such as male and female sterilization, while others opt for spacing methods." In addition, we have provided them with different methods, "said Dr. SM Miittal, Director of Family Welfare, Department of Health.
"The Antara injectable contraceptive, which prevents a woman from conceiving for three months, is new to the list, and it will also help us reduce the percentage of women with unmet family planning needs," he said. Dr. Mittal.
However, the health department recently ordered all Chief Medical Officers of Health to educate people about all methods of family planning and to provide them as needed.
The government has different methods of family planning because it offers facilities for male and female sterilization, contraceptive pills, condoms, postpartum IUD / IUD, but despite all these efforts, unwanted pregnancies have become a major concern for health. authorities.
Rajasthan has taken credible steps to strengthen the logistics system of family planning to ensure availability of contraceptives and promote spacing methods, especially postpartum IUCD and injectables , by expanding the basket of contraceptive choices. The 2015 data show that there were nearly 24 million unwanted pregnancies in India, "said Sunil Thomas Jacob, state program coordinator, UNFPA office. Rajasthan.
"According to the survey of the NFHS-4 in Rajasthan, the unmet need of married young women, especially 15-19 and 20-24 years old, are 23% and 22% respectively, which is quite high compared to unmet state needs of 12.3% Overall, in Rajasthan, the percentage of applications satisfied for family planning was 75%, but 27% and 43% respectively for adolescents. These facts reiterate the need to ensure that young people are covered in planning programs, as well as the knowledge they need to make informed choices, "he said.
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