My old presentation . i think it may be relevant on the occasion of recent world population day

1. 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.

2. 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”

3. 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

4. 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

5. KNOWLEDGE OF CONTRACEPTIVE METHODS
METHODS URBAN RURAL TOTAL
• ALL METHODS 99.8 98.6 99.7
MODERN
 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

6. CONTRACEPTION USER
METHODS EVER CURRENT
• ALL METHODS 74.5 63.8
MODERN
 PILL 12.4 4.0
 IUD 17.2 6.2
 CONDOM 31.9 17.5
 TUBECTOMY 26.3 26.3
 VASECTOMY 2.4 2.4
TRADITIONAL
 RYTHEM/SAFEPERIOD 12.9 4.5
 WITHDRAWAL 10.0 2.6

7. 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

8. 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

9. 0
10
20
30
40
50
60
70
URBAN
RURAL

10. 27, 9%
5.5, 2%
223, 74%
18.2, 6%
12.5, 4%
14.5, 5%
NUMBEROFCHILDREN0
NUMBEROFCHILDREN1
NUMBEROFCHILDREN2
NUMBEROFCHILDREN3
NUMBEROFCHILDREN4+
NUMBEROFCHILDRENNEVER
PREFRANCE OF FP AND NO.OF CHILDREN

11. SOCCIO ECNOMIC AND FP METHOD
33.5
30.2
1.7
3.5 3.3
20.1
1.6
3.3
0 0
56.9
50.2
5.2
3.1
11.3
27.7
2.9
6.5
1.6
0.1
68.1
60.1
3.6
7.7
20.6
26.1
2.2
7.6
3.2
0.4
0
10
20
30
40
50
60
70
80
LOW
MEDIUM
HIGH

12. SOURCE OF FP METHOD
14.4
6.1 5.1
1 1 0
57
48.6
6.2
0
1.4
0
11.2
6.1
3.9
0.5 0.2 0.3
81
78.3
0
1.3
0 0.2
79.3
74
0 0 0 0
0
10
20
30
40
50
60
70
80
90
PUBLICSECTOR HOSPITALS DISPENSARY PHC/ MCW SUB CENTRE CAMP
PILL
IUD
CONDOM
TUBECTOMY
VASECTOMY

13. CAST AND METHOD OF FP
3
2
11.7
32
4.1
2.9
1.1
5.3 5.2
10.1
29.6
1.4
2.2
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

14. 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
0
0
5
10
15
20
25
30
35
HINDU
MUSLIM
SIKH
OTHERS

15. EDUCATION &METHOD
3.7
2.3
6.1
35.5
3.7
4.3
1.8
3.3
5.4
16.4
32.8
2.8
3.8
1.6
5.8
3.6
18.7
31.5
0.7
2.6
0
4.1
9.6
24.7
17
1.7
5.4
4.1
0
5
10
15
20
25
30
35
40
ILLITRATE
LITRATE<MIDDLE
MIDDLE
HIGHSCH& AOVE

16. 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

17. 1 HUSBAND AWAY 3.7
2
FERTILITY 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

18. 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%

19. 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%

20. PIL
L IUD
COND
OM
TUBEC
TOMY
VASECTO
MY
RHYTH
EM/SA
FE.P
WITHD
RAWA
L
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/BODYAC
HE 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

21. 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.