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Bringing A Women’s Perspective to Family Planning


Affiliations
1 Ministry of Women and Child Development, Government of India, India
 

The National Family Planning Programme (FPP) was promoted to restrict the increasing population by reducing the high birth rates in India. It was also encouraged for its potential to reduce poverty, hunger and avert maternal and childhood deaths. Several studies have found a positive association between women empowerment and lower fertility, longer birth intervals and lower rates of unintended pregnancy. Family planning (FP) services gave a sense of autonomy to women to decide when to have children and how many. However, the available services were so women-centric that it puts the burden of FP almost entirely on them, whether it was in the use of contraceptive methods, sterilization or abortions. Despite half a century of efforts to reduce population growth, India still faces challenges in delivering a FPP to help couples delay and space out their children that goes beyond female sterilization. Sharing of FP responsibilities by men during these years has been dismal. The burden of FP also seems to have a negative impact on the economic empowerment of women. This article examines the FPP in India through a women’s perspective. It uses empirical evidence to show how burden of FP is mainly borne by women. It recommends shifting the focus on men and making FP a shared responsibility between men and women, if gender equality has to be achieved in FPPs.

Keywords

Family Planning, Maternal and Child Health, Male Involvement, Women’s Perspective.
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  • India has had two National Population Policies which were drafted in the years 1976 and 2000.
  • Launched in 2013, RMNCH+A approach aims to address the major causes of mortality among women and children as well as the delays in accessing and utilizing health care and services.
  • FP 2020 is an outcome of 2012 London summit on Family Planning.
  • http://assam.gov.in/documents/10180/dfe84477-d015-4387-8b6e58b052be5204 (accessed on 8 August 2017).
  • Cunningham, K. et al., Women’s empowerment and child nutritional status in South Asia: a synthesis of the literature. Matern. Child Nutr., 2015, 11(1), 1–19.
  • James, G. and Voss, M., Family planning and economic well being: new evidence from Bangaldesh. Policy brief, 2009, Population Reference Bureaue, Bangladesh.
  • The mass sterilisation programmes in various states have left many women dead or suffer since they are being targeted the most despite the fact that male contraception is less complex and more safe (EPW, 2016, Notebandi to Nasbandi, 51(1), 2016.
  • Rao, M., Family Planning Programme, EPW, 2000, 35(49).
  • Garg, S. and Singh, R., Need for integration of gender equity in family planning services. Indian J. Med. Res. (Suppl.), 2014, 140, S147–S151.
  • Pachauri, S., Priority strategies for India’s family planning programmes. India J. Med. Res. (Suppl.), 2014, 140, S137–S146.
  • Pathak, P. K., Singh, A. and Subramanian, S. V., Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India. 1992–2006. PLoS ONE, 2010.
  • Bhattarthiry, M. and Narayanan E., Unmet need for Family Planning among married women of reproductive age group in urban Tamil Nadu. J. Fam. Community Med., 2014, 21(1), 55–57.
  • National Population Policy, PIB, Government of India, Ministry of Health and Family Welfare, dated 11 December 2015, 14:16 IST National Family Health Survey-4, Ministry of Health and Family Welfare, Government of India, 2015–16.
  • India has attained a total fertility rate of 2.2 and the urban fertility rate has fallen to 1.8, which is below the replacement level of fertility, while rural fertility rate is still 2.4 (NFHS-4). Total fertility rate has reduced to 2.2 (2015–16) from 2.7 in 2005–06.
  • Gangopadhyay, B. and Das, D. N., Quality of family planning services in India: the users’ perspective. J. Fam. Welfare, 1997, 43(3), 5–12.
  • Sex-wise break up of sterilization performed in India in 2014–15 shows that of the total 40,30,334 sterilizations done in India, 3,951,972 were tubectomies and only 78,362 were vasectomies. (Health and Family Welfare Statistics in India, 2015.) 17. Rural Health Statistics, 2017.
  • Indian women die after state-run mass sterilisation campaign goes wrong; https://www.theguardian.com/world/2014/nov/11Indian-womendie-mass-sterilisation-camp
  • Health and Family Welfare Statistical Year Book, India, 2017.
  • Singh, S. et al., The incidence of abortion and unintended pregnancy in India, 2015. The Lancet, 2018.
  • Bela, G., Visaria, L., Kalyanwala, S. and Ramachandran, V., Abortion in India, EPW, 2004, 39, 46–47.
  • Bandewar, S. S., Abortion services and providers’ perceptions: Gender Dimensions, 2003, 38(21).
  • Barua, A., Apte, H. and Dalvie, S., Safe abortion as a women’s right. EPW, 2015, 50(33).
  • Prata, N. et al., Women’s empowerment and family planning: a review of the literature. J. Biosoc. Sci., 2017, 49(6), 713–743.
  • Recent NFHS survey indicates that 38.4% of women own a house or land alone or jointly with others, 53% of the women have bank or savings account that they themselves use and almost 46% of women have mobile phones that they themselves use.
  • Vaidyanathan, K. E., Status of women and family planning: the Indian case. Asia Pac. Popul. J., 1989, 4(2), 3–18.

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  • Bringing A Women’s Perspective to Family Planning

Abstract Views: 271  |  PDF Views: 72

Authors

Sunita Sangar
Ministry of Women and Child Development, Government of India, India

Abstract


The National Family Planning Programme (FPP) was promoted to restrict the increasing population by reducing the high birth rates in India. It was also encouraged for its potential to reduce poverty, hunger and avert maternal and childhood deaths. Several studies have found a positive association between women empowerment and lower fertility, longer birth intervals and lower rates of unintended pregnancy. Family planning (FP) services gave a sense of autonomy to women to decide when to have children and how many. However, the available services were so women-centric that it puts the burden of FP almost entirely on them, whether it was in the use of contraceptive methods, sterilization or abortions. Despite half a century of efforts to reduce population growth, India still faces challenges in delivering a FPP to help couples delay and space out their children that goes beyond female sterilization. Sharing of FP responsibilities by men during these years has been dismal. The burden of FP also seems to have a negative impact on the economic empowerment of women. This article examines the FPP in India through a women’s perspective. It uses empirical evidence to show how burden of FP is mainly borne by women. It recommends shifting the focus on men and making FP a shared responsibility between men and women, if gender equality has to be achieved in FPPs.

Keywords


Family Planning, Maternal and Child Health, Male Involvement, Women’s Perspective.

References





DOI: https://doi.org/10.18520/cs%2Fv115%2Fi4%2F633-637