ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Sexual and Reproductive HealthSubscribe to Sexual and Reproductive Health

Repositioning of the Family Planning Programme in India

Critical issues in the stagnation of the family planning programme in India are highlighted and the tangible barriers are identified to suggest few possible strategies to enhance its use and effectiveness in achieving the Sustainable Development Goals relating to sexual and reproductive health. Findings from the National Family Health Survey-4 (2015–16) indicate a strong need to reposition the FPP to meet the unmet need of contraceptives by improving the quality of care and promoting the spacing methods of contraception by minimising the 12-month contraceptive discontinuation rate in India.

Is Contraceptive Prevalence Declining in India?

This study investigates the quality of the National Family Health Survey-4 data on contraceptive use by estimating investigator-induced bias. An outlier-bound approach was used to detect investigator bias, and contraceptive use was re-estimated adjusting for the bias in six study states. The findings suggest investigator bias at two levels: over-reporting of women as “never users” of contraception and a tendency to report sterilised women as current non-users and as cases of hysterectomy. Re-estimation of contraceptive use confirmed a declining trend in contraceptive prevalence in four study states. While the effect of the bias was moderate at the state level, it can potentially distort district-level estimates to a great extent.

 

Status of Women’s Reproductive Health in Bihar

Based on the National Family Health Survey data for 2015–16 and 2019–20, the article shows the precarious sexual and reproductive health of women in Bihar. While there are some improvements in this period, multiple indicators emerging from social and institutional determinants continue to show poor SRH of women in the state.

 

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